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      <body>The Federal Health Information Model (FHIM) is a Unified Modeling Language (UML) model that describes the health-related information required by the Federal Health Architecture (FHA) federal partner organizations to achieve interoperability with internal and external systems. The FHIM is a Logical Information Model, suitable to guide the Enterprise Architecture of the federal partner organizations - in other words, each agency’s Enterprise Data Architecture would conceivably subset and specialize the FHIM models. The FHIM model is aligned with existing and emerging healthcare IT standards, such as those issued by HL7 and IHE, and those endorsed or profiled by the Office of the National Coordinator for Health Information Technology (ONC) for incorporation into various regulations.&#xD;
&#xD;
PLEASE NOTE that the FHIM is NOT specific to the US Federal Government! The Federal Government is obligated to follow the same regulations as does the rest of industry, and all concepts in the FHIM are needed to some degree or other by any healthcare organization operating in the United States. Rather, the FHIM is a superset of all the standards (primarily from HL7, NCPDP, and ASC X12) that the Federal Government (or any other US-based healthcare organization) would implement. Indeed, outside of the use of ASC X12 concepts in the Enrollment, Eligibility, and Coordination of Benefits domain, and the use of SNOMED and RxNorm codes in FHIM Value Sets, the FHIM is not even US-centric. The FHIM can and has been used outside of the United States – especially for clinical domains.&#xD;
&#xD;
One of the primary goals of the FHIM is to enable meaningful information exchange within the partner agencies and externally with the broader health community. Therefore, the FHIM provides a semantic information basis for information exchange, traceability, and alignment into industry information models and standards. FHIM classes and attributes modeled so that they can be easily transformed into intermediate models from which industry-standard artifacts can be generated. The FHIM currently supports transforms to HL7 FHIR, HL7 CDA, and NIEM, but other standards are envisioned, including HL7 version 2, NCPDP, ASC X12, Oracle, Java, etc. The FHIM has also adopted a modeling style that aligns with the HL7 Clinical Quality Framework such that there is a clear boundary between clinical concepts (which would bind into clinical terminologies) and the context in which the concepts are used. This pattern enables generation of clinical artifacts suitable for automated workflow, automated clinical decision support, reasoning, and secondary uses such as medical research.&#xD;
&#xD;
Note to the reader: the FHIM is a single integrated model, whereby diagrams are simply a view into the model. Each diagram shows only a portion of the model; otherwise it would become too unwieldy to navigate. When a class in a diagram comes from a different package, it will contain &quot;(from &lt;package>)&quot; beneath the class name, where &lt;package> is the name of the package containing that class. Whenever you see a class on a diagram that contains &quot;(from &lt;package>)&quot;, please view that package for more information on what other relationships that class may have.</body>
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      <ownedComment xmi:id="_kEvs4NNoEeGRnPi2MLPE0g" annotatedElement="_9SrG0M_2Ed-YeMSrwW6svA">
        <body>RxNorm or CVX</body>
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        <body>XOR</body>
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        <body>XOR</body>
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        <body>Note that there can be other kinds of products (i.e., subtypes) besides Medicines and Devices, such as Cosmetics, which are not modeled here yet.</body>
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        <body>Examples:&#xD;
(drug): Pfizer Lipitor 40 MG Tablet&#xD;
(food): Ensure Nutritional Shake&#xD;
(device): Boston Scientific Model L321 Accolade EL Pacemaker</body>
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        <body>Example:&#xD;
Serial Nbr: 1234</body>
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        <body>Example:&#xD;
Atorvastatin 40 MG Oral Tablet</body>
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        <body>Example:&#xD;
Pfizer Lipitor 40 MG Tablet&#xD;
NDC: 21695-255-90 (90 Tablet, Film Coated in 1 Bottle)&#xD;
Labeler: Rebel Distributors Corp</body>
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        <body>Example:&#xD;
40 MG&#xD;
isActiveMoiety=true</body>
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      <ownedComment xmi:id="_ikV_EAJIEeadSdoDuZEYwQ" annotatedElement="_420A62FD03B645919F1600B4">
        <body>Example:&#xD;
(drug): Atorvastatin Calcium&#xD;
(food): Milk Protien Concentrate</body>
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      <ownedComment xmi:id="_wfZdsFp5Eea8uN_zi5afyA" annotatedElement="_420A62FD03B645919EF10138">
        <body>Example:&#xD;
HMG-CoA Reductase Inhibitor</body>
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        <body>The FHIM Common Product Model contains those classes necessary to describe manufactured goods that are used in the health domain. These products can potentially be ordered, purchased, consumed, administered, maintained, and/or disposed of in the course of providing healthcare or conducting public health – related activities (e.g., food safety, disease outbreak detection and management). In addition, these products may themselves be the subject of laboratory tests for sterilization testing.&#xD;
This domain closely follows the HL7 V3 Common Product Model which is intended to address all of the above uses but also is used to describe products from a regulatory viewpoint. In an EHR, much of this information would be retrieved from a knowledge base such as RxNorm or GUDID. For example, if you know you have a Pfizer Lipitor 40 MG Tablet, you know that it is in a tablet form and that it contains 40 mg of Atorvastatin, which is an HMG-CoA Reductase Inhibitor. All this can be found out by accessing RxNorm, therefore you may not store this information in an EHR or send it in a message. Nevertheless, the FHIM includes these structures in order to provide a consistent way to represent these concepts as regardless of how the information is obtained, systems will still need to reason over these concepts.</body>
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          <body>A product that was created by a pharmacist or by a clinician by compounding two or more ingredients. Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application.</body>
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            <body>This field indicates the number of ingredients (both active and inactive) that were compounded. This field is marked as derived because it could be calculated from the number of additive and vehicle instances.&#xD;
&quot;Count of compound product IDs (both active and inactive) in the compound mixture submitted.&quot; - NCPDP Telecommunication (Field 447-EC, Data Dictionary 201104).</body>
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            <body>A name or narrative of the medication being produced. For example, Acetaminophen 120 MG/5ML cherry-flavored Elixir.</body>
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            <body>&quot;Contains the units for the dispense amount as encoded by the pharmacy or treatment supplier. This field is required if the units are not implied by the actual dispense code. This must be in simple units that reflect the actual quantity of the substance dispensed. It does not include compound units.&quot; - HL7 Version 2.8, RXC-11.&#xD;
&quot;NCPDP standard product billing codes.&quot; - NCPDP Telecommunication (Field 451-EG, Data Dictionary 201104).</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0GuwULybEea_DaXmJ278Kw"/>
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            <body>&quot;Dosage form of the complete compound mixture.&quot; - NCPDP Telecommunication (Field 450-EF, Data Dictionary 201104).</body>
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            <body>&quot;Measurement in minutes for the preparation of the compound.&quot; - NCPDP Telecommunication (Field A32-ZW, Data Dictionary 201104).</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1bbSYLybEea_DaXmJ278Kw"/>
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        <ownedAttribute xmi:id="_LgYpwF7xEeCcBvMgXNMeOQ" name="additive" visibility="public" type="_-zRd8F7wEeCcBvMgXNMeOQ" association="_LgXboF7xEeCcBvMgXNMeOQ">
          <ownedComment xmi:id="_XlaLYFvkEea3D8Ng2ubtNw" annotatedElement="_LgYpwF7xEeCcBvMgXNMeOQ">
            <body>Pointer to the medication ingredient(s) that are dissolved into or mixed into some medium in order to transport the medication to the intended site or to ease in administration.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LgZQ0F7xEeCcBvMgXNMeOQ" value="1"/>
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          <ownedComment xmi:id="_t-cbcNEvEeG6d5ozG3gSdw" annotatedElement="_K8QB8F7xEeCcBvMgXNMeOQ">
            <body>Pointer to the ingredient(s) into which the active medication is dissolved or mixed in order to transport the medication to the intended site or to ease in administration.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K8QB8V7xEeCcBvMgXNMeOQ"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_ddsuwM_1Ed-YeMSrwW6svA" name="Product">
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          <body>A product is any tangible or intangible good or service that is a result of a process and that is intended for delivery to a customer or end user. More specifically for the purposes of the FHIM Common Product model, a product is a commodity offered for sale; an article of commerce; a kind of merchandise that is involved in the provision of healthcare (e.g., an x-ray machine), consumed during the provision of care (e.g., a prosthesis, a medication, a bandage), or is itself the subject of healthcare-related activities (e.g., testing the surface of a machine for pathogens, testing food for food-borne pathogens).&#xD;
This class deals with things that can be ordered, purchased, consumed, administered, maintained, and/or disposed of even if the thing is originally naturally occurring. However, do not use this class to indicate that a patient is allergic to eggs. Use Substance for generic eggs. But to order a gross of Farmer Smith’s eggs, or to test an egg from a box of Farmer Smith’s eggs, this class is appropriate.&#xD;
Note that in situations where the same product may be sold in &quot;saleable units&quot; of different sizes, this class defines the product itself, whereas the saleable units are described in other classes. For example, if Pfizer sells Lipitor 40 MG Tablets in a 30 count bottle and a 90 count bottle, the product in those bottles is identical (and indeed may have come from the same manufacturing lot), but the bottles have different National Drug Codes. In this example, this class would contain Pfizer Lipitor 40 MG Tablet, while the PackagedMedicinalProduct class will contain information about the 30 and 90 count saleable units.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kp2MYs_1Ed-YeMSrwW6svA" name="brandName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kp2MY8_1Ed-YeMSrwW6svA" annotatedElement="_kp2MYs_1Ed-YeMSrwW6svA">
            <body>&quot;The name of the product kind described. If this is a specific manufactured (brand) product, this would be the proprietary name. For general product class descriptions this would be a non-proprietary name. This attribute may sometimes be used instead of a code and descriptive data elements when no suitable coding system is available....&quot; - HL7 Version 3 (ManufacturedMaterial.name).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ca2GwO6REd-crcWiXVDZrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ca2Gwe6REd-crcWiXVDZrQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kp2MYM_1Ed-YeMSrwW6svA" name="description" visibility="public">
          <ownedComment xmi:id="_kp2MYc_1Ed-YeMSrwW6svA" annotatedElement="_kp2MYM_1Ed-YeMSrwW6svA">
            <body>“A text description of the product…. The description attribute is mainly to be used for brief descriptions which users of product catalogs can use to quickly distinguish this product from other similar products in a list of products.” - HL7 Version 3 (ManufacturedMaterial.desc).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I6BZELycEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I6BZEbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tTX8gPQcEd-ZkqyOlLYO5g" name="equivalentTo" visibility="public" type="_ql3uEPQUEd-ZkqyOlLYO5g" association="_tTU5MPQcEd-ZkqyOlLYO5g">
          <ownedComment xmi:id="_5Ed5gPbSEeGoRqAZLJ6Mwg" annotatedElement="_tTX8gPQcEd-ZkqyOlLYO5g">
            <body>“A code specifying in what way the equivalent entity (player) is considered equivalent to its reference entity (scoper). This is used to reference materials submitted from another source (e.g., repackagers, OTC, etc.)  Examples: No known or suspected bioequivalence problems; Potential bioequivalence problems have been resolved with evidence supporting bioequivalence; Bioequivalence problems have not been fully resolved.” – HL7 Version 3 (Role.code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tTZxsPQcEd-ZkqyOlLYO5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tTZxsfQcEd-ZkqyOlLYO5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0KjMQKMZEeOzLfgeAZKSFA" name="fdaProductCode" visibility="public">
          <eAnnotations xmi:id="_sEFoMhvVEee_vYMoKjQHEg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_I-D3cKMaEeOzLfgeAZKSFA" annotatedElement="_0KjMQKMZEeOzLfgeAZKSFA">
            <body>This optional property contains the FDA Product Code (sometimes called the ProCode). The FDA Product Code is used to categorize products under the jurisdiction of the U.S. Food and Drug Administration, including medical devices, drug products, vitamin products, food products, and biologics. It is noted that the Product Code is an optional component of the Unique Device Identifier, so for medical devices, this product code could potentially exist in both properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4EKiIKMZEeOzLfgeAZKSFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ELJMKMZEeOzLfgeAZKSFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EWFUoM_2Ed-YeMSrwW6svA" name="formCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_EWFUoc_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_guwaYM_2Ed-YeMSrwW6svA" annotatedElement="_EWFUoM_2Ed-YeMSrwW6svA">
            <body>&quot;The principal form of a product, such as dosage form of a medicine.... Notice the difference between an (Administered) Medicine and a PackagedMedicine. Both have formCodes. A box or vial is usually not a medicine Product.formCode but a PackagedProduct.formCode, unless the entire box or the entire vial is meant for direct administration as a single unit. In principle, the formCode is a very coarsely-grained (high level) product class that focuses on physical appearance.  At the top, it usually distinguishes between physical state of matter (solid, liquid, gaseous), and, because solids may be amorphous (e.g., powders), would allow distinguishing solid shaped from amorphous masses.  The former can be individually handled and counted, whereas the latter (amorphous masses) can only be measured and require primary containers for handling. Thus the formCode has implications for how the product is quantified (counted vs. measured) and whether a primary container (e.g., vial) may be expected.&quot; - HL7 Version 3 (ManufacturedMaterial.formCode).&#xD;
&quot;Describes the form of the item. Powder; tablets; capsule.&quot; - HL7 FHIR, Medication.form</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EWFUo8_2Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EWFUos_2Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EZpmAM_2Ed-YeMSrwW6svA" name="handlingCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_EZpmAc_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_chUwoM_2Ed-YeMSrwW6svA" annotatedElement="_EZpmAM_2Ed-YeMSrwW6svA">
            <body>“An indicator of special handling requirements for the product, e.g., keep at room temperature, store upright.” - HL7 Version 3 (ManufacturedMaterial.handlingCode).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EZpmA8_2Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EZpmAs_2Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BsxwEM_2Ed-YeMSrwW6svA" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8Z008O6PEd-crcWiXVDZrQ" annotatedElement="_BsxwEM_2Ed-YeMSrwW6svA">
            <body>This property identifies the &quot;kind&quot; of product so that it might be referenced in health records. Depending on the design of the code system, this product kind might resolve to a generic commodity (e.g., 32 gauge 4mm needles), a specific brand name item (e.g., Pro Comfort Pen Needles, 4 mm by Home Aide Diagnostics, Inc.), or a specific sale-able unit (e.g., 100 count box of Pro Comfort Pen Needles, 4 mm by Home Aide Diagnostics, Inc.).&#xD;
This flexibility does cause an issue for consideration, especially for medications: The design of the Common Product Model allows for a product (e.g., Pfizer Lipitor 40 MG Tablet) to relate to multiple packaged products (e.g., a 30 count bottle and a 90 count bottle). But if the top level Product is at the sale-able unit level, then this &quot;kind&quot; property would contain a code for the 90 count bottle, in which case, there can only be one packaged product instance for each instance of the Product class (e.g., the packaged product would be NDC 21695-255-90 for the 90 Tablet, Film Coated in 1 Bottle sale-able unit).&#xD;
&quot;A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.&quot; - HL7 FHIR, Medication.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BsxwFM_2Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BsxwE8_2Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QQ5xkXpnEd-44ra0dfiJCw" name="manufacturer" visibility="public" type="_420A62FD03B6419905DB00FB" association="_QQ5xkHpnEd-44ra0dfiJCw">
          <ownedComment xmi:id="_RoYGINOSEeGputPQx0HXoA" annotatedElement="_QQ5xkXpnEd-44ra0dfiJCw">
            <body>Pointer to the Organization (in the Role of Manufacturer) that produced the Product.&#xD;
&quot;Contains the manufacturer of the medical substance administered when it is a manufactured substance.&quot; - HL7 Version 2.8, RXD-20.&#xD;
&quot;Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.&quot; - HL7 FHIR, Medication.manufacturer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QQ5xknpnEd-44ra0dfiJCw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QQ5xk3pnEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EUJa8M_2Ed-YeMSrwW6svA" name="riskCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_EUJa8c_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PEEhUM_2Ed-YeMSrwW6svA" annotatedElement="_EUJa8M_2Ed-YeMSrwW6svA">
            <body>“Indicates a type of hazard or threat associated with the product.” - HL7 Version 3 (ManufacturedMaterial.riskCode).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EUJa88_2Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EUJa8s_2Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aLY-kM_3Ed-YeMSrwW6svA" name="shelfLife" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_2nX4sO6QEd-crcWiXVDZrQ" annotatedElement="_aLY-kM_3Ed-YeMSrwW6svA">
            <body>“The amount of time after date of manufacture that the manufacturer no longer ensures the safety, quality, and/or proper functioning of the material.” - HL7 Version 3 (ManufacturedMaterial.expirationTime).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K8f4gAKfEeaJDZZ7cuA0cA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K8f4gQKfEeaJDZZ7cuA0cA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QcrMEPQeEd-ZkqyOlLYO5g" name="specializationOf" visibility="public" type="_ql3uEPQUEd-ZkqyOlLYO5g" association="_Qcov0PQeEd-ZkqyOlLYO5g">
          <ownedComment xmi:id="_Oc5PoPbTEeGoRqAZLJ6Mwg" annotatedElement="_QcrMEPQeEd-ZkqyOlLYO5g">
            <body>“May specify a certain use of the generalization relationship.  Since things may be classified in various ways, this code may be used to allow systems with limited understanding of the classes to show the classes in distinguished slots (e.g., product by effect, by mechanism of action, by chemical nature, etc.) Note that this code cannot influence the simple interpretation of the relationship as an &quot;is-a&quot; relationship, i.e., the specialized kind role should not be used to indicate classes that may sometimes hold but not all the time, or that only hold under specific considerations.  The latter might be an example of a similarity relationship, for which the &quot;equivalent entity&quot; role should be used instead.” – HL7 Version 3 (Role.code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QcrzIPQeEd-ZkqyOlLYO5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QcsaMPQeEd-ZkqyOlLYO5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gSZpcMsGEeeRmrVpDYXk5A" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lMuOYMsGEeeRmrVpDYXk5A" annotatedElement="_gSZpcMsGEeeRmrVpDYXk5A">
            <body>&quot;A code to indicate if the medication is in active use. This status is not intended to specify if a medication is part of a formulary.&quot; - HL7 FHIR, Medication.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n9qE8MsGEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n9qE8csGEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oDnb8AF2EeC0SO5AWIN0Qg" name="MedicinalProduct">
        <ownedComment xmi:id="_XC78oFuFEeaInYPVPjTOAA" annotatedElement="_oDnb8AF2EeC0SO5AWIN0Qg">
          <body>Medicinal Product: Any substance or combination of substances presented for treating or preventing disease or with a view to making a medical diagnosis or to restoring, correcting or modifying physiological functions in human beings or in animals. – adapted from UK Nursing and Midwifery Council Directive 65/65/EEC&#xD;
Represents a product produced and marketed as a medicine or drug. This class represents the product irrespective of the container size in which it is packaged. For example, if a product is marketed in bottles of 30 tablets and bottles of 60 tablets, this class describes the product (i.e., the tablets and the characteristics of those tablets), whereas the Packaged Medicinal Product class describes the characteristics peculiar to each kind of saleable product.</body>
        </ownedComment>
        <generalization xmi:id="_rTtYgDlBEeCOabXzDmEF2w" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
        <ownedAttribute xmi:id="_420A62FD03B64592CBFB02A3" name="auxilliaryLabel" visibility="public">
          <ownedComment xmi:id="_NdgPS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CBFB02A3">
            <body>Contains remarks to personnel handling the medication.  Examples include: Do not freeze, Keep refrigerated, Do not use after [a certain] date, Do not take if pregnant.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UIjLcDh7EeC17O99ZX8o-w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UIjLcTh7EeC17O99ZX8o-w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424083C50135" name="controlledSubstanceSchedule" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_MDM0eeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MDM0d-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424083C50135">
            <body>A code that represents the special regulations of a drug based upon its degree of potential abuse and level of jurisdictional control. In the United States, this property contains the &quot;DEA Schedule&quot; as specified by the Drug Enforcement Administration (DEA) in accordance with the Controlled Substance Act. The DEA Schedule contains a number between 1 and 5, with 1 representing the most controlled drugs (illegal drugs) and 5 representing the least controlled drugs. In addition a value of 0 is valid for drugs having no schedule.&#xD;
&quot;Value defining the DEA schedule of the medication.&quot; - NCPDP Script (Field 7996, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWY-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWZOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430CEF2C0176" name="investigationalNewDrugId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_MDWlduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MDWldOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430CEF2C0176">
            <body>The unique identifier for the manufacturer's investigational new drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HUeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HUuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6457470690094" name="isOverTheCounter" visibility="public">
          <eAnnotations xmi:id="_MDWle-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MDWleeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6457470690094">
            <body>Indicates whether this medication is sold over the counter.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HU-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HVOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430CEF38017D" name="newDrugApplicationId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_MDpgYeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MDgWfOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430CEF38017D">
            <body>The unique identifier for the manufacturer's new drug application for this medicine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HWeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HWuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gjVYEc_3Ed-YeMSrwW6svA" name="genericMedicine" visibility="public" type="_9SrG0M_2Ed-YeMSrwW6svA" association="_gjVYEM_3Ed-YeMSrwW6svA">
          <ownedComment xmi:id="_XYWQ4O6QEd-crcWiXVDZrQ" annotatedElement="_gjVYEc_3Ed-YeMSrwW6svA">
            <body>&quot;The non-proprietary, generic substance as which the same medicines is known in the literature independent of a specific  manufacturer.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gjeiAM_3Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gjeiAc_3Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fQ2XoNrbEd-fKY5dgJoxiA" name="ingredient" visibility="public" type="_jToVcM_3Ed-YeMSrwW6svA" association="_fQz7YNrbEd-fKY5dgJoxiA">
          <ownedComment xmi:id="_XDzu0O6REd-crcWiXVDZrQ" annotatedElement="_fQ2XoNrbEd-fKY5dgJoxiA">
            <body>&quot;Relates a product (typically a medicine) to a substance which it contains as an ingredient.&quot; - HL7 Version 3.&#xD;
&quot;Identifies a particular constituent of interest in the product.&quot; - HL7 FHIR, Medication.ingredient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fQ3lwNrbEd-fKY5dgJoxiA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fQ3lwdrbEd-fKY5dgJoxiA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kq7w4DlFEeCOabXzDmEF2w" name="drugClass" visibility="public" type="_420A62FD03B645919EF10138" association="_kq57sDlFEeCOabXzDmEF2w">
          <ownedComment xmi:id="_yuVU8FvuEea3D8Ng2ubtNw" annotatedElement="_kq7w4DlFEeCOabXzDmEF2w">
            <body>Pointer to categorizations of the medication. Medications may be classified by various characteristics including Mechanism of Action, Mode of Action, Therapeutic Effect, Chemical Action, Pharmacokinetics, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kq8_ADlFEeCOabXzDmEF2w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kq8_ATlFEeCOabXzDmEF2w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1SfIMVAeEeCNoo8JCSlflA" name="packagedMedicinalProduct" visibility="public" type="_NlR-MM_tEd-YeMSrwW6svA" association="_1SfIMFAeEeCNoo8JCSlflA">
          <ownedComment xmi:id="_o68ygFvyEea3D8Ng2ubtNw" annotatedElement="_1SfIMVAeEeCNoo8JCSlflA">
            <body>Pointer to a saleable unit of a medicinal product. For example, if a product is marketed in bottles of 30 tablets and bottles of 60 tablets, this property points to the two saleable units, which describe the characteristics peculiar to each kind of saleable product (i.e., the 30 count and the 60 count bottles).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1SfIMlAeEeCNoo8JCSlflA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1SfIM1AeEeCNoo8JCSlflA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592E9E3037C" name="MedicinalProductInstance">
        <eAnnotations xmi:id="_NejYMOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NeZnKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E9E3037C">
          <body>This class identifies an individual saleable or dispensable unit of medication, and is used to convey information about the actual drug produced, dispensed, or administered. Note that the Id property (commonly known as a serial number) would be used to identify the saleable unit. It is widely anticipated that saleable units will have such Ids in the future, but it is currently not common practice.&#xD;
&#xD;
&quot;A product instance is (a) an individual product instance, i.e., an individually identified thing with a serial number; (b) a product lot, i.e., a set of things of the same kind (e.g., 1000 for expressing a number of tablets) or an  amorphous mass (e.g., 100 L of a liquid raw material), or  (c) any subset, member, or portion of a product lot. The  distinction between an individual thing and a lot is made in the quantity attribute, which is set to 1 (one) for  individual items, or any number e.g., 1000 or amount 100 L for sets of things or amorphous masses respectively.&quot; - HL7 Version 3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_QvxZYO6bEd-crcWiXVDZrQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_kNwcEO6bEd-crcWiXVDZrQ" annotatedElement="_QvxZYO6bEd-crcWiXVDZrQ">
            <body>&quot;A unique identifier for this instance. If the product instance represents a single individual product (quantity = 1) then this id is also called the &quot;serial number&quot;.  If the product instance represents a product lot, the id is also called the &quot;lot number&quot;.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XqFkADumEeCQ7Mi7IS1BrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XqGLEDumEeCQ7Mi7IS1BrQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7ClXIDh7EeC17O99ZX8o-w" name="storageCondition" visibility="public">
          <ownedComment xmi:id="_HfZzsPbAEeGoRqAZLJ6Mwg" annotatedElement="_7ClXIDh7EeC17O99ZX8o-w">
            <body>Describes the conditions under which the product was stored (e.g., temperature, humidity).  This property is currently a string, but will likely be replaced by a structured class in the future.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TG8IADh8EeC17O99ZX8o-w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TG8IATh8EeC17O99ZX8o-w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592E95A01B1" name="unitPrice" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_NeZnLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E95A01B1">
            <body>This is the price of the medication per dispense unit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJ5roPVBEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJ5rofVBEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MrYJ4GRaEeCsvJrE4KlOMA" name="drugPricing" visibility="public" type="_Lc8A0GRaEeCsvJrE4KlOMA" association="_MrVGkGRaEeCsvJrE4KlOMA">
          <ownedComment xmi:id="_tQnjgFv4Eea3D8Ng2ubtNw" annotatedElement="_MrYJ4GRaEeCsvJrE4KlOMA">
            <body>Pointer to the methodology was used to calculate the price of a medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MrYJ4WRaEeCsvJrE4KlOMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MrYJ4mRaEeCsvJrE4KlOMA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0UVNAac1EeCkJ6Eur_P0ag" name="manufacturingLot" visibility="public" type="_2iS00FPwEeC3dvg3Ss2k0Q" association="_0UVNAKc1EeCkJ6Eur_P0ag">
          <ownedComment xmi:id="_XNc4ADNoEeKkw_YjK6aRcw" annotatedElement="_0UVNAac1EeCkJ6Eur_P0ag">
            <body>Pointer to the batch or lot in which the medicinal product was manufactured.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0UYQUKc1EeCkJ6Eur_P0ag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0UYQUac1EeCkJ6Eur_P0ag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8_X7Y1AeEeCNoo8JCSlflA" name="packagedMedicinalProduct" visibility="public" type="_NlR-MM_tEd-YeMSrwW6svA" association="_8_OKYFAeEeCNoo8JCSlflA">
          <ownedComment xmi:id="_PZNLsFv0Eea3D8Ng2ubtNw" annotatedElement="_8_X7Y1AeEeCNoo8JCSlflA">
            <body>Pointer to a saleable unit of a medicinal product of which the Medicinal Product Instance (e.g., a particular bottle) is an occurrence.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8_X7ZFAeEeCNoo8JCSlflA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8_X7ZVAeEeCNoo8JCSlflA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C11CB017B" name="NuclearMedicine">
        <eAnnotations xmi:id="_Naq9teLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nahz0OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C11CB017B">
          <body>A radiopharmaceutical used in the diagnosis, management, and treatment of disease.</body>
        </ownedComment>
        <generalization xmi:id="_YvlMsDO0EeCBme_1raFDzg" general="_420A62FD03B64592E9E3037C"/>
        <ownedAttribute xmi:id="_420A62FD03B6425C125E02EF" name="activity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Naq9s-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C125E02EF">
            <body>The measured quantity of the radioactivity of the radiopharmaceutical used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BTyngLycEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BTyngbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6426545CB0072" name="OrderablePharmacyItem">
        <eAnnotations xmi:id="_NIyjiOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NIyjguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426545CB0072">
          <body>This class represents a medication or pharmacy-stocked item that can be ordered by a prescribing clinician and ultimately dispensed to the patient or a caregiver for the patient. This class points to the Product hierarchy, which may be downcast as needed to indicate the medicinal product (e.g., using an RxNorm code) or the packaged medicinal product (e.g., the NDC code).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JoESsVx_EeCsbYJDFyCu_A" name="product" visibility="public" type="_ddsuwM_1Ed-YeMSrwW6svA" association="_JoESsFx_EeCsbYJDFyCu_A">
          <ownedComment xmi:id="_FgX60FvzEea3D8Ng2ubtNw" annotatedElement="_JoESsVx_EeCsbYJDFyCu_A">
            <body>Pointer to an item which can be ordered from a Pharmacy. Examples include medications, supplies, and certain durable medical equipment (e.g., crutches).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JoESslx_EeCsbYJDFyCu_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JoESs1x_EeCsbYJDFyCu_A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NlR-MM_tEd-YeMSrwW6svA" name="PackagedMedicinalProduct">
        <ownedComment xmi:id="_IVY9IO6SEd-crcWiXVDZrQ" annotatedElement="_NlR-MM_tEd-YeMSrwW6svA">
          <body>Represents a saleable unit of a medicinal product. This unit will typically (but not necessarily) contain a number of doses of medicine in one package, e.g., a 30 tablet bottle, a 20 ml tube. This class exists because different size containers will have different inventory codes and it is the packaged product that is generally associated with the manufacturing lot in which it was produced. For example, a 30 count bottle will have a different NDC than a 60 count bottle. Also, for manufacturing practicalities, the manufacturing lot and expiration date are on the bottle, not on each tablet.&#xD;
&#xD;
&quot;A product in a container, or package. Represents the entirety of a product that has been packaged in a container for sale  or supply; this representation of the Packaged Medicine may be in its real or actual form as something made, or described  more conceptually, generically, or virtually, but it must represent a product contained in a package.&quot; - HL7 V3&#xD;
&#xD;
Note that an important difference exists between the FHIM Packaged Medicinal Product and the nascent FHIR Medication.Package construct in that the FHIM does not adequately describe those situations where one has more than one drug form in the same package. For example, a package that has both an injectable liquid and a lotion. The FHIR Medication.Package appears to separate the contents better. The FHIM may in the future incorporate a separation of the drug forms into separate classes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_frGpMM_vEd-YeMSrwW6svA" name="capType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2tYS4Pa9EeGoRqAZLJ6Mwg" annotatedElement="_frGpMM_vEd-YeMSrwW6svA">
            <body>“The type of container cap.  In some cases, it is important for this to be consistent with decapping, piercing or other automated manipulation.  Notions such as &quot;child-proof cap&quot; or &quot;resealable bag&quot; may also be indicated here.” - HL7 Version 3 (PackagedProduct.capTypeCode).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OKaBIPKkEeG3H88UD2nPJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OKcdYPKkEeG3H88UD2nPJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fhhUAGRbEeCsvJrE4KlOMA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_06Be4Pa9EeGoRqAZLJ6Mwg" annotatedElement="_fhhUAGRbEeCsvJrE4KlOMA">
            <body>This property is used to identify the packaged product (or “sale-able item”), using any coding system except the National Drug Code (NDC), as we have created a separate property for NDC. HL7 and NCPDP both have a single property (which could be multi-valued) to hold any and all such codes in one place, but in the FHIM, we identify the NDC separately due to its importance in federal implementations.&#xD;
&#xD;
“The item code for a packaged product (e.g., complete National Drug Code [NDC] in the U.S.)” - HL7 Version 3 (PackagedProduct.code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jcnQkGRbEeCsvJrE4KlOMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jcnQkWRbEeCsvJrE4KlOMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3t60UGRgEeCsvJrE4KlOMA" name="codeModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zKT0wPa9EeGoRqAZLJ6Mwg" annotatedElement="_3t60UGRgEeCsvJrE4KlOMA">
            <body>This property is used to further identify the packaged product (or “sale-able item”), when the coding system used in the “code” property uses separate code modifiers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tb-20GRhEeCsvJrE4KlOMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tb-20WRhEeCsvJrE4KlOMA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W52ZgM_wEd-YeMSrwW6svA" name="description" visibility="public">
          <ownedComment xmi:id="_xiilsPa9EeGoRqAZLJ6Mwg" annotatedElement="_W52ZgM_wEd-YeMSrwW6svA">
            <body>“A text description of the packaged product.  This may include a discussion of the container.” - HL7 Version 3 (PackagedProduct.desc).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EsMGsLycEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EsMGsbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9MH3EM_vEd-YeMSrwW6svA" name="name" visibility="public">
          <ownedComment xmi:id="_vp0wkPa9EeGoRqAZLJ6Mwg" annotatedElement="_9MH3EM_vEd-YeMSrwW6svA">
            <body>“A name for the packaged product, usually the same as the name of the product (except where the name contains some reference to the packaging (e.g., &quot;tempo super-pack&quot;, &quot;tic-tac easy-box&quot;)).” - HL7 Version 3 (PackagedProduct.name).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GPVUcLycEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GPVUcbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6zyTkEwHEdyVYrcEhQ5TbQ" name="nationalDrugCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_6zyTkUwHEdyVYrcEhQ5TbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_6zyTkkwHEdyVYrcEhQ5TbQ" annotatedElement="_6zyTkEwHEdyVYrcEhQ5TbQ">
            <body>&quot;Each drug product listed under Section 510 of the Federal Food, Drug, and Cosmetic Act is assigned a unique 10-digit, 3-segment number. This number, known as the National Drug Code (NDC), identifies the labeler/vendor, product, and trade package size.&quot; - FDA.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6zyTlEwHEdyVYrcEhQ5TbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6zyTk0wHEdyVYrcEhQ5TbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rHleIM_wEd-YeMSrwW6svA" name="packageCapacity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_t26BcPa9EeGoRqAZLJ6Mwg" annotatedElement="_rHleIM_wEd-YeMSrwW6svA">
            <body>&quot;Contains the size of package to be dispensed.&quot; - HL7 Version 2.8, RXD-22.&#xD;
&quot;Contains the units in which [packageCapacity] is denominated. The advertised number of units in the manufacturer's package, i.e., the package as it comes from the supplier.&quot; - HL7 Version 2.8, RXD-23.&#xD;
“Captures the number of product units the package would contain if fully loaded.” - HL7 Version 3 (PackagedProduct.capacityQuantity).&#xD;
&quot;Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc).&quot; - HL7 FHIR, Medication.amount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QcZ48PKkEeG3H88UD2nPJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QcagAPKkEeG3H88UD2nPJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AAUu8M_uEd-YeMSrwW6svA" name="packageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cRlvsM_vEd-YeMSrwW6svA" annotatedElement="_AAUu8M_uEd-YeMSrwW6svA">
            <body>“The package type, such as box or bottle.” - HL7 Version 3 (PackagedProduct.formCode).&#xD;
&quot;The kind of container that this package comes as.&quot; - HL7 FHIR, Medication.package.container</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RK-PIPKkEeG3H88UD2nPJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RK-PIfKkEeG3H88UD2nPJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1SfINFAeEeCNoo8JCSlflA" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_1SfIMFAeEeCNoo8JCSlflA">
          <ownedComment xmi:id="_tOnnIFvyEea3D8Ng2ubtNw" annotatedElement="_1SfINFAeEeCNoo8JCSlflA">
            <body>Pointer to a product produced and marketed as a medicine or drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1SfINVAeEeCNoo8JCSlflA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1SfINlAeEeCNoo8JCSlflA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8_X7YFAeEeCNoo8JCSlflA" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_8_OKYFAeEeCNoo8JCSlflA">
          <ownedComment xmi:id="_Wq2X4Fv1Eea3D8Ng2ubtNw" annotatedElement="_8_X7YFAeEeCNoo8JCSlflA">
            <body>Pointer to instances (e.g., particular bottles) of a Packaged Medicinal Product, which will be identified by a serial number or a lot number. For example, if the Packaged Medicinal Product represents all 30-count bottles of Acme Aspirin, this property points to a specific bottle manufactured on Jan. 27th 2016.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8_X7YVAeEeCNoo8JCSlflA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8_X7YlAeEeCNoo8JCSlflA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dDAAsIAfEeGE1-mzJa42fw" name="labeler" visibility="public" type="_XteGcIAfEeGE1-mzJa42fw" association="_dC7IMIAfEeGE1-mzJa42fw">
          <ownedComment xmi:id="_w6z8IDNqEeKkw_YjK6aRcw" annotatedElement="_dDAAsIAfEeGE1-mzJa42fw">
            <body>Pointer to an organization that repackages medicinal products for sale.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dDBO0IAfEeGE1-mzJa42fw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dDB14IAfEeGE1-mzJa42fw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Nhp3UPQcEd-ZkqyOlLYO5g" name="ProductActivation">
        <ownedComment xmi:id="_YW1RIPQcEd-ZkqyOlLYO5g" annotatedElement="_Nhp3UPQcEd-ZkqyOlLYO5g">
          <body>Placeholder for some act that causes the &quot;countdown&quot; to start where a product must be used within a certain time. For example, a product may need to be used within 30 days of opening the package, or within 24 hours from when a drug was reconstituted.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FNpwEDOyEeCBme_1raFDzg" name="dateActivated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_pxMWoFv1Eea3D8Ng2ubtNw" annotatedElement="_FNpwEDOyEeCBme_1raFDzg">
            <body>The date (and optionally, time) upon which the product was activated. For example, if a product must be used within 30 days of opening, this is the date/time the product container was first opened.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LopigLycEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LopigbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fuzNcQFzEeC0SO5AWIN0Qg" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_fuzNcAFzEeC0SO5AWIN0Qg">
          <ownedComment xmi:id="_-rqH8Cw6EeKmqZ4YenSzAg" annotatedElement="_fuzNcQFzEeC0SO5AWIN0Qg">
            <body>Identifies the medicinal product that was activated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fuzNcgFzEeC0SO5AWIN0Qg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fuzNcwFzEeC0SO5AWIN0Qg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Af_ecF7xEeCcBvMgXNMeOQ" name="Vehicle">
        <ownedComment xmi:id="_s_JhoNEvEeG6d5ozG3gSdw" annotatedElement="_Af_ecF7xEeCcBvMgXNMeOQ">
          <body>Vehicle: &quot;A substance of no therapeutic value that is used to convey an active medicine for administration.&quot; - Stedman's Medical Dictionary&#xD;
When a medication is created by a pharmacist or by a clinician by compounding two or more ingredients, this class represents the ingredient(s) into which the active medication is dissolved or mixed in order to transport the medication to the intended site or to ease in administration. Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application. In the example of Acetaminophen 120 MG/5ML cherry-flavored Elixir, this class represents the 5 ml of cherry flavored syrup.&#xD;
&quot;Defines the volume measurement in which the drug strength concentration is contained.  For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML.&quot; - HL7 Version 2.8, RXO-25.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fQ4_0F7xEeCcBvMgXNMeOQ" name="volume" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_sZdaoNEvEeG6d5ozG3gSdw" annotatedElement="_fQ4_0F7xEeCcBvMgXNMeOQ">
            <body>The quantity of the ingredient into which the active medication is dissolved or mixed in order to transport the medication to the intended site or to ease in administration. In the example of Acetaminophen 120 MG/5ML cherry-flavored Elixir, this property contains 5 ml.&#xD;
&quot;Defines the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML.&quot; - HL7 Version 2.8, RXO-25.&#xD;
&quot;Indicates the volumetric unit associated with [Drug Strength Volume].&quot; - HL7 Version 2.8, RXO-26.&#xD;
&quot;Defines the volume measurement in which the drug strength concentration is contained.&quot; - HL7 Version 2.8, RXC-8.&#xD;
&quot;Indicates the volumetric unit associated with RXC-8 Component Drug Strength Volume.&quot; - HL7 Version 2.8, RXC-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R8W8QLycEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R8W8QbycEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FHHakF7xEeCcBvMgXNMeOQ" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_FHGMcF7xEeCcBvMgXNMeOQ">
          <ownedComment xmi:id="_pGlc8Cw6EeKmqZ4YenSzAg" annotatedElement="_FHHakF7xEeCcBvMgXNMeOQ">
            <body>Identifies the medicinal product used as a vehicle in a locally manufactured product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FHHakV7xEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FHIBoF7xEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-zRd8F7wEeCcBvMgXNMeOQ" name="Additive">
        <ownedComment xmi:id="_2zBTYFvjEea3D8Ng2ubtNw" annotatedElement="_-zRd8F7wEeCcBvMgXNMeOQ">
          <body>Additive: &quot;A substance added in small amounts to something else to improve, strengthen, or otherwise alter it.&quot; - Stedman's Medical Dictionary&#xD;
When a medication is created by a pharmacist or by a clinician by compounding two or more ingredients, this class represents the medication ingredient(s) that is dissolved into or mixed into some medium in order to transport the medication to the intended site or to ease in administration. Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application. In the example of Acetaminophen 120 MG/5ML cherry-flavored Elixir, this class represents the 120 mg of Acetaminophen.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ENS2oF7xEeCcBvMgXNMeOQ" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_ENRogF7xEeCcBvMgXNMeOQ">
          <ownedComment xmi:id="_qmnsUCw6EeKmqZ4YenSzAg" annotatedElement="_ENS2oF7xEeCcBvMgXNMeOQ">
            <body>Identifies the medicinal product used as a additive in a locally manufactured product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ENTdsF7xEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ENTdsV7xEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nrvsQF7xEeCcBvMgXNMeOQ" name="amount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_3OKsYFvlEea3D8Ng2ubtNw" annotatedElement="_nrvsQF7xEeCcBvMgXNMeOQ">
            <body>The quantity of the medication ingredient that is dissolved into or mixed into some medium in order to transport the medication to the intended site or to ease in administration. In the example of Acetaminophen 120 MG/5ML cherry-flavored Elixir, this property contains 120 mg.&#xD;
&quot;Identifies the amount of this component to be added to the specified amount of the base.&quot; - HL7 Version 2.8, RXC-3.&#xD;
&quot;Identifies the units for the component amount.  If present, this overrides the units implied by RXC-2-component code.  This must be in simple units that reflect the actual quantity of the component being added.  It does not include compound units.&quot; - HL7 Version 2.8, RXC-4.&#xD;
&quot;Use when RXC-2-component code does not specify the strength. This is the numeric part of the strength, used in combination with RXC-6-component strength units.&quot; - HL7 Version 2.8, RXC-5.&#xD;
&quot;Use when RXC-2-component code does not specify the strength.  This is the unit of the strength, used in combination with RXC-5-component strength.&quot; - HL7 Version 2.8, RXC-6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I7MTMLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I7MTMbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OaEXAKEREeGnfe88WF3uxw" name="AdministeredDrug">
        <ownedComment xmi:id="_pHGBwLyFEeGK2djLWlLFew" annotatedElement="_OaEXAKEREeGnfe88WF3uxw">
          <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5&#xD;
“A role for the product when merely refered to as one that might be administered.  This is the role through which the product model would be entered for electronic prescribing.” – HL7 Version 3 (Role->AdministerableMaterial).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wM_fAL2ZEeG_PZtvUC92nw" name="administeredBarcodeId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_5uIeEL2ZEeG_PZtvUC92nw" annotatedElement="_wM_fAL2ZEeG_PZtvUC92nw">
            <body>&quot;This field contains the pharmacy system's assigned barcode number for the give occurrence.  For IV orders, many pharmacy systems generate a barcode number to identify a specific bag/bottle of the order. This number can be an instance identifier; unique for the patient, drug combination, and schedule instance or it may be just a drug identifier.&quot; - HL7 Version 2.8, RXA-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KYeNEL2dEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KYe0IL2dEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F4VpwL2dEeG_PZtvUC92nw" name="administrationTagId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_SUCVcL2dEeG_PZtvUC92nw" annotatedElement="_F4VpwL2dEeG_PZtvUC92nw">
            <body>&quot;Contains an identifier for the individual product instance for the dispense occurrence.  This may represent a barcode, RFID or other means of automatically-readable product instance.  Repetitions represent the same instance where more than one barcode, RFID or other identification is present.&quot; - HL7 Version 2.8, RXA-29</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JzjiIL2dEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JzkJML2dEeG_PZtvUC92nw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aOXrgKEREeGnfe88WF3uxw" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_aOUBIKEREeGnfe88WF3uxw">
          <ownedComment xmi:id="_8jdFUCw6EeKmqZ4YenSzAg" annotatedElement="_aOXrgKEREeGnfe88WF3uxw">
            <body>Identifies the medicinal product administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aOY5oKEREeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aOY5oaEREeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dF9jsKEREeGnfe88WF3uxw" name="pharmacyManufacturedProduct" visibility="public" type="_0j3qsF7wEeCcBvMgXNMeOQ" association="_dF5SQKEREeGnfe88WF3uxw">
          <ownedComment xmi:id="_2qx2AFvmEea3D8Ng2ubtNw" annotatedElement="_dF9jsKEREeGnfe88WF3uxw">
            <body>Pointer to a product that was created by a pharmacist or by a clinician by compounding two or more ingredients which was then administered to the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dF-x0KEREeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dF-x0aEREeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C004E004C" name="Device">
        <eAnnotations xmi:id="_L-4VJeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_yYUYQBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6425C004E004C">
          <body>Identifies a class of devices characterized by their manufacturer, model name/number, software version, etc. This class differs from the Device Instance class in that this class represents all instances of a kind of device whereas the Device Instance class represents one individual.  For example, the Device class might describe a Color LaserJet Model CMJ1312 made by Hewlett Packard. The DeviceInstance class might describe the individual Color LaserJet Model CMJ1312 that has serial number 1234.&#xD;
&#xD;
&quot;A contrivance or an invention serving a particular purpose, especially a machine used to perform one or more relatively simple tasks.&quot; (The American Heritage Stedman's Medical Dictionary).&#xD;
&quot;A ManufacturedMaterial used in an activity without being substantially changed through that activity.&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_qYoq4OrLEeCgerddwRbJUw" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
        <ownedAttribute xmi:id="_Z9aEEBFvEeKu1LfuaJwFHw" name="cataloglId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_sD_hkBvVEee_vYMoKjQHEg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_sD_hkRvVEee_vYMoKjQHEg" key="deprecated"/>
          </eAnnotations>
          <ownedComment xmi:id="_Z9aEEhFvEeKu1LfuaJwFHw" annotatedElement="_Z9aEEBFvEeKu1LfuaJwFHw">
            <body>Identifies the kind of the product, as assigned by a distributor or other organization responsible for ordering and supplying of equipment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z9aEFBFvEeKu1LfuaJwFHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z9aEExFvEeKu1LfuaJwFHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mGRZMKMZEeOzLfgeAZKSFA" name="commonDeviceName" visibility="public">
          <ownedComment xmi:id="_G39toKMaEeOzLfgeAZKSFA" annotatedElement="_mGRZMKMZEeOzLfgeAZKSFA">
            <body>A generic name for the device, as opposed to a brand name specific to a particular manufacturer's product.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yXtVoKMZEeOzLfgeAZKSFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yXujwKMZEeOzLfgeAZKSFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425C00A30062" name="modelId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_sEFoMBvVEee_vYMoKjQHEg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_sEFoMRvVEee_vYMoKjQHEg" key="deprecated"/>
          </eAnnotations>
          <ownedComment xmi:id="_4cLYIBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6425C00A30062">
            <body>Identifies the kind of the product, as assigned by the manufacturer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMceLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMcuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B646116A080288" name="modelName" visibility="public">
          <eAnnotations xmi:id="_L-vLN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3jf8wPGQEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B646116A080288">
            <body>&quot;The human designated moniker for a device, assigned by the manufacturer&quot; - HL7 V3&#xD;
&quot;The model is an identifier assigned by the manufacturer to identify the product by its type. This number is shared by the all devices sold as the same type.&quot; - HL7 FHIR, Device.model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMc-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMdOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sY7OcPbnEeGoRqAZLJ6Mwg" name="name" visibility="public">
          <ownedComment xmi:id="_sY7OcfbnEeGoRqAZLJ6Mwg" annotatedElement="_sY7OcPbnEeGoRqAZLJ6Mwg">
            <body>“The name of the product kind described.  If this is a specific manufactured (brand) product, this would be the proprietary name.  For general product class descriptions this would be a non-proprietary name.  This attribute may sometimes be used instead of a code and descriptive data elements when no suitable coding system is available.  The data type for the name allows for suffixes and also other name parts, which might hold proprietary dose form (e.g., &quot;capsil&quot;, &quot;discus&quot;, &quot;injection system&quot;) or other name parts which may be required for recognition of the product among health professionals.  Note that these name parts are never to be used instead of proper descriptive data elements (formCode, ingredients and their quantities, etc.).” - HL7 Version 3 (ManufacturedMaterial.name).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sY7Oc_bnEeGoRqAZLJ6Mwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sY7OcvbnEeGoRqAZLJ6Mwg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uT7PwFPxEeC3dvg3Ss2k0Q" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_uT6BoFPxEeC3dvg3Ss2k0Q">
          <ownedComment xmi:id="_ICc4ADNpEeKkw_YjK6aRcw" annotatedElement="_uT7PwFPxEeC3dvg3Ss2k0Q">
            <body>Identifies an individual device belonging to the class of devices represented by the Device class on the other end of the association.  For example, the Device class might describe a Color LaserJet Model CMJ1312 made by Hewlett Packard.  The DeviceInstance class might describe the machine that has serial number 1234.  Other information about the device instance, such as the cost, date placed into service, date last serviced, etc. may be added to the DeviceInstance class in the future.  For now, we are just interested in the serial number (the Id property).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7Ud1QKMZEeOzLfgeAZKSFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7UecUKMZEeOzLfgeAZKSFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bZdbMP2yEeWjDqDBPhzhtA" name="version" visibility="public">
          <ownedComment xmi:id="_i61h8P2yEeWjDqDBPhzhtA" annotatedElement="_bZdbMP2yEeWjDqDBPhzhtA">
            <body>&quot;The version of the device, if the device has multiple releases under the same model, or if the device is software or carries firmware.&quot; - HL7 FHIR, Device.version</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M4a9wLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M4a9wbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MsausFCxEeCsN-3dTKIrUA" name="DeviceInstance">
        <ownedComment xmi:id="_wrmqcLskEeGZTLDYkoM_Sw" annotatedElement="_MsausFCxEeCsN-3dTKIrUA">
          <body>This class identifies an individual device. The Id property is commonly known as a serial number.&#xD;
&quot;Identifies the Equipment Instance (e.g., Analyzer, Analyzer module, group of Analyzers, etc.) responsible for the production of the observation....&quot; - HL7 Version 2.8, OBX-18.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xQ-ZUPGREd-ZlYn0p4HjQw" name="alertLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3DwQQPGREd-ZlYn0p4HjQw" annotatedElement="_xQ-ZUPGREd-ZlYn0p4HjQw">
            <body>&quot;The current functional status of an automated device.&quot; - HL7 V3. Possible values include: Normal, Warning, Critical, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1R9igPGREd-ZlYn0p4HjQw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1R-JkPGREd-ZlYn0p4HjQw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6-uycB4NEeeIxccvDlLgJA" name="contact" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_6-uycR4NEeeIxccvDlLgJA" annotatedElement="_6-uycB4NEeeIxccvDlLgJA">
            <body>&quot;Contact details for an organization or a particular human that is responsible for the device.&quot; - HL7 FHIR, Device.contact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6-uycx4NEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6-uych4NEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QfwLsIeZEeOX_brmw15GsQ" name="dateAcquired" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_arPvUIeZEeOX_brmw15GsQ" annotatedElement="_QfwLsIeZEeOX_brmw15GsQ">
            <body>&quot;Date and time equipment was installed or affixed&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wm7qcLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wm7qcbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cMOZ4IeZEeOX_brmw15GsQ" name="dateDisposed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cMOZ4YeZEeOX_brmw15GsQ" annotatedElement="_cMOZ4IeZEeOX_brmw15GsQ">
            <body>&quot;Date and time equipment was removed or uninstalled&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XhRy0LybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XhRy0bybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Sy6sPGREd-ZlYn0p4HjQw" name="dateLastCalibrated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_BovR8PGSEd-ZlYn0p4HjQw" annotatedElement="_5Sy6sPGREd-ZlYn0p4HjQw">
            <body>&quot;The date and time the device was last calibrated.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EMkgoPGSEd-ZlYn0p4HjQw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EMlHsPGSEd-ZlYn0p4HjQw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wsskwP2xEeWjDqDBPhzhtA" name="dateManufactured" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_eRM-EAHIEeadSdoDuZEYwQ" annotatedElement="_wsskwP2xEeWjDqDBPhzhtA">
            <body>&quot;The date and time when the device was manufactured.&quot; - HL7 FHIR, Device.manufactureDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gALy8AHJEeadSdoDuZEYwQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gAMaAAHJEeadSdoDuZEYwQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oJDGcKc2EeCkJ6Eur_P0ag" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_oJDGcac2EeCkJ6Eur_P0ag" annotatedElement="_oJDGcKc2EeCkJ6Eur_P0ag">
            <body>Identifies the individual device. This may be a Serial Number assigned by the manufacturer, or some other unique identifer assigned by the owning organization (e.g., an asset control number).&#xD;
&quot;A unique identifier for this instance. If the product instance represents a single individual product (quantity = 1) then  this id is also called the serial number. If the product instance represents a product lot, the id is also called the lot number.&quot; - HL7 V3&#xD;
&quot;Unique instance identifiers assigned to a device by manufacturers other organizations or owners.&quot; - HL7 FHIR, Device.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oJDGc6c2EeCkJ6Eur_P0ag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oJDGcqc2EeCkJ6Eur_P0ag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425C00B1009E" name="localRemoteControlState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L-vLOuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C00B1009E">
            <body>&quot;The state of control of the device. A device can either work autonomously or it can be controlled by another system. The  control status of a device must be communicated between devices prior to remote commands being transmitted. If the device  is not in &quot;Remote&quot; status, external commands will be ignored.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e1wYcPTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e1wYcfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bRa2sB4OEeeIxccvDlLgJA" name="note" visibility="public">
          <ownedComment xmi:id="_tVx0AB4OEeeIxccvDlLgJA" annotatedElement="_bRa2sB4OEeeIxccvDlLgJA">
            <body>&quot;Descriptive information, usage information or implantation information that is not captured in an existing element.&quot; - HL7 FHIR, Device.note&#xD;
Note that FHIR models this as an Annotation, whereas FHIM currently models this as a string.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bRa2sx4OEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bRa2sh4OEeeIxccvDlLgJA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643FB63BE0318" name="softwareName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_L-4VI-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_L-4VIeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643FB63BE0318">
            <body>&quot;The moniker, version and release of the software that operates the device as assigned by the software manufacturer or  developer.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMdeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMduLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5qS5oB4OEeeIxccvDlLgJA" name="safety" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EOml4B4PEeeIxccvDlLgJA" annotatedElement="_5qS5oB4OEeeIxccvDlLgJA">
            <body>&quot;Provides additional safety characteristics about a medical device. For example devices containing latex.&quot; - HL7 FHIR, Device.safety&#xD;
Note that safety information is also an optional property of the Unique Device Identifier, so it is possible that this information may be duplicated both here and within the UDI.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5qS5ox4OEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5qS5oh4OEeeIxccvDlLgJA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__D9asP2wEeWjDqDBPhzhtA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cVLi0AGzEead0-Tdy4-iQA" annotatedElement="__D9asP2wEeWjDqDBPhzhtA">
            <body>Identifies whether or not the Device Instance is available. This property is included for compatibility with FHIR. FHIR specifies three possible values for this property: Available, Not Available, and Entered in Error (which is meant to convey that the device instance doesn't exist as the record concerning its existence is invalid).  It is anticipated that there may be other values that would be appropriate.&#xD;
&quot;Status of the Device availability.&quot; - HL7 FHIR, Device.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CNcUIP2xEeWjDqDBPhzhtA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CNcUIf2xEeWjDqDBPhzhtA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j-nXYAHJEeadSdoDuZEYwQ" name="url" visibility="public">
          <ownedComment xmi:id="_j-nXYQHJEeadSdoDuZEYwQ" annotatedElement="_j-nXYAHJEeadSdoDuZEYwQ">
            <body>&quot;A network address on which the device may be contacted directly.&quot; - HL7 FHIR, Device.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j-nXYwHJEeadSdoDuZEYwQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j-nXYgHJEeadSdoDuZEYwQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uT8d4FPxEeC3dvg3Ss2k0Q" name="device" visibility="public" type="_420A62FD03B6425C004E004C" association="_uT6BoFPxEeC3dvg3Ss2k0Q">
          <ownedComment xmi:id="_EAwuwDNqEeKkw_YjK6aRcw" annotatedElement="_uT8d4FPxEeC3dvg3Ss2k0Q">
            <body>Identifies a class of devices characterized by their manufacturer, model name/number, software version, etc.  This class differs from the Device Instance class on the other end of the association in that this class represents all instances of a kind of device whereas the Device Instance class represents one individual.  For example, the Device class might describe a Color LaserJet Model CMJ1312 made by Hewlett Packard.  The DeviceInstance class might describe the machine that has serial number 1234.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uT8d4VPxEeC3dvg3Ss2k0Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uT8d4lPxEeC3dvg3Ss2k0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YIr84QJmEeaG4J0T8FMiWg" name="deviceComponent" visibility="public" type="_kIEVcAJlEeaG4J0T8FMiWg" aggregation="composite" association="_YIr84AJmEeaG4J0T8FMiWg">
          <ownedComment xmi:id="_3QzPAFv4Eea3D8Ng2ubtNw" annotatedElement="_YIr84QJmEeaG4J0T8FMiWg">
            <body>Pointer to the characteristics, operational status and capabilities of a medical-related component of a medical device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YIr84gJmEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YIr84wJmEeaG4J0T8FMiWg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ObiJYR4OEeeIxccvDlLgJA" name="location" visibility="public" type="_420A62FD03B64242CAB30303" association="_ObiJYB4OEeeIxccvDlLgJA">
          <ownedComment xmi:id="_WGPLQB4OEeeIxccvDlLgJA" annotatedElement="_ObiJYR4OEeeIxccvDlLgJA">
            <body>&quot;The place where the device can be found.&quot; - HL7 FHIR, Device.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ObiJYh4OEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ObiJYx4OEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wK9C0FPxEeC3dvg3Ss2k0Q" name="manufacturingLot" visibility="public" type="_2iS00FPwEeC3dvg3Ss2k0Q" association="_wK5_gFPxEeC3dvg3Ss2k0Q">
          <ownedComment xmi:id="_U4fy0DNoEeKkw_YjK6aRcw" annotatedElement="_wK9C0FPxEeC3dvg3Ss2k0Q">
            <body>Pointer to the batch or lot in which the device was manufactured.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wK9p4FPxEeC3dvg3Ss2k0Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wK-Q8FPxEeC3dvg3Ss2k0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v-sYYMyxEeO7XY1kXX1jtw" name="reprocessor" visibility="public" type="_rxvPwMyxEeO7XY1kXX1jtw" association="_v-ouAMyxEeO7XY1kXX1jtw">
          <ownedComment xmi:id="_99z5kFv4Eea3D8Ng2ubtNw" annotatedElement="_v-sYYMyxEeO7XY1kXX1jtw">
            <body>Pointer to an organization that performs additional processing and manufacturing upon a existing device that has previously been used on a patient such that it can be used again on another (or the same) patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v-tmgMyxEeO7XY1kXX1jtw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v-tmgcyxEeO7XY1kXX1jtw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eiYjEB4MEeeIxccvDlLgJA" name="owner" visibility="public" type="_420A62FD03B6418AA15801A9" association="_eiPZIB4MEeeIxccvDlLgJA">
          <ownedComment xmi:id="_koBEkB4MEeeIxccvDlLgJA" annotatedElement="_eiYjEB4MEeeIxccvDlLgJA">
            <body>&quot;An organization that is responsible for the provision and ongoing maintenance of the device.&quot; - HL7 FHIR, Device.owner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eiYjER4MEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eiYjEh4MEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iXO0gBZHEeer2PfFeUXvjw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_iXGRoBZHEeer2PfFeUXvjw">
          <ownedComment xmi:id="_vUSg0BZHEeer2PfFeUXvjw" annotatedElement="_iXO0gBZHEeer2PfFeUXvjw">
            <body>If the device was implanted in a Patient, this property is a pointer to that Patient.&#xD;
&quot;Patient information, If the device is affixed to a person.&quot;, HL7 FHIR, Device.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iXTF8BZHEeer2PfFeUXvjw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iXUUEBZHEeer2PfFeUXvjw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8quER4LEeeIxccvDlLgJA" name="udi" visibility="public" type="_hLdkUB3vEeeIxccvDlLgJA" association="_h8quEB4LEeeIxccvDlLgJA">
          <ownedComment xmi:id="_zUD3sB4LEeeIxccvDlLgJA" annotatedElement="_h8quER4LEeeIxccvDlLgJA">
            <body>Pointer to the device's Unique Device Identifier, which is used to identify and track devices through distribution and use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8z4AB4LEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8z4AR4LEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aN6pMGRXEeCsvJrE4KlOMA" name="DispensedDrug">
        <ownedComment xmi:id="_vOukEFv6Eea3D8Ng2ubtNw" annotatedElement="_aN6pMGRXEeCsvJrE4KlOMA">
          <body>Dispense: &quot;To make up and distribute (medicine), especially on prescription.&quot; – Dictionary.com&#xD;
A Medicinal Product Instance or a Locally Manufactured Product (which is made up of Medicinal Product Instances) that was distributed to the Patient or the Patient’s care giver.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_eyckUGRXEeCsvJrE4KlOMA" name="isCompounded" visibility="public">
          <ownedComment xmi:id="_6QirsFv6Eea3D8Ng2ubtNw" annotatedElement="_eyckUGRXEeCsvJrE4KlOMA">
            <body>Indicates whether the dispensed medication was locally created by combining two or more products (one of which may be distilled water, which is a product). Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application. Note that this field could potentially be calculated based on whether the dispensed drug is a Medicinal Product Instance or a Locally Manufactured Product.&#xD;
&quot;Code indicating whether or not the prescription is a compound.&quot; - NCPDP Telecommunication (Field 406-D6, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure treats this as a code, but the values are essentially Yes (Compound), No (Not a compound), and Not Specified.  Note also that this property could be derived from the medication dispensed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b1bIkLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b1bIkbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oOXFIGRXEeCsvJrE4KlOMA" name="pharmacyManufacturedProduct" visibility="public" type="_0j3qsF7wEeCcBvMgXNMeOQ" association="_oOUB0GRXEeCsvJrE4KlOMA">
          <ownedComment xmi:id="_7QGbUFvmEea3D8Ng2ubtNw" annotatedElement="_oOXFIGRXEeCsvJrE4KlOMA">
            <body>Pointer to a product that was created by a pharmacist or by a clinician by compounding two or more ingredients which was then dispensed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oOXFIWRXEeCsvJrE4KlOMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oOXFImRXEeCsvJrE4KlOMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pUpXwGRXEeCsvJrE4KlOMA" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_pUmUcGRXEeCsvJrE4KlOMA">
          <ownedComment xmi:id="_2FRg8Cw6EeKmqZ4YenSzAg" annotatedElement="_pUpXwGRXEeCsvJrE4KlOMA">
            <body>Identifies the medicinal product dispensed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pUpXwWRXEeCsvJrE4KlOMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pUpXwmRXEeCsvJrE4KlOMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Od6R8NUWEeGzd-o9XtejuA" name="dispenseTagId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Od6R8dUWEeGzd-o9XtejuA" annotatedElement="_Od6R8NUWEeGzd-o9XtejuA">
            <body>&quot;Contains an identifier for the individual product instance for the dispense occurrence.  This may represent a barcode, RFID or other means of automatically-readable product instance.  Repetitions represent the same instance where more than one barcode, RFID or other identification is present.&quot; - HL7 Version 2.8, RXD-35.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Od6R89UWEeGzd-o9XtejuA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Od6R8tUWEeGzd-o9XtejuA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645919EF10138" name="DrugClass">
        <eAnnotations xmi:id="_L7Ah0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_SmHaAMDFEd2bZLhrQFm3Sw" annotatedElement="_420A62FD03B645919EF10138">
          <body>A categorization of a medication. Medications may be classified by various characteristics including Mechanism of Action, Mode of Action, Therapeutic Effect, Chemical Action, Pharmacokinetics, etc. These categorizations are used for multiple purposes including clinical decision support, drug-drug interaction checks, and drug-allergy interaction checks.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B645919EFB029D" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_l-hQgMFyEd2PX4K6YaHU4Q" annotatedElement="_420A62FD03B645919EFB029D">
            <body>A categorization of a medication. The code system component of the Code data type determines the characteristic of the medication being classified. Common classifications include Mechanism of Action, Mode of Action, Therapeutic Effect, Chemical Action, Pharmacokinetics, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fLMgIPTuEdy4NNd432ztnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fLMgIfTuEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_jToVcM_3Ed-YeMSrwW6svA" name="DrugIngredient">
        <ownedComment xmi:id="_QCEKYO6REd-crcWiXVDZrQ" annotatedElement="_jToVcM_3Ed-YeMSrwW6svA">
          <body>“Relates a product (typically medicine) to a substance which it contains as an ingredient. Ingredients can be specified for medicines or other products, including devices, but they always mean the same thing: a material (here: chemical substance) in the make-up of the main product, not a structural part or content of a container, and not a material added later into a device for operation. For medicines and food this is obvious. For devices, an example for ingredient would be latex in a chest tube (but not an inhalant in a nebulizer device).” – HL7 Version 3 (Role->Ingredient).&#xD;
&quot;Identifies a particular constituent of interest in the product.&quot; - HL7 FHIR, Medication.ingredient</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ApaHMM_5Ed-YeMSrwW6svA" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6lgT0PblEeGoRqAZLJ6Mwg" annotatedElement="_ApaHMM_5Ed-YeMSrwW6svA">
            <body>“Sometimes used to indicate the ingredient is no longer used but was in the product during the time given. Notice that as product information is maintained over time, other information may also be outdated, and this time range may not be the most complete manner to keep this history information. If the effectiveTime is not specified (as it would usually be the case), the meaning is that there is no specific limit of validity of the ingredient information, and that the information is indeed valid at the time it was originally composed.” – HL7 Version 3 (Role.effectiveTime).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IASOIM_5Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IASOIc_5Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LpGScM_6Ed-YeMSrwW6svA" name="isActiveMoiety" visibility="public">
          <ownedComment xmi:id="_uqIXUCw1EeKmqZ4YenSzAg" annotatedElement="_LpGScM_6Ed-YeMSrwW6svA">
            <body>Moiety: &quot;One of two or more parts into which something may be divided, such as the various parts of a vitamin or molecule.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
This property indicates whether the ingredient represented by this class is an &quot;active ingredient&quot; of the medication.&#xD;
&quot;Indication of whether this ingredient affects the therapeutic action of the drug.&quot; - HL7 FHIR, Medication.ingredient.isActive</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fGScYLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fGScYbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nBMg8IscEeGv9r5ZNThaOw" name="isAntigen" visibility="public">
          <ownedComment xmi:id="_0rPTQCw3EeKmqZ4YenSzAg" annotatedElement="_nBMg8IscEeGv9r5ZNThaOw">
            <body>Antigen: &quot;Any of various substances, including toxins, bacteria, and the cells of transplanted organs, that when introduced into the body stimulate the production of antibodies. Also called allergen , immunogen.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is an antigen.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hG8FgLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hHFPcLybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b1lkIIscEeGv9r5ZNThaOw" name="isAdjuvant" visibility="public">
          <ownedComment xmi:id="_J4wPUCw3EeKmqZ4YenSzAg" annotatedElement="_b1lkIIscEeGv9r5ZNThaOw">
            <body>Adjuvant: &quot;a) A pharmacological agent added to a drug, predictably affecting the action of the drug's active ingredient. b) An immunological vehicle for enhancing antigenicity, such as a water-in-oil emulsion in which antigen solution is emulsified in mineral oil. Also called immunoadjuvant.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an adjuvant with respect to the complete medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gZzSsLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gZ9DsLybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4gR5YM_3Ed-YeMSrwW6svA" name="isConfidential" visibility="public">
          <ownedComment xmi:id="_UYWzgM_4Ed-YeMSrwW6svA" annotatedElement="_4gR5YM_3Ed-YeMSrwW6svA">
            <body>“Used to indicate that the manufacturer considers the presence of the ingredient a trade secret. This could be the case for inactive ingredients.” – HL7 Version 3 (Role.confidentialityCode).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_htknsLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_htuYsLybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VAIIMIscEeGv9r5ZNThaOw" name="isDiluent" visibility="public">
          <ownedComment xmi:id="_X2jm8Cw3EeKmqZ4YenSzAg" annotatedElement="_VAIIMIscEeGv9r5ZNThaOw">
            <body>Diluent: &quot;A substance that dilutes the strength of a solution or mixture.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an diluent with respect to the complete medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ieMzYLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ieMzYbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YyBsgIscEeGv9r5ZNThaOw" name="isPreservative" visibility="public">
          <ownedComment xmi:id="_kCTLECw3EeKmqZ4YenSzAg" annotatedElement="_YyBsgIscEeGv9r5ZNThaOw">
            <body>Preservative: &quot;A substance added to food products or to organic solutions to prevent decomposition due to chemical change or bacterial action.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an preservative with respect to the complete medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jQJNsLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jQJ0wLybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j-wOsM_6Ed-YeMSrwW6svA" name="quantity" visibility="public" type="_2xsJQM_6Ed-YeMSrwW6svA">
          <ownedComment xmi:id="_x4rL4M_6Ed-YeMSrwW6svA" annotatedElement="_j-wOsM_6Ed-YeMSrwW6svA">
            <body>“A ratio specifying the strength of the ingredient as amount of ingredient substance (numerator) in amount of medicine (denominator). For example, a 50 mg tablet contains 50 mg in 1 tablet; a 50 mg per 5 mL syrup contains 50 mg in 5 mL. Note that for countable dose forms (&quot;eaches&quot;) no unit is required in the denominator, i.e., the denominator is a dimensionless number with unit 1 (one, the unity).  The fact that the dose is per tablet, capsule, or whatever the dose form may be is recorded in the formCode of the scoping product, not in a unit of measureConstraint. The quantity expressed by Role quantity numerator and denominator must always be one of the following kinds of quantity: 1) count; 2) amount of substance; 3) mass; 4) volume; 5) arbitrary unit (representing some extensive property of Entity). In the given context these five quantities can be clearly discriminated by examination of the unit in use. An Entity is either countable (case 1) or not countable, in which case some unit is required (cases 2-4). This must be derivable from the Entity formCode. The dimension of the denominator must be the same as the dimension of all of the quantity numerators of the scoper's (i.e., the product's) played roles (e.g., package content, part of kit, etc.).&quot; – HL7 Version 3 (Role.quantity).&#xD;
&quot;Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.&quot; - HL7 FHIR, Medication.ingredient.amount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kVnA8LybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kVnA8bybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0-pXUDlCEeCOabXzDmEF2w" name="ingredientSubstance" visibility="public" type="_420A62FD03B645919F1600B4" association="_0-mUADlCEeCOabXzDmEF2w">
          <ownedComment xmi:id="_zq93ICw5EeKmqZ4YenSzAg" annotatedElement="_0-pXUDlCEeCOabXzDmEF2w">
            <body>Pointer to the Substance used as an ingredient in the medication.&#xD;
&quot;The Substance entity is used to describe any material that functions as an ingredient of the Medicine.&quot; - HL7 Version 3.&#xD;
&quot;The actual ingredient - either a substance (simple ingredient) or another medication.&quot; - HL7 FHIR, Medication.ingredient.item[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0-p-YDlCEeCOabXzDmEF2w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0-qlcDlCEeCOabXzDmEF2w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fQ5a8NrbEd-fKY5dgJoxiA" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_fQz7YNrbEd-fKY5dgJoxiA">
          <ownedComment xmi:id="_LpFWwFv5Eea3D8Ng2ubtNw" annotatedElement="_fQ5a8NrbEd-fKY5dgJoxiA">
            <body>Pointer to products produced and marketed as a medicine or drug which contain the referencing ingredient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fQ6CANrbEd-fKY5dgJoxiA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fQ6pENrbEd-fKY5dgJoxiA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Lc8A0GRaEeCsvJrE4KlOMA" name="DrugPricing">
        <ownedComment xmi:id="_VU2t8Fv4Eea3D8Ng2ubtNw" annotatedElement="_Lc8A0GRaEeCsvJrE4KlOMA">
          <body>This class provides an indication of what methodology was used to calculate the price of a medication. There are multiple methods acceptable to or mandated by payer organizations.&#xD;
&quot;Code indicating the method by which [the Ingredient Cost Submitted field] was calculated.&quot; - NCPDP Telecommunication (Field 423-DN, Data Dictionary 201104).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BZIkIGRbEeCsvJrE4KlOMA" name="basisOfCostDetermination" visibility="public">
          <ownedComment xmi:id="_2PB64Fv2Eea3D8Ng2ubtNw" annotatedElement="_BZIkIGRbEeCsvJrE4KlOMA">
            <body>&quot;Code indicating the method by which [the Ingredient Cost Submitted field] was calculated.&quot; - NCPDP Telecommunication (Field 423-DN, Data Dictionary 201104). Note NCPDP has 11 suggested values (in Appendix I) for this field.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nLr2MLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nLr2MbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9SrG0M_2Ed-YeMSrwW6svA" name="GenericMedicine">
        <ownedComment xmi:id="_jBY7IO6REd-crcWiXVDZrQ" annotatedElement="_9SrG0M_2Ed-YeMSrwW6svA">
          <body>&quot;The non-proprietary, generic substance as which the same medicines is known in the literature independent of a specific  manufacturer.&quot; - HL7 V3</body>
        </ownedComment>
        <ownedAttribute xmi:id="_HRzCYM_3Ed-YeMSrwW6svA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_HRzCYc_3Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_68zLYO6REd-crcWiXVDZrQ" annotatedElement="_HRzCYM_3Ed-YeMSrwW6svA">
            <body>Identifies the generic medicine using some coding system such as RxNorm or NDF-RT.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HRzCY8_3Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HRzCYs_3Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JMiQwM_3Ed-YeMSrwW6svA" name="name" visibility="public">
          <ownedComment xmi:id="_JMiQwc_3Ed-YeMSrwW6svA" annotatedElement="_JMiQwM_3Ed-YeMSrwW6svA">
            <body>“The non-proprietary, generic, or &quot;established&quot; name.” – HL7 Version 3 (ManufacturedMaterial.name).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r0NggLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r0NggbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gjeiAs_3Ed-YeMSrwW6svA" name="product" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_gjVYEM_3Ed-YeMSrwW6svA">
          <ownedComment xmi:id="_C1lEUFv6Eea3D8Ng2ubtNw" annotatedElement="_gjeiAs_3Ed-YeMSrwW6svA">
            <body>Pointer to products produced and marketed as a medicine or drug which are instances of the referencing generic medicine. For example, Lipitor 40 mg tablets and Acme brand atorvastatin 40 mg tablets are both brand name products that are kinds of Atorvastatin 40 MG Oral Tablets.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gjeiA8_3Ed-YeMSrwW6svA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gjeiBM_3Ed-YeMSrwW6svA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645919F1600B4" name="Substance">
        <eAnnotations xmi:id="_L7Ah1uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_4JOPAMDFEd2bZLhrQFm3Sw" annotatedElement="_420A62FD03B645919F1600B4">
          <body>Substance: &quot;The tangible matter of which a thing consists; a specific type of matter, esp. a homogeneous material with a definite composition.&quot; - Collins English Dictionary&#xD;
This class represents a substance, either manufactured or found naturally, which might be referenced by clinical records. This class may represent ingredients in a medication, a substance to which the patient was exposed or which the patient consumes, or an analyte, among many other potential uses.&#xD;
&quot;The Substance entity is used to describe any material that functions as an ingredient of the Medicine.&quot; - HL7 Version 3.&#xD;
&quot;A homogeneous material with a definite composition.&quot; - HL7 FHIR, Substance&#xD;
&quot;The actual ingredient - either a substance (simple ingredient) or another medication.&quot; - HL7 FHIR, Medication.ingredient.item[x]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2c2WkLUGEee8ToGyn6JwPw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2c2WkbUGEee8ToGyn6JwPw" annotatedElement="_2c2WkLUGEee8ToGyn6JwPw">
            <body>&quot;A code that classifies the general type of substance. This is used for searching, sorting and display purposes.&quot; - HL7 FHIR, Substance.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2c2Wk7UGEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2c2WkrUGEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Oyo1sLUHEee8ToGyn6JwPw" name="description" visibility="public">
          <ownedComment xmi:id="_eqT5ALUHEee8ToGyn6JwPw" annotatedElement="_Oyo1sLUHEee8ToGyn6JwPw">
            <body>&quot;A description of the substance - its appearance, handling requirements, and other usage notes.&quot; - HL7 FHIR, Substance.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TYdxULUHEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TYeYYLUHEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PUvIELUFEee8ToGyn6JwPw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_QDt4gLUGEee8ToGyn6JwPw" annotatedElement="_PUvIELUFEee8ToGyn6JwPw">
            <body>&quot;Unique identifier for the substance.&quot; - HL7 FHIR, Substance.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VOsIkLUGEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VOsIkbUGEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TkY4kM_7Ed-YeMSrwW6svA" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Rgq-AAF3EeC0SO5AWIN0Qg" annotatedElement="_TkY4kM_7Ed-YeMSrwW6svA">
            <body>A code that identifies the substance.&#xD;
When used as an ingredient in a drug or food in the United States, this code should be a UNII code (Unique Ingredient Identifier), which is issued by FDA.&#xD;
&quot;A code (or set of codes) that identify this substance.&quot; - HL7 FHIR, Substance.code&#xD;
&quot;The actual ingredient - either a substance (simple ingredient) or another medication.&quot; - HL7 FHIR, Medication.ingredient.item[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TkY4k8_7Ed-YeMSrwW6svA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TkY4ks_7Ed-YeMSrwW6svA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eNhr0LUGEee8ToGyn6JwPw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eNhr0bUGEee8ToGyn6JwPw" annotatedElement="_eNhr0LUGEee8ToGyn6JwPw">
            <body>&quot;A code to indicate if the substance is actively used.&quot; - HL7 FHIR, Substance.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eNhr07UGEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eNhr0rUGEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LDJk0LUKEee8ToGyn6JwPw" name="substanceInstance" visibility="public" type="_BahvoLUIEee8ToGyn6JwPw" association="_LDI9wLUKEee8ToGyn6JwPw">
          <ownedComment xmi:id="_D8g7gLUZEee8ToGyn6JwPw" annotatedElement="_LDJk0LUKEee8ToGyn6JwPw">
            <body>&quot;Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.&quot; - HL7 FHIR, Substance.instance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LDJk0bUKEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LDJk0rUKEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LdqWkbUKEee8ToGyn6JwPw" name="substanceIngredient" visibility="public" type="__UgzcLUJEee8ToGyn6JwPw" association="_LdqWkLUKEee8ToGyn6JwPw">
          <ownedComment xmi:id="_Mod_ALUZEee8ToGyn6JwPw" annotatedElement="_LdqWkbUKEee8ToGyn6JwPw">
            <body>&quot;A substance can be composed of other substances.&quot; - HL7 FHIR, Substance.ingredient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LdqWkrUKEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LdqWk7UKEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XteGcIAfEeGE1-mzJa42fw" name="Labeler">
        <ownedComment xmi:id="_Ug4SECzbEeKLfdgQhBZO1Q" annotatedElement="_XteGcIAfEeGE1-mzJa42fw">
          <body>A labeler is an organization that repackages medicinal products for sale.  In some cases a manufacturer is also the labeler.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_k9QhgIAfEeGE1-mzJa42fw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_k9QhgYAfEeGE1-mzJa42fw" annotatedElement="_k9QhgIAfEeGE1-mzJa42fw">
            <body>Uniquely identifies the labeler.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wNGzYLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wNGzYbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gwgHAKCrEeO-_tuxzOR0Jg" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_gwe44KCrEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_p-wmUKCrEeO-_tuxzOR0Jg" annotatedElement="_gwgHAKCrEeO-_tuxzOR0Jg">
            <body>Pointer to the Organization (i.e., corporation) that labeled and marketed the product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gwguEKCrEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gwguEaCrEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6419905DB00FB" name="Manufacturer">
        <eAnnotations xmi:id="_MEZHSuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MEZHReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419905DB00FB">
          <body>The organization that produced an item of interest.&#xD;
&quot;Contains the manufacturer of the medical substance administered when it is a manufactured substance.&quot; - HL7 Version 2.8, RXD-20.&#xD;
&quot;Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.&quot; - HL7 FHIR, Medication.manufacturer</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Sala4HpnEd-44ra0dfiJCw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_hv2IkPGjEd-ZlYn0p4HjQw" annotatedElement="_Sala4HpnEd-44ra0dfiJCw">
            <body>Uniquely identifies the manufacturer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2_GroLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2_GrobybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641DEA2E70318" name="name" visibility="public">
          <ownedComment xmi:id="_MEZHSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641DEA2E70318">
            <body>&quot;Contains the manufacturer of the medical substance administered.  Note: for vaccines, the code system MVX may be used.... This field may be used if the manufacturer of the substance is not identified by (the drug code)&quot; - HL7 Version 2.8, RXA-17&#xD;
&quot;A name of the manufacturer.&quot; - HL7 FHIR, Device.manufacturer</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46bI0LybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46bI0bybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qIKSYIAaEeGE1-mzJa42fw" name="mvx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_n26vYCw7EeKmqZ4YenSzAg" annotatedElement="_qIKSYIAaEeGE1-mzJa42fw">
            <body>Uniquely identifies the manufacturer, for those products that are vaccines.  This property is a code from HL7 Table 0227, Manufacturers of Vaccines (MVX), which is maintained by the CDC's National Center for Immunization and Respiratory Diseases (NCIRD).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4PWLgLybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4PWLgbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YZ3MMKCrEeO-_tuxzOR0Jg" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_YZ1-EKCrEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_ga0K4KCrEeO-_tuxzOR0Jg" annotatedElement="_YZ3MMKCrEeO-_tuxzOR0Jg">
            <body>Pointer to the Organization (i.e., corporation) that manufactured the product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YZ3zQKCrEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YZ3zQaCrEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2iS00FPwEeC3dvg3Ss2k0Q" name="ManufacturingLot">
        <ownedComment xmi:id="_M9CYIDNoEeKkw_YjK6aRcw" annotatedElement="_2iS00FPwEeC3dvg3Ss2k0Q">
          <body>This class identifies a batch of material or products that were manufactured over a defined time period.  The definition of a batch or lot is determined by the manufacturer, based in part on the nature of the manufacturing process, and on the historical information that can be accessed (such as the shipment of raw materials used, the equipment used, quality assurance tests, etc.) by the use of the lot number.  The purpose of this class in the FHIM is to contain lot identifier and expiration date information about a product to facilitate inventory control processes, manufacturer recall processes, and adverse event reporting.&#xD;
&quot;Information that only applies to packages (not products).&quot; - HL7 FHIR, Medication.batch</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6419906560120" name="expirationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NejYIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419906560120">
            <body>&quot;Contains the expiration date of the medical substance administered. Note: vaccine expiration dates do not always have a &quot;day&quot; component; therefore, such a date may be transmitted as YYYYMM.&quot; - HL7 Version 2.8, RXA-16&#xD;
&quot;Contains the expiration date of the medical substance administered.&quot; - HL7 Version 2.8, RXD-19.&#xD;
&quot;The date and time the manufacturer no longer ensures the safety, quality, and/or proper functioning of the material.&quot; - HL7 Version 3&#xD;
&quot;The date and time beyond which this device is no longer valid or should not be used (if applicable).&quot; - HL7 FHIR, Device.expirationDate&#xD;
&quot;When this specific batch of product will expire.&quot; - HL7 FHIR, Medication.batch.expirationDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3KeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3KuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6419902EB03B6" name="lotId" visibility="public">
          <ownedComment xmi:id="_NejYJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419902EB03B6">
            <body>&quot;Contains the lot number of the medical substance administered.  Note:  The lot number is the number printed on the label attached to the container holding the substance and on the packaging which houses the container.  If the substance is a vaccine, for example, and a diluent is required, a lot number may appear on the vial containing the diluent; however, any such identifier associated with a diluent is not the identifier of interest. The substance lot number should be reported, not that of the diluent.&quot; - HL7 Version 2.8, RXA-15&#xD;
&quot;Contains the lot number of the medical substance administered.&quot; - HL7 Version 2.8, RXD-18.&#xD;
&quot;An alphanumeric string used to identify a particular batch of manufactured material.&quot; - HL7 Version 3&#xD;
&quot;Lot number assigned by the manufacturer.&quot; - HL7 FHIR, Device.lotNumber&#xD;
&quot;The assigned lot number of a batch of the specified product.&quot; - HL7 FHIR, Medication.batch.lotNumber</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evp3K-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3LOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S0JO8FPzEeC3dvg3Ss2k0Q" name="lotSize" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_GJ5a8DNpEeKkw_YjK6aRcw" annotatedElement="_S0JO8FPzEeC3dvg3Ss2k0Q">
            <body>Identifies the number of products manufactured as part of the manufacturing lot.  This property may be useful in regulatory filings, but is unlikely to be needed for electronic health records.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n_rfEDNoEeKkw_YjK6aRcw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n_rfETNoEeKkw_YjK6aRcw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ql3uEPQUEd-ZkqyOlLYO5g" name="MaterialCategory">
        <ownedComment xmi:id="_lbudEPQXEd-ZkqyOlLYO5g" annotatedElement="_ql3uEPQUEd-ZkqyOlLYO5g">
          <body>“A specification of a kind of medicine, food material, or any product for the purpose of (a) describing a specific product with classification categories and (b) referring to a kind of product or material for describing drug-drug interactions or adjunct treatments.  The classifying category may refer to any of various classifications and abstractions of products by any aspect, including, mechanism of action category, physiologic effect category, chemical structure category, or &quot;clinical drug&quot; category.  This may also be used to represent a specific material or an ingredient when specifying drug-drug interactions or adjunct treatments.” – HL7 Version 3 (Material->MaterialKind).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7369UPQXEd-ZkqyOlLYO5g" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7369UfQXEd-ZkqyOlLYO5g" annotatedElement="_7369UPQXEd-ZkqyOlLYO5g">
            <body>“Code specifying a kind of medicine, food material, or any product.  The code may refer to any of various classifications and abstractions of products by any aspect, including, mechanism of action category, physiologic effect category, chemical structure category, or &quot;clinical drug&quot; category.  It may also represent a specific material or an ingredient of material.” – HL7 Version 3 (Material.code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7VKF4LybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7VKs8LybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0-mUADlCEeCOabXzDmEF2w" name="drugIngredient_ingredient" memberEnd="_0-pXUDlCEeCOabXzDmEF2w _0-rzkDlCEeCOabXzDmEF2w">
        <eAnnotations xmi:id="_SSxH4FAcEeCNoo8JCSlflA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0-tBsDlCEeCOabXzDmEF2w" value="1"/>
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          <body>A reprocessor is an organization that performs additional processing and manufacturing upon a existing device that has previously been used on a patient such that it can be used again on another (or the same) patient.</body>
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            <body>Pointer to the Organization (i.e., corporation) that reprocessed the Product.</body>
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            <body>Uniquely identifies the reprocessor.</body>
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          <body>A Device Instance that was embedded into a Patient. This class is used to describe a manufactured item (which may include biological material) that is or was at one time introduced into the Patient’s system.</body>
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            <body>The date (and optionally, time) that the device was removed from the Patient. Note that this property will likely move to a separate Implantation/Explantation Act class, but it may well be likely that this information would be duplicated in the record of the Device Instance, so it may remain as part of this class as well.</body>
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            <body>The date (and optionally, time) that the device was embedded into the Patient. Note that this property will likely move to a separate Implantation/Explantation Act class, but it may well be likely that this information would be duplicated in the record of the Device Instance, so it may remain as part of this class as well.</body>
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            <body>Pointer to the device implanted in the Patient.</body>
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            <body>This optional property is a placeholder for information indicating whether the Device Instance was somehow refurbished at some point in time (typically before having been implanted in the Patient). This information may be useful in determining whether a defect might have been caused by the reprocessing activity as opposed to the original manufacture.</body>
          </ownedComment>
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            <body>This optional property is a placeholder for information indicating whether the Device Instance was utilized previously in either the same Patient or a previous Patient.</body>
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        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_kIEVcAJlEeaG4J0T8FMiWg" name="DeviceComponent">
        <ownedComment xmi:id="_vZ7ZUAJnEeaG4J0T8FMiWg" annotatedElement="_kIEVcAJlEeaG4J0T8FMiWg">
          <body>&quot;Describes the characteristics, operational status and capabilities of a medical-related component of a medical device.&quot; - HL7 FHIR, DeviceComponent</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SZnhQAJmEeaG4J0T8FMiWg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_SZnhQQJmEeaG4J0T8FMiWg" annotatedElement="_SZnhQAJmEeaG4J0T8FMiWg">
            <body>&quot;The locally assigned unique identification by the software. For example: handle ID.&quot; - HL7 FHIR, DeviceComponent.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O94OYLybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O94OYbybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ppQGEAJlEeaG4J0T8FMiWg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Lw2dgAJmEeaG4J0T8FMiWg" annotatedElement="_ppQGEAJlEeaG4J0T8FMiWg">
            <body>&quot;The component type as defined in the object-oriented or metric nomenclature partition.&quot; - HL7 FHIR, DeviceComponent.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjzl8LybEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjzl8bybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YihHQAJoEeaG4J0T8FMiWg" name="languageCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_YihHQQJoEeaG4J0T8FMiWg" annotatedElement="_YihHQAJoEeaG4J0T8FMiWg">
            <body>&quot;The language code for the human-readable text string produced by the device. This language code will follow the IETF language tag. Example: en-US.&quot; - HL7 FHIR, DeviceComponent.languageCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YihHQwJoEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YihHQgJoEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c2M04AJmEeaG4J0T8FMiWg" name="lastSystemChange" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_c2M04QJmEeaG4J0T8FMiWg" annotatedElement="_c2M04AJmEeaG4J0T8FMiWg">
            <body>&quot;The timestamp for the most recent system change which includes device configuration or setting change.&quot; - HL7 FHIR, DeviceComponent.lastSystemChange</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T4598LybEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T4598bybEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F2ee4AJoEeaG4J0T8FMiWg" name="measurementPrinciple" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F2ee4QJoEeaG4J0T8FMiWg" annotatedElement="_F2ee4AJoEeaG4J0T8FMiWg">
            <body>&quot;The physical principle of the measurement. For example: thermal, chemical, acoustical, etc.&quot; - HL7 FHIR, DeviceComponent.measurementPrinciple</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F2ee4wJoEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F2ee4gJoEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hXDUcAJnEeaG4J0T8FMiWg" name="operationalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hXDUcQJnEeaG4J0T8FMiWg" annotatedElement="_hXDUcAJnEeaG4J0T8FMiWg">
            <body>&quot;The current operational status of the device. For example: On, Off, Standby, etc.&quot; - HL7 FHIR, DeviceComponent.operationalStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ne1yEAJnEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ne1yEQJnEeaG4J0T8FMiWg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2OoAQAJnEeaG4J0T8FMiWg" name="parameterGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2OoAQQJnEeaG4J0T8FMiWg" annotatedElement="_2OoAQAJnEeaG4J0T8FMiWg">
            <body>&quot;The parameter group supported by the current device component that is based on some nomenclature, e.g. cardiovascular.&quot; - HL7 FHIR, DeviceComponent.parameterGroup</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PphQAJnEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PphQQJnEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HWZO8AJnEeaG4J0T8FMiWg" name="parent" visibility="public" type="_kIEVcAJlEeaG4J0T8FMiWg" association="_HWPd8AJnEeaG4J0T8FMiWg">
          <ownedComment xmi:id="_LmE7cAJnEeaG4J0T8FMiWg" annotatedElement="_HWZO8AJnEeaG4J0T8FMiWg">
            <body>If this Component is itself part of another Component, this property contains a pointer to the containing, or parent Component.&#xD;
&quot;The link to the parent resource. For example: Channel is linked to its VMD parent.&quot; - HL7 FHIR, DeviceComponent.parent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HWZ2AAJnEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HWZ2AQJnEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p-jLMQJmEeaG4J0T8FMiWg" name="source" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_p-jLMAJmEeaG4J0T8FMiWg">
          <ownedComment xmi:id="_Ai7-IAJnEeaG4J0T8FMiWg" annotatedElement="_p-jLMQJmEeaG4J0T8FMiWg">
            <body>Pointer to the Device Instance of which this Component is a part&#xD;
&quot;The link to the source Device that contains administrative device information such as manufacture, serial number, etc.&quot; - HL7 FHIR, DeviceComponent.source</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p-jLMgJmEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p-jLMwJmEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OtAv0QJqEeaG4J0T8FMiWg" name="productionSpecification" visibility="public" type="_KkOVgAJqEeaG4J0T8FMiWg" association="_OtAv0AJqEeaG4J0T8FMiWg">
          <ownedComment xmi:id="_Q0O7AAJqEeaG4J0T8FMiWg" annotatedElement="_OtAv0QJqEeaG4J0T8FMiWg">
            <body>Pointer to (a set of) documentation that describes the design characteristics of the Device Component&#xD;
&quot;The production specification such as component revision, serial number, etc.&quot; - HL7 FHIR, DeviceComponent.productionSpecification</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OtAv0gJqEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OtAv0wJqEeaG4J0T8FMiWg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Mcw1YF85EeadZ8QwYgX1hQ" name="softwareName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Mcw1YV85EeadZ8QwYgX1hQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Mcw1Yl85EeadZ8QwYgX1hQ" annotatedElement="_Mcw1YF85EeadZ8QwYgX1hQ">
            <body>&quot;The moniker, version and release of the software that operates the device as assigned by the software manufacturer or  developer.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mcw1ZF85EeadZ8QwYgX1hQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mcw1Y185EeadZ8QwYgX1hQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YIr84AJmEeaG4J0T8FMiWg" name="deviceInstance_deviceComponent" memberEnd="_YIr84QJmEeaG4J0T8FMiWg _YIr85AJmEeaG4J0T8FMiWg">
        <ownedEnd xmi:id="_YIr85AJmEeaG4J0T8FMiWg" name="" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_YIr84AJmEeaG4J0T8FMiWg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YIr85QJmEeaG4J0T8FMiWg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YIr85gJmEeaG4J0T8FMiWg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_p-jLMAJmEeaG4J0T8FMiWg" name="deviceComponent_source" memberEnd="_p-jLMQJmEeaG4J0T8FMiWg _p-jLNAJmEeaG4J0T8FMiWg">
        <ownedEnd xmi:id="_p-jLNAJmEeaG4J0T8FMiWg" name="" visibility="private" type="_kIEVcAJlEeaG4J0T8FMiWg" association="_p-jLMAJmEeaG4J0T8FMiWg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HWPd8AJnEeaG4J0T8FMiWg" name="deviceComponent_parent" memberEnd="_HWZO8AJnEeaG4J0T8FMiWg _HWbEIAJnEeaG4J0T8FMiWg">
        <ownedEnd xmi:id="_HWbEIAJnEeaG4J0T8FMiWg" name="" visibility="private" type="_kIEVcAJlEeaG4J0T8FMiWg" association="_HWPd8AJnEeaG4J0T8FMiWg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KkOVgAJqEeaG4J0T8FMiWg" name="ProductionSpecification">
        <ownedComment xmi:id="_OabyEAJqEeaG4J0T8FMiWg" annotatedElement="_KkOVgAJqEeaG4J0T8FMiWg">
          <body>&quot;The production specification such as component revision, serial number, etc.&quot; - HL7 FHIR, DeviceComponent.productionSpecification</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JLKbYAJrEeaG4J0T8FMiWg" name="componentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_JLKbYQJrEeaG4J0T8FMiWg" annotatedElement="_JLKbYAJrEeaG4J0T8FMiWg">
            <body>&quot;The internal component unique identification. This is a provision for manufacture specific standard components using a private OID. 11073-10101 has a partition for private OID semantic that the manufacturer can make use of.&quot; - HL7 FHIR, DeviceComponent.productionSpecification.componentId</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XptvoAJrEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XptvoQJrEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_17w8YAJsEeaG4J0T8FMiWg" name="productionSpec" visibility="public">
          <ownedComment xmi:id="_17xjcAJsEeaG4J0T8FMiWg" annotatedElement="_17w8YAJsEeaG4J0T8FMiWg">
            <body>&quot;The printable string defining the component.&quot; - HL7 FHIR, DeviceComponent.productionSpecification.productionSpec</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_17xjcgJsEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_17xjcQJsEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JLKbYgJrEeaG4J0T8FMiWg" name="specType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JLKbYwJrEeaG4J0T8FMiWg" annotatedElement="_JLKbYgJrEeaG4J0T8FMiWg">
            <body>&quot;The specification type, such as, serial number, part number, hardware revision, software revision, etc.&quot; - HL7 FHIR, DeviceComponent.productionSpecification.specType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JLKbZQJrEeaG4J0T8FMiWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JLKbZAJrEeaG4J0T8FMiWg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OtAv0AJqEeaG4J0T8FMiWg" name="deviceComponent_productionSpecification" memberEnd="_OtAv0QJqEeaG4J0T8FMiWg _OtAv1AJqEeaG4J0T8FMiWg">
        <ownedEnd xmi:id="_OtAv1AJqEeaG4J0T8FMiWg" name="" visibility="private" type="_kIEVcAJlEeaG4J0T8FMiWg" association="_OtAv0AJqEeaG4J0T8FMiWg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-M_PQBPREeaEMK-9YQqLHg" name="implantedDevice_deviceInstance" memberEnd="_-NLcgBPREeaEMK-9YQqLHg _-NNRshPREeaEMK-9YQqLHg">
        <ownedEnd xmi:id="_-NNRshPREeaEMK-9YQqLHg" name="" visibility="private" type="_6zfrEP2wEeWjDqDBPhzhtA" association="_-M_PQBPREeaEMK-9YQqLHg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__6daUFp1Eea8uN_zi5afyA" name="FoodProduct">
        <ownedComment xmi:id="_LDfHgFsWEeaxDokgI-Y3eA" annotatedElement="__6daUFp1Eea8uN_zi5afyA">
          <body>Food: &quot;Any nourishing substance that is eaten, drunk, or otherwise taken into the body to sustain life, provide energy, promote growth, etc.&quot; - Dictionary.com&#xD;
This Class describes a manufactured or distributed product intended for human or animal consumption. This class may be referenced by a nutrition order or by food safety related activities, among other uses. Note that the phrase &quot;manufactured or distributed&quot; is intended to include produce that has been harvested, for example a pineapple harvested and sold by the Dole corporation, or frozen shrimp harvested and sold by the Bubba Gump corporation.</body>
        </ownedComment>
        <generalization xmi:id="_EzkeUFp2Eea8uN_zi5afyA" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
        <ownedAttribute xmi:id="_zqFYYFp2Eea8uN_zi5afyA" name="foodProductInstance" visibility="public" type="_tpDDAFp2Eea8uN_zi5afyA" association="_zp8OcFp2Eea8uN_zi5afyA">
          <ownedComment xmi:id="_TeOUoFsVEeaxDokgI-Y3eA" annotatedElement="_zqFYYFp2Eea8uN_zi5afyA">
            <body>Pointer to instances of a Food Product, which will be identified by a lot number.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zqFYYVp2Eea8uN_zi5afyA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zqFYYlp2Eea8uN_zi5afyA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G6RfMLTvEee8ToGyn6JwPw" name="foodIngredient" visibility="public" type="_yZwBcLTuEee8ToGyn6JwPw" association="_G6HHILTvEee8ToGyn6JwPw">
          <ownedComment xmi:id="_MA-6ULTvEee8ToGyn6JwPw" annotatedElement="_G6RfMLTvEee8ToGyn6JwPw">
            <body>Pointer to the Ingredient(s) that make up the Food Product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G6SGQLTvEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G6SGQbTvEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tpDDAFp2Eea8uN_zi5afyA" name="FoodProductInstance">
        <ownedComment xmi:id="_AIdZ0FsVEeaxDokgI-Y3eA" annotatedElement="_tpDDAFp2Eea8uN_zi5afyA">
          <body>This class identifies an individual saleable unit of a food product such as a bottle of Ensure, and is used to convey information about the actual food product provided to a patient. Note that ordinarily, a product instance would be expected to have an Id property (commonly known as a serial number), however few food products are identified individually. The association to manufacturing lot provides a lot number, which is usually the information of interest for tracking adverse events or responding to manufacturer recalls.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zqFYY1p2Eea8uN_zi5afyA" name="foodProduct" visibility="public" type="__6daUFp1Eea8uN_zi5afyA" association="_zp8OcFp2Eea8uN_zi5afyA">
          <ownedComment xmi:id="_dYzcgFsXEeaxDokgI-Y3eA" annotatedElement="_zqFYY1p2Eea8uN_zi5afyA">
            <body>Pointer to a manufactured or distributed product intended for human or animal consumption.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zqFYZFp2Eea8uN_zi5afyA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zqFYZVp2Eea8uN_zi5afyA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_14aRIVp2Eea8uN_zi5afyA" name="manufacturingLot" visibility="public" type="_2iS00FPwEeC3dvg3Ss2k0Q" association="_14aRIFp2Eea8uN_zi5afyA">
          <ownedComment xmi:id="_2K0BAFp8Eea8uN_zi5afyA" annotatedElement="_14aRIVp2Eea8uN_zi5afyA">
            <body>Pointer to the batch or lot in which the food product was manufactured.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_14aRIlp2Eea8uN_zi5afyA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_14aRI1p2Eea8uN_zi5afyA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zp8OcFp2Eea8uN_zi5afyA" name="foodProduct_foodProductInstance" memberEnd="_zqFYYFp2Eea8uN_zi5afyA _zqFYY1p2Eea8uN_zi5afyA"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_14aRIFp2Eea8uN_zi5afyA" name="foodProductInstance_manufacturingLot" memberEnd="_14aRIVp2Eea8uN_zi5afyA _14aRJFp2Eea8uN_zi5afyA">
        <ownedEnd xmi:id="_14aRJFp2Eea8uN_zi5afyA" name="" visibility="private" type="_tpDDAFp2Eea8uN_zi5afyA" association="_14aRIFp2Eea8uN_zi5afyA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_l-6hgFp5Eea8uN_zi5afyA" name="foodIngredient_ingredientSubstance" memberEnd="_l-6hgVp5Eea8uN_zi5afyA _l-6hhFp5Eea8uN_zi5afyA">
        <ownedEnd xmi:id="_l-6hhFp5Eea8uN_zi5afyA" name="" visibility="private" type="_yZwBcLTuEee8ToGyn6JwPw" association="_l-6hgFp5Eea8uN_zi5afyA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_e3kiEPh_EeamspOPLo07ww" name="Needle">
        <ownedComment xmi:id="_GoXY0PiPEeax5t-ywfrhxA" annotatedElement="_e3kiEPh_EeamspOPLo07ww">
          <body>A needle is either &quot;a slender, solid, usually sharp-pointed instrument used for puncturing tissues, suturing, or passing a ligature around or through a vessel&quot; - Farlex Partner Medical Dictionary, or &quot;a fine hollow tube, with a cutting tip, used to access subdermal tissues; used in conjunction with a syringe to administer fluid agents (e.g. local anesthetic), collect blood or aspirate fluids.&quot; - Illustrated Dictionary of Podiatry and Foot Science.&#xD;
This class represents a needle which may be specified in a protocol, a procedure order, or in the documentation of a procedure performed. While we are primarily thinking of hollow needles, this class can be used for both solid and hollow needles as the properties of gauge and length apply to both. It is noted that needles are technically a kind (i.e., a subtype) of Device, but we have modeled Needle as a type of Product, since needles are fungible commodities and because there is no need to assign or track serial numbers to individual needles.</body>
        </ownedComment>
        <generalization xmi:id="_gAIsoPh_EeamspOPLo07ww" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
        <ownedAttribute xmi:id="_q1GZIPiBEeamspOPLo07ww" name="gauge" visibility="public">
          <ownedComment xmi:id="_bGIvcPiNEeax5t-ywfrhxA" annotatedElement="_q1GZIPiBEeamspOPLo07ww">
            <body>The outside diameter of the needle. This diameter may be measured in millimeters, inches, or a gauge number. There are a number of systems for gauging needles, the most common being the Stubs Needle Gauge. For example, Gauge 7 is 0.180 inches or 4.572 millimeters. Smaller gauge numbers indicate larger outer diameters. Note that the inner diameter depends on both gauge and wall thickness.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uaFi0PiBEeamspOPLo07ww" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uaFi0fiBEeamspOPLo07ww" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dmnloPiBEeamspOPLo07ww" name="length" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_1xbyQPneEeaPd4r0BT6ZOg" annotatedElement="_dmnloPiBEeamspOPLo07ww">
            <body>The measure of the distance between the proximal end (the hub) to the distal end (the bevel) of the needle. Needles are produced in varying lengths, which make them more or less suitable for given tasks. Needle lengths are typically measured in either inches or millimeters.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j_HYwPiBEeamspOPLo07ww" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j_HYwfiBEeamspOPLo07ww" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v_SmEPiBEeamspOPLo07ww" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0LSdYPnqEeaPd4r0BT6ZOg" annotatedElement="_v_SmEPiBEeamspOPLo07ww">
            <body>A categorization of the needle, which indicates certain characteristics of the needle or the purpose for which the needle has been designed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zODBEPiBEeamspOPLo07ww" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zODBEfiBEeamspOPLo07ww" value="1"/>
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            <language></language>
            <body>(NeedleType)</body>
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      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_kgsBMPn0EeaPd4r0BT6ZOg" client="_e3kiEPh_EeamspOPLo07ww">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_5p2X0PnqEeaPd4r0BT6ZOg?FHIM_Vocab/CommonProductVocab/NeedleType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_R4OqgBMdEeeJEtdzPYvf5Q" name="DeviceMetric">
        <ownedComment xmi:id="_R_U7kBMeEeeJEtdzPYvf5Q" annotatedElement="_R4OqgBMdEeeJEtdzPYvf5Q">
          <body>&quot;Describes a measurement, calculation or setting capability of a medical device.&quot; - HL7 FHIR, DeviceMetric</body>
        </ownedComment>
        <ownedAttribute xmi:id="_gAbM4BMgEeeJEtdzPYvf5Q" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation.&quot; - HL7 FHIR, DeviceMetric.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gAbM4xMgEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gAbM4hMgEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Lao0oBMgEeeJEtdzPYvf5Q" name="color" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_c22z4BMgEeeJEtdzPYvf5Q" annotatedElement="_Lao0oBMgEeeJEtdzPYvf5Q">
            <body>&quot;Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta.&quot; - HL7 FHIR, DeviceMetric.color</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lao0oxMgEeeJEtdzPYvf5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Lao0ohMgEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zVC6YBMvEeeN9OBqDrrLrg" name="deviceCalibration" visibility="public" type="_aMuyIBMvEeeN9OBqDrrLrg" aggregation="composite" association="_zVCTUBMvEeeN9OBqDrrLrg">
          <ownedComment xmi:id="_0g5CcBMvEeeN9OBqDrrLrg" annotatedElement="_zVC6YBMvEeeN9OBqDrrLrg">
            <body>&quot;Describes the calibrations that have been performed or that are required to be performed.&quot; - HL7 FHIR, DeviceMetric.calibration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3V1PQBMvEeeN9OBqDrrLrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3V1PQRMvEeeN9OBqDrrLrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Su27EBMeEeeJEtdzPYvf5Q" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Su27ERMeEeeJEtdzPYvf5Q" annotatedElement="_Su27EBMeEeeJEtdzPYvf5Q">
            <body>&quot;Describes the unique identification of this metric that has been assigned by the device or gateway software. For example: handle ID. It should be noted that in order to make the identifier unique, the system element of the identifier should be set to the unique identifier of the device.&quot; - HL7 FHIR, DeviceMetric.id</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Su27ExMeEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Su27EhMeEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hHt3ABMeEeeJEtdzPYvf5Q" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hHt3ARMeEeeJEtdzPYvf5Q" annotatedElement="_hHt3ABMeEeeJEtdzPYvf5Q">
            <body>&quot;Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.&quot; - HL7 FHIR, DeviceMetric.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hHt3AxMeEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hHt3AhMeEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sEjGEBMgEeeJEtdzPYvf5Q" name="measurementPeriod" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_N8xkwBMhEeeJEtdzPYvf5Q" annotatedElement="_sEjGEBMgEeeJEtdzPYvf5Q">
            <body>&quot;Describes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.&quot; - HL7 FHIR, DeviceMetric.measurementPeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sEjGExMgEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sEjGEhMgEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___4okBMfEeeJEtdzPYvf5Q" name="operationalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="___4okRMfEeeJEtdzPYvf5Q" annotatedElement="___4okBMfEeeJEtdzPYvf5Q">
            <body>&quot;Indicates current operational state of the device. For example: On, Off, Standby, etc.&quot; - HL7 FHIR, DeviceMetric.operationalStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___4okxMfEeeJEtdzPYvf5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___4okhMfEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uBSVARMfEeeJEtdzPYvf5Q" name="parent" visibility="public" type="_kIEVcAJlEeaG4J0T8FMiWg" association="_uBSVABMfEeeJEtdzPYvf5Q">
          <ownedComment xmi:id="_zul2EBMfEeeJEtdzPYvf5Q" annotatedElement="_uBSVARMfEeeJEtdzPYvf5Q">
            <body>&quot;Describes the link to the DeviceComponent that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a DeviceComponent that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.&quot; - HL7 FHIR, DeviceMetric.parent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uBSVAhMfEeeJEtdzPYvf5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uBSVAxMfEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KzXOsBMfEeeJEtdzPYvf5Q" name="source" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_KzNdsBMfEeeJEtdzPYvf5Q">
          <ownedComment xmi:id="_WUwOQBMfEeeJEtdzPYvf5Q" annotatedElement="_KzXOsBMfEeeJEtdzPYvf5Q">
            <body>&quot;Describes the link to the Device that this DeviceMetric belongs to and that contains administrative device information such as manufacturer, serial number, etc.&quot; - HL7 FHIR, DeviceMetric.source</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KzXOsRMfEeeJEtdzPYvf5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KzXOshMfEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zZtnsBMeEeeJEtdzPYvf5Q" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zZtnsRMeEeeJEtdzPYvf5Q" annotatedElement="_zZtnsBMeEeeJEtdzPYvf5Q">
            <body>&quot;Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc.&quot; - HL7 FHIR, DeviceMetric.unit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zZtnsxMeEeeJEtdzPYvf5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zZtnshMeEeeJEtdzPYvf5Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KzNdsBMfEeeJEtdzPYvf5Q" name="deviceMetric_source" memberEnd="_KzXOsBMfEeeJEtdzPYvf5Q _KzXOsxMfEeeJEtdzPYvf5Q">
        <ownedEnd xmi:id="_KzXOsxMfEeeJEtdzPYvf5Q" name="" visibility="private" type="_R4OqgBMdEeeJEtdzPYvf5Q" association="_KzNdsBMfEeeJEtdzPYvf5Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KzXOtBMfEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KzXOtRMfEeeJEtdzPYvf5Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uBSVABMfEeeJEtdzPYvf5Q" name="deviceMetric_parent" memberEnd="_uBSVARMfEeeJEtdzPYvf5Q _uBbe8BMfEeeJEtdzPYvf5Q">
        <ownedEnd xmi:id="_uBbe8BMfEeeJEtdzPYvf5Q" name="" visibility="private" type="_R4OqgBMdEeeJEtdzPYvf5Q" association="_uBSVABMfEeeJEtdzPYvf5Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uBbe8RMfEeeJEtdzPYvf5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uBbe8hMfEeeJEtdzPYvf5Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aMuyIBMvEeeN9OBqDrrLrg" name="DeviceCalibration">
        <ownedComment xmi:id="_yrCUEBMvEeeN9OBqDrrLrg" annotatedElement="_aMuyIBMvEeeN9OBqDrrLrg">
          <body>&quot;Describes the calibrations that have been performed or that are required to be performed.&quot; - HL7 FHIR, DeviceMetric.calibration</body>
        </ownedComment>
        <ownedAttribute xmi:id="_B49PwBMwEeeN9OBqDrrLrg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_B49PwRMwEeeN9OBqDrrLrg" annotatedElement="_B49PwBMwEeeN9OBqDrrLrg">
            <body>&quot;Describes the type of the calibration method.&quot; - HL7 FHIR, DeviceMetric.calibration.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B49PwxMwEeeN9OBqDrrLrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B49PwhMwEeeN9OBqDrrLrg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CBuKMBMwEeeN9OBqDrrLrg" name="state" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_CBuKMRMwEeeN9OBqDrrLrg" annotatedElement="_CBuKMBMwEeeN9OBqDrrLrg">
            <body>&quot;Describes the state of the calibration.&quot; - HL7 FHIR, DeviceMetric.calibration.state</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CBuKMxMwEeeN9OBqDrrLrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CBuKMhMwEeeN9OBqDrrLrg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CGi_0BMwEeeN9OBqDrrLrg" name="time" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_CGi_0RMwEeeN9OBqDrrLrg" annotatedElement="_CGi_0BMwEeeN9OBqDrrLrg">
            <body>&quot;Describes the time last calibration has been performed.&quot; - HL7 FHIR, DeviceMetric.calibration.time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGi_0xMwEeeN9OBqDrrLrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGi_0hMwEeeN9OBqDrrLrg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zVCTUBMvEeeN9OBqDrrLrg" name="deviceMetric_deviceCalibration" memberEnd="_zVC6YBMvEeeN9OBqDrrLrg _zVC6YRMvEeeN9OBqDrrLrg">
        <ownedEnd xmi:id="_zVC6YRMvEeeN9OBqDrrLrg" name="" visibility="private" type="_R4OqgBMdEeeJEtdzPYvf5Q" association="_zVCTUBMvEeeN9OBqDrrLrg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iXGRoBZHEeer2PfFeUXvjw" name="deviceInstance_patient" memberEnd="_iXO0gBZHEeer2PfFeUXvjw _iXWwUBZHEeer2PfFeUXvjw">
        <ownedEnd xmi:id="_iXWwUBZHEeer2PfFeUXvjw" name="" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_iXGRoBZHEeer2PfFeUXvjw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iXX-cBZHEeer2PfFeUXvjw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iXX-cRZHEeer2PfFeUXvjw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hLdkUB3vEeeIxccvDlLgJA" name="UniqueDeviceIdentifier">
        <ownedComment xmi:id="_9BnL0B3vEeeIxccvDlLgJA" annotatedElement="_hLdkUB3vEeeIxccvDlLgJA">
          <body>This class records information that can identify and track devices through distribution and use. This information is or will be required by multiple jurisdictions; currently the United States Food and Drug Administration (FDA) is the first jurisdiction to issue regulations on Unique Device Identifiers. Other countries will likely use the same identifiers or will require some variant, which will be included in this class in the future. See: http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/UniqueDeviceIdentification&#xD;
&quot;In 2013, the FDA released a final rule establishing a unique device identification system designed to adequately identify devices through distribution and use. The final rule requires device labelers to include a unique device identifier (UDI) on device labels and packages.... Each UDI must be provided in a plain-text version and in a form that uses automatic identification and data capture (AIDC) technology. The UDI will also be required to be directly marked on a device that is intended for more than one use, and intended to be reprocessed before each use.&#xD;
A UDI is a unique numeric or alphanumeric code that consists of two parts: a) a device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device, and b) a production identifier (PI), a conditional, variable portion of a UDI that identifies such things as: i) the lot or batch number within which a device was manufactured; ii) the serial number of a specific device; iii) expiration date of a specific device; iv) the date a specific device was manufactured; v) and others.&quot; - from FDA &quot;UDI Basics&quot; website&#xD;
&quot;Unique device identifier (UDI) assigned to device label or package.&quot; - HL7 FHIR, Device.udi</body>
        </ownedComment>
        <ownedAttribute xmi:id="_nKtXsB30EeeIxccvDlLgJA" name="carrierAIDC" visibility="public">
          <ownedComment xmi:id="_4Ar2UB30EeeIxccvDlLgJA" annotatedElement="_nKtXsB30EeeIxccvDlLgJA">
            <body>&quot;The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g, a barcode or RFID. Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats SHALL be base64 encoded.&quot; - HL7 FHIR, Device.udi.carrierAIDC</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nKtXsx30EeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nKtXsh30EeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nGlssB30EeeIxccvDlLgJA" name="carrierHRF" visibility="public">
          <ownedComment xmi:id="_nGlssR30EeeIxccvDlLgJA" annotatedElement="_nGlssB30EeeIxccvDlLgJA">
            <body>&quot;The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.&quot; - HL7 FHIR, Device.udi.carrierHRF</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nGlssx30EeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nGlssh30EeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c2mgEB3zEeeIxccvDlLgJA" name="deviceIdentifier" visibility="public">
          <ownedComment xmi:id="_m0YX0B3zEeeIxccvDlLgJA" annotatedElement="_c2mgEB3zEeeIxccvDlLgJA">
            <body>&quot;The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.&quot; - HL7 FHIR, Device.udi.deviceIdentifier</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g2kVkB3zEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g2kVkR3zEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EbWAMB31EeeIxccvDlLgJA" name="entryType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EbWAMR31EeeIxccvDlLgJA" annotatedElement="_EbWAMB31EeeIxccvDlLgJA">
            <body>&quot;A coded entry to indicate how the data was entered.&quot; - HL7 FHIR, Device.udi.entryType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EbWAMx31EeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EbWAMh31EeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nO6iQB30EeeIxccvDlLgJA" name="issuer" visibility="public">
          <ownedComment xmi:id="_nO6iQR30EeeIxccvDlLgJA" annotatedElement="_nO6iQB30EeeIxccvDlLgJA">
            <body>&quot;Organization that is charged with issuing UDIs for devices. For example, the US FDA issuers include : 1) GS1: http://hl7.org/fhir/NamingSystem/gs1-di, 2) HIBCC: http://hl7.org/fhir/NamingSystem/hibcc-dI, 3) ICCBBA for blood containers: http://hl7.org/fhir/NamingSystem/iccbba-blood-di, 4) ICCBA for other devices: http://hl7.org/fhir/NamingSystem/iccbba-other-di.&quot; - HL7 FHIR, Device.udi.issuer</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nO6iQx30EeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nO6iQh30EeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0k9y0B3zEeeIxccvDlLgJA" name="jurisdiction" visibility="public">
          <ownedComment xmi:id="_5nkKAB3zEeeIxccvDlLgJA" annotatedElement="_0k9y0B3zEeeIxccvDlLgJA">
            <body>&quot;The identity of the authoritative source for UDI generation within a jurisdiction. All UDIs are globally unique within a single namespace. with the appropriate repository uri as the system. For example, UDIs of devices managed in the U.S. by the FDA, the value is http://hl7.org/fhir/NamingSystem/fda-udi.&quot; - HL7 FHIR, Device.udi.jurisdiction</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0k9y0x3zEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0k9y0h3zEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oan84B3zEeeIxccvDlLgJA" name="name" visibility="public">
          <ownedComment xmi:id="_oan84R3zEeeIxccvDlLgJA" annotatedElement="_oan84B3zEeeIxccvDlLgJA">
            <body>&quot;Name of device as used in labeling or catalog.&quot; - HL7 FHIR, Device.udi.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oan84x3zEeeIxccvDlLgJA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oan84h3zEeeIxccvDlLgJA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h8quEB4LEeeIxccvDlLgJA" name="deviceInstance_udi" memberEnd="_h8quER4LEeeIxccvDlLgJA _h8z4Ah4LEeeIxccvDlLgJA">
        <ownedEnd xmi:id="_h8z4Ah4LEeeIxccvDlLgJA" name="" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_h8quEB4LEeeIxccvDlLgJA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8z4Ax4LEeeIxccvDlLgJA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8z4BB4LEeeIxccvDlLgJA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eiPZIB4MEeeIxccvDlLgJA" name="deviceInstance_owner" memberEnd="_eiYjEB4MEeeIxccvDlLgJA _eiYjEx4MEeeIxccvDlLgJA">
        <ownedEnd xmi:id="_eiYjEx4MEeeIxccvDlLgJA" name="" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_eiPZIB4MEeeIxccvDlLgJA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eiYjFB4MEeeIxccvDlLgJA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eiYjFR4MEeeIxccvDlLgJA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ObiJYB4OEeeIxccvDlLgJA" name="deviceInstance_location" memberEnd="_ObiJYR4OEeeIxccvDlLgJA _ObiJZB4OEeeIxccvDlLgJA">
        <ownedEnd xmi:id="_ObiJZB4OEeeIxccvDlLgJA" name="" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_ObiJYB4OEeeIxccvDlLgJA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ObiJZR4OEeeIxccvDlLgJA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ObiJZh4OEeeIxccvDlLgJA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4j_VgLLSEeeKfvjx78dWlQ" name="DeviceUseStatement">
        <ownedComment xmi:id="_F1l5ALLUEeeKfvjx78dWlQ" annotatedElement="_4j_VgLLSEeeKfvjx78dWlQ">
          <body>&quot;A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.&quot;- HL7 FHIR, DeviceUseStatement</body>
        </ownedComment>
        <generalization xmi:id="_Q5rmoLLWEeeKfvjx78dWlQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_F0-qcLLTEeeKfvjx78dWlQ" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LNOvQLLYEeeKfvjx78dWlQ" annotatedElement="_F0-qcLLTEeeKfvjx78dWlQ">
            <body>&quot;Indicates the site on the subject's body where the device was used (i.e. the target site).&quot;- HL7 FHIR, DeviceUseStatement.bodySite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F0-qcrLTEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F0-qcbLTEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bIlOIbLXEeeKfvjx78dWlQ" name="device" visibility="public" type="_420A62FD03B6425C004E004C" association="_bIlOILLXEeeKfvjx78dWlQ">
          <ownedComment xmi:id="_h7ByULLXEeeKfvjx78dWlQ" annotatedElement="_bIlOIbLXEeeKfvjx78dWlQ">
            <body>&quot;The details of the device used.&quot;- HL7 FHIR, DeviceUseStatement.device&#xD;
Note, it's unclear whether this should point to Device or DeviceInstance. FHIR's Device resource represents both classes of devices and instances of devices. FHIM makes a distinction. Either we point to Device and navigate to the DeviceInstance, or we point to DeviceInstance (which would require one to exist) and navigate to Device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bIlOIrLXEeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bIlOI7LXEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FzYH8LLTEeeKfvjx78dWlQ" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DQaCoLLYEeeKfvjx78dWlQ" annotatedElement="_FzYH8LLTEeeKfvjx78dWlQ">
            <body>&quot;Reason or justification for the use of the device.&quot;- HL7 FHIR, DeviceUseStatement.indication&#xD;
Note that we may point to the Indication class instead, depending on the vocabulary bound to this concept.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FzYH8rLTEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FzYH8bLTEeeKfvjx78dWlQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FxeDcLLTEeeKfvjx78dWlQ" name="timing" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_-9FBsLLWEeeKfvjx78dWlQ" annotatedElement="_FxeDcLLTEeeKfvjx78dWlQ">
            <body>&quot;How often the device was used.&quot;- HL7 FHIR, DeviceUseStatement.timing[x]&#xD;
Note that FHIR timing can be a Timing, Period, or a DateTime. FHIM currently limits this to a Timing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FxeDcrLTEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FxeDcbLTEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BgdhQLLTEeeKfvjx78dWlQ" name="whenUsed" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_szsacLLWEeeKfvjx78dWlQ" annotatedElement="_BgdhQLLTEeeKfvjx78dWlQ">
            <body>&quot;The time period over which the device was used.&quot;- HL7 FHIR, DeviceUseStatement.whenUsed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EBesgLLTEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EBesgbLTEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bIlOILLXEeeKfvjx78dWlQ" name="deviceUseStatement_device" memberEnd="_bIlOIbLXEeeKfvjx78dWlQ _bIlOJLLXEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_bIlOJLLXEeeKfvjx78dWlQ" name="" visibility="private" type="_4j_VgLLSEeeKfvjx78dWlQ" association="_bIlOILLXEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yZwBcLTuEee8ToGyn6JwPw" name="FoodIngredient">
        <ownedComment xmi:id="_gm0-ILUJEee8ToGyn6JwPw" annotatedElement="_yZwBcLTuEee8ToGyn6JwPw">
          <body>“Relates a product (typically medicine) to a substance which it contains as an ingredient. Ingredients can be specified for medicines or other products, including devices, but they always mean the same thing: a material (here: chemical substance) in the make-up of the main product, not a structural part or content of a container, and not a material added later into a device for operation. For medicines and food this is obvious. For devices, an example for ingredient would be latex in a chest tube (but not an inhalant in a nebulizer device).” – HL7 Version 3 (Role->Ingredient).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3bQzgLTuEee8ToGyn6JwPw" name="quantity" visibility="public" type="_2xsJQM_6Ed-YeMSrwW6svA">
          <ownedComment xmi:id="_3bQzgbTuEee8ToGyn6JwPw" annotatedElement="_3bQzgLTuEee8ToGyn6JwPw">
            <body>&quot;The amount of the ingredient in the substance - a concentration ratio.&quot; - HL7 FHIR, Substance.ingredient.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3bQzg7TuEee8ToGyn6JwPw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3bQzgrTuEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l-6hgVp5Eea8uN_zi5afyA" name="ingredientSubstance" visibility="public" type="_420A62FD03B645919F1600B4" association="_l-6hgFp5Eea8uN_zi5afyA">
          <ownedComment xmi:id="_eoTncFsVEeaxDokgI-Y3eA" annotatedElement="_l-6hgVp5Eea8uN_zi5afyA">
            <body>Pointer to the Substances used as an ingredient in the Food Product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l-6hglp5Eea8uN_zi5afyA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l-6hg1p5Eea8uN_zi5afyA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_G6HHILTvEee8ToGyn6JwPw" name="foodProduct_foodIngredient" memberEnd="_G6RfMLTvEee8ToGyn6JwPw _G6TUYLTvEee8ToGyn6JwPw">
        <ownedEnd xmi:id="_G6TUYLTvEee8ToGyn6JwPw" name="" visibility="private" type="__6daUFp1Eea8uN_zi5afyA" association="_G6HHILTvEee8ToGyn6JwPw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BahvoLUIEee8ToGyn6JwPw" name="SubstanceInstance">
        <ownedComment xmi:id="_V8KyQLUJEee8ToGyn6JwPw" annotatedElement="_BahvoLUIEee8ToGyn6JwPw">
          <body>&quot;Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.&quot; - HL7 FHIR, Substance.instance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BQyIULUJEee8ToGyn6JwPw" name="expiry" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_C1W5cLUJEee8ToGyn6JwPw" annotatedElement="_BQyIULUJEee8ToGyn6JwPw">
            <body>&quot;When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry.&quot; - HL7 FHIR, Substance.instance.expiry</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D6f8kLUJEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D6f8kbUJEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rnGqILUIEee8ToGyn6JwPw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_rnGqIbUIEee8ToGyn6JwPw" annotatedElement="_rnGqILUIEee8ToGyn6JwPw">
            <body>&quot;Identifier associated with the package/container (usually a label affixed directly).&quot; - HL7 FHIR, Substance.instance.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rnGqI7UIEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rnGqIrUIEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eiWaYLUIEee8ToGyn6JwPw" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_eiWaYbUIEee8ToGyn6JwPw" annotatedElement="_eiWaYLUIEee8ToGyn6JwPw">
            <body>&quot;The amount of the substance.&quot; - HL7 FHIR, Substance.instance.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eiWaY7UIEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eiWaYrUIEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__UgzcLUJEee8ToGyn6JwPw" name="SubstanceIngredient">
        <ownedComment xmi:id="__UgzcbUJEee8ToGyn6JwPw" annotatedElement="__UgzcLUJEee8ToGyn6JwPw">
          <body>&quot;A substance can be composed of other substances.&quot; - HL7 FHIR, Substance.ingredient</body>
        </ownedComment>
        <ownedAttribute xmi:id="__UgzcrUJEee8ToGyn6JwPw" name="quantity" visibility="public" type="_2xsJQM_6Ed-YeMSrwW6svA">
          <ownedComment xmi:id="__Ugzc7UJEee8ToGyn6JwPw" annotatedElement="__UgzcrUJEee8ToGyn6JwPw">
            <body>&quot;The amount of the ingredient in the substance - a concentration ratio.&quot; - HL7 FHIR, Substance.ingredient.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__UgzdbUJEee8ToGyn6JwPw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__UgzdLUJEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__UgzdrUJEee8ToGyn6JwPw" name="ingredientSubstance" visibility="public" type="_420A62FD03B645919F1600B4" association="__UgzerUJEee8ToGyn6JwPw">
          <ownedComment xmi:id="__Ugzd7UJEee8ToGyn6JwPw" annotatedElement="__UgzdrUJEee8ToGyn6JwPw">
            <body>Pointer to the Substances used as an ingredient in the Food Product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__UgzebUJEee8ToGyn6JwPw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__UgzeLUJEee8ToGyn6JwPw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__UgzerUJEee8ToGyn6JwPw" name="substanceIngredient_ingredientSubstance" memberEnd="__UgzdrUJEee8ToGyn6JwPw __Ugze7UJEee8ToGyn6JwPw">
        <ownedEnd xmi:id="__Ugze7UJEee8ToGyn6JwPw" name="" visibility="private" type="__UgzcLUJEee8ToGyn6JwPw" association="__UgzerUJEee8ToGyn6JwPw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LDI9wLUKEee8ToGyn6JwPw" name="substance_substanceInstance" memberEnd="_LDJk0LUKEee8ToGyn6JwPw _LDJk07UKEee8ToGyn6JwPw">
        <ownedEnd xmi:id="_LDJk07UKEee8ToGyn6JwPw" name="" visibility="private" type="_420A62FD03B645919F1600B4" association="_LDI9wLUKEee8ToGyn6JwPw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LdqWkLUKEee8ToGyn6JwPw" name="substance_substanceIngredient" memberEnd="_LdqWkbUKEee8ToGyn6JwPw _LdqWlLUKEee8ToGyn6JwPw">
        <ownedEnd xmi:id="_LdqWlLUKEee8ToGyn6JwPw" name="" visibility="private" type="_420A62FD03B645919F1600B4" association="_LdqWkLUKEee8ToGyn6JwPw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B642A5CE120016" name="AdverseEventReporting">
      <eAnnotations xmi:id="_L5OZFeLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_L5XjAuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_Qr4M0KMcEeOzLfgeAZKSFA">
        <body>This domain contains the concepts needed to produce and send a report concerning a Product Safety-related event to a jurisdictional entity (i.e., FDA or CDC).  In the future, we expect that this domain will be constrained such that specific reports such as the MedWatch 3500 can be specified.  See the package documentation for further details.</body>
      </ownedComment>
      <ownedComment xmi:id="_Kt8MQAE2EeS53tTqzkwERQ" annotatedElement="_420A62FD03B642A5CE120016">
        <body>This domain contains the concepts needed to produce and send a report concerning a Product Safety-related event (which includes unexpected reactions to a medication) to a jurisdictional entity (i.e., FDA or CDC).  This domain is closely aligned with the HL7 Individual Case Safety Report (ICSR) standard.  ICSR models the superset of concepts needed for the FDA Medwatch and VAERS reports, but does not include non-drug products (such as medical devices, cosmetics, or food supplements) and does not deal with non-human applications (e.g., veterinary medicine).  We intend to add structures for these concepts at a later date.&#xD;
&#xD;
Adverse Event Reporting is considered a kind of Public Health Report, so we expect a hierarchy from Public Health Report to Product-Related Adverse Events to specific kinds of reports such as the Medwatch reports.  Other kinds of adverse events will likely also be reportable and will have other characteristics.  For now, we are concentrating on the Product-Related Adverse Events.&#xD;
&#xD;
Eventually, this domain will be constrained such that specific reports such as the MedWatch 3500 can be specified.  The effort to do so has been postponed while related work is being conducted within the Structured Data Initiative.  When that work is done, we expect to re-visit this domain.  At that time separate sub-packages will be created for various types of reports such as the MedWatch 3500 and the VAERS-1.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_eTLB0OH6EeOvYf8YyVApvg" name="enumDeviceOperator">
        <ownedLiteral xmi:id="_k60EMOH6EeOvYf8YyVApvg" name="healthProfessional">
          <ownedComment xmi:id="_to1kQOH6EeOvYf8YyVApvg" annotatedElement="_k60EMOH6EeOvYf8YyVApvg">
            <body>Was the operator or user of the device a healthcare professional?  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_oAvTUOH6EeOvYf8YyVApvg" name="layUserOrPatient">
          <ownedComment xmi:id="_vC3SQOH6EeOvYf8YyVApvg" annotatedElement="_oAvTUOH6EeOvYf8YyVApvg">
            <body>Was the operator or user of the device the patient themselves, or a lay person?  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_rAawgOH6EeOvYf8YyVApvg" name="other">
          <ownedComment xmi:id="_wcIyUOH6EeOvYf8YyVApvg" annotatedElement="_rAawgOH6EeOvYf8YyVApvg">
            <body>Was the operator or user of the device neither the patient nor a healthcare professional?  If yes, the other user text should be valued.  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
          </ownedComment>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_oxQ74OH7EeOvYf8YyVApvg" name="enumProductRole">
        <ownedLiteral xmi:id="_5mWCoOH7EeOvYf8YyVApvg" name="concomitant"/>
        <ownedLiteral xmi:id="_7Dc50OH7EeOvYf8YyVApvg" name="suspect"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_9ctJ0OHzEeOvYf8YyVApvg" name="enumProductAvailabiltiy">
        <ownedLiteral xmi:id="_AHwa0OH0EeOvYf8YyVApvg" name="Yes"/>
        <ownedLiteral xmi:id="_A6Hr4OH0EeOvYf8YyVApvg" name="No"/>
        <ownedLiteral xmi:id="_BctbkOH0EeOvYf8YyVApvg" name="ReturnedToMfr"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_TNMmMOeAEd6qdqXtvR-ZHQ" name="_parkinglot_SuspectedProduct">
        <ownedComment xmi:id="_FCuC0L5vEeOVVtQOY559MQ" annotatedElement="_TNMmMOeAEd6qdqXtvR-ZHQ">
          <body>(Placeholder: Modeling is still in progress on this element)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TNMmReeAEd6qdqXtvR-ZHQ" name="adverseReactionLikelihood" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_2p0jcKYsEeO5e_SJFDwFbg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_2p1KgKYsEeO5e_SJFDwFbg" key="delete?"/>
          </eAnnotations>
          <ownedComment xmi:id="_ROVgsAFCEeS53tTqzkwERQ" annotatedElement="_TNMmReeAEd6qdqXtvR-ZHQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__nGOcLyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__nGOcbyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TNMmQOeAEd6qdqXtvR-ZHQ" name="wasAdminStopped" visibility="public">
          <eAnnotations xmi:id="_4MCkIKYsEeO5e_SJFDwFbg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_4MCkIaYsEeO5e_SJFDwFbg" key="delete?"/>
          </eAnnotations>
          <ownedComment xmi:id="_Rm6YwAFCEeS53tTqzkwERQ" annotatedElement="_TNMmQOeAEd6qdqXtvR-ZHQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AAGkULyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AAGkUbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TNMmQ-eAEd6qdqXtvR-ZHQ" name="wasDueToPtCondition" visibility="public">
          <eAnnotations xmi:id="_4MFAYKYsEeO5e_SJFDwFbg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_4MFncKYsEeO5e_SJFDwFbg" key="delete?"/>
          </eAnnotations>
          <ownedComment xmi:id="_SEDAsAFCEeS53tTqzkwERQ" annotatedElement="_TNMmQ-eAEd6qdqXtvR-ZHQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AaO7kLyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AaQJsLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TNMmQueAEd6qdqXtvR-ZHQ" name="wasReadministered" visibility="public">
          <eAnnotations xmi:id="_4MHcoKYsEeO5e_SJFDwFbg" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_4MHcoaYsEeO5e_SJFDwFbg" key="delete?"/>
          </eAnnotations>
          <ownedComment xmi:id="_SbQm0AFCEeS53tTqzkwERQ" annotatedElement="_TNMmQueAEd6qdqXtvR-ZHQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A9muYLyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A9nVcLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Tf-W4KtDEeGuzqo4y-0OoQ" name="_parkinglot_PatientSafetyInvestigation">
        <ownedComment xmi:id="_r2l8cKtDEeGuzqo4y-0OoQ" annotatedElement="_Tf-W4KtDEeGuzqo4y-0OoQ">
          <body>Information for, and activity related to, the act of investigating and recording the results of the investigation. It is expected that additional classes such as observation are needed to capture all the data recorded for an investigation.  Note the Act class code INVSTG (Investigation) is defined as &quot;An official inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.&quot; (adapted from HL7 V3 ICSR DAM)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_eFbUkN6CEeaQL8YZ3sNKnw" name="primaryPerformer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ke7NQN6CEeaQL8YZ3sNKnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ke70UN6CEeaQL8YZ3sNKnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YEW-QLC4EeGGPqUAHxbNLQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_YEW-QbC4EeGGPqUAHxbNLQ" annotatedElement="_YEW-QLC4EeGGPqUAHxbNLQ">
            <body>Implementation Guide for Electronic Transmission of ICSRs, element C.1.1: Sender’s (case) Safety Report Unique Identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2EkIQLyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2EkIQbyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YEXlULC4EeGGPqUAHxbNLQ" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YEXlUbC4EeGGPqUAHxbNLQ" annotatedElement="_YEXlULC4EeGGPqUAHxbNLQ">
            <body>Date when the adverse reaction or suspected reaction reported.&#xD;
Implementation Guide for Electronic Transmission of ICSRs, element C.1.2: Date of Creation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0vt1MLyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0vt1MbyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YEXlUrC4EeGGPqUAHxbNLQ" name="eventDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PuznoAFCEeS53tTqzkwERQ" annotatedElement="_YEXlUrC4EeGGPqUAHxbNLQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1iIwoLyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1iIwobyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fqisgLC4EeGGPqUAHxbNLQ" name="informationAvailableDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QPrgEAFCEeS53tTqzkwERQ" annotatedElement="_fqisgLC4EeGGPqUAHxbNLQ">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3vmtwLyWEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3vnU0LyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rbSWsLC4EeGGPqUAHxbNLQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rbSWsbC4EeGGPqUAHxbNLQ" annotatedElement="_rbSWsLC4EeGGPqUAHxbNLQ">
            <body>Implementation Guide for Electronic Transmission of ICSRs, element C.1.3: Type of Report.  Possible values include: Spontaneous report; Report from study; Other; Not available to sender (unknown).  See OID: 2.16.840.1.113883.3.989.2.1.1.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rbSWs7C4EeGGPqUAHxbNLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rbSWsrC4EeGGPqUAHxbNLQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rbUy8LC4EeGGPqUAHxbNLQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rbUy8bC4EeGGPqUAHxbNLQ" annotatedElement="_rbUy8LC4EeGGPqUAHxbNLQ">
            <body>A code specifying the state of the Intolerance Condition Observation record.  See HL7 V3 Act.statusCode.  When the StatusCode is set to 'Nullified' iindicates the allergy was entered in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rbUy87C4EeGGPqUAHxbNLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rbUy8rC4EeGGPqUAHxbNLQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pNXiAOGmEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pNXiAuGmEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pNXiAeGmEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q294IKCUEeO-_tuxzOR0Jg" name="_parkinglot_ProductRelatedAdverseEventReport">
        <ownedComment xmi:id="_tKyZ0L5tEeOVVtQOY559MQ" annotatedElement="_q294IKCUEeO-_tuxzOR0Jg">
          <body>(Placeholder: Modeling is still in progress on this element)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_W0YBrqCWEeO-_tuxzOR0Jg" name="dateOfEvent" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_W0YBr6CWEeO-_tuxzOR0Jg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_IclGkKCfEeO-_tuxzOR0Jg" annotatedElement="_W0YBrqCWEeO-_tuxzOR0Jg">
            <body>The date that the adverse event, product problem, or product use error occurred.  Medwatch 3500 form question B.3; Medwatch 3500A form question B.3; Medwatch 3500B form question A.3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8wyvsLyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8wyvsbyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W0YBuqCWEeO-_tuxzOR0Jg" name="zdidInitalReporterSendToFda" visibility="public" aggregation="shared">
          <ownedComment xmi:id="_cBg38KSTEeOi7v-AgUwKMQ" annotatedElement="_W0YBuqCWEeO-_tuxzOR0Jg">
            <body>Did the Intial Reporter also send a report to the FDA?  Medwatch 3500A form question E.4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9xGWILyWEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9xGWIbyWEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iE7H0KChEeO-_tuxzOR0Jg" name="zAdverseEventOutcome" visibility="public">
          <ownedComment xmi:id="_TRcA4AFCEeS53tTqzkwERQ" annotatedElement="_iE7H0KChEeO-_tuxzOR0Jg">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iE7u4KChEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iE7u4aChEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_qoD_sKSVEeOi7v-AgUwKMQ" name="FDAMedwatch3500">
        <eAnnotations xmi:id="_qoD_saSVEeOi7v-AgUwKMQ" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Enumeration" xmi:id="_0dUIgMygEeO7XY1kXX1jtw" name="enumProblemType">
          <ownedLiteral xmi:id="_6PjM4MygEeO7XY1kXX1jtw" name="adverseEvent"/>
          <ownedLiteral xmi:id="_-8UeAMygEeO7XY1kXX1jtw" name="productUseError"/>
          <ownedLiteral xmi:id="_AbGJIMyhEeO7XY1kXX1jtw" name="productQuality"/>
          <ownedLiteral xmi:id="_F6PSYMyhEeO7XY1kXX1jtw" name="switchingMfrs"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_DNXj0MyeEeO7XY1kXX1jtw" name="FDAMedwatch3500Report">
          <generalization xmi:id="_IUywoMyeEeO7XY1kXX1jtw" general="_bU0lMKYAEeOpGqPhI0EtmQ"/>
          <ownedAttribute xmi:id="_pCJFsMygEeO7XY1kXX1jtw" name="problemType" visibility="public" type="_0dUIgMygEeO7XY1kXX1jtw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VTSgAMyhEeO7XY1kXX1jtw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VTSgAcyhEeO7XY1kXX1jtw" value="4"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_q-PzwMylEeO7XY1kXX1jtw" client="_DNXj0MyeEeO7XY1kXX1jtw" supplier="_0dUIgMygEeO7XY1kXX1jtw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bU0lMKYAEeOpGqPhI0EtmQ" name="IndvidualCaseSafetyReport">
        <ownedComment xmi:id="_kE6acL5tEeOVVtQOY559MQ" annotatedElement="_bU0lMKYAEeOpGqPhI0EtmQ">
          <body>This class contains those properties required for the reporting of product safety-related information (to include product defects) to a regulatory agency. It contains the intersection of the information required for four specific reports: MedWatch 3500, MedWatch 3500A, MedWatch 3500B, and VAERS-1.  It is anticipated that subtypes will be created for these individual reports, which will add report-specific properties and constraints.&#xD;
&#xD;
This class is based in the Individual Case Safety Report (ICSR) series of standards.  An ICSR is a report of information describing adverse event(s) / reaction(s) experienced by an individual patient. The event(s) / reaction(s) can be related to the administration of one or more medicinal products at a particular point in time. The ICSR can also be used for exchange of other information, such as medication error(s) that do not involve adverse events(s)/reaction(s).</body>
        </ownedComment>
        <generalization xmi:id="_dhsFYKYAEeOpGqPhI0EtmQ" general="_O851ELC5EeGGPqUAHxbNLQ"/>
        <ownedAttribute xmi:id="_XroQYLaoEeOBQorrO5QC4Q" name="areAdditionalDocumentsAvailable" visibility="public">
          <ownedComment xmi:id="_gwFusLwzEeOJuZVb-etdNA" annotatedElement="_XroQYLaoEeOBQorrO5QC4Q">
            <body>&quot;When retransmitting information, the sender (retransmitter) indicates ‘true’ in this data element only if they have the documents available.&quot; - ICH E2B(R3), C.1.6.1</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3QpSwMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Qp50MAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eyLKoMciEeOZtYCyLdZSXQ" name="caseSummary" visibility="public">
          <ownedComment xmi:id="_eyLKocciEeOZtYCyLdZSXQ" annotatedElement="_eyLKoMciEeOZtYCyLdZSXQ">
            <body>&quot;A focused, factual and clear description of the case, including the words or short phrases used by the reporter.&quot; - ICH E2B(R3), H.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyLKo8ciEeOZtYCyLdZSXQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyLKosciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8OfCMMcjEeOZtYCyLdZSXQ" name="caseSummaryInNativeLanguage" visibility="public">
          <ownedComment xmi:id="_8OfCMccjEeOZtYCyLdZSXQ" annotatedElement="_8OfCMMcjEeOZtYCyLdZSXQ">
            <body>&quot;Information on the clinical course of the case, therapeutic measures, outcome and other relevant information, as well as the reporter’s comments on the case in a language [other than English].  [Also used] to transmit the sender’s and receiver’s comments in a language other than English, as required in some countries and regions.&quot; - ICH E2B(R3), H.5.r.1a.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8OfCM8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8OfCMscjEeOZtYCyLdZSXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8OgQUMcjEeOZtYCyLdZSXQ" name="caseSummaryLanguage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8OgQUccjEeOZtYCyLdZSXQ" annotatedElement="_8OgQUMcjEeOZtYCyLdZSXQ">
            <body>&quot;The language used in [caseSummaryInNativeLanguage]&quot; - ICH E2B(R3), H.5.r.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8OgQU8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8OgQUscjEeOZtYCyLdZSXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pNQwkLanEeOBQorrO5QC4Q" name="dateOfMostRecentInfo" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_pNQwkbanEeOBQorrO5QC4Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_OjYtsLwzEeOJuZVb-etdNA" annotatedElement="_pNQwkLanEeOBQorrO5QC4Q">
            <body>&quot;This data element captures the date each time follow-up information is received by the sender from a primary source.  However, if the case is amended for any other reason (e.g. after internal review by the sender) this date should not be changed....&quot; - ICH E2B(R3), C.1.5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4R4GQMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4R4tUMAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cdTFELanEeOBQorrO5QC4Q" name="dateReportFirstReceived" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_cdTFEbanEeOBQorrO5QC4Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_AR2hwLwzEeOJuZVb-etdNA" annotatedElement="_cdTFELanEeOBQorrO5QC4Q">
            <body>&quot;For organisations transmitting an initial case, this data element should be the date when the information was received from the primary source.... When retransmitting information received from another regulatory agency or another company or any other secondary source, [this] should be the date the retransmitter first received the information.&quot; - ICH E2B(R3), C.1.4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ex7SwLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ex7SwbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qkJo0KCfEeO-_tuxzOR0Jg" name="descriptionOfEvent" visibility="public">
          <ownedComment xmi:id="_qkJo0aCfEeO-_tuxzOR0Jg" annotatedElement="_qkJo0KCfEeO-_tuxzOR0Jg">
            <body>Description of the event, or problem.  Medwatch 3500 form question B.5; Medwatch 3500A form question B.5; Medwatch 3500B form question A.4; VAERS-1 form question 7.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fuUpkLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fuUpkbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HmZi4LwyEeOJuZVb-etdNA" name="icsrReportCategory" visibility="public">
          <ownedComment xmi:id="_HmZi4bwyEeOJuZVb-etdNA" annotatedElement="_HmZi4LwyEeOJuZVb-etdNA">
            <body>&quot;Captures the type of report independently of its source.&quot; - ICH E2B(R3), C.1.3.  Possible values include: Spontaneous report; Report from study; Other; Not available to sender (unknown).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_giEasLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_giEasbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5iaG4Lw1EeOJuZVb-etdNA" name="meetsExpeditedCriteria" visibility="public">
          <ownedComment xmi:id="_5iaG4bw1EeOJuZVb-etdNA" annotatedElement="_5iaG4Lw1EeOJuZVb-etdNA">
            <body>&quot;This data element should be used by the sender to indicate whether the case fulfils the local expedited requirements.&quot; - ICH E2B(R3), C.1.7&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bh9mYMyoEeO7XY1kXX1jtw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bh-NcMyoEeO7XY1kXX1jtw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D6PBELxcEeOKUOXGtjETEg" name="nullificationOrAmendmentReason" visibility="public">
          <ownedComment xmi:id="_YN5ukLxcEeOKUOXGtjETEg" annotatedElement="_D6PBELxcEeOKUOXGtjETEg">
            <body>&quot;Indicate[s] the reason why a previously transmitted ICSR is either considered completely void (nullified)..., or amended&quot; - ICH E2B(R3), C.1.11.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gqb30LxcEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gqce4LxcEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zthpQLxYEeOKUOXGtjETEg" name="originalSenderCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KUhrULxZEeOKUOXGtjETEg" annotatedElement="_zthpQLxYEeOKUOXGtjETEg">
            <body>&quot;Identifies the type of sender that created and transmitted the original electronic ICSR.&quot; - ICH E2B(R3), C.1.8.2.  Possible values include: Regulator; Other.&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2eYAQLxYEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2eZOYLxYEeOKUOXGtjETEg"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m6sIkLxbEeOKUOXGtjETEg" name="relatedReportId" visibility="public">
          <ownedComment xmi:id="_sVsYsLxbEeOKUOXGtjETEg" annotatedElement="_m6sIkLxbEeOKUOXGtjETEg">
            <body>&quot;Identifier of another report or case that warrants being evaluated together with this ICSR. This includes, but is not limited to, a mother/parent-child pair where both had events/reactions, siblings with common exposure, several reports involving the same patient, an ICSR previously sent via paper without a conformant E2B Worldwide Unique Case Identification Number, or several similar reports from same reporter (cluster).&quot; - ICH E2B(R3), C.1.10.r.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qxdl0LxbEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qxdl0bxbEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m7pMIMciEeOZtYCyLdZSXQ" name="reportersComments" visibility="public">
          <ownedComment xmi:id="_m7pMIcciEeOZtYCyLdZSXQ" annotatedElement="_m7pMIMciEeOZtYCyLdZSXQ">
            <body>&quot;The reporter's comments on the diagnosis, causality assessment or other issues considered relevant.&quot; - ICH E2B(R3), H.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m7pMI8ciEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m7pMIsciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pYY7YMciEeOZtYCyLdZSXQ" name="sendersComments" visibility="public">
          <ownedComment xmi:id="_pYY7YcciEeOZtYCyLdZSXQ" annotatedElement="_pYY7YMciEeOZtYCyLdZSXQ">
            <body>&quot;The sender's assessment of the case and can be used to describe disagreement with, and/or alternatives to the diagnoses given by the reporter(s). Also, in case of linkage of multiple ICSRs using C.1.10.r, the reason should be provided in these comments.&quot; - ICH E2B(R3), H.4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pYY7Y8ciEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pYY7YsciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eT1MUMcjEeOZtYCyLdZSXQ" name="sendersDiagnosis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eT1MUccjEeOZtYCyLdZSXQ" annotatedElement="_eT1MUMcjEeOZtYCyLdZSXQ">
            <body>&quot;This data element provides the sender with an opportunity to combine signs and symptoms that were reported into a succinct diagnosis. Supporting rationale for the term selection is included in Section H.4.A MedDRA LLT code should be used.&quot; - ICH E2B(R3), H.3.r.1a and H.3.r.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eT1MU8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eT1MUscjEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2tl3ILapEeOBQorrO5QC4Q" name="uniqueCaseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_2tl3IbapEeOBQorrO5QC4Q" annotatedElement="_2tl3ILapEeOBQorrO5QC4Q">
            <body>A unique identifier that is assigned to the report by the author and that is globally unique. - ICH E2B(R3), C.1.8.1</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ouj7ALyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ouj7AbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_agW8EMAPEeOtTpsIhjiKCQ" name="wasAutopsyPerformed" visibility="public">
          <ownedComment xmi:id="_agW8EcAPEeOtTpsIhjiKCQ" annotatedElement="_agW8EMAPEeOtTpsIhjiKCQ">
            <body>&quot;Indicates if an autopsy was done.&quot; - ICH E2B(R3), D.9.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_agW8E8APEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_agW8EsAPEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_odfqALxZEeOKUOXGtjETEg" name="wereOtherCaseIdsUsed" visibility="public">
          <ownedComment xmi:id="_odfqAbxZEeOKUOXGtjETEg" annotatedElement="_odfqALxZEeOKUOXGtjETEg">
            <body>This property will be true in &quot;...the event that the ICSR either has been exchanged by the two parties in the past using a different identifier or that it is exchanged simultaneously with a different identifier....&quot; - ICH E2B(R3), C.1.9.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qcMyYLxZEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qcNZcLxZEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HtGgcLw1EeOJuZVb-etdNA" name="documentsHeldBySender" visibility="public" type="_0WUucLwzEeOJuZVb-etdNA" association="_HtC2ELw1EeOJuZVb-etdNA">
          <ownedComment xmi:id="_FjB_wL5dEeOVVtQOY559MQ" annotatedElement="_HtGgcLw1EeOJuZVb-etdNA">
            <body>Pinter to a description (and optionally the content) of any documents held by the sender relevant to this ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HtHukLw1EeOJuZVb-etdNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HtHukbw1EeOJuZVb-etdNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BS4vUL5UEeOVVtQOY559MQ" name="informationReporter" visibility="public" type="_omSSQLxcEeOKUOXGtjETEg" association="_BS1E8L5UEeOVVtQOY559MQ">
          <ownedComment xmi:id="_ULvyEL5cEeOVVtQOY559MQ" annotatedElement="_BS4vUL5UEeOVVtQOY559MQ">
            <body>Pointer to the primary source(s) of the facts about the ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BS59cL5UEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BS6kgL5UEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2ienIL5bEeOVVtQOY559MQ" name="literatureReference" visibility="public" type="_NO7mYL5bEeOVVtQOY559MQ" association="_2idZAL5bEeOVVtQOY559MQ">
          <ownedComment xmi:id="_H1PvcL5cEeOVVtQOY559MQ" annotatedElement="_2ienIL5bEeOVVtQOY559MQ">
            <body>Pointer to literature article(s) that describe individual case(s), but not for articles used for data analysis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2ifOML5bEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2ifOMb5bEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4B5MALxZEeOKUOXGtjETEg" name="otherCaseIdentifier" visibility="public" type="_0ykJQLxZEeOKUOXGtjETEg" association="_4B1hoLxZEeOKUOXGtjETEg">
          <ownedComment xmi:id="_MumOkL5dEeOVVtQOY559MQ" annotatedElement="_4B5MALxZEeOKUOXGtjETEg">
            <body>Pointer to other case identifiers for this case used in ICH ICSR electronic transmissions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4B6aILxZEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4B6aIbxZEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Se-gMZYEeO3A-bWZE-Gbg" name="productRole" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_-SbUIMZYEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_IUwMsAFJEeS53tTqzkwERQ" annotatedElement="_-Se-gMZYEeO3A-bWZE-Gbg">
            <body>Pointer to the medical product(s) (i.e., medical device or drug) that is either suspected to have caused an adverse event, or that was in use at the time of the adverse event and which may or may not have contributed to the event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-SgMoMZYEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-SgMocZYEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nFzrcMQGEeOgn-oVX1O_Yw" name="reactionOrEvent" visibility="public" type="_8tnMQMQEEeOgn-oVX1O_Yw" association="_nFwBEMQGEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="_9dPzoAF0EeStzZ4W3o-kmA" annotatedElement="_nFzrcMQGEeOgn-oVX1O_Yw">
            <body>Pointer to the set of reaction(s) or adverse event(s) that are being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nF05kMQGEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nF05kcQGEeOgn-oVX1O_Yw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WXRecMAdEeOtTpsIhjiKCQ" name="relatedPersonObservation" visibility="public" type="_rKUFAMAcEeOtTpsIhjiKCQ" association="_WXQQUMAdEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_aK4S8MAdEeOtTpsIhjiKCQ" annotatedElement="_WXRecMAdEeOtTpsIhjiKCQ">
            <body>Pointer to information about a person related to the subject of the report (i.e., related to the patient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WXSFgMAdEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WXSFgcAdEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Jy7kKYAEeOpGqPhI0EtmQ" name="reportSubjectObservation" visibility="public" type="_3S4-EMGVEeOPOIG59rFWuA" association="_9JwfUKYAEeOpGqPhI0EtmQ">
          <ownedComment xmi:id="_kLk5oMAOEeOtTpsIhjiKCQ" annotatedElement="_9Jy7kKYAEeOpGqPhI0EtmQ">
            <body>Pointer to observations made about a patient or a person related to the patient at a given point of time (i.e., at the time of the Report).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9J0JsKYAEeOpGqPhI0EtmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9J0JsaYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7J6hwL5aEeOVVtQOY559MQ" name="sender" visibility="public" type="_1GhjUL5XEeOVVtQOY559MQ" association="_7J56sL5aEeOVVtQOY559MQ">
          <ownedComment xmi:id="_jBQNwL5cEeOVVtQOY559MQ" annotatedElement="_7J6hwL5aEeOVVtQOY559MQ">
            <body>Pointer to the person and/or organization that sent the ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7J7v4L5aEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7J7v4b5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jL47AL5dEeOVVtQOY559MQ" name="study" visibility="public" type="_iH7joL5dEeOVVtQOY559MQ" association="_jL3s4L5dEeOVVtQOY559MQ">
          <ownedComment xmi:id="_88bRIL5uEeOVVtQOY559MQ" annotatedElement="_jL47AL5dEeOVVtQOY559MQ">
            <body>Pointer to any study(-ies) (e.g., a clinical trial) in which the patient was participating in a study when the adverse reaction or event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jL5iEL5dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jL5iEb5dEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fLjmMKYAEeOpGqPhI0EtmQ" name="AbstractReportSubjectObservation" isAbstract="true">
        <ownedComment xmi:id="_JYbUQL5uEeOVVtQOY559MQ" annotatedElement="_fLjmMKYAEeOpGqPhI0EtmQ">
          <body>This class contains demographic observations made about a Patient at a given point of time.  Each of the properties in the class exist in the Patient or Person classes.  They are repeated here to emphasize that they are point-in-time observations that are needed for a particular report.  Note that each of these properties are marked as derived - all of the properties can be calculated from the Patient and Person classes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dI7LoL5gEeOVVtQOY559MQ" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_dI7Lob5gEeOVVtQOY559MQ" annotatedElement="_dI7LoL5gEeOVVtQOY559MQ">
            <body>This property contains age of the person in question at the time that the event occured.  Note that if the person's date of birth is known, this property can be derived from the patient's Person demographics information.  However, in general, this property is used only when the date of birth is not known, thereby conveying the approximate age of the person at the time of the first reaction or event.&#xD;
&#xD;
If the person in question is the patient, this is their age when the event or reaction first occurred to them.  See ICH E2B(R3), D.2.2.a and D.2.2b.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is their age at the time that the event or reaction first occurred to the child or fetus.  ICH E2B(R3), D.10.2.2a and D.10.2.2b.&#xD;
If the person in question is a sibling of the patient, this is their age when the date/time the event or reaction first occurred to the sibling.  Note that ICH does not include siblings.&#xD;
&#xD;
Medwatch 3500 form question A.2.a; Medwatch 3500A form question A.2.a; Medwatch 3500B form question D.3.a; VAERS-1 form question 4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_17L7sMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_17L7scAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ufH24KYAEeOpGqPhI0EtmQ" name="dateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_455XMKYBEeOpGqPhI0EtmQ" annotatedElement="_ufH24KYAEeOpGqPhI0EtmQ">
            <body>The date of birth of the person in question, which would be used to calculate their age at time that the adverse event or reaction occurred.  Note that this property can be derived from the person's demographics information.&#xD;
&#xD;
If the person in question is the patient, see ICH E2B(R3), D.2.1&#xD;
If the person in question is a parent (typically the mother) of the patient, see ICH E2B(R3), D.10.2.1&#xD;
It is noted that ICH does not support sibling information.&#xD;
&#xD;
Medwatch 3500 form question A.2.b; Medwatch 3500A form question A.2.b; Medwatch 3500B form question D.3.b; VAERS-1 form question 3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ufH24qYAEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ufH24aYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FsTdQKYDEeOpGqPhI0EtmQ" name="initials" visibility="public" isDerived="true">
          <ownedComment xmi:id="_FsTdQaYDEeOpGqPhI0EtmQ" annotatedElement="_FsTdQKYDEeOpGqPhI0EtmQ">
            <body>The first letter of each part of a proper name. This property stores the initials of a person's name, which is used  in research studies to identify the patient without divulging the person's entire name.  Note that this property can be derived from the patient's Person demographics information.&#xD;
Medwatch 3500B form question D.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FsTdQ6YDEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FsTdQqYDEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TOWX4KYBEeOpGqPhI0EtmQ" name="race" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_LRq_wKYCEeOpGqPhI0EtmQ" annotatedElement="_TOWX4KYBEeOpGqPhI0EtmQ">
            <body>The patient's race.  Note that this property can be derived from the patient's Person demographics information.&#xD;
Medwatch 3500B form question D.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TOWX4qYBEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TOWX4aYBEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OK8iwMAIEeOtTpsIhjiKCQ" name="releventMedicalHistoryText" visibility="public">
          <ownedComment xmi:id="_OK8iwcAIEeOtTpsIhjiKCQ" annotatedElement="_OK8iwMAIEeOtTpsIhjiKCQ">
            <body>&quot;Information about any other medical history that could not be coded in [the structured relevant medical history / concurrent conditions].&quot; - ICH E2B(R3), D.7.2 and D.10.7.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EDmO8LyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EDmO8byXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_z9T94KYAEeOpGqPhI0EtmQ" name="sex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_CndosKYCEeOpGqPhI0EtmQ" annotatedElement="_z9T94KYAEeOpGqPhI0EtmQ">
            <body>The sex of the person in question.  Note that this property can be derived from the person's demographics information.&#xD;
&#xD;
If the person in question is the patient, see ICH E2B(R3), D.2.1&#xD;
If the person in question is a parent (typically the mother) of the patient, see ICH E2B(R3), D.10.6.&#xD;
It is noted that ICH does not support sibling information.&#xD;
&#xD;
Medwatch 3500 form question A.3; Medwatch 3500A form question A.3; Medwatch 3500B form question D.2; VAERS-1 form question 5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z9T94qYAEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z9T94aYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IvFzgMAHEeOtTpsIhjiKCQ" name="releventMedicalHistory" visibility="public" type="_Daj-0MAHEeOtTpsIhjiKCQ" association="_IvDXQMAHEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_E6Q9YMAPEeOtTpsIhjiKCQ" annotatedElement="_IvFzgMAHEeOtTpsIhjiKCQ">
            <body>Pointer to information pertinent to understanding the case (such as diseases, conditions such as pregnancy, surgical procedures, psychological trauma, risk factors, etc.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IvHBoMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IvHosMAHEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e3tJEMAKEeOtTpsIhjiKCQ" name="relevantPastDrugHistory" visibility="public" type="_HUsxwMAKEeOtTpsIhjiKCQ" association="_e3r68MAKEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_iaTGEMAKEeOtTpsIhjiKCQ" annotatedElement="_e3tJEMAKEeOtTpsIhjiKCQ">
            <body>Pointer to relevant drugs previously administered and which have been stopped before the Adverse Event onset.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e3twIMAKEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e3twIcAKEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SxoY8L5mEeOVVtQOY559MQ" name="heightObservation" visibility="public" type="_jPo_4Id5EeOZ2vW3WfDP5Q" association="_SxnK0L5mEeOVVtQOY559MQ">
          <ownedComment xmi:id="_Y6TnYL5mEeOVVtQOY559MQ" annotatedElement="_SxoY8L5mEeOVVtQOY559MQ">
            <body>Pointer to the reported height in centimeters of the person in question at the time that the adverse event or reaction first occured.&#xD;
&#xD;
If the person in question is the patient, this is their reported height when the event or reaction first occurred to them.  See ICH E2B(R3), D.4.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is the reported height of the parent at the time that the event or reaction first occurred to the child or fetus.  See ICH E2B(R3), D.10.5.&#xD;
If the person in question is a sibling of the patient, this property will likely not be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SxpAAL5mEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SxpAAb5mEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DY_BsKYBEeOpGqPhI0EtmQ" name="weightObservation" visibility="public" type="_MNR9zIeMEeOZ2vW3WfDP5Q" association="_DY9zkKYBEeOpGqPhI0EtmQ">
          <ownedComment xmi:id="_LBp84L5jEeOVVtQOY559MQ" annotatedElement="_DY_BsKYBEeOpGqPhI0EtmQ">
            <body>Pointer to the reported body weight of the person in question at the time that the adverse event or reaction first occured.  &#xD;
&#xD;
If the person in question is the patient, this is their reported body weight when the event or reaction first occurred to them.  See ICH E2B(R3), D.3.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is the reported body weight of the parent at the time that the event or reaction first occurred to the child or fetus.  See ICH E2B(R3), D.10.4.&#xD;
If the person in question is a sibling of the patient, this propery will likely not be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DY_owKYBEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DY_owaYBEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UremsMGsEeOPOIG59rFWuA" name="lastMenstrualPeriodObservation" visibility="public" type="_NlU9AMGkEeOPOIG59rFWuA" association="_UrcKcMGsEeOPOIG59rFWuA">
          <ownedComment xmi:id="_t9YpoAFDEeS53tTqzkwERQ" annotatedElement="_UremsMGsEeOPOIG59rFWuA">
            <body>Pointer to a Clinical Observation of when the patient's last menstrual period began, if applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Urgb4MGsEeOPOIG59rFWuA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Urgb4cGsEeOPOIG59rFWuA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PvhRwMQXEeOgn-oVX1O_Yw" name="relevantLabTest" visibility="public" type="_nq8lkMQWEeOgn-oVX1O_Yw" association="_PvgDoMQXEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="__NSEIAFDEeS53tTqzkwERQ" annotatedElement="_PvhRwMQXEeOgn-oVX1O_Yw">
            <body>Pointer to laboratory test information pertinent to understanding the case.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pvh40MQXEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pvif4MQXEeOgn-oVX1O_Yw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9JwfUKYAEeOpGqPhI0EtmQ" name="indvidualCaseSafetyReport_reportSubjectObservation" memberEnd="_9Jy7kKYAEeOpGqPhI0EtmQ _9J0wwKYAEeOpGqPhI0EtmQ">
        <ownedEnd xmi:id="_9J0wwKYAEeOpGqPhI0EtmQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_9JwfUKYAEeOpGqPhI0EtmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DY9zkKYBEeOpGqPhI0EtmQ" name="indvidualCaseSafetyReport_weightObservation" memberEnd="_DY_BsKYBEeOpGqPhI0EtmQ _DZAP0KYBEeOpGqPhI0EtmQ">
        <ownedEnd xmi:id="_DZAP0KYBEeOpGqPhI0EtmQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_DY9zkKYBEeOpGqPhI0EtmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oYyvEKCgEeO-_tuxzOR0Jg" name="suspectedMedicinalProduct_medicinalProductInstance" memberEnd="_oY2ZcKCgEeO-_tuxzOR0Jg _oY41sKCgEeO-_tuxzOR0Jg">
        <ownedEnd xmi:id="_oY41sKCgEeO-_tuxzOR0Jg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_oYyvEKCgEeO-_tuxzOR0Jg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AFZ34KCtEeO-_tuxzOR0Jg" name="suspectedDevice_deviceInstance" memberEnd="_AFae8KCtEeO-_tuxzOR0Jg _AFbtEKCtEeO-_tuxzOR0Jg">
        <ownedEnd xmi:id="_AFbtEKCtEeO-_tuxzOR0Jg" name="" visibility="public" type="_M0P2YMcrEeOZtYCyLdZSXQ" association="_AFZ34KCtEeO-_tuxzOR0Jg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xwWLoFo5EeCkLsazfN-tCQ" name="concommittantDrugs_medicinalProduct" memberEnd="_xwfVkFo5EeCkLsazfN-tCQ _xwfVk1o5EeCkLsazfN-tCQ">
        <ownedEnd xmi:id="_xwfVk1o5EeCkLsazfN-tCQ" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_xwWLoFo5EeCkLsazfN-tCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xwfVlFo5EeCkLsazfN-tCQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xwfVlVo5EeCkLsazfN-tCQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0WUucLwzEeOJuZVb-etdNA" name="DocumentsHeldBySender">
        <ownedComment xmi:id="_DsUVwL5dEeOVVtQOY559MQ" annotatedElement="_0WUucLwzEeOJuZVb-etdNA">
          <body>This class contains a description (and optionally the content) of any documents held by the sender relevant to this ICSR.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BdPE4Lw1EeOJuZVb-etdNA" name="content" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_GZaD8Lw1EeOJuZVb-etdNA" annotatedElement="_BdPE4Lw1EeOJuZVb-etdNA">
            <body>&quot;This data element contains the actual content of [the document] if the sender chooses to send the document.&quot; - ICH E2B(R3), C.1.6.1.r.1</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OgSQQLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OgSQQbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KVHhALw0EeOJuZVb-etdNA" name="description" visibility="public">
          <ownedComment xmi:id="_0dnMwLw0EeOJuZVb-etdNA" annotatedElement="_KVHhALw0EeOJuZVb-etdNA">
            <body>&quot;A description of the documents held by the sender relevant to this ICSR (e.g. clinical records, hospital records, autopsy reports, ECG strips, chest X-ray, or photographs) should be listed individually in this data element.&quot; - ICH E2B(R3), C.1.6.1.r.1</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O9gXwLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O9gXwbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HtC2ELw1EeOJuZVb-etdNA" name="indvidualCaseSafetyReport_documentsHeldBySender" memberEnd="_HtGgcLw1EeOJuZVb-etdNA _HtI8sLw1EeOJuZVb-etdNA">
        <ownedEnd xmi:id="_HtI8sLw1EeOJuZVb-etdNA" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_HtC2ELw1EeOJuZVb-etdNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0ykJQLxZEeOKUOXGtjETEg" name="OtherCaseIdentifier">
        <ownedComment xmi:id="_LMe7kL5dEeOVVtQOY559MQ" annotatedElement="_0ykJQLxZEeOKUOXGtjETEg">
          <body>This class contains all other case identifiers for this case used in ICH ICSR electronic transmissions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lip0ELxaEeOKUOXGtjETEg" name="caseId" visibility="public">
          <ownedComment xmi:id="_lip0EbxaEeOKUOXGtjETEg" annotatedElement="_lip0ELxaEeOKUOXGtjETEg">
            <body>&quot;Provide[s] all other case identifiers for this case used in ICH ICSR electronic transmissions. If the case has been received from another sender, all other case identifiers ... should be retransmitted.&quot; - ICH E2B(R3), C.1.9.1.r.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ogalsLxaEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ogbMwLxaEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GB9NcLxaEeOKUOXGtjETEg" name="caseIdSource" visibility="public">
          <ownedComment xmi:id="_Z4w_0LxaEeOKUOXGtjETEg" annotatedElement="_GB9NcLxaEeOKUOXGtjETEg">
            <body>&quot;Provide[s] all sources (organisation’s name) of electronic transmissions for this case. If the case has been received from another sender, all other case identifiers ... should be retransmitted.&quot; - ICH E2B(R3), C.1.9.1.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nvgtMLxaEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nvhUQLxaEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4B1hoLxZEeOKUOXGtjETEg" name="indvidualCaseSafetyReport_otherCaseIdentifier" memberEnd="_4B5MALxZEeOKUOXGtjETEg _4B7oQLxZEeOKUOXGtjETEg">
        <ownedEnd xmi:id="_4B7oQLxZEeOKUOXGtjETEg" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_4B1hoLxZEeOKUOXGtjETEg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_omSSQLxcEeOKUOXGtjETEg" name="ICRRInformationReporter">
        <ownedComment xmi:id="_Uz_z8L5TEeOVVtQOY559MQ" annotatedElement="_omSSQLxcEeOKUOXGtjETEg">
          <body>&quot;The primary source of the information is the person who provides the facts about the ICSR. In case of multiple sources, the &quot;Primary Source for Regulatory Purposes&quot; (C.2.r.5) is the person who first reported the facts to the sender. The primary source should be distinguished from senders and retransmitters; the latter is captured in Section C.3.&quot; - ICH E2B(R3), C.2.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_COy9gLxdEeOKUOXGtjETEg" name="departmentName" visibility="public">
          <ownedComment xmi:id="_BYrY0L5VEeOVVtQOY559MQ" annotatedElement="_COy9gLxdEeOKUOXGtjETEg">
            <body>The name of the department (if any) with which the Person who provided facts about the ICSR is associated. From ICH E2B(R3), C.2.r.2.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_COy9grxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_COy9gbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n1OFUL5XEeOVVtQOY559MQ" name="isPrimarySource" visibility="public">
          <ownedComment xmi:id="_n1OFUb5XEeOVVtQOY559MQ" annotatedElement="_n1OFUL5XEeOVVtQOY559MQ">
            <body>&quot;Identifies which primary source to use for regulatory purposes and in case of multiple sources, it identifies the source of the World Wide Case Unique Identification number; this source should identify where the case occurred.&quot; - ICH E2B(R3), C.2.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n1OFU75XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n1OFUr5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W0YBsaCWEeO-_tuxzOR0Jg" name="isHealthProfessional" visibility="public">
          <ownedComment xmi:id="_W0YBsqCWEeO-_tuxzOR0Jg" annotatedElement="_W0YBsaCWEeO-_tuxzOR0Jg">
            <body>Is the person reporting the Adverse Event is a Health Care Provider?  Medwatch 3500A form question E.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HbpwIOH9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HbpwIeH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3mZbcLxcEeOKUOXGtjETEg" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_XDbqgL5UEeOVVtQOY559MQ" annotatedElement="_3mZbcLxcEeOKUOXGtjETEg">
            <body>The name of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.1.1 - C.2.r.1.4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F7eDkLxdEeOKUOXGtjETEg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F7eqoLxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___cxELxcEeOKUOXGtjETEg" name="organizationName" visibility="public">
          <ownedComment xmi:id="_3YCaUL5UEeOVVtQOY559MQ" annotatedElement="___cxELxcEeOKUOXGtjETEg">
            <body>The name of the organization with which the Person who provided facts about the ICSR is associated. From ICH E2B(R3), C.2.r.2.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___cxErxcEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___cxEbxcEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cFsqELxdEeOKUOXGtjETEg" name="qualification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_V2i5QL5XEeOVVtQOY559MQ" annotatedElement="_cFsqELxdEeOKUOXGtjETEg">
            <body>Provides an indication of the level of professional training held by the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.4.  Possible values include: Physician; Pharmacist; Other health professional; Lawyer; Consumer or other non health professional; Unknown (null flavor).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cFsqErxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cFsqEbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QfRZgLxdEeOKUOXGtjETEg" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_dYIiwL5UEeOVVtQOY559MQ" annotatedElement="_QfRZgLxdEeOKUOXGtjETEg">
            <body>The address of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.2.3 - C.2.r.2.6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QfRZgrxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QfRZgbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RlEFkOH8EeOvYf8YyVApvg" name="email" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_Ez8mUAFzEeStzZ4W3o-kmA" annotatedElement="_RlEFkOH8EeOvYf8YyVApvg">
            <body>The email address that a person uses while at their place of business.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aKDvwLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aKDvwbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WXGvkLxdEeOKUOXGtjETEg" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_ISkBwL5VEeOVVtQOY559MQ" annotatedElement="_WXGvkLxdEeOKUOXGtjETEg">
            <body>The telephone number of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.2.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WXGvkrxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WXGvkbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O_fVAOH9EeOvYf8YyVApvg" name="occupation" visibility="public">
          <ownedComment xmi:id="_O_fVAeH9EeOvYf8YyVApvg" annotatedElement="_O_fVAOH9EeOvYf8YyVApvg">
            <body>The occupation of the person reporting the Adverse Event.  May be used to determine the qualification property identified by ICSR.&#xD;
Medwatch 3500A form question E.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O_fVA-H9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O_fVAuH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__o364OH9EeOvYf8YyVApvg" name="doNotDiscloseIdentity" visibility="public">
          <ownedComment xmi:id="__o364eH9EeOvYf8YyVApvg" annotatedElement="__o364OH9EeOvYf8YyVApvg">
            <body>This property is set to true if the Initial Reporter indicated that he/she does NOT want his/her identity disclosed to the manufacturer.&#xD;
Medwatch 3500 form question G.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__o364-H9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__o364uH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xewx8OH-EeOvYf8YyVApvg" name="alsoReportedTo" visibility="public" type="_T4nKoOH-EeOvYf8YyVApvg">
          <ownedComment xmi:id="_Xewx8eH-EeOvYf8YyVApvg" annotatedElement="_Xewx8OH-EeOvYf8YyVApvg">
            <body>This property indicates whether the Initial Reporter also reported the adverse event / reaction to the the manufacturer, user facility, or distributor/importer.&#xD;
Medwatch 3500 form question G.4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xewx8-H-EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xewx8uH-EeOvYf8YyVApvg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BS1E8L5UEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_informationReporter" memberEnd="_BS4vUL5UEeOVVtQOY559MQ _BS7LkL5UEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_BS7LkL5UEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_BS1E8L5UEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1GhjUL5XEeOVVtQOY559MQ" name="Sender">
        <ownedComment xmi:id="_1GhjUb5XEeOVVtQOY559MQ" annotatedElement="_1GhjUL5XEeOVVtQOY559MQ">
          <body>The person and/or organization that sent the ICSR.  From ICH E2B(R3), C.3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1GhjUr5XEeOVVtQOY559MQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_1GhjU75XEeOVVtQOY559MQ" annotatedElement="_1GhjUr5XEeOVVtQOY559MQ">
            <body>&quot;The name of person in the company or agency who is responsible for the authorisation of report dissemination. This would usually be the same person who signs the covering memo for paper submissions.&quot; - ICH E2B(R3), C.3.3.1 - C.3.3.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjVb5XEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjVL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjVr5XEeOVVtQOY559MQ" name="organizationName" visibility="public">
          <ownedComment xmi:id="_1GhjV75XEeOVVtQOY559MQ" annotatedElement="_1GhjVr5XEeOVVtQOY559MQ">
            <body>The name of the organization (e.g., company name or regulatory authority name) under whose auspices the ICSR was sent. From ICH E2B(R3), C.3.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjWb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjWL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjWr5XEeOVVtQOY559MQ" name="departmentName" visibility="public">
          <ownedComment xmi:id="_1GhjW75XEeOVVtQOY559MQ" annotatedElement="_1GhjWr5XEeOVVtQOY559MQ">
            <body>The name of the organizational department (if any) under whose auspices the ICSR was sent. From ICH E2B(R3), C.3.3.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjXb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjXL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjXr5XEeOVVtQOY559MQ" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_1GhjX75XEeOVVtQOY559MQ" annotatedElement="_1GhjXr5XEeOVVtQOY559MQ">
            <body>The address of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.1 - C.3.4.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjYb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjYL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjYr5XEeOVVtQOY559MQ" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1GhjY75XEeOVVtQOY559MQ" annotatedElement="_1GhjYr5XEeOVVtQOY559MQ">
            <body>The telephone number of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjZb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjZL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjZr5XEeOVVtQOY559MQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1GhjZ75XEeOVVtQOY559MQ" annotatedElement="_1GhjZr5XEeOVVtQOY559MQ">
            <body>&quot;Captures the type of sender organisation or individual.&quot; - ICH E2B(R3), C.3.1.  Possible values include: Pharmaceutical Company; Regulatory Authority; Health Professional; Regional Pharmacovigilance Centre; WHO collaborating centres for international drug monitoring; Other (e.g. distributor or other organisation); Patient/Consumer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ghjab5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjaL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1Ghjar5XEeOVVtQOY559MQ" name="isPrimarySource" visibility="public">
          <ownedComment xmi:id="_1Ghja75XEeOVVtQOY559MQ" annotatedElement="_1Ghjar5XEeOVVtQOY559MQ">
            <body>&quot;Identifies which primary source to use for regulatory purposes and in case of multiple sources, it identifies the source of the World Wide Case Unique Identification number; this source should identify where the case occurred.&quot; - ICH E2B(R3), C.2.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ghjbb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjbL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g76j0L5aEeOVVtQOY559MQ" name="fax" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_g76j0b5aEeOVVtQOY559MQ" annotatedElement="_g76j0L5aEeOVVtQOY559MQ">
            <body>The facsimile number of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g76j075aEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g76j0r5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hAJjkL5aEeOVVtQOY559MQ" name="email" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_hAJjkb5aEeOVVtQOY559MQ" annotatedElement="_hAJjkL5aEeOVVtQOY559MQ">
            <body>The email address of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hAJjk75aEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hAJjkr5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7J56sL5aEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_sender" memberEnd="_7J6hwL5aEeOVVtQOY559MQ _7J8-AL5aEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_7J8-AL5aEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_7J56sL5aEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NO7mYL5bEeOVVtQOY559MQ" name="LiteratureReference">
        <ownedComment xmi:id="_FcehQL5cEeOVVtQOY559MQ" annotatedElement="_NO7mYL5bEeOVVtQOY559MQ">
          <body>This class is used for literature article(s) that describe individual case(s), but not for articles used for data analysis. From ICH E2B(R3), C.4.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_gc_9wL5bEeOVVtQOY559MQ" name="content" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_gc_9wb5bEeOVVtQOY559MQ" annotatedElement="_gc_9wL5bEeOVVtQOY559MQ">
            <body>&quot;Contains the actual content referenced in [LiteratureReference.name] when the sender chooses to send a copy of the literature article.&quot; - ICH E2B(R3), C.4.r.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Fd2kL5bEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1FedoL5bEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ROWCQL5bEeOVVtQOY559MQ" name="name" visibility="public">
          <ownedComment xmi:id="_ROWCQb5bEeOVVtQOY559MQ" annotatedElement="_ROWCQL5bEeOVVtQOY559MQ">
            <body>&quot;This data element should be used for literature article(s) that describe individual case(s), but not for articles used for data analysis. Citations should be provided in the style specified by the Vancouver Convention, known as ‘Vancouver style’, which has been developed by the International Committee of Medical Journal Editors.&quot; - ICH E2B(R3), C.4.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ROWCQ75bEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ROWCQr5bEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2idZAL5bEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_literatureReference" memberEnd="_2ienIL5bEeOVVtQOY559MQ _2if1QL5bEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_2if1QL5bEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_2idZAL5bEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iH7joL5dEeOVVtQOY559MQ" name="Study">
        <ownedComment xmi:id="_vmM24L5uEeOVVtQOY559MQ" annotatedElement="_iH7joL5dEeOVVtQOY559MQ">
          <body>If the adverse reaction or event occured while the patient was participating in a study (e.g., a clinical trial), this class will contain identifying information about that study.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-7ICML5dEeOVVtQOY559MQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-7ICMb5dEeOVVtQOY559MQ" annotatedElement="_-7ICML5dEeOVVtQOY559MQ">
            <body>&quot;This information should be provided if the &quot;Type of Report&quot; (C.1.3) has been populated with &quot;Report from study&quot;.&quot; - ICH E2B(R3), C.5.4.  Possible values include: Clinical trials; Individual patient use (e.g. &quot;compassionate use&quot; or &quot;named patient basis&quot;); Other studies (e.g. pharmacoepidemiology, pharmacoeconomics, intensive monitoring).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-7ICM75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-7ICMr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DqxLsL5fEeOVVtQOY559MQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_DqxLsb5fEeOVVtQOY559MQ" annotatedElement="_DqxLsL5fEeOVVtQOY559MQ">
            <body>&quot;This repeatable data element should be populated with the study registration number as assigned in a reporting region.&quot; - ICH E2B(R3), C.5.1.r.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DqxLs75fEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DqxLsr5fEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yX6ZQL5dEeOVVtQOY559MQ" name="name" visibility="public">
          <ownedComment xmi:id="_yX6ZQb5dEeOVVtQOY559MQ" annotatedElement="_yX6ZQL5dEeOVVtQOY559MQ">
            <body>Name of the Study. From ICH E2B(R3), C.5.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yX6ZQ75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yX6ZQr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-5hfsL5dEeOVVtQOY559MQ" name="sponsorsStudyId" visibility="public">
          <ownedComment xmi:id="_-5hfsb5dEeOVVtQOY559MQ" annotatedElement="_-5hfsL5dEeOVVtQOY559MQ">
            <body>&quot;This data element should be completed only if the sender is the study sponsor or has been informed of the study number by the sponsor.&quot; - ICH E2B(R3), C.5.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-5hfs75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-5hfsr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jL3s4L5dEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_study" memberEnd="_jL47AL5dEeOVVtQOY559MQ _jL6JIL5dEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_jL6JIL5dEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_jL3s4L5dEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SxnK0L5mEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_heightObservation" memberEnd="_SxoY8L5mEeOVVtQOY559MQ _SxpnEL5mEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_SxpnEL5mEeOVVtQOY559MQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_SxnK0L5mEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Daj-0MAHEeOtTpsIhjiKCQ" name="ReleventMedicalHistory">
        <ownedComment xmi:id="_C0gx0MAPEeOtTpsIhjiKCQ" annotatedElement="_Daj-0MAHEeOtTpsIhjiKCQ">
          <body>This class contains information pertinent to understanding the case (such as diseases, conditions such as pregnancy, surgical procedures, psychological trauma, risk factors, etc.).  Medical judgment should be exercised in order to limit the use of this class to those data pertinent to the case.  From ICH E2B(R3), D.7.1.r and D.10.7.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kwm9gMAHEeOtTpsIhjiKCQ" name="comments" visibility="public">
          <ownedComment xmi:id="_kwm9gcAHEeOtTpsIhjiKCQ" annotatedElement="_kwm9gMAHEeOtTpsIhjiKCQ">
            <body>&quot;Additional relevant information about the medical condition in D.7.1.r.1b that could not be captured otherwise in a structured data element.&quot; - ICH E2B(R3), D.7.1.r.5 and D.10.7.1.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wMcHoMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wMcusMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OsdJ0MAHEeOtTpsIhjiKCQ" name="isContinuing" visibility="public">
          <ownedComment xmi:id="_iK11IMAHEeOtTpsIhjiKCQ" annotatedElement="_OsdJ0MAHEeOtTpsIhjiKCQ">
            <body>&quot;Indicates if the medical condition in D.7.1.r.1b is known to be still present at the time of this report.&quot; - ICH E2B(R3), D.7.1.r.3 and D.10.7.1.r.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1z44UMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1z5fYMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JVPNgMAHEeOtTpsIhjiKCQ" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_JVN_YMAHEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_Wrt-8MQDEeOgn-oVX1O_Yw" annotatedElement="_JVPNgMAHEeOtTpsIhjiKCQ">
            <body>Pointer to the HealthConcern that is relevant to the case being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JVP0kMAHEeOtTpsIhjiKCQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JVQboMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IvDXQMAHEeOtTpsIhjiKCQ" memberEnd="_IvFzgMAHEeOtTpsIhjiKCQ _IvIPwMAHEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_IvIPwMAHEeOtTpsIhjiKCQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_IvDXQMAHEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JVN_YMAHEeOtTpsIhjiKCQ" memberEnd="_JVPNgMAHEeOtTpsIhjiKCQ _JVRCsMAHEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_JVRCsMAHEeOtTpsIhjiKCQ" name="" visibility="public" type="_Daj-0MAHEeOtTpsIhjiKCQ" association="_JVN_YMAHEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HUsxwMAKEeOtTpsIhjiKCQ" name="RelevantPastDrugHistory">
        <ownedComment xmi:id="_en06AMAKEeOtTpsIhjiKCQ" annotatedElement="_HUsxwMAKEeOtTpsIhjiKCQ">
          <body>This class details &quot;relevant drugs previously administered and which have been stopped before the Adverse Event onset. It does not concern drugs taken concomitantly or drugs which might have potentially been involved in the current reaction(s)/event(s). Medical judgment should be exercised in [determining which drug(s) to include]. Medications that have been stopped might be considered suspect based on the elimination half-life of the drug and the known pharmacodynamic effects of the drug in a particular patient (for example, a patient with known renal or liver impairment).... The information provided here can also include previous experience with similar drugs.&quot; - ICH E2B(R3), D.8.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_X4DkcMAMEeOtTpsIhjiKCQ" name="medicationList" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_X4CWUMAMEeOtTpsIhjiKCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X4ELgMAMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X4EykMAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gSxuAMAMEeOtTpsIhjiKCQ" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_gSxuAcAMEeOtTpsIhjiKCQ" annotatedElement="_gSxuAMAMEeOtTpsIhjiKCQ">
            <body>&quot;The indication of the medicinal product.&quot; - ICH E2B(R3), D.8.r.6a and D.8.r.6b; D.10.8.r.6a and D.10.8.r.6b (MedDRA code and version)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gSxuA8AMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gSxuAsAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9AUQgMAMEeOtTpsIhjiKCQ" name="previousReaction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9AUQgcAMEeOtTpsIhjiKCQ" annotatedElement="_9AUQgMAMEeOtTpsIhjiKCQ">
            <body>&quot;Describes previous experience with the drug described [in the medication list]&quot; - ICH E2B(R3), D.8.r.7a and D.8.r.7b; D.10.8.r.7a and D.10.8.r.7b (MedDRA code and version)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9AUQg8AMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9AUQgsAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e3r68MAKEeOtTpsIhjiKCQ" memberEnd="_e3tJEMAKEeOtTpsIhjiKCQ _e3uXMMAKEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_e3uXMMAKEeOtTpsIhjiKCQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_e3r68MAKEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X4CWUMAMEeOtTpsIhjiKCQ" memberEnd="_X4DkcMAMEeOtTpsIhjiKCQ _X4FZoMAMEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_X4FZoMAMEeOtTpsIhjiKCQ" name="" visibility="public" type="_HUsxwMAKEeOtTpsIhjiKCQ" association="_X4CWUMAMEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rKUFAMAcEeOtTpsIhjiKCQ" name="RelatedPersonObservation">
        <ownedComment xmi:id="_KQ2fMMAdEeOtTpsIhjiKCQ" annotatedElement="_rKUFAMAcEeOtTpsIhjiKCQ">
          <body>This class contains information about a person related to the subject of the report (i.e., related to the patient).  The ICH implementation guide limits this information to the parent of a child or fetus (usually the mother).  However, this class is meant to handle other relevant related persons such as siblings of a child who had an adverse reaction to a vaccine.  Note that each of the properties in the class exist in the Patient or Person classes.  They are repeated here to emphasize that they are point-in-time observations that are needed for a particular report.  Therefore, each of these properties are marked as derived - all of the properties can be calculated from the Patient and Person classes.</body>
        </ownedComment>
        <generalization xmi:id="_xCcuMMGqEeOPOIG59rFWuA" general="_fLjmMKYAEeOpGqPhI0EtmQ"/>
        <ownedAttribute xmi:id="_7voRcMAcEeOtTpsIhjiKCQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
          <ownedComment xmi:id="_7voRccAcEeOtTpsIhjiKCQ" annotatedElement="_7voRcMAcEeOtTpsIhjiKCQ">
            <body>The name or initials of the related person.  From ICH E2B(R3), D.10.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7voRc8AcEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7voRcsAcEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dPGYIMGtEeOPOIG59rFWuA" name="relationshipCategory" visibility="public" type="_ecCeIOKjEeO0o6n32HX83w">
          <ownedComment xmi:id="_55TY8MQBEeOgn-oVX1O_Yw" annotatedElement="_dPGYIMGtEeOPOIG59rFWuA">
            <body>Indicates how the person whose observations are being recorded is related to the person who is the subject of the report.  It is noted that ICH only has the notion of &quot;parent&quot;, which in the majority of the cases is the mother of the child or fetus.  VAERS requests information on siblings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9SG3kLyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9SQokLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WXQQUMAdEeOtTpsIhjiKCQ" memberEnd="_WXRecMAdEeOtTpsIhjiKCQ _WXSskMAdEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_WXSskMAdEeOtTpsIhjiKCQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_WXQQUMAdEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3S4-EMGVEeOPOIG59rFWuA" name="ReportSubjectObservation">
        <generalization xmi:id="_wcAZQMGqEeOPOIG59rFWuA" general="_fLjmMKYAEeOpGqPhI0EtmQ"/>
        <ownedAttribute xmi:id="_7Lv0IL5iEeOVVtQOY559MQ" name="ageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7Lv0Ib5iEeOVVtQOY559MQ" annotatedElement="_7Lv0IL5iEeOVVtQOY559MQ">
            <body>If the patient's date of birth is not known, this property is used to provide a characterization of the age of the person at the time of the first reaction or event. From ICH E2B(R3), D.2.3.  Possible values include: Foetus; Neonate (Preterm and Term newborns); Infant; Child; Adolescent; Adult; Elderly.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7Lv0I75iEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7Lv0Ir5iEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XMN7sMAYEeOtTpsIhjiKCQ" name="autopsyDeterminedCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_XMN7scAYEeOtTpsIhjiKCQ" annotatedElement="_XMN7sMAYEeOtTpsIhjiKCQ">
            <body>&quot;The autopsy-determined cause of death.&quot; - ICH E2B(R3), D.9.4.r.1a and D.9.4.r.1b (MedDRA code and version).  Note that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XMN7s8AYEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XMN7ssAYEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DyvwIMAZEeOtTpsIhjiKCQ" name="autopsyDeterminedCauseOfDeathText" visibility="public" isDerived="true">
          <ownedComment xmi:id="_DyvwIcAZEeOtTpsIhjiKCQ" annotatedElement="_DyvwIMAZEeOtTpsIhjiKCQ">
            <body>&quot;The original reporter's words and/or short phrases used to describe the autopsy-determined cause of death.&quot; - ICH E2B(R3), D.9.4.r.2.  Note that this property can repeat.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DywXMcAZEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DywXMMAZEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LMSKgMAOEeOtTpsIhjiKCQ" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_LMSKgcAOEeOtTpsIhjiKCQ" annotatedElement="_LMSKgMAOEeOtTpsIhjiKCQ">
            <body>The reported date of death of the patient.  An imprecise date can be used if the exact date is not known.  Note that this property can be derived from the person's demographics information.  See ICH E2B(R3), D.9.1.&#xD;
&#xD;
Date that the patient died as an outcome attributed to the Adverse Event.  Medwatch 3500A form question A.2, box 1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LMSKg8AOEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LMSKgsAOEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YC1mIL5hEeOVVtQOY559MQ" name="gestationalAgeAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_YC2NML5hEeOVVtQOY559MQ" annotatedElement="_YC1mIL5hEeOVVtQOY559MQ">
            <body>If the reaction or adverse event affected an unborn child, this property is used to convey the gestational period (age) of the fetus at the time of the first reaction or event. Note that the units could include trimester as well as days, weeks, or months.  From ICH E2B(R3), D.2.2.1.a and D.2.2.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dB9eYMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dB-FcMZrEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WTAVYMAQEeOtTpsIhjiKCQ" name="reportedCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_F692UMAYEeOtTpsIhjiKCQ" annotatedElement="_WTAVYMAQEeOtTpsIhjiKCQ">
            <body>&quot;The reported cause of death.&quot; - ICH E2B(R3), D.9.2.r.1a and D.9.2.r.1b (MedDRA code and version).  Note that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WTAVY8AQEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WTAVYsAQEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0b9zYMAYEeOtTpsIhjiKCQ" name="reportedCauseOfDeathText" visibility="public" isDerived="true">
          <ownedComment xmi:id="_0b9zYcAYEeOtTpsIhjiKCQ" annotatedElement="_0b9zYMAYEeOtTpsIhjiKCQ">
            <body>&quot;The original reporter's words and/or short phrases used to describe the cause of death.&quot; - ICH E2B(R3), D.9.2.r.2.  Note that this property can repeat.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0b9zY8AYEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0b9zYsAYEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NlU9AMGkEeOPOIG59rFWuA" name="LastMenstrualPeriodObservation">
        <ownedComment xmi:id="_tiufAMGqEeOPOIG59rFWuA" annotatedElement="_NlU9AMGkEeOPOIG59rFWuA">
          <body>For women patients, this class represents an observation of when the patient's last menstrual period began.</body>
        </ownedComment>
        <generalization xmi:id="_PgwH4MGkEeOPOIG59rFWuA" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
        <ownedAttribute xmi:id="_ybGqkMGnEeOPOIG59rFWuA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_ybGqkcGnEeOPOIG59rFWuA" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_ybGqksGnEeOPOIG59rFWuA" key="redefine"/>
          </eAnnotations>
          <ownedComment xmi:id="_MmaAkAF0EeStzZ4W3o-kmA" annotatedElement="_ybGqkMGnEeOPOIG59rFWuA">
            <body>This property indicates what was observed.  In this case, it is hard-coded to LOINC code 8665-2, which means that the characteristic observed is the date that the patient's latest menstrual period began.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ybGqlcGnEeOPOIG59rFWuA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ybGqlMGnEeOPOIG59rFWuA" value="1"/>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_ybGqlsGnEeOPOIG59rFWuA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8665-2"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jkezkMGyEeOPOIG59rFWuA" name="value" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_jkezkcGyEeOPOIG59rFWuA" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_jkezksGyEeOPOIG59rFWuA" key="redefine"/>
          </eAnnotations>
          <ownedComment xmi:id="_jkezk8GyEeOPOIG59rFWuA" annotatedElement="_jkezkMGyEeOPOIG59rFWuA">
            <body>Contains the value of the clinical observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sAHLULyXEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sAHLUbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UrcKcMGsEeOPOIG59rFWuA" memberEnd="_UremsMGsEeOPOIG59rFWuA _UrhqAMGsEeOPOIG59rFWuA">
        <ownedEnd xmi:id="_UrhqAMGsEeOPOIG59rFWuA" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_UrcKcMGsEeOPOIG59rFWuA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_8tnMQMQEEeOgn-oVX1O_Yw" name="ReactionOrEvent">
        <ownedComment xmi:id="_y0H40AF0EeStzZ4W3o-kmA" annotatedElement="_8tnMQMQEEeOgn-oVX1O_Yw">
          <body>This class contains information describing the reaction(s) or adverse event(s) that are being reported.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_91-Y4N0mEeO-i5D4AF-iXg" name="adverseEventSeriousness" visibility="public" type="_nyUJ4N0lEeO-i5D4AF-iXg">
          <ownedComment xmi:id="_WwsKAN0nEeO-i5D4AF-iXg" annotatedElement="_91-Y4N0mEeO-i5D4AF-iXg">
            <body>&quot;The seriousness criteria of the reaction/event should be based on the definitions provided in the ICH E2A and E2D guidelines. More than one seriousness criteria can be chosen. If the event is not serious, all of these data elements should be left blank. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender. In cases of foetal demise such as miscarriage, (where the ICSR should be prepared only for the parent), the seriousness criterion is Other medically important condition. Furthermore, depending if the parent experienced complications, the seriousness criterion could also include Life-threatening and/or Hospitalisation.&quot; - ICH E2B(R3), E.i.3.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TQ-fsOH6EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TQ_GwOH6EeOvYf8YyVApvg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_p5gMQLEeOgn-oVX1O_Yw" name="countryOfOccurrence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H_p5gcQLEeOgn-oVX1O_Yw" annotatedElement="_H_p5gMQLEeOgn-oVX1O_Yw">
            <body>&quot;This data element captures the country where the reaction occurred. For example a patient living in Country A experienced headache while travelling in Country B; this headache was suspected to be an adverse drug reaction and was reported by a health professional in Country C. The data element C.2.r.3 should be populated with Country C, and the data element E.i.9 should be populated with Country B.&quot; - ICH E2B(R3), E.i.9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H_p5g8QLEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_p5gsQLEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LtV68MQFEeOgn-oVX1O_Yw" name="descriptionInNativeLanguage" visibility="public">
          <ownedComment xmi:id="_LtV68cQFEeOgn-oVX1O_Yw" annotatedElement="_LtV68MQFEeOgn-oVX1O_Yw">
            <body>&quot;The original reporter's words and/or short phrases used to describe the reaction/event. Text should be provided in the native language it was received, when it is received in a language other than English.&quot; - ICH E2B(R3), E.i.1.1a.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OLpJYMQFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OLpwcMQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pJmkoMQFEeOgn-oVX1O_Yw" name="descriptionLanguage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pJmkocQFEeOgn-oVX1O_Yw" annotatedElement="_pJmkoMQFEeOgn-oVX1O_Yw">
            <body>&quot;The language used in [descriptionInNativeLanguage]&quot; - ICH E2B(R3), E.i.1.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pJmko8QFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pJmkosQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dWMoAMQFEeOgn-oVX1O_Yw" name="descriptionTranslation" visibility="public">
          <ownedComment xmi:id="_dWMoAcQFEeOgn-oVX1O_Yw" annotatedElement="_dWMoAMQFEeOgn-oVX1O_Yw">
            <body>&quot;The original reporter's words and/or short phrases used to describe the reaction/event should be provided in an English translation for international transmission.&quot; - ICH E2B(R3), E.i.1.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dWMoA8QFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dWMoAsQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7wu7AMQJEeOgn-oVX1O_Yw" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_7wu7AcQJEeOgn-oVX1O_Yw" annotatedElement="_7wu7AMQJEeOgn-oVX1O_Yw">
            <body>&quot;This section will usually be computed from the start/end date and time of the reaction/event. However, there might be situations in which the precise duration of the reaction/event and date can be useful, such as for a reaction/event of short duration such as anaphylaxis or arrhythmia. In such a case, populate 1 data element for the date (start or end date) and this data element.&quot; - ICH E2B(R3), E.i.6a and E.i.6b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7wu7A8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7wu7AsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zQh0gMQJEeOgn-oVX1O_Yw" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zQh0gcQJEeOgn-oVX1O_Yw" annotatedElement="_zQh0gMQJEeOgn-oVX1O_Yw">
            <body>&quot;The reaction/event is reported as resolved/recovered or resolved/recoveredwithsequelae (E.i.7). When multiple terms are reported (e.g. diagnosis with signs and symptoms) and the reporter does not provide a specific stop date for each reaction/event, this data element should be populated with the end date of the last symptom.&quot; - ICH E2B(R3), E.i.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zQh0g8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zQh0gsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kkvgEMQKEeOgn-oVX1O_Yw" name="outcomeAtLastObservation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kkvgEcQKEeOgn-oVX1O_Yw" annotatedElement="_kkvgEMQKEeOgn-oVX1O_Yw">
            <body>&quot;The latest outcome of the reaction / event at the time of the report. In case of irreversible congenital anomalies, the choice not recovered/not resolved/ongoing should be used. For other irreversible medical conditions, recovered/resolved with sequelae should be used. Fatal should be used when death is possibly related to the reaction/event. Considering the difficulty of deciding between Reaction/event caused death and Reaction/event contributed significantly to death, both concepts are grouped in a single category. Where the death is unrelated to the reaction/event, according to both the reporter and the sender, Fatal should NOT be selected here; nevertheless, death should be reported under Section D.9.&quot; - ICH E2B(R3), E.i.7.  Possible values include: Recovered/resolved; Recovering/resolving; Not recovered/not resolved/ongoing; Recovered/resolved with sequelae; Fatal; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kkvgE8QKEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kkvgEsQKEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A3O3kMQGEeOgn-oVX1O_Yw" name="reactionOrEventType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_A3O3kcQGEeOgn-oVX1O_Yw" annotatedElement="_A3O3kMQGEeOgn-oVX1O_Yw">
            <body>&quot;The [code] most closely corresponding to the reaction/event as reported by the primary source. In the exceptional circumstance when a ... term cannot be found, the sender should use clinical judgment to complete this item with the best ... approximation&quot; - ICH E2B(R3), E.i.2.1a and E.i.2.1b (MedDRA version and code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A3O3k8QGEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A3O3ksQGEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DAibgMQIEeOgn-oVX1O_Yw" name="seriousness" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DAibgcQIEeOgn-oVX1O_Yw" annotatedElement="_DAibgMQIEeOgn-oVX1O_Yw">
            <body>&quot;A highlighted term is a reaction/event that the primary source indicated was a major concern or reason for reporting the case. If the information is not explicitly provided by the initial reporter the term should not be considered a highlighted term. This data element should be populated only if the medical concept conveyed in E.i.1 is consistent with the reason why the reporter contacted the sender. For example, this data element can be used to indicate the specific diagnosis that was identified by the reporter. Suppose the reporter specifies flu-like syndrome comprising of fever, chills, sneezing, myalgia and headache, then flu-like syndrome is the highlighted term. If only one event is cited in a case report, this one is by implication considered highlighted by the reporter. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender.&quot; - ICH E2B(R3), E.i.3.1.  Possible values include: Yes, highlighted by the reporter, NOT serious; No, not highlighted by the reporter, NOT serious; Yes, highlighted by the reporter, SERIOUS; No, not highlighted by the reporter, SERIOUS.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DAibg8QIEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DAibgsQIEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iRkZAMQJEeOgn-oVX1O_Yw" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iRkZAcQJEeOgn-oVX1O_Yw" annotatedElement="_iRkZAMQJEeOgn-oVX1O_Yw">
            <body>&quot;The date of the start of the reaction/event. When multiple terms are reported (e.g. diagnosis with signs and symptoms) and the reporter does not provide a specific onset date for each reaction/event, this data element should be populated with the start date of the first symptom.&quot; - ICH E2B(R3), E.i.4.&#xD;
MedWatch 3500 form question B.3.&#xD;
MedWatch 3500A form question B.3.&#xD;
MedWatch 3500B form question A.3.&#xD;
VAERS-1 form question 8, box 11.  Note that VAERS also includes the time of the event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iRkZA8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iRkZAsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sKV_gMQKEeOgn-oVX1O_Yw" name="wasConfirmedByMedicalProfessional" visibility="public">
          <ownedComment xmi:id="_sKV_gcQKEeOgn-oVX1O_Yw" annotatedElement="_sKV_gMQKEeOgn-oVX1O_Yw">
            <body>&quot;If an event is reported by a non healthcare professional (e.g. lawyers, consumers), this data element indicates whether the occurrence of the event was subsequently confirmed by a healthcare professional. If the healthcare professional also provides an assessment of causality (related or not to the suspect drug), that should be recorded in G.k.9. [Note that] False means the event is not confirmed, it does not mean the event did not occur&quot;. - ICH E2B(R3), E.i.8.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sKV_g8QKEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sKV_gsQKEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nFwBEMQGEeOgn-oVX1O_Yw" memberEnd="_nFzrcMQGEeOgn-oVX1O_Yw _nF2HsMQGEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_nF2HsMQGEeOgn-oVX1O_Yw" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_nFwBEMQGEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nq8lkMQWEeOgn-oVX1O_Yw" name="RelevantLabResult">
        <ownedAttribute xmi:id="_RHbf4MQXEeOgn-oVX1O_Yw" name="labTest" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_RHa40MQXEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="_EGbkYAFEEeS53tTqzkwERQ" annotatedElement="_RHbf4MQXEeOgn-oVX1O_Yw">
            <body>Pointer to the laboratory results which are relevant to the case being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RHcG8MQXEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RHcuAMQXEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KySJcMQcEeOgn-oVX1O_Yw" name="comment" visibility="public">
          <ownedComment xmi:id="_KySJccQcEeOgn-oVX1O_Yw" annotatedElement="_KySJcMQcEeOgn-oVX1O_Yw">
            <body>&quot;Any relevant comments made by the reporter about the test result.&quot; - ICH E2B(R3), F.r.6.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MeQjEMQcEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MeRKIMQcEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rP2oAMQcEeOgn-oVX1O_Yw" name="isMoreInfoAvailable" visibility="public">
          <ownedComment xmi:id="_rP2oAcQcEeOgn-oVX1O_Yw" annotatedElement="_rP2oAMQcEeOgn-oVX1O_Yw">
            <body>&quot;Indicates if more information is held by the sender about the test and test result. For example, True means that more documentation is available upon request e.g. ECG strips, chest X-ray. False means that no more documentation is available from the sender.&quot; - ICH E2B(R3), F.r.7.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rP2oA8QcEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rP2oAsQcEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PvgDoMQXEeOgn-oVX1O_Yw" memberEnd="_PvhRwMQXEeOgn-oVX1O_Yw _PvjG8MQXEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_PvjG8MQXEeOgn-oVX1O_Yw" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_PvgDoMQXEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RHa40MQXEeOgn-oVX1O_Yw" memberEnd="_RHbf4MQXEeOgn-oVX1O_Yw _RHdVEMQXEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_RHdVEMQXEeOgn-oVX1O_Yw" name="" visibility="public" type="_nq8lkMQWEeOgn-oVX1O_Yw" association="_RHa40MQXEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UB0qsMZXEeO3A-bWZE-Gbg" name="ProductRole">
        <ownedComment xmi:id="_i6MXsMZYEeO3A-bWZE-Gbg" annotatedElement="_UB0qsMZXEeO3A-bWZE-Gbg">
          <body>This class provides information on the medical product(s) (i.e., medical device or drug) that is either suspected to have caused an adverse event, or that was in use at the time of the adverse event and which may or may not have contributed to the event.  Note that this class is used to navigate from the Case Safety Report to observations about the drug or device, which in turn point to the drug and device classes.&#xD;
&quot;The characterisation of the drug role as provided by the primary reporter or, if this information is missing, by the sender. All spontaneous reports should have at least one suspect drug....&quot;  - ICH E2B(R3), G.k.1.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BcS4AMZtEeO3A-bWZE-Gbg" name="actionTaken" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_BcS4AcZtEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_BcUGIMZtEeO3A-bWZE-Gbg" annotatedElement="_BcS4AMZtEeO3A-bWZE-Gbg">
            <body>If the product in question is a drug, this property describes what changes were made to the drug administration as a result of the adverse event.  This property is not used when the product is a device.&#xD;
&quot;The action taken with the drug as a result of the reaction(s) / event(s). The value Drug withdrawn, taken together with the Outcome of Reaction /Event at the Time of Last Observation (E.i.7), describe the dechallenge. Not applicable should be used in circumstances such as when the patient has died or the treatment had been completed prior to reaction(s) /event(s) or the Characterisation of Drug Role (G.k.1) is Drug Not Administered. When Not applicable is used, details should be captured in Section H.&quot;  - ICH E2B(R3), G.k.8.  Possible values include: Drug withdrawn; Dose reduced; Dose increased; Dose not changed; Unknown; Not applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BcUtMcZtEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BcUtMMZtEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZsYQIMcPEeOBW4YmAVz6EQ" name="additionalInformationCoded" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZsYQIccPEeOBW4YmAVz6EQ" annotatedElement="_ZsYQIMcPEeOBW4YmAVz6EQ">
            <body>&quot;Any additional information pertinent to the case that is not covered by the sections above.&quot; - ICH E2B(R3), G.k.10.r.  Possible values include: Counterfeit; Overdose; Drug taken by the father; Drug taken beyond expiry date; Batch and lot tested and found within specifications; Batch and lot tested and found not within specifications; Medication error; Misuse; Abuse; Occupational exposure; Off label use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZsYQI8cPEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZsYQIscPEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g6VroMcPEeOBW4YmAVz6EQ" name="additionalInformationText" visibility="public">
          <ownedComment xmi:id="_g6VroccPEeOBW4YmAVz6EQ" annotatedElement="_g6VroMcPEeOBW4YmAVz6EQ">
            <body>&quot;Any additional drug information in free text format not described in G.k.10.r. For example, expiry date for the lot number described in G.k.4.r.7 would be captured in this data element.&quot; - ICH E2B(R3), G.k.11.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g6Vro8cPEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g6VroscPEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JBTfYMZeEeO3A-bWZE-Gbg" name="countryWhereObtained" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RXzQQMZeEeO3A-bWZE-Gbg" annotatedElement="_JBTfYMZeEeO3A-bWZE-Gbg">
            <body>&quot;The country where the medicinal was obtained.&quot;  - ICH E2B(R3), G.k.2.4&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K0CoUMZeEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K0DPYMZeEeO3A-bWZE-Gbg"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MTsHEMZnEeO3A-bWZE-Gbg" name="cumulativeDose" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_MTsHEcZnEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MTsHE8ZnEeO3A-bWZE-Gbg" annotatedElement="_MTsHEMZnEeO3A-bWZE-Gbg">
            <body>&quot;The cumulative dose administered until the onset of the first sign, symptom or reaction/event.&quot;  - ICH E2B(R3), G.k.5a and G.k.5b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MTsHFcZnEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MTsHFMZnEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bvpwKCqEeO-_tuxzOR0Jg" name="dateReturnedToMfr" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PU7oAKCrEeO-_tuxzOR0Jg" annotatedElement="_4bvpwKCqEeO-_tuxzOR0Jg">
            <body>If the product was returned to manufacturer, this property will contain the date it was returned.&#xD;
MedWatch 3500 form question C.1.&#xD;
MedWatch 3500A form question D.10.&#xD;
(note that the MedWatch 3500B and the VAERS-1 forms do not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1G2tYLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1G2tYbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FjwHgMZrEeO3A-bWZE-Gbg" name="gestationalAgeAtExposure" visibility="public" type="_420A62FD03B64239FAA800D9">
          <eAnnotations xmi:id="_aEfAoMZrEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_FjwHgcZrEeO3A-bWZE-Gbg" annotatedElement="_FjwHgMZrEeO3A-bWZE-Gbg">
            <body>&quot;The gestational age at the time of the earliest exposure.&quot;  - ICH E2B(R3), G.k.6a and G.k.6b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XK2hEMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XK3IIMZrEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SudUIKChEeO-_tuxzOR0Jg" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_ydvDcMZrEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_SudUIaChEeO-_tuxzOR0Jg" annotatedElement="_SudUIKChEeO-_tuxzOR0Jg">
            <body>Identifies what the medication was intended to treat (i.e., diagnosis).&#xD;
&#xD;
&quot;The indication of the medicinal product.&quot;  - ICH E2B(R3), G.k.7.r.2a and G.k.7.r.2b.&#xD;
&#xD;
Medwatch 3500 form question D.4; Medwatch 3500A form question C.4; Medwatch 3500B form question B.12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zHDGMMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zHDGMcZrEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ByzwAMZsEeO3A-bWZE-Gbg" name="indicationText" visibility="public">
          <eAnnotations xmi:id="_ByzwAcZsEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_ByzwA8ZsEeO3A-bWZE-Gbg" annotatedElement="_ByzwAMZsEeO3A-bWZE-Gbg">
            <body>&quot;The original reporter's words and / or short phrases used to describe the indication for drug use in an English translation for international transmission.&quot;  - ICH E2B(R3), G.k.7.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ByzwBcZsEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ByzwBMZsEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vMazcKCqEeO-_tuxzOR0Jg" name="isAvailableForEvaluation" visibility="public" type="_9ctJ0OHzEeOvYf8YyVApvg">
          <ownedComment xmi:id="_OZZz4KCrEeO-_tuxzOR0Jg" annotatedElement="_vMazcKCqEeO-_tuxzOR0Jg">
            <body>Is the product available for evaluation by the FDA?  Possible answers are: Yes; No; Returned to manufacturer.  If Returned to Manufacturer is selected, the date returned to manufacturer should be valued.&#xD;
MedWatch 3500 form question C.1.&#xD;
MedWatch 3500A form question D.10.&#xD;
MedWatch 3500B form question B.15 (note that the 3500B only has yes or no).&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KHr_8OH6EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KHsnAOH6EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gdW6IMZeEeO3A-bWZE-Gbg" name="isBlinded" visibility="public">
          <eAnnotations xmi:id="_S1PCIMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gdW6IcZeEeO3A-bWZE-Gbg" annotatedElement="_gdW6IMZeEeO3A-bWZE-Gbg">
            <body>&quot;This data element is applicable only to ICSRs from clinical trials. The ICH E2A guideline recommends that the case safety reports with blinded therapy should not be reported. However, if it is important to exchange a blinded case safety report during a clinical trial, this data element should be used as follows: until the investigational product is un-blinded, the status Blinded should be indicated by using True in this data element. When this data element is True, Section G.k.2 Drug Identification should be populated with the characteristics of the investigational product. When more than one investigational product is potentially suspect, each suspect product should be represented in separate G.k blocks. After un-blinding, if appropriate, Placebo should be reported in G.k.2.3.r as a suspect drug.&quot;  - ICH E2B(R3), G.k.2.5</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gdW6I8ZeEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gdW6IsZeEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xuOsYMZbEeO3A-bWZE-Gbg" name="productNameReported" visibility="public">
          <ownedComment xmi:id="_FwtjQMZcEeO3A-bWZE-Gbg" annotatedElement="_xuOsYMZbEeO3A-bWZE-Gbg">
            <body>&quot;The name of the medicinal product as used by the reporter. It is recognized that a single product can have different proprietary names in different countries, even when it is produced by a single manufacturer.&quot;  - ICH E2B(R3), G.k.2.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GL_KAMZcEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GL_xEMZcEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XhPicMZYEeO3A-bWZE-Gbg" name="productRole" visibility="public" type="_oxQ74OH7EeOvYf8YyVApvg">
          <ownedComment xmi:id="_2FFXQAFIEeS53tTqzkwERQ" annotatedElement="_XhPicMZYEeO3A-bWZE-Gbg">
            <body>&quot;The characterisation of the drug role as provided by the primary reporter or, if this information is missing, by the sender. All spontaneous reports should have at least one suspect drug.... If the reporter indicates a suspected interaction with other drug(s), Interacting should be selected for all suspected interacting drug(s). If an interaction is suspected with food or other non-drug compounds, Interacting should be selected for the suspect drug. For evaluation purposes, all interacting drugs are considered to be suspect drugs....  Drug not administered can be used in two circumstances: In clinical trial: if the adverse event occurred after the informed consent was signed but prior to the administration of the study drug (e.g. during the screening period or the washout procedure), the adverse event should in general be reported as per the trial procedure....  Medication error: if the patient did not receive the actual prescribed drug but another one, repeatable Sections G should be completed with the information about the prescribed drug (including the fact that it was not administered), as well as the information on the dispensed drug as the Suspect drug....&quot;  - ICH E2B(R3), G.k.1.  Possible values include: Suspect; Concomitant; Interacting; Drug Not Administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4HPVMLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4HZGMLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ot0nIMcrEeOZtYCyLdZSXQ" name="deviceObservation" visibility="public" type="_M0P2YMcrEeOZtYCyLdZSXQ" association="_Otw8wMcrEeOZtYCyLdZSXQ">
          <ownedComment xmi:id="_ni5VoAFHEeS53tTqzkwERQ" annotatedElement="_Ot0nIMcrEeOZtYCyLdZSXQ">
            <body>Pointer to any medical devices (whether suspect or concommittant) used by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ot3qcMcrEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ot4RgMcrEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NRARkMcwEeOZtYCyLdZSXQ" name="drugObservation" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_NQ91UMcwEeOZtYCyLdZSXQ">
          <ownedComment xmi:id="_H755wAFHEeS53tTqzkwERQ" annotatedElement="_NRARkMcwEeOZtYCyLdZSXQ">
            <body>Pointer to any medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NRBfsMcwEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NRBfsccwEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N6OioMcNEeOBW4YmAVz6EQ" name="productEventRelationship" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_N6NUgMcNEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_nSnIAAF1EeStzZ4W3o-kmA" annotatedElement="_N6OioMcNEeOBW4YmAVz6EQ">
            <body>Pointer to a structures that link a reaction or adverse event with the various medical products (medical devices and/or drugs) that were being used by the patient, and provides an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6PJsMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6PJsccNEeOBW4YmAVz6EQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-SbUIMZYEeO3A-bWZE-Gbg" memberEnd="_-Se-gMZYEeO3A-bWZE-Gbg _-ShawMZYEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_-ShawMZYEeO3A-bWZE-Gbg" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_-SbUIMZYEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rdmRQMZaEeO3A-bWZE-Gbg" memberEnd="_rdnfYMZaEeO3A-bWZE-Gbg _rdpUkMZaEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_rdpUkMZaEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_rdmRQMZaEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_s3WAgMZcEeO3A-bWZE-Gbg" memberEnd="_s3XOoMZcEeO3A-bWZE-Gbg _s3YcwMZcEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_s3YcwMZcEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_s3WAgMZcEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sRI_UMZgEeO3A-bWZE-Gbg" name="DrugDosage">
        <ownedComment xmi:id="_hsuo8AFGEeS53tTqzkwERQ" annotatedElement="_sRI_UMZgEeO3A-bWZE-Gbg">
          <body>Contains information describing the amount, timing, and route of administration of medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.  Corresponds to ICH E2B(R3), G.k.4.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_WkODEMZkEeO3A-bWZE-Gbg" name="dosageText" visibility="public">
          <ownedComment xmi:id="_WkODEcZkEeO3A-bWZE-Gbg" annotatedElement="_WkODEMZkEeO3A-bWZE-Gbg">
            <body>&quot;Free text information when structured dosage information is not possible, or to provide more detail on structured dosage data elements. There is no need to duplicate information provided in the structured dosage data elements.&quot;  - ICH E2B(R3), G.k.4.r.8.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WkODE8ZkEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WkODEsZkEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_t_2eMKCgEeO-_tuxzOR0Jg" name="dose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_H_6GwKChEeO-_tuxzOR0Jg" annotatedElement="_t_2eMKCgEeO-_tuxzOR0Jg">
            <body>The amount of medication taken at one time.&#xD;
&#xD;
&quot;The value (number) of each administered dose.&quot;  - ICH E2B(R3), G.k.4.r.1a&#xD;
&quot;The unit for the dose value in G.k.4.r.1a.&quot;  - ICH E2B(R3), G.k.4.r.1b&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FOuMUMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FOuzYMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B4xIMZkEeO3A-bWZE-Gbg" name="drugFormText" visibility="public">
          <ownedComment xmi:id="_5B4xIcZkEeO3A-bWZE-Gbg" annotatedElement="_5B4xIMZkEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the pharmaceutical dose form when the Pharmaceutical Dose Form TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.9.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B4xI8ZkEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B4xIsZkEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EV0cKCiEeO-_tuxzOR0Jg" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_-n3ucKCiEeO-_tuxzOR0Jg" annotatedElement="_5EV0cKCiEeO-_tuxzOR0Jg">
            <body>The length of time that the patient used the product, if known.  Used when exact dates are unknown.&#xD;
&quot;This section will usually be computed from the start/end date and time of the administration. However, there might be situations in which the precise duration of the drug administration can be useful, such as minutes or hours. Also, this item should be used in addition to dates if exact dates of drug administration are not available at the time of the report, but there is information concerning the duration of drug administration. In such a case, populate 1 data element for the date (start or end date) and this Section. The information requested is the overall duration of drug administration and covers intermittent administration.&quot;  - ICH E2B(R3), G.k.4.r.6a and G.k.4.r.6b.&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.11 (suspect medication)&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iZ334MZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iZ4e8MZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5psPIKCgEeO-_tuxzOR0Jg" name="frequency" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_EW8cAKChEeO-_tuxzOR0Jg" annotatedElement="_5psPIKCgEeO-_tuxzOR0Jg">
            <body>Indicates how often the medication is taken.&#xD;
&#xD;
&quot;The value (amount) for the time interval between each administered dose (G.k.4.r.1a and G.k.4.r.1b) If either G.k.4.r.2 or G.k.4.r.3 is unknown, both should be left blank unless the definition of the time interval unit is Cyclical, As necessary, or Total.&quot;  - ICH E2B(R3), G.k.4.r.2&#xD;
&quot;The UCUM code that best describes the unit for the dosing time interval (G.k.4.r.2). When a specific time interval for drug administration is not known, but is confirmed that the drug is used cyclically or as necessary, then Cyclical or As Necessary can be used in this data element. When the total amount of a drug is provided without any particular dose and dosing interval (e.g. in the case of an overdose), the quantity and unit (G.k.4.r.1a and G.k.4.r.1b) is provided along with Total in this data element (G.k.4.r.2 is left blank).&quot;  - ICH E2B(R3), G.k.4.r.3&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EYUv0MZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EYUv0cZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OjW5EMZmEeO3A-bWZE-Gbg" name="parentRoute" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OjW5EcZmEeO3A-bWZE-Gbg" annotatedElement="_OjW5EMZmEeO3A-bWZE-Gbg">
            <body>&quot;This data element captures the known route of administration of the drug as taken by the parent for the dosage described in G.k.4.r.1 to G.k.4.r.3.&quot;  - ICH E2B(R3), G.k.4.r.11.2a and G.k.4.r.11.2b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QqdIcMZmEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QqdvgMZmEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_51rwIMZlEeO3A-bWZE-Gbg" name="parentRouteText" visibility="public">
          <ownedComment xmi:id="_EQrvYMZmEeO3A-bWZE-Gbg" annotatedElement="_51rwIMZlEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the route of administration when the Parent Route of Administration TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.11.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_51rwI8ZlEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_51rwIsZlEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_50X1IKCgEeO-_tuxzOR0Jg" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DzAogKChEeO-_tuxzOR0Jg" annotatedElement="_50X1IKCgEeO-_tuxzOR0Jg">
            <body>Indicates how the medication is administered (e.g., by mouth, by injection, etc.).&#xD;
&#xD;
&quot;The route of administration.  For a parent-child/foetus report, this data element indicates the route of administration for the child/foetus (patient). This is usually an indirect exposure, such as transmammary, but can include more usual routes of administration for other drugs given to the child. The parent’s route of administration should be provided in G.k.4.r.11&quot;  - ICH E2B(R3), G.k.4.r.10.2a and G.k.4.r.10.2b&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TOcIIMZmEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TOcIIcZmEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeBakMZlEeO3A-bWZE-Gbg" name="routeText" visibility="public">
          <ownedComment xmi:id="_VeBakcZlEeO3A-bWZE-Gbg" annotatedElement="_VeBakMZlEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the route of administration when the Route of Administration TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.10.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCBocZlEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCBoMZlEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EV0caCiEeO-_tuxzOR0Jg" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__HwIYKCiEeO-_tuxzOR0Jg" annotatedElement="_5EV0caCiEeO-_tuxzOR0Jg">
            <body>The date the patient began to use the product, if known.&#xD;
&quot;The date and time when drug administration started.&quot;  - ICH E2B(R3), G.k.4.r.4&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.10 (suspect medication)&#xD;
VAERS-1 form question 10 (suspect vaccine); question 14 (vaccines given within the past 4 weeks)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DRfDkMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DRfqoMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EWbgKCiEeO-_tuxzOR0Jg" name="stopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__mbocKCiEeO-_tuxzOR0Jg" annotatedElement="_5EWbgKCiEeO-_tuxzOR0Jg">
            <body>The date the patient stopped using the product, if known.&#xD;
&quot;The date and time when drug administration ended. For ongoing drug administration after the onset of the reaction/event, this item should be blank....&quot;  - ICH E2B(R3), G.k.4.r.5&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.11 (suspect medication)&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X5ozUMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X5paYMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CVkcMZhEeO3A-bWZE-Gbg" memberEnd="_5CWykMZhEeO3A-bWZE-Gbg _5CYAsMZhEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_5CYAsMZhEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_5CVkcMZhEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7IIAcMcKEeOBW4YmAVz6EQ" name="ProductEventRelationship">
        <ownedComment xmi:id="_YFbMIAF1EeStzZ4W3o-kmA" annotatedElement="_7IIAcMcKEeOBW4YmAVz6EQ">
          <body>This class links a reaction or adverse event with the various medical products (medical devices and/or drugs) that were being used by the patient, and provides an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rChSAMcOEeOBW4YmAVz6EQ" name="didReactionRecur" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_w1ogIMcOEeOBW4YmAVz6EQ" annotatedElement="_rChSAMcOEeOBW4YmAVz6EQ">
            <body>&quot;Indicates both if the patient was rechallenged with the drug and the known outcome. This data element should not be coded if it was not reported whether or not a rechallenge was done.&quot; - ICH E2B(R3), G.k.9.i.4.  Possible values include: Yes-Yes (rechallenge was done, reaction recurred); Yes-No (rechallenge was done, reaction did not recur); Yes-Unk (rechallenge was done, outcome unknown); No–N/A (no rechallenge was done, recurrence is not applicable).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wCYG4LyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wCYG4byXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gRFlMMcNEeOBW4YmAVz6EQ" name="timeFromAdminStart" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_9et9AMcNEeOBW4YmAVz6EQ" annotatedElement="_gRFlMMcNEeOBW4YmAVz6EQ">
            <body>&quot;The interval of time between the start of drug administration and the onset of the reaction. Even when other dates are provided, this data element is useful also to be transmitted for circumstances where, for example the interval is very short minutes, such as in anaphylaxis, or in which only imprecise dates are known but more information concerning the interval is known. If the sender wants to provide time intervals as well as dates, then the date of the first day of administration should be counted as Day 1 of the interval.&quot; - ICH E2B(R3), G.k.9.i.3.1a and G.k.9.i.3.1b.  Note that ICH requires that the unit of time measurement should come from UCUM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k0FPQMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k0F2UMcNEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l9-PgMcNEeOBW4YmAVz6EQ" name="timeFromAdminStop" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_GQFE8McOEeOBW4YmAVz6EQ" annotatedElement="_l9-PgMcNEeOBW4YmAVz6EQ">
            <body>&quot;The interval of time between the end of drug administration and the onset of the reaction. Even when other dates are provided, this data element is useful also to be transmitted for circumstances where, for e.g. the interval is very short minutes, such as in anaphylaxis, or in which only imprecise dates are known but more information concerning the interval is known. If the sender wants to provide time intervals as well as dates, then the date of the last day of administration should be counted as Day 1 of the interval.&quot; - ICH E2B(R3), G.k.9.i.3.2a and G.k.9.i.3.2b.  Note that ICH requires that the unit of time measurement should come from UCUM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l9-PgscNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l9-PgccNEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PEogQMcNEeOBW4YmAVz6EQ" name="productEventAssessment" visibility="public" type="_ArtS4McNEeOBW4YmAVz6EQ" association="_PEnSIMcNEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_u9d64AF1EeStzZ4W3o-kmA" annotatedElement="_PEogQMcNEeOBW4YmAVz6EQ">
            <body>Pointer to an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product cited by the owning ProductEventRelationship class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PEpHUMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PEpHUccNEeOBW4YmAVz6EQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NkgcMMcLEeOBW4YmAVz6EQ" name="reactionOrEvent" visibility="public" type="_8tnMQMQEEeOgn-oVX1O_Yw" association="_Nkcx0McLEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_f-RBwMcLEeOBW4YmAVz6EQ" annotatedElement="_NkgcMMcLEeOBW4YmAVz6EQ">
            <body>Pointer to the ReactionOrEvent for which an assessment of the causal relationship to the Drug is being made.&#xD;
&#xD;
&quot;Captures a technical reference within the message that is used to identify which reaction / event in Section E.i is being assessed. This is not a user entered element.&quot; - ICH E2B(R3), G.k.9.i.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NkhqUMcLEeOBW4YmAVz6EQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NkhqUccLEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Nkcx0McLEeOBW4YmAVz6EQ" memberEnd="_NkgcMMcLEeOBW4YmAVz6EQ _Nki4cMcLEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_Nki4cMcLEeOBW4YmAVz6EQ" name="" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_Nkcx0McLEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ArtS4McNEeOBW4YmAVz6EQ" name="ProductEventAssessment">
        <ownedComment xmi:id="_vj1-YAF1EeStzZ4W3o-kmA" annotatedElement="_ArtS4McNEeOBW4YmAVz6EQ">
          <body>An assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product cited by the owning ProductEventRelationship class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SwSvIMcMEeOBW4YmAVz6EQ" name="method" visibility="public">
          <ownedComment xmi:id="_SwTWMMcMEeOBW4YmAVz6EQ" annotatedElement="_SwSvIMcMEeOBW4YmAVz6EQ">
            <body>&quot;The method of the assessment provided in G.k.9.i.2.r.3.For example global introspection, algorithm, Bayesian calculation, etc.&quot; - ICH E2B(R3), G.k.9.i.2.r.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VzvSAMcMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Vzv5EMcMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mn9dIMcMEeOBW4YmAVz6EQ" name="result" visibility="public">
          <ownedComment xmi:id="_mn9dIccMEeOBW4YmAVz6EQ" annotatedElement="_mn9dIMcMEeOBW4YmAVz6EQ">
            <body>&quot;The result of the assessment for relatedness. The value will depend on the method used for the assessment&quot; - ICH E2B(R3), G.k.9.i.2.r.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mn9dI8cMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mn9dIscMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A7LHsMcMEeOBW4YmAVz6EQ" name="source" visibility="public">
          <ownedComment xmi:id="_FYRlIMcMEeOBW4YmAVz6EQ" annotatedElement="_A7LHsMcMEeOBW4YmAVz6EQ">
            <body>&quot;The source of the assessment provided in G.k.9.i.2.r.3.&quot; - ICH E2B(R3), G.k.9.i.2.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XJargMcMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XJbSkMcMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_N6NUgMcNEeOBW4YmAVz6EQ" memberEnd="_N6OioMcNEeOBW4YmAVz6EQ _N6PwwMcNEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_N6PwwMcNEeOBW4YmAVz6EQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_N6NUgMcNEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PEnSIMcNEeOBW4YmAVz6EQ" memberEnd="_PEogQMcNEeOBW4YmAVz6EQ _PEpuYMcNEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_PEpuYMcNEeOBW4YmAVz6EQ" name="" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_PEnSIMcNEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_M0P2YMcrEeOZtYCyLdZSXQ" name="DeviceObservation">
        <ownedComment xmi:id="_lJJQAAFHEeS53tTqzkwERQ" annotatedElement="_M0P2YMcrEeOZtYCyLdZSXQ">
          <body>Contains information describing any medical devices (whether suspect or concommittant) used by the subject near the time of the adverse event occurred.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uhpGMKCsEeO-_tuxzOR0Jg" name="dateImplanted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_uhpGMaCsEeO-_tuxzOR0Jg" annotatedElement="_uhpGMKCsEeO-_tuxzOR0Jg">
            <body>The date the patient began to use the product.  Medwatch 3500 form question E.6; Medwatch 3500A form question D.6; Medwatch 3500B form question C.6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IPfAkLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IPfAkbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yVGJsKCsEeO-_tuxzOR0Jg" name="dateExplanted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yVGJsaCsEeO-_tuxzOR0Jg" annotatedElement="_yVGJsKCsEeO-_tuxzOR0Jg">
            <body>The date the patient stopped using the product.  Medwatch 3500 form question E.7; Medwatch 3500A form question D.7; Medwatch 3500B form question C.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HJx8wLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HJx8wbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-gyY0OH6EeOvYf8YyVApvg" name="deviceOperator" visibility="public" type="_eTLB0OH6EeOvYf8YyVApvg">
          <ownedComment xmi:id="_E5zJUOH7EeOvYf8YyVApvg" annotatedElement="_-gyY0OH6EeOvYf8YyVApvg">
            <body>Is this product meant to be used only one time (i.e., single-use), but was reprocessed and/or reused?  Medwatch 3500 form question E.8; Medwatch 3500A form question D.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F3p4sOH7EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F3qfwOH7EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AFae8KCtEeO-_tuxzOR0Jg" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_AFZ34KCtEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_E_vZAKCvEeO-_tuxzOR0Jg" annotatedElement="_AFae8KCtEeO-_tuxzOR0Jg">
            <body>Pointer to the Device Instance (and therefore more generic information about the device product) that is suspected to have caused the adverse event, product problem, or product use error.&#xD;
Medwatch 3500A form question D.1 (brand name), D.2 (commond device name), D.2.b (Procom), 5, box 2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AFbGAKCtEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AFbGAaCtEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bP4FIKCtEeO-_tuxzOR0Jg" name="otherUserText" visibility="public">
          <ownedComment xmi:id="_bP4FIaCtEeO-_tuxzOR0Jg" annotatedElement="_bP4FIKCtEeO-_tuxzOR0Jg">
            <body>Was the operator or user of the device neither the patient nor a healthcare professional?  If yes, the other user text should be valued.  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CX768KYuEeO5e_SJFDwFbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CX8iAKYuEeO5e_SJFDwFbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f34SYKMbEeOzLfgeAZKSFA" name="therapyStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_t7B3MKSTEeOi7v-AgUwKMQ" annotatedElement="_f34SYKMbEeOzLfgeAZKSFA">
            <body>Medwatch 3500A form question D.11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JuQrsLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JuacsLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f345cKMbEeOzLfgeAZKSFA" name="therapyStopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xchA8KSTEeOi7v-AgUwKMQ" annotatedElement="_f345cKMbEeOzLfgeAZKSFA">
            <body>Medwatch 3500A form question D.11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KPRHALyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KPRHAbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DVJcQKCrEeO-_tuxzOR0Jg" name="wasSingleUseReprocessed" visibility="public">
          <ownedComment xmi:id="_NUI08KCrEeO-_tuxzOR0Jg" annotatedElement="_DVJcQKCrEeO-_tuxzOR0Jg">
            <body>Is this product meant to be used only one time (i.e., single-use), but was reprocessed and/or reused?&#xD;
MedWatch 3500 form question E.8.&#xD;
MedWatch 3500A form question D.8.&#xD;
(note that the MedWatch 3500B and the VAERS-1 forms do not have this element).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LSpPkLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LSpPkbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Otw8wMcrEeOZtYCyLdZSXQ" memberEnd="_Ot0nIMcrEeOZtYCyLdZSXQ _Ot5foMcrEeOZtYCyLdZSXQ">
        <ownedEnd xmi:id="_Ot5foMcrEeOZtYCyLdZSXQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_Otw8wMcrEeOZtYCyLdZSXQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BSQnoMcwEeOZtYCyLdZSXQ" name="DrugObservation">
        <ownedComment xmi:id="_0Oes4AFGEeS53tTqzkwERQ" annotatedElement="_BSQnoMcwEeOZtYCyLdZSXQ">
          <body>Contains information describing any medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.  Corresponds to ICH E2B(R3), G.k.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_i0QoIKCjEeO-_tuxzOR0Jg" name="didEventAbate" visibility="public">
          <ownedComment xmi:id="_r3nfAKCjEeO-_tuxzOR0Jg" annotatedElement="_i0QoIKCjEeO-_tuxzOR0Jg">
            <body>Did the adverse event abate after the use of the suspect medication was stopped or the dose was reduced?  Medwatch 3500 form question D.5; Medwatch 3500A form question C.5; Medwatch 3500B form question B.13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S3ikYLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S3ikYbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i0RPMKCjEeO-_tuxzOR0Jg" name="didReappear" visibility="public">
          <ownedComment xmi:id="_y1kIkKCjEeO-_tuxzOR0Jg" annotatedElement="_i0RPMKCjEeO-_tuxzOR0Jg">
            <body>Did the adverse event reappear after the the suspect medication was reintroduced?  Medwatch 3500 form question D.8; Medwatch 3500A form question C.8; Medwatch 3500B form question B.14.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TZUbwLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TZUbwbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M83gkMZfEeO3A-bWZE-Gbg" name="indHolderCountry" visibility="public">
          <eAnnotations xmi:id="_S1LXwMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M83gkcZfEeO3A-bWZE-Gbg" annotatedElement="_M83gkMZfEeO3A-bWZE-Gbg">
            <body>&quot;The country where the drug was authorised when the case report is sent to that country if known.&quot;  - ICH E2B(R3), G.k.3.2</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M83gk8ZfEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M83gksZfEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M5hRoMZfEeO3A-bWZE-Gbg" name="indHolderName" visibility="public">
          <eAnnotations xmi:id="_S1N0AMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5hRocZfEeO3A-bWZE-Gbg" annotatedElement="_M5hRoMZfEeO3A-bWZE-Gbg">
            <body>&quot;The name of the licence holder as indicated on the package.&quot;  - ICH E2B(R3), G.k.3.3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M5hRo8ZfEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M5hRosZfEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bq_TsOeAEd6qdqXtvR-ZHQ" name="lastFillDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VFcmYLyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VFdNcLyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TNMmO-eAEd6qdqXtvR-ZHQ" name="nbrOfPreviousDoses" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WfQ5ALyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WfQ5AbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EsadUOeAEd6qdqXtvR-ZHQ" name="sig" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XqNCILyXEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XqNCIbyXEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CWykMZhEeO3A-bWZE-Gbg" name="drugDosage" visibility="public" type="_sRI_UMZgEeO3A-bWZE-Gbg" association="_5CVkcMZhEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_rWFI0AFGEeS53tTqzkwERQ" annotatedElement="_5CWykMZhEeO3A-bWZE-Gbg">
            <body>Pointer to information describing the amount, timing, and route of administration of medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CXZoMZhEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CXZocZhEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s3XOoMZcEeO3A-bWZE-Gbg" name="drugIngredient" visibility="public" type="_jToVcM_3Ed-YeMSrwW6svA" association="_s3WAgMZcEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_w0QiAMZcEeO3A-bWZE-Gbg" annotatedElement="_s3XOoMZcEeO3A-bWZE-Gbg">
            <body>Pointer to the active ingredient(s) of the drug.  Used only if the medicinalProduct or the pharmaceuticalProduct are not known.- ICH E2B(R3), G.k.2.3.r</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s3X1sMZcEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s3X1scZcEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xwfVkFo5EeCkLsazfN-tCQ" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_xwWLoFo5EeCkLsazfN-tCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xwfVkVo5EeCkLsazfN-tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xwfVklo5EeCkLsazfN-tCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rdnfYMZaEeO3A-bWZE-Gbg" name="pharmaceuticalProduct" visibility="public" type="_9SrG0M_2Ed-YeMSrwW6svA" association="_rdmRQMZaEeO3A-bWZE-Gbg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rdoGcMZaEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rdoGccZaEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oY2ZcKCgEeO-_tuxzOR0Jg" name="medicinalProductInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_oYyvEKCgEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_VpqPEKCjEeO-_tuxzOR0Jg" annotatedElement="_oY2ZcKCgEeO-_tuxzOR0Jg">
            <body>Medwatch 3500A form question C.1 (name), C.6 (lot), C.7 (exp date), C.9 (ndc)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oY3nkKCgEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oY3nkaCgEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NQ91UMcwEeOZtYCyLdZSXQ" memberEnd="_NRARkMcwEeOZtYCyLdZSXQ _NRCt0McwEeOZtYCyLdZSXQ">
        <ownedEnd xmi:id="_NRCt0McwEeOZtYCyLdZSXQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_NQ91UMcwEeOZtYCyLdZSXQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_nyUJ4N0lEeO-i5D4AF-iXg" name="enumAESeriousness">
        <ownedComment xmi:id="_VGn04N0nEeO-i5D4AF-iXg" annotatedElement="_nyUJ4N0lEeO-i5D4AF-iXg">
          <body>&quot;The seriousness criteria of the reaction/event should be based on the definitions provided in the ICH E2A and E2D guidelines. More than one seriousness criteria can be chosen. If the event is not serious, all of these data elements should be left blank. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender. In cases of foetal demise such as miscarriage, (where the ICSR should be prepared only for the parent), the seriousness criterion is Other medically important condition. Furthermore, depending if the parent experienced complications, the seriousness criterion could also include Life-threatening and/or Hospitalisation.&quot; - ICH E2B(R3), E.i.3.2.</body>
        </ownedComment>
        <ownedLiteral xmi:id="_vMIQEN0lEeO-i5D4AF-iXg" name="resultedInDeath">
          <ownedComment xmi:id="_y1imwN0lEeO-i5D4AF-iXg" annotatedElement="_vMIQEN0lEeO-i5D4AF-iXg">
            <body>Indicates that the report subject died as a result of the Adverse Reaction or Event. - ICH E2B(R3), E.i.3.2a.&#xD;
MedWatch 3500 form question B.2, box 1.&#xD;
MedWatch 3500A form question B.2, box 1.&#xD;
MedWatch 3500B form question A.2, box 6.&#xD;
VAERS-1 form question 8, box 1.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_06I7wN0lEeO-i5D4AF-iXg" name="lifeThreatening">
          <ownedComment xmi:id="_6PSbgN0lEeO-i5D4AF-iXg" annotatedElement="_06I7wN0lEeO-i5D4AF-iXg">
            <body>Did a life-threatening condition occur as an outcome attributed to the Adverse Event?  - ICH E2B(R3), E.i.3.2b.&#xD;
MedWatch 3500 form question B.2, box 2.&#xD;
MedWatch 3500A form question B.2, box 2.&#xD;
MedWatch 3500B form question A.2, box 5.&#xD;
VAERS-1 form question 8, box 2.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_7p3jIN0lEeO-i5D4AF-iXg" name="causedOrProlongedHospitalization">
          <ownedComment xmi:id="_PeHwwN0mEeO-i5D4AF-iXg" annotatedElement="_7p3jIN0lEeO-i5D4AF-iXg">
            <body>Was hospitalization required (either initial, or if already hospitalized, a prolonged stay) as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2c.&#xD;
MedWatch 3500 form question B.2, box 3.&#xD;
MedWatch 3500A form question B.2, box 3.&#xD;
MedWatch 3500B form question A.2, box 1.&#xD;
VAERS-1 form question 8, box 4.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="__e4F0N0lEeO-i5D4AF-iXg" name="disablingOrIncapacitating">
          <ownedComment xmi:id="_Q1l6AN0mEeO-i5D4AF-iXg" annotatedElement="__e4F0N0lEeO-i5D4AF-iXg">
            <body>Did some kind of disability or permanent damage occur as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2d.&#xD;
MedWatch 3500 form question B.2, box 5.&#xD;
MedWatch 3500A form question B.2, box 5.&#xD;
MedWatch 3500B form question A.2, box 3.&#xD;
VAERS-1 form question 8, box 6.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_nBab8N0mEeO-i5D4AF-iXg" name="congenitalAnomalyOrBirthDefect">
          <ownedComment xmi:id="_qmzOQN0mEeO-i5D4AF-iXg" annotatedElement="_nBab8N0mEeO-i5D4AF-iXg">
            <body>Did some kind of congenital anomaly or birth defect occur as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2e.&#xD;
MedWatch 3500 form question B.2, box 6.&#xD;
MedWatch 3500A form question B.2, box 6.&#xD;
MedWatch 3500B form question A.2, box 4.&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_tCXRwN0mEeO-i5D4AF-iXg" name="otherImportantCondition">
          <ownedComment xmi:id="_xEgRgN0mEeO-i5D4AF-iXg" annotatedElement="_tCXRwN0mEeO-i5D4AF-iXg">
            <body>Did some other kind of serious outcomes occur that are attributable to the Adverse Event? - ICH E2B(R3), E.i.3.2f.&#xD;
MedWatch 3500 form question B.2, box 7.&#xD;
MedWatch 3500A form question B.2, box 7.&#xD;
MedWatch 3500B form question A.2, box 7.&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_3UtEQN0mEeO-i5D4AF-iXg" name="requiredIntervention">
          <ownedComment xmi:id="_5gDhgN0mEeO-i5D4AF-iXg" annotatedElement="_3UtEQN0mEeO-i5D4AF-iXg">
            <body>Was some kind of intervention required in order to prevent permanent imparement or damage as an outcome attributed to the Adverse Event (used only when the product is a medical device)?  Note that this property is not in ICH, nor is it used in VAERS, because neither ICH nor VAERS are concerned with devices.&#xD;
MedWatch 3500 form question B.2, box 4.&#xD;
MedWatch 3500A form question B.2, box 4.&#xD;
MedWatch 3500B form question A.2, box 2.</body>
          </ownedComment>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_FTZzwN0nEeO-i5D4AF-iXg" client="_8tnMQMQEEeOgn-oVX1O_Yw" supplier="_nyUJ4N0lEeO-i5D4AF-iXg"/>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_DmTlUOH0EeOvYf8YyVApvg" client="_UB0qsMZXEeO3A-bWZE-Gbg" supplier="_9ctJ0OHzEeOvYf8YyVApvg"/>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_xk7mYOH6EeOvYf8YyVApvg" client="_M0P2YMcrEeOZtYCyLdZSXQ" supplier="_eTLB0OH6EeOvYf8YyVApvg"/>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_zlukAOH7EeOvYf8YyVApvg" client="_UB0qsMZXEeO3A-bWZE-Gbg" supplier="_oxQ74OH7EeOvYf8YyVApvg"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_T4nKoOH-EeOvYf8YyVApvg" name="enumReportedTo">
        <ownedLiteral xmi:id="_n2M6cOH-EeOvYf8YyVApvg" name="distributorOrImporter"/>
        <ownedLiteral xmi:id="_p4cfAOH-EeOvYf8YyVApvg" name="manufacturer"/>
        <ownedLiteral xmi:id="_q8NCEOH-EeOvYf8YyVApvg" name="userFacility"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_c1oI8OH-EeOvYf8YyVApvg" client="_omSSQLxcEeOKUOXGtjETEg" supplier="_T4nKoOH-EeOvYf8YyVApvg"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_ecCeIOKjEeO0o6n32HX83w" name="enumRelationship">
        <ownedLiteral xmi:id="_hYLfIOKjEeO0o6n32HX83w" name="mother"/>
        <ownedLiteral xmi:id="_iVh4MOKjEeO0o6n32HX83w" name="father"/>
        <ownedLiteral xmi:id="_lX3n0OKjEeO0o6n32HX83w" name="sibling"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_mqd4IOKjEeO0o6n32HX83w" client="_rKUFAMAcEeOtTpsIhjiKCQ" supplier="_ecCeIOKjEeO0o6n32HX83w"/>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6418AB45103D1" name="Allergies">
      <eAnnotations xmi:id="_L8WlpOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_L8fvguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_KpXOYFYuEeCNYNwvTI8hbQ">
        <body>Note that the Information Source hierarchy is in the Common domain, and is not shown here.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418BB10D01EB" name="IntoleranceCondition">
        <eAnnotations xmi:id="_L6j10-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_J99UwDlBEeCOabXzDmEF2w" annotatedElement="_420A62FD03B6418BB10D01EB">
          <body>Describes an observation of an &quot;Intolerance Condition&quot; of the Patient.  Intolerance Conditions are typically allergies, but the concept of an intolerance condition is broader than just allergies.  For example, an adverse reaction such as the patient becomes nauseous after taking a particular antibiotic is not an allergy, but may serve as a contra-indicator to the use of that antibiotic.  In general, Intolerance Conditions as caused by Food, Drugs, or some environmental factor such as mold, insect venom (i.e., bee stings), or pet dander.</body>
        </ownedComment>
        <generalization xmi:id="_dvymsOCMEeS8tqKBj1EYvQ" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_vcbScMIzEeGx0M-CyAbegA" name="alertDevice" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2fOm0MIzEeGx0M-CyAbegA" annotatedElement="_vcbScMIzEeGx0M-CyAbegA">
            <body>&quot;Describes any type of allergy alert device the patient may be carrying or wearing.&quot; - HL7 Version 2.8, IAM-16.  HL7 Version 2 has the following suggested values (table 437): Bracelet; Necklace; Wallet Card.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zCk5wMIzEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zClg0MIzEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zyE4YOsuEeKoPIE7gccV1g" name="criticality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zyE4YesuEeKoPIE7gccV1g" annotatedElement="_zyE4YOsuEeKoPIE7gccV1g">
            <body>Provides an indication of the seriousness or intensity of a reaction that the patient would be expected to experience upon a further exposure to the Reactant.&#xD;
&#xD;
&quot;Indicates the general severity of the allergy&quot; - HL7 Version 2.8, AL1-4, IAM-4, and IAR-2.  HL7 Version 2 has the following suggested values (table 128): Severe; Moderate; Mild; Unknown.&#xD;
&quot;Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.&quot; - HL7 FHIR, AllergyIntolerance.criticality&#xD;
&#xD;
The Common Terminology Criteria for Adverse Events (CTCAE) has the following values:&#xD;
Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated.&#xD;
Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL*.&#xD;
Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL**.&#xD;
Grade 4: Life-threatening consequences; urgent intervention indicated.&#xD;
Grade 5: Death related to AE.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zyE4Y-suEeKoPIE7gccV1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zyE4YusuEeKoPIE7gccV1g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_X776MN72EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoloeranceCriticality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qMUt0GuCEeCZQ_Ui4wPHHw" name="intoleranceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qMUt0WuCEeCZQ_Ui4wPHHw" annotatedElement="_qMUt0GuCEeCZQ_Ui4wPHHw">
            <body>Provides a categorization of the Intolerance Condtion. Possible values are members of the SNOMED Allergy Event value set. This property is required for Meaningful Use. It is noted that the HITSP value set mixes categorization of the reaction and categorization of the mechanism (i.e., allergy versus intolerance). It is included in the FHIM because Meaningful Use requires it, but the FHIM models these two categorizations separately as well using the mechanism and reactant category properties. It is potentially possible to calculate this property based on the values of the mechanism and reactant category properties.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qMUt02uCEeCZQ_Ui4wPHHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qMUt0muCEeCZQ_Ui4wPHHw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_6j0LIOdwEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(IntoleranceCategory(HITSP))</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cANqIGYAEeCWgYu_gBZhWw" name="isAbsolutelyContraIndicated" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ym0kILyYEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ym0kIbyYEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zs_h4N-cEeSLwbHBnRFGvw" name="lastOccurrence" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_A_hH4N-dEeSLwbHBnRFGvw" annotatedElement="_zs_h4N-cEeSLwbHBnRFGvw">
            <body>&quot;Represents the date and/or time of the last known occurrence of a reaction event.&quot; - HL7 FHIR, AllergyIntolerance.lastOccurrence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1OyE4LyYEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1OyE4byYEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418BD7C9014C" name="mechanism" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L6HJ4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418BD7C9014C">
            <body>Categorizes whether the underlying process (mechanism) of the Intolerance Condition is an Immunoglobulin-E (IgE)-mediated response, an exepected response to a pharmacologic substance, or unknown.    Allergy:  An allergy reaction must have symptoms (reaction) consistent with an actual allergy - rash, hives, severe swelling, redness, itchiness, difficulty breathing (due to swelling around breathing areas), etc.    Pharmacologic:  A pharmacologic reaction is an adverse event rather then an allergy.  It is a reaction based on the pharmacologic properties of the drug and has to do with a reaction that can be expected due to the pharmacologic activity of the drug. It can occur when the patient takes the right amount or an amount greater or less than the recommended doses.  Some examples are: an antidiarrheal agent (like Immodium) causing constipation, a laxative causing diarrhea, a beta blocker causing bradycardia (slow heart rate), furosemide (a diuretic) causing excessive urination, or a blood pressure medication causing low blood pressure (will be fully modeled in a subsequent phase).    Unknown:  An unknown reaction is a reaction experienced by the patient that cannot be explained by either of the other two mechanisms, for example, eating a pear and developing a cough or taking a blood pressure medication and developing right elbow pain. This type of reaction is consistent, disappears upon withdrawing the agent, and reappears when the agent or food item is restarted/eaten again.&#xD;
&#xD;
&quot;Contains the reason why the patient should not be exposed to a substance.&quot; - HL7 Version 2.8, IAM-9 and IAR-3.  HL7 Version 2 has the following suggested values (table 436): Adverse Reaction (Not otherwise classified); Allergy; Contraindication; Intolerance; Side Effect.&#xD;
&quot;Identification of the underlying physiological mechanism for the reaction risk.&quot; - HL7 FHIR, AllergyIntolerance.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hJo6EPT_EdyH-osfS7enWw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hJo6EfT_EdyH-osfS7enWw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_pP_7YN-YEeSLwbHBnRFGvw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Mechanism)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_t_VCcGX9EeCWgYu_gBZhWw" name="reactant" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1Q-EEGX9EeCWgYu_gBZhWw" annotatedElement="_t_VCcGX9EeCWgYu_gBZhWw">
            <body>Identifies the substance to which the patient has an intolerance or allergy. The reactant is bound to a grouping value-set which will be a superset of value-sets for Drug Product, Drug Class, Ingredient, Food Product, and Environmental reactants.&#xD;
&#xD;
&quot;Uniquely identifies a particular allergen.&quot; - HL7 Version 2.8, AL1-3 and IAM-3&#xD;
&quot;Identifies the specific allergic reaction that was documented.&quot; - HL7 Version 2.8, IAR-1.&#xD;
&quot;Identification of a substance, or a class of substances, that is considered to be responsible for the Adverse reaction risk.&quot; - HL7 FHIR, AllergyIntolerance.substance&#xD;
&quot;Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the code and ignore the reaction.substance.&quot; - HL7 FHIR, AllergyIntolerance.reaction.substance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_33sn4LyYEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_33sn4byYEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_JuNQMN72EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Reactant)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CeA3sGX_EeCWgYu_gBZhWw" name="reactantCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Tpa28GYDEeCWgYu_gBZhWw" annotatedElement="_CeA3sGX_EeCWgYu_gBZhWw">
            <body>Categorizes the reactant to which the patient has demonstrated an intolerance or an allergy. Possible values include Drug Product, Drug Class, Ingredient, Food Product, and Environmental. Note that this property may contain more than one value.  It should be noted that this property is included in the FHIM because many legacy systems include this concept in order to group allergies in an allergy list, and in some cases to determine which allergies to examine during order checking. However, because these categories are not mutually exclusive (e.g., caffeine can be categorized as a food ingredient and as a drug ingredient), any system performing order checks should check all allergies regardless of how they are categorized. A clinician exercises clinical judgement and applies his/her preferences when categorizing a particular allergy. While there is some value in preserving this, another clinician may categorize the same allergy differently. Therefore, this property should be treated as informational, and not be used for any automated reasoning.&#xD;
&#xD;
&quot;Indicates a general allergy category (drug, food, pollen, etc.).&quot; - HL7 Version 2.8, AL1-2 and IAM-2. HL7 Version 2 has the following suggested values (table 127): Drug allergy; Food allergy; Miscellaneous allergy; Miscellaneous contraindication; Environmental Allergy; Animal Allergy; Plant Allergy; Pollen Allergy.&#xD;
&quot;Category of the identified substance.&quot; - HL7 FHIR, AllergyIntolerance.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ThRkYGX_EeCWgYu_gBZhWw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ThSLcGX_EeCWgYu_gBZhWw" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_4xdcsOdwEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoleranceCategory)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_66MPAGYAEeCWgYu_gBZhWw" name="reaction" visibility="public" type="_KXfzkEUdEeCUY8hq_icSiw" association="_66KZ0GYAEeCWgYu_gBZhWw">
          <ownedComment xmi:id="_C1KQ4PDJEeO_Te8vAbT_YQ" annotatedElement="_66MPAGYAEeCWgYu_gBZhWw">
            <body>Pointer to a set of Observation(s) of any adverse physiological response(s) attributed to the exposure of the Patient to the given substance.&#xD;
&quot;Details about each adverse reaction event linked to exposure to the identified substance.&quot; - HL7 FHIR, AllergyIntolerance.reaction</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_66NdIGYAEeCWgYu_gBZhWw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_66NdIWYAEeCWgYu_gBZhWw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SkwrYPDLEeO_Te8vAbT_YQ" name="sensitivityTest" visibility="public" type="_PHEucPDJEeO_Te8vAbT_YQ" association="_SkvdQPDLEeO_Te8vAbT_YQ">
          <ownedComment xmi:id="_Tdu6wPDLEeO_Te8vAbT_YQ" annotatedElement="_SkwrYPDLEeO_Te8vAbT_YQ">
            <body>Pointer to a set of Observation(s) (i.e., tests) performed in order to confirm (or refute) the sensitivity, and/or to determine the mechanism of the sensitivity.&#xD;
&quot;Observations that confirm or refute the sensitivity.&quot; - HL7 FHIR, Allergy resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SkxScPDLEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SkxScfDLEeO_Te8vAbT_YQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Mm8tUDO8EeCBme_1raFDzg" name="IntoleranceConditionList">
        <eAnnotations xmi:id="_20IL4Dk6EeCOabXzDmEF2w" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_20Iy8Dk6EeCOabXzDmEF2w" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_l0EngJppEeOswd2lHBTpDQ" annotatedElement="_Mm8tUDO8EeCBme_1raFDzg">
          <body>A collection of Intolerance Condition (aka Allergy) records.  This class represents the traditional &quot;Allergy List&quot; that is used to inform the Provider of substances that should likely be avoided when treating the Patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NcmkEHxyEeOBSYmVzO0iCQ" name="hasIntoleranceCondition" visibility="public">
          <ownedComment xmi:id="_rK71MHxyEeOBSYmVzO0iCQ" annotatedElement="_NcmkEHxyEeOBSYmVzO0iCQ">
            <body>Indicates whether the Patient has any records of Intolerance Condition(s).  When this property is false, it is equivalent to saying that the Patient has &quot;No Known Allergies&quot;.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8a9XsLyYEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8a9XsbyYEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L_PXoTO9EeCBme_1raFDzg" name="intoleranceConditionEntry" visibility="public" type="_420A62FD03B6418BB10D01EB" aggregation="composite" association="_L_PXoDO9EeCBme_1raFDzg">
          <ownedComment xmi:id="_UXJdoJppEeOswd2lHBTpDQ" annotatedElement="_L_PXoTO9EeCBme_1raFDzg">
            <body>Pointer to individual Intolerance Condition (aka Allergy) records that make up the Intolerance Condition List.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_Sa8DO9EeCBme_1raFDzg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_Sa8TO9EeCBme_1raFDzg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A6ph0K3BEeaTV_0rLvgAyQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_A6hmAK3BEeaTV_0rLvgAyQ">
          <ownedComment xmi:id="_mu0bYLyYEea_DaXmJ278Kw" annotatedElement="_A6ph0K3BEeaTV_0rLvgAyQ">
            <body>Pointer to the Patient to whom the Intolerance Condition List (aka Allergy List) applies.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A6r-EK3BEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A6r-Ea3BEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_L_PXoDO9EeCBme_1raFDzg" name="intoleranceConditionList_intoleranceConditionEntry" memberEnd="_L_PXoTO9EeCBme_1raFDzg _L_Sa8jO9EeCBme_1raFDzg">
        <ownedEnd xmi:id="_L_Sa8jO9EeCBme_1raFDzg" name="" visibility="public" type="_Mm8tUDO8EeCBme_1raFDzg" association="_L_PXoDO9EeCBme_1raFDzg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_VeQDO9EeCBme_1raFDzg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_VeQTO9EeCBme_1raFDzg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KXfzkEUdEeCUY8hq_icSiw" name="ReactionObservation">
        <eAnnotations xmi:id="_6NQQsOVyEeGA8s9JtidNVQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_bl7mYPDKEeO_Te8vAbT_YQ" annotatedElement="_KXfzkEUdEeCUY8hq_icSiw">
          <body>Reaction: &quot;A response to a substance, treatment, or other stimulus, such as an antigen-antibody reaction, an allergic reaction, or an adverse pharmacological reaction.&quot; - Mosby's Medical Dictionary&#xD;
This class documents an Observation of an adverse physiological response attributed to the exposure of the Patient to the given substance. Note that the dates may be unspecified, such as when the Patient reports that she breaks out in hives when she eats peanuts.</body>
        </ownedComment>
        <generalization xmi:id="_wAuGUHycEeOHq5zPTCjDoQ" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
        <ownedAttribute xmi:id="_e93yAN-dEeSLwbHBnRFGvw" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_e93yAd-dEeSLwbHBnRFGvw" annotatedElement="_e93yAN-dEeSLwbHBnRFGvw">
            <body>&quot;Statement about the degree of clinical certainty that the Specific Substance was the cause of the Manifestation in this reaction event.&quot; - HL7 FHIR, AllergyIntolerance.event.certainty.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e93yA9-dEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e93yAt-dEeSLwbHBnRFGvw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_P_J14OdyEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoleranceCertainty)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N96bgN-eEeSLwbHBnRFGvw" name="description" visibility="public">
          <ownedComment xmi:id="_X6BfUN-eEeSLwbHBnRFGvw" annotatedElement="_N96bgN-eEeSLwbHBnRFGvw">
            <body>&quot;Text description about the reaction as a whole, including details of the manifestation if required.&quot; - HL7 FHIR, AllergyIntolerance.reaction.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q87KUN-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q87xYN-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zbR04N-eEeSLwbHBnRFGvw" name="onsetDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_32sQQN-eEeSLwbHBnRFGvw" annotatedElement="_zbR04N-eEeSLwbHBnRFGvw">
            <body>&quot;Record of the date and/or time of the onset of the Reaction.&quot; - HL7 FHIR, AllergyIntolerance.reaction.onset</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2CRsUN-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2CSTYN-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bdr1IN-eEeSLwbHBnRFGvw" name="exposureRoute" visibility="public">
          <ownedComment xmi:id="_Bdr1Id-eEeSLwbHBnRFGvw" annotatedElement="_Bdr1IN-eEeSLwbHBnRFGvw">
            <body>&quot;Identification of the route by which the subject was exposed to the substance.&quot; - HL7 FHIR, AllergyIntolerance.reaction.exposureRoute&#xD;
Note that FHIR uses a code for this concept, but we modeled this as a string, because we currently do not foresee a need for this property. Should the partner agencies require the use of this property, a decision would need to be made regarding whether to use SNOMED codes as FHIR recommends, or FDA codes, which is required by Meaningful Use for other kinds of substance administrations.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bdr1I9-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bdr1It-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P-0AcNYuEd62cosTNS-_lw" name="reaction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WLk0sMHwEeGx0M-CyAbegA" annotatedElement="_P-0AcNYuEd62cosTNS-_lw">
            <body>Indicates the adverse physiological response which is suspected to have been caused by an exposure to the given substance (i.e., the reactant).&#xD;
&quot;Identifies the specific allergic reaction that was documented.&quot; - HL7 Version 2.8, AL1-5 and IAM-5&#xD;
&quot;Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.&quot; - HL7 FHIR, AllergyIntolerance.reaction.manifestation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CdtrAOVzEeGA8s9JtidNVQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Cdu5IOVzEeGA8s9JtidNVQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_xAdwIOdxEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AdverseClinicalReaction)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TVkSYN7-EeSx5bpydj26Wg" name="severity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4NQyoN-dEeSLwbHBnRFGvw" annotatedElement="_TVkSYN7-EeSx5bpydj26Wg">
            <body>&quot;Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.&quot; - HL7 FHIR, AllergyIntolerance.reaction.severity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TVkSY97-EeSx5bpydj26Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TVkSYt7-EeSx5bpydj26Wg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_mAdrQN7-EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ReactionSeverity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T1g_gNuwEeeUZ4-fF6-w3Q" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_T1g_gduwEeeUZ4-fF6-w3Q" annotatedElement="_T1g_gNuwEeeUZ4-fF6-w3Q">
            <body>&quot;Additional text about the adverse reaction event not captured in other fields.&quot; - HL7 FHIR, AllergyIntolerance.reaction.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T1g_g9uwEeeUZ4-fF6-w3Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T1g_gtuwEeeUZ4-fF6-w3Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_66KZ0GYAEeCWgYu_gBZhWw" name="intoleranceCondition_reaction" memberEnd="_66MPAGYAEeCWgYu_gBZhWw _66PSUGYAEeCWgYu_gBZhWw">
        <ownedEnd xmi:id="_66PSUGYAEeCWgYu_gBZhWw" name="" visibility="public" type="_420A62FD03B6418BB10D01EB" association="_66KZ0GYAEeCWgYu_gBZhWw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_66P5YGYAEeCWgYu_gBZhWw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_66QgcGYAEeCWgYu_gBZhWw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PHEucPDJEeO_Te8vAbT_YQ" name="SensitivityTest">
        <ownedComment xmi:id="_IGadMPDLEeO_Te8vAbT_YQ" annotatedElement="_PHEucPDJEeO_Te8vAbT_YQ">
          <body>This class documents an Observation (i.e., a test) performed in order to confirm (or refute) the sensitivity, and/or to determine the mechanism of the sensitivity.</body>
        </ownedComment>
        <generalization xmi:id="_Z7GRsPDJEeO_Te8vAbT_YQ" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SkvdQPDLEeO_Te8vAbT_YQ" name="intoleranceCondition_sensitivityTest" memberEnd="_SkwrYPDLEeO_Te8vAbT_YQ _SkygkPDLEeO_Te8vAbT_YQ">
        <ownedEnd xmi:id="_SkygkPDLEeO_Te8vAbT_YQ" name="" visibility="public" type="_420A62FD03B6418BB10D01EB" association="_SkvdQPDLEeO_Te8vAbT_YQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_4zAJwNoHEeSdPcnORr-kJQ" client="_420A62FD03B6418BB10D01EB">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LZ6FYNoGEeSdPcnORr-kJQ?FHIM_Vocab/AllergyVocab/Reactant?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_ueRQsN-QEeSaPJZDaZxNxw" client="_420A62FD03B6418BB10D01EB">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_WLLn4NoMEeSdPcnORr-kJQ?FHIM_Vocab/AllergyVocab/ProblemCriticality?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_h4aCwN-YEeSLwbHBnRFGvw" client="_420A62FD03B6418BB10D01EB">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_zttF0N-XEeSLwbHBnRFGvw?FHIM_Vocab/AllergyVocab/Mechanism?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_BiktEOQ8EeSuxrYeYCfuhA" client="_KXfzkEUdEeCUY8hq_icSiw">
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          <body>Contains all data specific to each patient encounter.  This includes the patient, the providers and students involved the diagnostic and procedure codes, the date and time of the visit, and the CDR cost account.  (file 509850.6)</body>
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        <ownedAttribute xmi:id="_DF9TAPjjEdudipnrbPwkbg" name="date" visibility="public" type="_420A62FD03B64244824602F5">
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            <body>The date of ASP patient's clinic visit.</body>
          </ownedComment>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZpaRoeG2EeaHnLXha23s2A" value="1"/>
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          <ownedComment xmi:id="_5J_Y8eG1EeaHnLXha23s2A" annotatedElement="_5J_Y8OG1EeaHnLXha23s2A">
            <body>Indicates the practitioner who created the comment.</body>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5J_Y8uG1EeaHnLXha23s2A" value="1"/>
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            <body>Identification of an A&amp;amp;amp;SP condition through a method of consistent analysis.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h6j6QPpEEdu5nowNHobJQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h6j6QfpEEdu5nowNHobJQQ" value="1"/>
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        <ownedAttribute xmi:id="_zdglged4Ed6qdqXtvR-ZHQ" name="aspExamination" visibility="public" type="_opfpUOd4Ed6qdqXtvR-ZHQ" association="_zdglgOd4Ed6qdqXtvR-ZHQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_53yqY9erEd6LztJI5rSz2w" value="1"/>
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        <ownedAttribute xmi:id="_wwGkcN3-Ed6yatlejfcw_g" name="aspProcedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_wv8zcN3-Ed6yatlejfcw_g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wwGkct3-Ed6yatlejfcw_g" value="1"/>
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        <ownedAttribute xmi:id="_Ha6MQedyEd6qdqXtvR-ZHQ" name="audiologyTest" visibility="public" type="_X3DrEOdxEd6qdqXtvR-ZHQ" association="_Ha6MQOdyEd6qdqXtvR-ZHQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ha6MQ-dyEd6qdqXtvR-ZHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZrLtcAfLEdy3KpsmoxUG6w" name="clinic" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_ZrB8cAfLEdy3KpsmoxUG6w">
          <ownedComment xmi:id="_gB-3cAfLEdy3KpsmoxUG6w" annotatedElement="_ZrLtcAfLEdy3KpsmoxUG6w">
            <body>The name of the Clinic for Audiology and Speech Pathology, or Telephone/Rehab and Support.  Equivalent to File 44.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_32cVcAhrEdytD4Rub_bh_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_32cVcQhrEdytD4Rub_bh_Q" value="1"/>
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        <ownedAttribute xmi:id="_4ODLEedyEd6qdqXtvR-ZHQ" name="clinicStop" visibility="public" type="_420A62FD03B64242CAB30303" association="_4ODLEOdyEd6qdqXtvR-ZHQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ODLE-dyEd6qdqXtvR-ZHQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X-ujQPpEEdu5nowNHobJQQ" name="aspClinicVisitEvent_aspDiagnosisList" memberEnd="_X-ujQfpEEdu5nowNHobJQQ _X-ujQvpEEdu5nowNHobJQQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Mf3BUPpGEdu5nowNHobJQQ" name="AspPatient">
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        <ownedComment xmi:id="_UXOmMPpGEdu5nowNHobJQQ" annotatedElement="_Mf3BUPpGEdu5nowNHobJQQ">
          <body>Contains identifying, demographic, and other clinical information for all patients seen in the Audiology and Speech Pathology clinics.  The entries in this file are pointers to the Patient file #2.  (file 509850.2)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_vyw40PpHEdu5nowNHobJQQ" name="aspFileNbr" visibility="public">
          <ownedComment xmi:id="_yaizYPpHEdu5nowNHobJQQ" annotatedElement="_vyw40PpHEdu5nowNHobJQQ">
            <body>An existing LOCAL file number associated with this Audiology and Speech Pathology patient.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6pdyMeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_68rMgPpHEdu5nowNHobJQQ" name="initialVisitDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_CLXAwPpIEdu5nowNHobJQQ" annotatedElement="_68rMgPpHEdu5nowNHobJQQ">
            <body>The date of this patient's first visit to the Audiology and/or Speech Pathology clinic at this site. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_68v6kOG2EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_68v6keG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TyZykQiDEdyJO-vBnZQAvw" name="diagnosticCondition" visibility="public" type="_W_1CwAiBEdyJO-vBnZQAvw" isUnique="false" association="_TyZykAiDEdyJO-vBnZQAvw">
          <ownedComment xmi:id="_jfyRcAiDEdyJO-vBnZQAvw" annotatedElement="_TyZykQiDEdyJO-vBnZQAvw">
            <body>Identifies ICD-9CM diagnostic condition code for the A&amp;amp;amp;SP patient.  Equivalent to a pointer to File 509850.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YeXLYAiDEdyJO-vBnZQAvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YeXLYQiDEdyJO-vBnZQAvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5k8ssOEIEd6EKMSYA1gKjA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_5kziwOEIEd6EKMSYA1gKjA">
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        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W_1CwAiBEdyJO-vBnZQAvw" name="AspDiagnosticCondition">
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        <ownedComment xmi:id="_xo-EkAiBEdyJO-vBnZQAvw" annotatedElement="_W_1CwAiBEdyJO-vBnZQAvw">
          <body>Contains pointers to a small subset of ICD-9CM codes which pertain to Audiology and Speech Pathology.  Entries in this file are pointed to by the Diagnostic Code field in the A&amp;amp;amp;SP Clinic Visit file. (file </body>
        </ownedComment>
        <ownedAttribute xmi:id="_ppaNAAiBEdyJO-vBnZQAvw" name="dateEntered" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_13IHEAiBEdyJO-vBnZQAvw" annotatedElement="_ppaNAAiBEdyJO-vBnZQAvw">
            <body>The date the DIAGNOSTIC CONDITION was entered for the A&amp;amp;amp;SP patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0Y8PUOG2EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0Y8PUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Aac74AiCEdyJO-vBnZQAvw" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_AaTK4AiCEdyJO-vBnZQAvw">
          <ownedComment xmi:id="_IylrgAiCEdyJO-vBnZQAvw" annotatedElement="_Aac74AiCEdyJO-vBnZQAvw">
            <body>Identification of an A&amp;amp;amp;SP condition through a method of consistent analysis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4TfZUOG2EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4TfZUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AaTK4AiCEdyJO-vBnZQAvw" name="aspPatient_diagnosis" memberEnd="_Aac74AiCEdyJO-vBnZQAvw _Aac74QiCEdyJO-vBnZQAvw">
        <eAnnotations xmi:id="_vc72kOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TyZykAiDEdyJO-vBnZQAvw" name="aspPatient_diagnosticCondition" memberEnd="_TyZykQiDEdyJO-vBnZQAvw _TyZykgiDEdyJO-vBnZQAvw">
        <eAnnotations xmi:id="_wMnnEOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_TyZykgiDEdyJO-vBnZQAvw" name="" visibility="public" type="_Mf3BUPpGEdu5nowNHobJQQ" association="_TyZykAiDEdyJO-vBnZQAvw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_53yqYNerEd6LztJI5rSz2w" name="aspClinicVisitEvent_aspPatient" memberEnd="_53yqYderEd6LztJI5rSz2w _53yqZNerEd6LztJI5rSz2w">
        <eAnnotations xmi:id="_gvoUoOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_53yqZNerEd6LztJI5rSz2w" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_53yqYNerEd6LztJI5rSz2w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wv8zcN3-Ed6yatlejfcw_g" name="aspClinicVisitEvent_aspProcedureList" memberEnd="_wwGkcN3-Ed6yatlejfcw_g _wwGkc93-Ed6yatlejfcw_g">
        <eAnnotations xmi:id="_jhjpsOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_wwGkc93-Ed6yatlejfcw_g" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_wv8zcN3-Ed6yatlejfcw_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5kziwOEIEd6EKMSYA1gKjA" name="aspPatient_patient" memberEnd="_5k8ssOEIEd6EKMSYA1gKjA _5k8ss-EIEd6EKMSYA1gKjA">
        <eAnnotations xmi:id="_xCHrsOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_5k8ss-EIEd6EKMSYA1gKjA" name="" visibility="public" type="_Mf3BUPpGEdu5nowNHobJQQ" association="_5kziwOEIEd6EKMSYA1gKjA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_X3DrEOdxEd6qdqXtvR-ZHQ" name="AudiometricTest">
        <ownedAttribute xmi:id="_S4FCsPm5EdugT9gWNLG-rw" name="audiometricTestingDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_lTgcMPm5EdugT9gWNLG-rw" annotatedElement="_S4FCsPm5EdugT9gWNLG-rw">
            <body>The DATE OF AUDIOMETRIC TESTING when actual testing was done or  the DATE OF AUDIOMETRIC TESTING  from a past visit when testing is not done on the current date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qy7XUOG2EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qy7XUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_onwX0PmQEdujtLJseI9nUA" name="leftThreshold2000Hz" visibility="public">
          <ownedComment xmi:id="_ugdQkPmQEdujtLJseI9nUA" annotatedElement="_onwX0PmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 2000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q_cJUOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q_cJUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xh4aMPmQEdujtLJseI9nUA" name="leftThreshold3000Hz" visibility="public">
          <ownedComment xmi:id="_zJJS8PmQEdujtLJseI9nUA" annotatedElement="_xh4aMPmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 3000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rI5AQOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rI5AQeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EO8PEPm5EdugT9gWNLG-rw" name="leftNu6Score" visibility="public">
          <ownedComment xmi:id="_Lx5DIPm5EdugT9gWNLG-rw" annotatedElement="_EO8PEPm5EdugT9gWNLG-rw">
            <body>Indicates the patient's (Left) word recognition score for NU-6 Material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rSV3MOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rSV3MeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HuNr8PmxEdugT9gWNLG-rw" name="leftCidW22Score" visibility="public">
          <ownedComment xmi:id="_S_uccPmxEdugT9gWNLG-rw" annotatedElement="_HuNr8PmxEdugT9gWNLG-rw">
            <body>Indicates the patient's (Left) word recognition score for CID W-22 material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rbHYsOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rbHYseG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_71G9gPmQEdujtLJseI9nUA" name="leftThreshold4000Hz" visibility="public">
          <ownedComment xmi:id="_X-NWMPmREdujtLJseI9nUA" annotatedElement="_71G9gPmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 4000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rmm3AOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rmm3AeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bwf8EPmREdujtLJseI9nUA" name="leftThresholdAverage" visibility="public">
          <ownedComment xmi:id="_jfN7QPmREdujtLJseI9nUA" annotatedElement="_bwf8EPmREdujtLJseI9nUA">
            <body>This is the average pure tone threshold for this patient's Left ear. This indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the Left ear. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rvIg4OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rvIg4eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bUAp0PmQEdujtLJseI9nUA" name="leftThreshold1000Hz" visibility="public">
          <ownedComment xmi:id="_f1PZUPmQEdujtLJseI9nUA" annotatedElement="_bUAp0PmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 1000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r4jioOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r4jioeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-eDLIPmPEdujtLJseI9nUA" name="leftThreshold500Hz" visibility="public">
          <ownedComment xmi:id="_VtfGMPmQEdujtLJseI9nUA" annotatedElement="_-eDLIPmPEdujtLJseI9nUA">
            <body>Indicates the patient's pure tone threshold (Left) at 500Hz.  Used in determining whether or not a ratable hearing loss exists.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_E85xAPmoEdujwfydFwcCNw" name="leftCncScore" visibility="public">
          <ownedComment xmi:id="_OVIEoPmoEdujwfydFwcCNw" annotatedElement="_E85xAPmoEdujwfydFwcCNw">
            <body>Indicates the patient's (Left) word recognition score for Maryland CNC material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sJBnkOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sJBnkeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nZMvcPmPEdujtLJseI9nUA" name="rightThreshold4000Hz" visibility="public">
          <ownedComment xmi:id="_pWqhsPmPEdujtLJseI9nUA" annotatedElement="_nZMvcPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 4000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sVlc4OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sVlc4eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Q4MUPm4EdugT9gWNLG-rw" name="rightNu6Score" visibility="public">
          <ownedComment xmi:id="_DeELwPm5EdugT9gWNLG-rw" annotatedElement="_8Q4MUPm4EdugT9gWNLG-rw">
            <body>Indicates the patient's (Right) word recognition score for NU-6 Material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sevY4OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sevY4eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8JT90PmOEdujtLJseI9nUA" name="rightThreshold1000Hz" visibility="public">
          <ownedComment xmi:id="_92_AkPmOEdujtLJseI9nUA" annotatedElement="_8JT90PmOEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 1000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sor_EOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sosmIOG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7rB70PmNEdujtLJseI9nUA" name="rightThreshold500Hz" visibility="public">
          <ownedComment xmi:id="_3MznkPmOEdujtLJseI9nUA" annotatedElement="_7rB70PmNEdujtLJseI9nUA">
            <body>Indicates the patient's pure tone threshold (Right) at 500Hz.  Used in determining whether or not a ratable hearing loss exists.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sxWy4OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sxWy4eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cRrBYPmPEdujtLJseI9nUA" name="rightThreshold3000Hz" visibility="public">
          <ownedComment xmi:id="_kCeEMPmPEdujtLJseI9nUA" annotatedElement="_cRrBYPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 3000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s6oqsOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s6oqseG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_--EsAPmwEdugT9gWNLG-rw" name="rightCidW22Score" visibility="public">
          <ownedComment xmi:id="_HNbTEPmxEdugT9gWNLG-rw" annotatedElement="_--EsAPmwEdugT9gWNLG-rw">
            <body>Indiates the patient's (Right) word recognition score for CID W-22 material. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tCg0UOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tCg0UeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_siEZ0PmnEdujwfydFwcCNw" name="rightCncScore" visibility="public">
          <ownedComment xmi:id="_ETLekPmoEdujwfydFwcCNw" annotatedElement="_siEZ0PmnEdujwfydFwcCNw">
            <body>Indicates the patient's (Right) word recognition score for Maryland CNC material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tLtzoOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tLtzoeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ok4hQPmPEdujtLJseI9nUA" name="rightThreshold2000Hz" visibility="public">
          <ownedComment xmi:id="_Pdp8UPmPEdujtLJseI9nUA" annotatedElement="_Ok4hQPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 2000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tUhKUOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tUhKUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x4DT8PmPEdujtLJseI9nUA" name="rightThresholdAverage" visibility="public">
          <ownedComment xmi:id="_6bEd4PmPEdujtLJseI9nUA" annotatedElement="_x4DT8PmPEdujtLJseI9nUA">
            <body>This is the average pure tone threshold for this patient's right ear. This indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the right ear. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tdkYoOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tdk_sOG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ha6MQOdyEd6qdqXtvR-ZHQ" name="aspClinicVisitEvent_audiologyTest" memberEnd="_Ha6MQedyEd6qdqXtvR-ZHQ _Ha6MROdyEd6qdqXtvR-ZHQ">
        <eAnnotations xmi:id="_lHLjsOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_Ha6MROdyEd6qdqXtvR-ZHQ" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_Ha6MQOdyEd6qdqXtvR-ZHQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ODLEOdyEd6qdqXtvR-ZHQ" name="aspClinicVisitEvent_clinicStop" memberEnd="_4ODLEedyEd6qdqXtvR-ZHQ _4ODLFOdyEd6qdqXtvR-ZHQ">
        <eAnnotations xmi:id="_uwY5oOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_4ODLFOdyEd6qdqXtvR-ZHQ" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_4ODLEOdyEd6qdqXtvR-ZHQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_opfpUOd4Ed6qdqXtvR-ZHQ" name="AspExamination">
        <ownedAttribute xmi:id="_PgatcPo0EdunW4zPvv_bwA" name="diagnosisSummary" visibility="public">
          <ownedComment xmi:id="_SyFSgPo0EdunW4zPvv_bwA" annotatedElement="_PgatcPo0EdunW4zPvv_bwA">
            <body>Provides a textual summary of audiologic test results.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jS-z8OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jS-z8eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_90rEcPozEdunW4zPvv_bwA" name="diagnosticAndClinicalTests" visibility="public">
          <ownedComment xmi:id="_BHYLUPo0EdunW4zPvv_bwA" annotatedElement="_90rEcPozEdunW4zPvv_bwA">
            <body>Provides results of all diagnostic and clinical tests conducted in the examination report.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_klrK4OG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_klrK4eG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qaEs8PozEdunW4zPvv_bwA" name="medicalHistory" visibility="public">
          <ownedComment xmi:id="_xklL0PozEdunW4zPvv_bwA" annotatedElement="_qaEs8PozEdunW4zPvv_bwA">
            <body>Provides the textual description of the subjective complaints like if the hearing loss is present, if the tinnitus is present etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ip9sIOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ip9sIeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x1t_IPozEdunW4zPvv_bwA" name="physicalExam" visibility="public">
          <ownedComment xmi:id="_5N7i0PozEdunW4zPvv_bwA" annotatedElement="_x1t_IPozEdunW4zPvv_bwA">
            <body>Provides a textual description of the objective findings on pure tone threashold, speech recognition score etc. to evaluate the hearing loss.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kCCSUOG2EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kCCSUeG2EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zdglgOd4Ed6qdqXtvR-ZHQ" name="aspClinicVisitEvent_aspExamination" memberEnd="_zdglged4Ed6qdqXtvR-ZHQ _zdglhOd4Ed6qdqXtvR-ZHQ">
        <eAnnotations xmi:id="_mmsOoOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_zdglhOd4Ed6qdqXtvR-ZHQ" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_zdglgOd4Ed6qdqXtvR-ZHQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_1oY5AE1PEd-ZC8uuCl8MVA" name="BehavioralHealth">
      <eAnnotations xmi:id="_ZmaCsE1UEd-ZC8uuCl8MVA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_peu88La1Ed-Y0_knsxZjWg" annotatedElement="_1oY5AE1PEd-ZC8uuCl8MVA">
        <body>Behavioral Health Domain</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Package" xmi:id="_UmWZEI8GEd-XNpj2tjovxA" name="Behavioral Health Domain">
        <eAnnotations xmi:id="_UmWZEY8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
        <ownedComment xmi:id="_UmWZEo8GEd-XNpj2tjovxA" annotatedElement="_UmWZEI8GEd-XNpj2tjovxA">
          <body>The purpose of this model is to describe the main information classes required to           support continuity of care across specialties including information to and from behavioral           health facilities. This model describes the information and the most important coded           concepts required for semantic interoperability regardless of platform or exchange           mechanism (e.g. HL7 CDA, ASTM, NIEM).</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Package" xmi:id="_UmWZE48GEd-XNpj2tjovxA" name="2 - Model">
          <eAnnotations xmi:id="_UmWZFI8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmWZFY8GEd-XNpj2tjovxA" name="1. FHIM Common Classes">
            <eAnnotations xmi:id="_UmWZFo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
            <ownedComment xmi:id="_UmWaPI8GEd-XNpj2tjovxA" annotatedElement="_UmWZFY8GEd-XNpj2tjovxA">
              <body>The following section identifies the common FHIM classes that are reused throughout the FHIM Behavioral Health Domain.</body>
            </ownedComment>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmWaPY8GEd-XNpj2tjovxA" name="2. Behavioral Health: Information Model">
            <eAnnotations xmi:id="_UmWaPo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
            <ownedComment xmi:id="_UmWaP48GEd-XNpj2tjovxA" annotatedElement="_UmWaPY8GEd-XNpj2tjovxA">
              <body>This section describes the information classes and data elements required to support those interoperability use cases specified in the scope of this domain.  The classes identified here are deemed sufficient to support the use cases described in the Use Cases of this document.</body>
            </ownedComment>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmWaQI8GEd-XNpj2tjovxA" name="2.4 Summary Information Exchange Classes">
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              <ownedComment xmi:id="_UmWdlo8GEd-XNpj2tjovxA" annotatedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <body>This section describes the structure and information objects required to                 communicate Behavioral Health records to other specialties and care environments                 (e.g. acute care). The information detailed in this section is intended to address                 the information requirements of the &amp;amp;apos;Provide Behavioral Health Summary to Emergency                 Provide&amp;amp;apos; use case - see Section 3.</body>
              </ownedComment>
              <ownedRule xmi:id="_UmWdl48GEd-XNpj2tjovxA" name="Requirement 1:" constrainedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmWdmI8GEd-XNpj2tjovxA" annotatedElement="_UmWdl48GEd-XNpj2tjovxA">
                  <body>The information exchange must be completed using a secure information exchange.</body>
                </ownedComment>
                <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmWdmY8GEd-XNpj2tjovxA"/>
              </ownedRule>
              <ownedRule xmi:id="_UmWdmo8GEd-XNpj2tjovxA" name="Requirement 2:" constrainedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmWdm48GEd-XNpj2tjovxA" annotatedElement="_UmWdmo8GEd-XNpj2tjovxA">
                  <body>The Behavioral Health information may only be disclosed in accordance to prevailing privacy policies and patient consent, if needed.</body>
                </ownedComment>
                <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmWdnI8GEd-XNpj2tjovxA"/>
              </ownedRule>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWdnY8GEd-XNpj2tjovxA" name="BehavioralHealthSummaryReport">
                <ownedComment xmi:id="_UmWdno8GEd-XNpj2tjovxA" annotatedElement="_UmWdnY8GEd-XNpj2tjovxA">
                  <body>This class specifies the summary report intended to exchange selected information relevant across specialties.  It may not include the details of an assessment but it will contain many data elements that are based on the information collected through the assessment and generated from its processing.</body>
                </ownedComment>
                <generalization xmi:id="_UmWdn48GEd-XNpj2tjovxA" general="_420A62FD03B6420B7198029C"/>
                <ownedAttribute xmi:id="_UmWdoI8GEd-XNpj2tjovxA" name="personDemographics" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmWdz48GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWdoo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWdoY8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWdo48GEd-XNpj2tjovxA" name="confidentialityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWdpI8GEd-XNpj2tjovxA" annotatedElement="_UmWdo48GEd-XNpj2tjovxA">
                    <body>This attribute is used to specify that the content of this clinical document is sensitive because it contains Behavioral Health information.  This attribute corresponds to the Act.confidentialityCode in the HL7 Version 3 RIM but is constrained to specify sensitivity and for the purpose of data segmentation.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_SLwCYHFmEeKSx4Trt5CWxw" name="alertsSection" visibility="public" type="_UmWdu48GEd-XNpj2tjovxA" association="_SLsYAHFmEeKSx4Trt5CWxw">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SLwpcHFmEeKSx4Trt5CWxw"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SLxQgHFmEeKSx4Trt5CWxw" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_YHzxIHFmEeKSx4Trt5CWxw" name="functionalStatusSection" visibility="public" type="_UmWd248GEd-XNpj2tjovxA" association="_YHwt0HFmEeKSx4Trt5CWxw">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YH0YMHFmEeKSx4Trt5CWxw"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YH0_QHFmEeKSx4Trt5CWxw" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_dbq3cHFmEeKSx4Trt5CWxw" name="problemSection" visibility="public" type="_UmWd9Y8GEd-XNpj2tjovxA" association="_dbnNEHFmEeKSx4Trt5CWxw">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dbsFkXFmEeKSx4Trt5CWxw" value="1"/>
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                <ownedAttribute xmi:id="_keuDcHFmEeKSx4Trt5CWxw" name="socialHistorySection" visibility="public" type="_UmWd148GEd-XNpj2tjovxA" association="_kepyAHFmEeKSx4Trt5CWxw">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kevRkHFmEeKSx4Trt5CWxw" value="1"/>
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                <ownedAttribute xmi:id="_sTUoMHFmEeKSx4Trt5CWxw" name="behavioralHealthSection" visibility="public" type="_UmWdtI8GEd-XNpj2tjovxA" association="_sTQ90HFmEeKSx4Trt5CWxw">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sTVPQHFmEeKSx4Trt5CWxw"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sTV2UHFmEeKSx4Trt5CWxw" value="*"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWdtI8GEd-XNpj2tjovxA" name="ResultsSection">
                <ownedComment xmi:id="_UmWdtY8GEd-XNpj2tjovxA" annotatedElement="_UmWdtI8GEd-XNpj2tjovxA">
                  <body>This is a results document section intended to hold the values of behavioral health assessment scores and sub-scores. This is part of a summary report that may be exchanged across specialties to support continuity of care.  Other related results may be included in this section.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWdto8GEd-XNpj2tjovxA" name="sensitivityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWdt48GEd-XNpj2tjovxA" annotatedElement="_UmWdto8GEd-XNpj2tjovxA">
                    <body>This attribute is used to specify that the content of this clinical document is sensitive because it contains Behavioral Health information.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_iHL5cHFoEeKSx4Trt5CWxw" name="assessmentEvent" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_iHIPEHFoEeKSx4Trt5CWxw">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iHNHkHFoEeKSx4Trt5CWxw" value="1"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWdu48GEd-XNpj2tjovxA" name="AlertsSection">
                <ownedComment xmi:id="_UmWdvI8GEd-XNpj2tjovxA" annotatedElement="_UmWdu48GEd-XNpj2tjovxA">
                  <body>This class corresponds to a document section intended to contain the alerts, allergies, and adverse reactions.  This class provides context required for behavioral health interoperability.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWdvY8GEd-XNpj2tjovxA" name="suicideAlert" visibility="public" type="_UmgLu48GEd-XNpj2tjovxA" association="_UmWdw48GEd-XNpj2tjovxA">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWdvo8GEd-XNpj2tjovxA" value="*"/>
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                <ownedAttribute xmi:id="_-Ys5MHFmEeKSx4Trt5CWxw" name="violentBehaviorRisk" visibility="public" type="_UmgL8o8GEd-XNpj2tjovxA" association="_-YpO0HFmEeKSx4Trt5CWxw">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YuHUHFmEeKSx4Trt5CWxw"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YuHUXFmEeKSx4Trt5CWxw" value="1"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWdw48GEd-XNpj2tjovxA" name="alertsSection_suicideAlert" memberEnd="_UmWdvY8GEd-XNpj2tjovxA _UmWdxI8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWdxI8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWdu48GEd-XNpj2tjovxA" association="_UmWdw48GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWdxo8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWdxY8GEd-XNpj2tjovxA" value="1"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWdx48GEd-XNpj2tjovxA" name="problemSection_diagnosis" memberEnd="_UmWd9o8GEd-XNpj2tjovxA _UmWdyI8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWdyI8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWd9Y8GEd-XNpj2tjovxA" association="_UmWdx48GEd-XNpj2tjovxA">
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              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWdz48GEd-XNpj2tjovxA" name="behavioralHealthSummaryReport_personDemographics" memberEnd="_UmWdoI8GEd-XNpj2tjovxA _UmWd0I8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWd0I8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_UmWdz48GEd-XNpj2tjovxA">
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd148GEd-XNpj2tjovxA" name="SocialHistorySection">
                <ownedAttribute xmi:id="_LCxNgHFmEeKSx4Trt5CWxw" name="socialHistory" visibility="public" type="_UmWd4I8GEd-XNpj2tjovxA" association="_LCtjIHFmEeKSx4Trt5CWxw">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LCx0kHFmEeKSx4Trt5CWxw"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LCyboHFmEeKSx4Trt5CWxw" value="1"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd248GEd-XNpj2tjovxA" name="FunctionalStatusSection">
                <ownedAttribute xmi:id="_C61dEHFmEeKSx4Trt5CWxw" name="functionalStatus" visibility="public" type="_UmWd348GEd-XNpj2tjovxA" association="_C6e3wHFmEeKSx4Trt5CWxw">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C63SQHFmEeKSx4Trt5CWxw" value="1"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd348GEd-XNpj2tjovxA" name="FunctionalStatus"/>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd4I8GEd-XNpj2tjovxA" name="SocialHistory"/>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd9Y8GEd-XNpj2tjovxA" name="ProblemSection">
                <ownedAttribute xmi:id="_UmWd9o8GEd-XNpj2tjovxA" name="diagnosis" visibility="public" type="_UmgMk48GEd-XNpj2tjovxA" association="_UmWdx48GEd-XNpj2tjovxA">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWd948GEd-XNpj2tjovxA" value="*"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_C6e3wHFmEeKSx4Trt5CWxw" name="functionalStatusSection_functionalStatus" memberEnd="_C61dEHFmEeKSx4Trt5CWxw _C64gYHFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_C64gYHFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWd248GEd-XNpj2tjovxA" association="_C6e3wHFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_LCtjIHFmEeKSx4Trt5CWxw" name="socialHistorySection_socialHistory" memberEnd="_LCxNgHFmEeKSx4Trt5CWxw _LC1e8HFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_LC1e8HFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWd148GEd-XNpj2tjovxA" association="_LCtjIHFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_SLsYAHFmEeKSx4Trt5CWxw" name="behavioralHealthSummaryReport_alertsSection" memberEnd="_SLwCYHFmEeKSx4Trt5CWxw _SL0T0HFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_SL0T0HFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_SLsYAHFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_YHwt0HFmEeKSx4Trt5CWxw" name="behavioralHealthSummaryReport_functionalStatusSection" memberEnd="_YHzxIHFmEeKSx4Trt5CWxw _YH4CkHFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_YH4CkHFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_YHwt0HFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_dbnNEHFmEeKSx4Trt5CWxw" name="behavioralHealthSummaryReport_problemSection" memberEnd="_dbq3cHFmEeKSx4Trt5CWxw _dbvv8HFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_dbvv8HFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_dbnNEHFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_kepyAHFmEeKSx4Trt5CWxw" name="behavioralHealthSummaryReport_socialHistorySection" memberEnd="_keuDcHFmEeKSx4Trt5CWxw _keyU4HFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_keyU4HFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_kepyAHFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_sTQ90HFmEeKSx4Trt5CWxw" name="behavioralHealthSummaryReport_behavioralHealthSection" memberEnd="_sTUoMHFmEeKSx4Trt5CWxw _sTYSkHFmEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_sTYSkHFmEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdnY8GEd-XNpj2tjovxA" association="_sTQ90HFmEeKSx4Trt5CWxw"/>
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              <packagedElement xmi:type="uml:Association" xmi:id="_-YpO0HFmEeKSx4Trt5CWxw" name="alertsSection_violentBehaviorRisk" memberEnd="_-Ys5MHFmEeKSx4Trt5CWxw _-YxKoHFmEeKSx4Trt5CWxw">
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              <packagedElement xmi:type="uml:Association" xmi:id="_iHIPEHFoEeKSx4Trt5CWxw" name="resultsSection_assessmentEvent" memberEnd="_iHL5cHFoEeKSx4Trt5CWxw _iHQK4HFoEeKSx4Trt5CWxw">
                <ownedEnd xmi:id="_iHQK4HFoEeKSx4Trt5CWxw" name="" visibility="public" type="_UmWdtI8GEd-XNpj2tjovxA" association="_iHIPEHFoEeKSx4Trt5CWxw"/>
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            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmWeAY8GEd-XNpj2tjovxA" name="2.2 Behavioral Health Assessment Exchange Classes">
              <eAnnotations xmi:id="_UmWeAo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmWijY8GEd-XNpj2tjovxA" annotatedElement="_UmWeAY8GEd-XNpj2tjovxA">
                <body>This section focuses on those classes required to exchange either summary or details of a Behavioral Health assessment.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWijo8GEd-XNpj2tjovxA" name="NumericQuestion">
                <ownedComment xmi:id="_UmWij48GEd-XNpj2tjovxA" annotatedElement="_UmWijo8GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires a numeric answer.</body>
                </ownedComment>
                <generalization xmi:id="_UmWikI8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWiko8GEd-XNpj2tjovxA" name="response" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
                  <ownedComment xmi:id="_UmWik48GEd-XNpj2tjovxA" annotatedElement="_UmWiko8GEd-XNpj2tjovxA">
                    <body>This attribute represents a numeric response as a numeric to a specific                     assessment question. If a response is not provided, the null value may be                     qualified by an ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWilY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWilI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWilo8GEd-XNpj2tjovxA" name="MentalHealthAssessment">
                <ownedComment xmi:id="_UmWil48GEd-XNpj2tjovxA" annotatedElement="_UmWilo8GEd-XNpj2tjovxA">
                  <body>This type of assessment is intended to evaluate the mental health problems affecting the patient.  This class is a specialization/restriction of the BehavioralHealthAssessment class.</body>
                </ownedComment>
                <generalization xmi:id="_UmWimI8GEd-XNpj2tjovxA" general="_UmWjdI8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWimY8GEd-XNpj2tjovxA" name="LegalProblem">
                <ownedComment xmi:id="_UmWimo8GEd-XNpj2tjovxA" annotatedElement="_UmWimY8GEd-XNpj2tjovxA">
                  <body>This class is used to record answers related to any criminal justice issues (e.g., criminal record, parole status).</body>
                </ownedComment>
                <generalization xmi:id="_UmWim48GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWinI8GEd-XNpj2tjovxA" name="PhysicalHealth">
                <ownedComment xmi:id="_UmWinY8GEd-XNpj2tjovxA" annotatedElement="_UmWinI8GEd-XNpj2tjovxA">
                  <body> This class is used to specify the non-mental health problems or diagnoses of the patient.</body>
                </ownedComment>
                <generalization xmi:id="_UmWino8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWin48GEd-XNpj2tjovxA" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_UmWjKo8GEd-XNpj2tjovxA">
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                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWioI8GEd-XNpj2tjovxA" value="*"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWioo8GEd-XNpj2tjovxA" name="Medication">
                <ownedComment xmi:id="_UmWio48GEd-XNpj2tjovxA" annotatedElement="_UmWioo8GEd-XNpj2tjovxA">
                  <body>This problem area/section of the assessment is used to identify the medications administered to the patient.</body>
                </ownedComment>
                <generalization xmi:id="_UmWipI8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWipY8GEd-XNpj2tjovxA" name="medicationAdministered" visibility="public" type="_420A62FD03B641B4BDD30213" association="_UmWjLI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_ZtgQsJd4Ed-1hLYGSfVdpQ" annotatedElement="_UmWipY8GEd-XNpj2tjovxA">
                    <body>This directed association describes the relationship between the Medications                     that the client/patient is taking as defined in the Medications Area of the                     assessment.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWip48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWipo8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiqI8GEd-XNpj2tjovxA" name="PsychiatricProblem">
                <ownedComment xmi:id="_UmWiqY8GEd-XNpj2tjovxA" annotatedElement="_UmWiqI8GEd-XNpj2tjovxA">
                  <body>This section of the assessment is used to identify the psychiatric problems of a patient.</body>
                </ownedComment>
                <generalization xmi:id="_UmWiqo8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWiq48GEd-XNpj2tjovxA" name="psychiatricDiagnosis" visibility="public" type="_UmgMk48GEd-XNpj2tjovxA" association="_UmWjMI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWirY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWirI8GEd-XNpj2tjovxA" value="*"/>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiro8GEd-XNpj2tjovxA" name="QuantityQuestion">
                <ownedComment xmi:id="_J1-SAHCcEeKknILXOCcS7w" annotatedElement="_UmWiro8GEd-XNpj2tjovxA">
                  <body>This class is used to specify the response to questions that are expressed by a quantity (e.g., years of use).</body>
                </ownedComment>
                <generalization xmi:id="_EHxOgHCbEeKknILXOCcS7w" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWiso8GEd-XNpj2tjovxA" name="response" visibility="public" type="_420A62FD03B641886F630221">
                  <ownedComment xmi:id="_UmWis48GEd-XNpj2tjovxA" annotatedElement="_UmWiso8GEd-XNpj2tjovxA">
                    <body>If a response requires a quantity (e.g. years), this attribute specifies its                     coded value. If a response is not provided, the null value may be qualified by                     an ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWitI8GEd-XNpj2tjovxA" name="Question" isAbstract="true">
                <eAnnotations xmi:id="_KucdAHCaEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
                  <details xmi:id="_KucdAXCaEeKknILXOCcS7w" key="deprecated"/>
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                <ownedComment xmi:id="_UmWitY8GEd-XNpj2tjovxA" annotatedElement="_UmWitI8GEd-XNpj2tjovxA">
                  <body>This class represents the abstract base class for all the questions contained in the assessment questionnaire.&#xD;
This class is deprecated - use the AssessmentInstrumentQuestion class instead.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWito8GEd-XNpj2tjovxA" name="question" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWit48GEd-XNpj2tjovxA" annotatedElement="_UmWito8GEd-XNpj2tjovxA">
                    <body>The question in a questionnaire (e.g. Assessment instrument) may be based on                     a common value set. Therefore, the question may be a coded attribute.</body>
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                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiuI8GEd-XNpj2tjovxA" name="SubstanceAbuseAssessment">
                <ownedComment xmi:id="_UmWiuY8GEd-XNpj2tjovxA" annotatedElement="_UmWiuI8GEd-XNpj2tjovxA">
                  <body>This class represents any type of assessment used to identify the substance abuse problems of a patient.  This class is a specialization/restriction of the BehavioralHealthAssessment class.</body>
                </ownedComment>
                <generalization xmi:id="_UmWiuo8GEd-XNpj2tjovxA" general="_UmWjdI8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiu48GEd-XNpj2tjovxA" name="TrueFalseQuestion">
                <ownedComment xmi:id="_PMgR0HCcEeKknILXOCcS7w" annotatedElement="_UmWiu48GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires a true of false answer.  Both the question and the answer are identified. Ideally, the question code would identify the issue or assertion confirmed or denied by the answer.</body>
                </ownedComment>
                <generalization xmi:id="_UmWivY8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWiv48GEd-XNpj2tjovxA" name="response" visibility="public">
                  <ownedComment xmi:id="_UmWiwI8GEd-XNpj2tjovxA" annotatedElement="_UmWiv48GEd-XNpj2tjovxA">
                    <body>This attribute represents a response as a boolean (true/false) response to a                     specific assessment question. If a response is not provided, the null value may                     be qualified by an ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi0o8GEd-XNpj2tjovxA" name="CodedQuestion">
                <ownedComment xmi:id="_UmWi048GEd-XNpj2tjovxA" annotatedElement="_UmWi0o8GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires an answer based on a predefined terminology/value set.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi1I8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWi1o8GEd-XNpj2tjovxA" name="response" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWi148GEd-XNpj2tjovxA" annotatedElement="_UmWi1o8GEd-XNpj2tjovxA">
                    <body>This attribute represents response as a coded value to a specific assessment                     question. If a response is not provided, then the null value may be qualified by                     a ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi2Y8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi2I8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi2o8GEd-XNpj2tjovxA" name="DrugUseHistory">
                <ownedComment xmi:id="_UmWi248GEd-XNpj2tjovxA" annotatedElement="_UmWi2o8GEd-XNpj2tjovxA">
                  <body>This class is intended to specify the information exchanged to describe drug use history.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi3I8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi3Y8GEd-XNpj2tjovxA" name="FamilySocialHistory">
                <ownedComment xmi:id="_UmWi3o8GEd-XNpj2tjovxA" annotatedElement="_UmWi3Y8GEd-XNpj2tjovxA">
                  <body>This area of the assessment is used to record answers related to family and social history that may predispose the patient to a specific type of problem.  This includes living arrangement.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi348GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWi4I8GEd-XNpj2tjovxA" name="traumaHistory" visibility="public">
                  <ownedComment xmi:id="_UmWi4Y8GEd-XNpj2tjovxA" annotatedElement="_UmWi4I8GEd-XNpj2tjovxA">
                    <body>This coded attribute specifies whether the patient may have a history of physical or mental trauma even though it has not yet manifested as a diagnosis.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi4o8GEd-XNpj2tjovxA" name="householdComposition" visibility="public" type="_UmWjSo8GEd-XNpj2tjovxA" association="_UmWjcI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi5I8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi448GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_lrV5kHCgEeKknILXOCcS7w" name="livingArrangement" visibility="public" type="_UmWjXI8GEd-XNpj2tjovxA" association="_lrTdUHCgEeKknILXOCcS7w">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lrWgoHCgEeKknILXOCcS7w"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lrXHsHCgEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_AJORIHCiEeKknILXOCcS7w" name="socialNetwork" visibility="public" type="_UmWjWo8GEd-XNpj2tjovxA" association="_AJLN0HCiEeKknILXOCcS7w">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJPfQHCiEeKknILXOCcS7w" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJPfQXCiEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi648GEd-XNpj2tjovxA" name="FrequencyQuestion">
                <ownedComment xmi:id="_8oYPUHCbEeKknILXOCcS7w" annotatedElement="_UmWi648GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires an answer specifying the number a times (repetitions) an event occurred during a unit of time (e.g. number of drinks per week).</body>
                </ownedComment>
                <generalization xmi:id="_UmWi7Y8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWi8I8GEd-XNpj2tjovxA" name="response" visibility="public" type="_420A62FD03B64239FAA800D9">
                  <ownedComment xmi:id="_UmWi8Y8GEd-XNpj2tjovxA" annotatedElement="_UmWi8I8GEd-XNpj2tjovxA">
                    <body> This coded attribute is used to specify the number of occurrences within a                     given period of time. If a response is not provided, the null value may be                     qualified by an ASKU (asked but unknown) null flavor. </body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi8o8GEd-XNpj2tjovxA" name="BehavioralHealthAssessmentDomain" isAbstract="true">
                <eAnnotations xmi:id="_UmWi848GEd-XNpj2tjovxA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedComment xmi:id="_UmWi9I8GEd-XNpj2tjovxA" annotatedElement="_UmWi8o8GEd-XNpj2tjovxA">
                  <body>This class is container for a set of questions and answers needed to evaluate behavioral health issues. This class description is consistent with the HL7 Implementation Guide for CDA Release 2: CDA Framework for Questionnaire Assessments, Release 1.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWi9Y8GEd-XNpj2tjovxA" name="codedQuestion" visibility="public" type="_UmWi0o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_dKiS8HCcEeKknILXOCcS7w" annotatedElement="_UmWi9Y8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a coded response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi-I8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi948GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi_48GEd-XNpj2tjovxA" name="frequencyQuestion" visibility="public" type="_UmWi648GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_hbaSQHCcEeKknILXOCcS7w" annotatedElement="_UmWi_48GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a frequency response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjAY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjAI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi_I8GEd-XNpj2tjovxA" name="numericQuestion" visibility="public" type="_UmWijo8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_qPwcwHCcEeKknILXOCcS7w" annotatedElement="_UmWi_I8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a numeric response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi_o8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi_Y8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjAo8GEd-XNpj2tjovxA" name="quantityQuestion" visibility="public" type="_UmWiro8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_uHva8HCcEeKknILXOCcS7w" annotatedElement="_UmWjAo8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a quantity response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjBI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjA48GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi-Y8GEd-XNpj2tjovxA" name="trueFalseQuestion" visibility="public" type="_UmWiu48GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_DfwRkJd3Ed-1hLYGSfVdpQ" annotatedElement="_UmWi-Y8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a true or a false (boolean) response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi-48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi-o8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjBY8GEd-XNpj2tjovxA" name="outcome" visibility="public" type="_UmWjX48GEd-XNpj2tjovxA" association="_UmWjZo8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_-2BtYJd2Ed-1hLYGSfVdpQ" annotatedElement="_UmWjBY8GEd-XNpj2tjovxA">
                    <body>This is a directed association describing the relationship between an assessment and the outcome measurements related to that assessment.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjB48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjBo8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCI8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWiu48GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCY8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWijo8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCo8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWiro8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjC48GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWi0o8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjDI8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWi648GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjFI8GEd-XNpj2tjovxA" name="behavioralHealthAssessment_problemArea" memberEnd="_UmWjeo8GEd-XNpj2tjovxA _UmWjFY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjFY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjdI8GEd-XNpj2tjovxA" association="_UmWjFI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjF48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjFo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjGI8GEd-XNpj2tjovxA" name="behavioralHealthAssessment_patient" memberEnd="_UmWjd48GEd-XNpj2tjovxA _UmWjGY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjGY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjdI8GEd-XNpj2tjovxA" association="_UmWjGI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjG48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjGo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjKo8GEd-XNpj2tjovxA" name="physicalHealth_diagnosis" memberEnd="_UmWin48GEd-XNpj2tjovxA _UmWjK48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjK48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWinI8GEd-XNpj2tjovxA" association="_UmWjKo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjLI8GEd-XNpj2tjovxA" name="medication_medicationAdministered" memberEnd="_UmWipY8GEd-XNpj2tjovxA _UmWjLY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjLY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWioo8GEd-XNpj2tjovxA" association="_UmWjLI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjL48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjLo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjMI8GEd-XNpj2tjovxA" name="_supportingInformation3" memberEnd="_UmWiq48GEd-XNpj2tjovxA _UmWjMY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjMY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWiqI8GEd-XNpj2tjovxA" association="_UmWjMI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjM48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjMo8GEd-XNpj2tjovxA" value="*"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjNI8GEd-XNpj2tjovxA" name="SubstanceOfChoice">
                <ownedComment xmi:id="_UmWjNY8GEd-XNpj2tjovxA" annotatedElement="_UmWjNI8GEd-XNpj2tjovxA">
                  <body>This role class is used to identify the properties of a substance that is identified as a substance of choice based on the answers provided by the patient to the questions in Drug Use History section of a Behavioral Health or Substance Abuse assessment.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjOY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjOo8GEd-XNpj2tjovxA" annotatedElement="_UmWjOY8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify the type of substance used by patient (e.g. alcohol, narcotics, pharmaceutical drugs) rather than a code for the specific substance.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_qu3L4HCiEeKknILXOCcS7w" name="substance" visibility="public" type="_420A62FD03B645919F1600B4" association="_quzhgHCiEeKknILXOCcS7w">
                  <ownedComment xmi:id="_jbdnAFmtEeaS-p0gLOVqFQ" annotatedElement="_qu3L4HCiEeKknILXOCcS7w">
                    <body>Pointer to the type of substance (e.g. alcohol, controlled substances) that is abused by a patient.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qu3y8HCiEeKknILXOCcS7w" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qu4aAHCiEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjP48GEd-XNpj2tjovxA" name="Education">
                <ownedComment xmi:id="_UmWjQI8GEd-XNpj2tjovxA" annotatedElement="_UmWjP48GEd-XNpj2tjovxA">
                  <body>This class is used to record the answers related to the education situation of the patient (e.g. education level as well as enrollment status for those who should be enrolled in school).</body>
                </ownedComment>
                <generalization xmi:id="_UmWjQY8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjRI8GEd-XNpj2tjovxA" name="level" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjRY8GEd-XNpj2tjovxA" annotatedElement="_UmWjRI8GEd-XNpj2tjovxA">
                    <body>This attribute is used to specify the highest education level achieved by the patient.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjQo8GEd-XNpj2tjovxA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjQ48GEd-XNpj2tjovxA" annotatedElement="_UmWjQo8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify whether patients are enrolled, not enrolled, or has completed their education.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjRo8GEd-XNpj2tjovxA" name="EmploymentStatus">
                <generalization xmi:id="_UmWjR48GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjSI8GEd-XNpj2tjovxA" name="income" visibility="public" type="_420A62FD03B641886F630160"/>
                <ownedAttribute xmi:id="_UmWjSY8GEd-XNpj2tjovxA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjSo8GEd-XNpj2tjovxA" name="HouseholdComposition">
                <ownedComment xmi:id="_UmWjS48GEd-XNpj2tjovxA" annotatedElement="_UmWjSo8GEd-XNpj2tjovxA">
                  <body>This section identifies specific household traits of the patient.  This section may help identify whether substance abuse is present in the household since it is often a pre-condition to staying sober.  Other household traits (e.g. primary source of income) are derived from this assessment section.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjTo8GEd-XNpj2tjovxA" name="presenceofSubstanceAbuse" visibility="public">
                  <ownedComment xmi:id="_UmWjT48GEd-XNpj2tjovxA" annotatedElement="_UmWjTo8GEd-XNpj2tjovxA">
                    <body>This boolean attribute specifies the presence of substance abuse in the household shared by the patient.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjTI8GEd-XNpj2tjovxA" name="sourceOfIncome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjTY8GEd-XNpj2tjovxA" annotatedElement="_UmWjTI8GEd-XNpj2tjovxA">
                    <body>This coded attribute specifies the type of income (e.g. supplemental social security insurance, food stamps, employment).</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjUI8GEd-XNpj2tjovxA" name="ServiceHistory">
                <ownedComment xmi:id="_UmWjUY8GEd-XNpj2tjovxA" annotatedElement="_UmWjUI8GEd-XNpj2tjovxA">
                  <body>Identifies the type of services provided to determine if frequent inpatient detox vs. on-going treatment is more prevalent.  This section is used to determine the effectiveness of the various services.</body>
                </ownedComment>
                <generalization xmi:id="_UmWjUo8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmWjU48GEd-XNpj2tjovxA" annotatedElement="_UmWjUo8GEd-XNpj2tjovxA">
                    <body>This class is used to describe the outcome of care as measured by answers to                     assessment questions. This class may link in a specific performance measure as                     well as the period for which the outcome was evaluated.</body>
                  </ownedComment>
                </generalization>
                <ownedAttribute xmi:id="_UmWjVI8GEd-XNpj2tjovxA" name="serviceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_pP5LEJd5Ed-1hLYGSfVdpQ" annotatedElement="_UmWjVI8GEd-XNpj2tjovxA">
                    <body>This is a coded attribute describing the type of service that has been rendered to the client/patient that appears in this area of the behavioral health assessment.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjVY8GEd-XNpj2tjovxA" name="DiagnosticSummary">
                <ownedComment xmi:id="_dS7KIJd2Ed-1hLYGSfVdpQ" annotatedElement="_UmWjVY8GEd-XNpj2tjovxA">
                  <body>This area of the assessment is used to record answers related to the client/patient's diagnoses that may be pertinent to their behavioral health problems.</body>
                </ownedComment>
                <generalization xmi:id="_UmWjVo8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjV48GEd-XNpj2tjovxA" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_UmWjfo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjWY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjWI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjWo8GEd-XNpj2tjovxA" name="SocialNetwork">
                <ownedComment xmi:id="_UmWjW48GEd-XNpj2tjovxA" annotatedElement="_UmWjWo8GEd-XNpj2tjovxA">
                  <body>This class identifies whether a person is in environment where others are abusing alcohol or other substances.  The National Outcomes Measures (NOMs) set performance targets for State and Federally funded initiatives and programs for substance abuse prevention and mental health promotion, early intervention, and treatment services.  Social network risk factors are one component of these measures.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjXI8GEd-XNpj2tjovxA" name="LivingArrangement">
                <ownedComment xmi:id="_IJJ08JbPEd-1hLYGSfVdpQ" annotatedElement="_UmWjXI8GEd-XNpj2tjovxA">
                  <body>This section identifies the living arrangements for a client/patient.   class may have overlaps with FamilySocialHistoryArea so this may go away.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjXY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjXo8GEd-XNpj2tjovxA" annotatedElement="_UmWjXY8GEd-XNpj2tjovxA">
                    <body>The value sets for this attribute are based on the HL7 Living Arrangements coding system (2.16.840.1.113883.5.63) used to specify whether the patient is homeless, transient, living in a community shelter, or institutionalized.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjX48GEd-XNpj2tjovxA" name="Outcome">
                <ownedComment xmi:id="_UmWjYI8GEd-XNpj2tjovxA" annotatedElement="_UmWjX48GEd-XNpj2tjovxA">
                  <body>This class is used specify the outcome of Behavioral Health treatment as described by changes to the patient’s state reflected in his or her responses to assessment questions.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjYY8GEd-XNpj2tjovxA" name="startDate" visibility="public" type="_420A62FD03B64244824602F5"/>
                <ownedAttribute xmi:id="_UmWjYo8GEd-XNpj2tjovxA" name="endDate" visibility="public" type="_420A62FD03B64244824602F5"/>
                <ownedAttribute xmi:id="_UmWjY48GEd-XNpj2tjovxA" name="performanceMeasure" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjZY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjZI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjZo8GEd-XNpj2tjovxA" name="behavioralHealthAssessmentDomain_outcome" memberEnd="_UmWjBY8GEd-XNpj2tjovxA _UmWjZ48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjZ48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi8o8GEd-XNpj2tjovxA" association="_UmWjZo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjcI8GEd-XNpj2tjovxA" name="familySocialHistory_householdComposition" memberEnd="_UmWi4o8GEd-XNpj2tjovxA _UmWjcY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjcY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_UmWjcI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjc48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjco8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjdI8GEd-XNpj2tjovxA" name="BehavioralHealthAssessment">
                <ownedComment xmi:id="_UmWjdY8GEd-XNpj2tjovxA" annotatedElement="_UmWjdI8GEd-XNpj2tjovxA">
                  <body>This is class describes a Behavioral Health Assessment containing both mental health and substance abuse related questions.</body>
                </ownedComment>
                <generalization xmi:id="_7_nUQHCdEeKknILXOCcS7w" general="_420A62FD03B642DFB6BC006E"/>
                <ownedAttribute xmi:id="_UmWjd48GEd-XNpj2tjovxA" name="patient" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmWjGI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_TK7GwJdzEd-1hLYGSfVdpQ" annotatedElement="_UmWjd48GEd-XNpj2tjovxA">
                    <body> This directed association describes the relationship between a                     client/patient and their behavioral health assessments. </body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjeY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjeI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjeo8GEd-XNpj2tjovxA" name="problemArea" visibility="public" type="_UmWi8o8GEd-XNpj2tjovxA" association="_UmWjFI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmWje48GEd-XNpj2tjovxA" annotatedElement="_UmWjeo8GEd-XNpj2tjovxA">
                    <body>This association is used to identify the logical problem areas (e.g., FamilySocialHistoryArea, DrugUseHistoryArea, MedicationsArea, etc.) contained in the assessment.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjfY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjfI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjfo8GEd-XNpj2tjovxA" name="diagnosticSummary_diagnosis" memberEnd="_UmWjV48GEd-XNpj2tjovxA _UmWjf48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjf48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjVY8GEd-XNpj2tjovxA" association="_UmWjfo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjgY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjgI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:AssociationClass" xmi:id="_UmWjgo8GEd-XNpj2tjovxA" name="TargetSubstance" memberEnd="_UmWjhI8GEd-XNpj2tjovxA _UmWjh48GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_RCXwwJdxEd-1hLYGSfVdpQ" annotatedElement="_UmWjgo8GEd-XNpj2tjovxA">
                  <body>This association class is used to describe the priority of the SubstanceOfChoice abused by the client/patient defined by the sequence attribute and is used to distinguish primary from secondary and tertiary substances.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjg48GEd-XNpj2tjovxA" name="sequence" visibility="public">
                  <ownedComment xmi:id="_KYhScJdyEd-1hLYGSfVdpQ" annotatedElement="_UmWjg48GEd-XNpj2tjovxA">
                    <body>This attribute defines whether the abused Substance is the primary SubstanceOfChoice or secondary, tertiary, etc.  This is captured to determine whether different treatments are effective depending on whether the substance is the primary one being abused or incidental to the primary substance.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedEnd xmi:id="_UmWjhI8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjNI8GEd-XNpj2tjovxA" association="_UmWjgo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjho8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjhY8GEd-XNpj2tjovxA" value="*"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmWjh48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi2o8GEd-XNpj2tjovxA" association="_UmWjgo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjiY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjiI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_lrTdUHCgEeKknILXOCcS7w" name="familySocialHistory_livingArrangement" memberEnd="_lrV5kHCgEeKknILXOCcS7w _lrYV0HCgEeKknILXOCcS7w">
                <ownedEnd xmi:id="_lrYV0HCgEeKknILXOCcS7w" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_lrTdUHCgEeKknILXOCcS7w"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_AJLN0HCiEeKknILXOCcS7w" name="familySocialHistory_socialNetwork" memberEnd="_AJORIHCiEeKknILXOCcS7w _AJSikHCiEeKknILXOCcS7w">
                <ownedEnd xmi:id="_AJSikHCiEeKknILXOCcS7w" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_AJLN0HCiEeKknILXOCcS7w"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_quzhgHCiEeKknILXOCcS7w" name="substanceOfChoice_substance" memberEnd="_qu3L4HCiEeKknILXOCcS7w _qu7dUHCiEeKknILXOCcS7w">
                <ownedEnd xmi:id="_qu7dUHCiEeKknILXOCcS7w" name="" visibility="public" type="_UmWjNI8GEd-XNpj2tjovxA" association="_quzhgHCiEeKknILXOCcS7w"/>
              </packagedElement>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmWjio8GEd-XNpj2tjovxA" name="2.3 Behavioral Health Record Exchange Classes">
              <eAnnotations xmi:id="_UmWji48GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgLjI8GEd-XNpj2tjovxA" annotatedElement="_UmWjio8GEd-XNpj2tjovxA">
                <body>This section describes the structure and information objects needed to exchange                 Behavioral Health records between various stakeholders. The information detailed in                 this section is intended to address the information requirements of the &amp;amp;apos;Report                 Behavioral Health Records to Public Health&amp;amp;apos; use case - see Section 3.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLjY8GEd-XNpj2tjovxA" name="HistoryOfAbuseOrNeglectRecord" isAbstract="true">
                <ownedComment xmi:id="_UmgLjo8GEd-XNpj2tjovxA" annotatedElement="_UmgLjY8GEd-XNpj2tjovxA">
                  <body>This class is intended to capture details related to any past abuse/violence and/or neglect.  Violence is a significant problem in the United States.  From infants to the elderly, it affects people in all stages of life. In 2006, 18,573 people died as a result of homicide and 33,300 took their own life.  The number of violent deaths tells only part of the story.  Many more survive violence and are left with permanent physical and emotional scars.  Violence also erodes communities by reducing productivity, decreasing property values, and disrupting social services.  In 1979, violent behavior was identified by the U.S. Surgeon General as a key public health priority.  Shortly thereafter, in 1980, CDC began studying patterns of violence.  These early activities grew into a national program to reduce the death and disability associated with injuries outside the workplace.  In 1992, CDC established the National Center for Injury Prevention and Control (NCIPC) as the lead federal organization for violence prevention.  The Division of Violence Prevention (DVP) is one of three divisions within NCIPC.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgLmo8GEd-XNpj2tjovxA" name="clinicalNoteText" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLj48GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLkI8GEd-XNpj2tjovxA" annotatedElement="_UmgLj48GEd-XNpj2tjovxA">
                    <body>This is the coded attribute describing the type of abuse or neglect.  It is not currently associated with any particular value set, but this may be captured using ICD-9-CM diagnostic codes.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLlY8GEd-XNpj2tjovxA" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
                  <ownedComment xmi:id="_UmgLlo8GEd-XNpj2tjovxA" annotatedElement="_UmgLlY8GEd-XNpj2tjovxA">
                    <body>This attribute is the date when the neglect or abuse started (e.g. first incident).  An imprecise date would be appropriate.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLmI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLl48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLkY8GEd-XNpj2tjovxA" name="mostRecentIncidentDate" visibility="public" type="_420A62FD03B64244824602F5">
                  <ownedComment xmi:id="_UmgLko8GEd-XNpj2tjovxA" annotatedElement="_UmgLkY8GEd-XNpj2tjovxA">
                    <body>This attribute is the date of the most recent incident of neglect or abuse that has been identified by the assessment.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLk48GEd-XNpj2tjovxA" name="statusCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLlI8GEd-XNpj2tjovxA" annotatedElement="_UmgLk48GEd-XNpj2tjovxA">
                    <body>This attribute indicates s whether the abuse or neglect is still in progress (active) or was in the past (completed).</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLmY8GEd-XNpj2tjovxA" name="typeCode" visibility="public" type="_UmgM-Y8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_vPKs8KAsEd-GiONa6WTwkg" annotatedElement="_UmgLmY8GEd-XNpj2tjovxA">
                    <body>This attribute specifies whether the history of abuse refers to neglect, physical, or sexual abuse.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLm48GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL148GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_DCOrQJd7Ed-1hLYGSfVdpQ" annotatedElement="_UmgLm48GEd-XNpj2tjovxA">
                    <body>This attribute links to other HistoryOfAbuseOrNeglect records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLnY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLnI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLno8GEd-XNpj2tjovxA" name="patientbehavioralhealth" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmgMoI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_Ikk5gJd7Ed-1hLYGSfVdpQ" annotatedElement="_UmgLno8GEd-XNpj2tjovxA">
                    <body>This is an association between a client/patient and their History of Abuse                     and Neglect records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLoI8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLn48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLoY8GEd-XNpj2tjovxA" name="riskOfViolence" visibility="public" type="_UmgL8o8GEd-XNpj2tjovxA" association="_UmgL-I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLo48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLoo8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLpI8GEd-XNpj2tjovxA" name="PerpetratorOfAbuseOrNeglectRecord">
                <ownedComment xmi:id="_UmgLpY8GEd-XNpj2tjovxA" annotatedElement="_UmgLpI8GEd-XNpj2tjovxA">
                  <body>This class is intended to record any additional attributes required to describe a history of abuse from the perspective of the perpetrator.  This is not typical but it is an optional content of a behavioral health record.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLpo8GEd-XNpj2tjovxA" general="_UmgLjY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgLp48GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLqI8GEd-XNpj2tjovxA" annotatedElement="_UmgLp48GEd-XNpj2tjovxA">
                    <body>This coded attribute may be used to indicate that the patient is a registered sex offender, convicted of arson, etc.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLqo8GEd-XNpj2tjovxA" name="SuicidalIdeationObservation">
                <ownedComment xmi:id="_UmgLq48GEd-XNpj2tjovxA" annotatedElement="_UmgLqo8GEd-XNpj2tjovxA">
                  <body>This class is used to record thoughts of harming or killing oneself (IOM 2002) and is a specialization of HealthConcern.  The severity of suicidal ideation can be determined by assessing the frequency, intensity, and duration of these thoughts.  The severity of suicidal ideation can be determined by assessing the frequency, intensity, and duration of these thoughts (IOM 2002).  The CDC is in the process of developing Suicide Surveillance: Uniform Definitions and Recommended Data Elements.  This publication is expected to be available starting in 2009.  Reference: Goldsmith, SK; Pellmar, TC; Kleinman, AM; Bunney, WE; eds. Reducing Suicide: A National Imperative.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLrI8GEd-XNpj2tjovxA" general="_420A62FD03B6421F8AD00244"/>
                <ownedAttribute xmi:id="_UmgLrY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_dtR98JdBEd-1hLYGSfVdpQ" annotatedElement="_UmgLrY8GEd-XNpj2tjovxA">
                    <body>The business stakeholders may specify what code is associated with SuicidalIdeationObservation. There is an ICD code attribute in the class SuicideAttemptOrCompletion.  Are there two different codes for these classes?  If so, what is the definition for this code and as the name implies is an ICD-9 code always used to specify this information.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLr48GEd-XNpj2tjovxA" name="description" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLsI8GEd-XNpj2tjovxA" name="frequency" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLsY8GEd-XNpj2tjovxA" name="intensity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLso8GEd-XNpj2tjovxA" annotatedElement="_UmgLsY8GEd-XNpj2tjovxA">
                    <body>The intensity may be specified using a value set or a scale of integer values.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLs48GEd-XNpj2tjovxA" name="previousSuicideAttempts" visibility="public">
                  <ownedComment xmi:id="_UmgLtI8GEd-XNpj2tjovxA" annotatedElement="_UmgLs48GEd-XNpj2tjovxA">
                    <body>“A non-fatal, self-inflicted destructive act with explicit or inferred intent to die.” - IOM 2002.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLtY8GEd-XNpj2tjovxA" name="alert" visibility="public" type="_UmgLu48GEd-XNpj2tjovxA" association="_UmgL1Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLt48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLto8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLuI8GEd-XNpj2tjovxA" name="suicideAttemptOrCompletion" visibility="public" type="_UmgL3I8GEd-XNpj2tjovxA" association="_UmgL4o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLuo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLuY8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLro8GEd-XNpj2tjovxA" name="type" visibility="public" type="_UmgNBo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLu48GEd-XNpj2tjovxA" name="SuicideRisk">
                <ownedComment xmi:id="_UmgLvI8GEd-XNpj2tjovxA" annotatedElement="_UmgLu48GEd-XNpj2tjovxA">
                  <body>This class is used to convey a risk of suicide.  This class contains an association to the full details of a patient’s suicidal ideation and past history of suicide attempts.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgLvY8GEd-XNpj2tjovxA" name="suicidalIdeation" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgL1Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLv48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLvo8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLwI8GEd-XNpj2tjovxA" name="code" visibility="public" type="_UmgNCY8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLwY8GEd-XNpj2tjovxA" name="VictimOfAbuseOrNeglectRecord">
                <ownedComment xmi:id="_UmgLwo8GEd-XNpj2tjovxA" annotatedElement="_UmgLwY8GEd-XNpj2tjovxA">
                  <body>This class is used to record the details of a history of abuse perpetrated by others.  The client/patient, as victim of abuse or neglect, may have additional forensic tests (e.g. imaging, lab) and medications.  Therefore this specialization class has associations to medication, diagnostic imaging, and laboratory results.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLw48GEd-XNpj2tjovxA" general="_UmgLjY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgLxI8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_bkWSsKAtEd-GiONa6WTwkg" annotatedElement="_UmgLxI8GEd-XNpj2tjovxA">
                    <body>This attribute specifies the type of victim or abuse or neglect using a standard coding system.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLxo8GEd-XNpj2tjovxA" name="medication" visibility="public" type="_420A62FD03B641B4BDD30213" association="_UmgL5o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_haslkKAuEd-GiONa6WTwkg" annotatedElement="_UmgLxo8GEd-XNpj2tjovxA">
                    <body>If the record contains references to specific medication associated with the                     abuse, this association will provide the supporting information.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLyI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLx48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLz48GEd-XNpj2tjovxA" name="VictimOfIntimatePartnerOrDomesticViolence">
                <ownedComment xmi:id="_UmgL0I8GEd-XNpj2tjovxA" annotatedElement="_UmgLz48GEd-XNpj2tjovxA">
                  <body>This specialization class is used to specify the codes and details related to a history of violence perpetrated by a domestic partner.</body>
                </ownedComment>
                <generalization xmi:id="_UmgL0Y8GEd-XNpj2tjovxA" general="_UmgLwY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgL0o8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_zer0wJdBEd-1hLYGSfVdpQ" annotatedElement="_UmgL0o8GEd-XNpj2tjovxA">
                    <body>This attribute specifies the type of victim or abuse or neglect using a standard coding system.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL1I8GEd-XNpj2tjovxA" client="_UmgLu48GEd-XNpj2tjovxA" supplier="_UmgNCY8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL1Y8GEd-XNpj2tjovxA" name="suicidalIdeationObservation_alert" memberEnd="_UmgLtY8GEd-XNpj2tjovxA _UmgLvY8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL1o8GEd-XNpj2tjovxA" client="_UmgLqo8GEd-XNpj2tjovxA" supplier="_UmgNBo8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL148GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect_historyOfAbuseOrNeglect" memberEnd="_UmgLm48GEd-XNpj2tjovxA _UmgL2I8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL2I8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL148GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL2o8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL2Y8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL248GEd-XNpj2tjovxA" client="_UmgLjY8GEd-XNpj2tjovxA" supplier="_UmgM-Y8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgL3I8GEd-XNpj2tjovxA" name="SuicideAttemptOrCompletion">
                <ownedComment xmi:id="_UmgL3Y8GEd-XNpj2tjovxA" annotatedElement="_UmgL3I8GEd-XNpj2tjovxA">
                  <body>This class is used to specify past incidents of suicide attempt.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgL3o8GEd-XNpj2tjovxA" name="ICDcode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgL348GEd-XNpj2tjovxA" annotatedElement="_UmgL3o8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify the means by which suicide was attempted.  The attribute name implies that an ICD-9 code is used to specify this information.  Is this the case?</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgL4I8GEd-XNpj2tjovxA" name="statusCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgL4Y8GEd-XNpj2tjovxA" annotatedElement="_UmgL4I8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify if the suicide attempt was successful/completed, aborted, or otherwise unsuccessful.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL4o8GEd-XNpj2tjovxA" name="suicidalIdeationObservation_suicideAttemptOrCompletion" memberEnd="_UmgLuI8GEd-XNpj2tjovxA _UmgL448GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL448GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgL4o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL5Y8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL5I8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL5o8GEd-XNpj2tjovxA" name="victimOfAbuseOrNeglectRecord_medication" memberEnd="_UmgLxo8GEd-XNpj2tjovxA _UmgL548GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL548GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLwY8GEd-XNpj2tjovxA" association="_UmgL5o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL6Y8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL6I8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgL8o8GEd-XNpj2tjovxA" name="ViolentBehaviorRisk">
                <ownedComment xmi:id="_UmgL848GEd-XNpj2tjovxA" annotatedElement="_UmgL8o8GEd-XNpj2tjovxA">
                  <body>This class is used to alert providers of any risk of violent behavior posed by the patient.  This class is used convey information about the violent tendencies of a client/patient in the context of protecting healthcare providers.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgL9I8GEd-XNpj2tjovxA" name="code" visibility="public" type="_UmgNDo8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgL9Y8GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL-I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL948GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL9o8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL-I8GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect_riskOfViolence" memberEnd="_UmgLoY8GEd-XNpj2tjovxA _UmgL9Y8GEd-XNpj2tjovxA"/>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmgL-Y8GEd-XNpj2tjovxA" name="2.1 Common Behavioral Health Classes">
              <eAnnotations xmi:id="_UmgL-o8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgMco8GEd-XNpj2tjovxA" annotatedElement="_UmgL-Y8GEd-XNpj2tjovxA">
                <body>The following classes are reused across this domain and represent specialization/restrictions of common FHIM classes or classes declared in other FHIM domains.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgMc48GEd-XNpj2tjovxA" name="PatientBehavioralHealth">
                <eAnnotations xmi:id="_UmgMdI8GEd-XNpj2tjovxA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedComment xmi:id="_UmgMdY8GEd-XNpj2tjovxA" annotatedElement="_UmgMc48GEd-XNpj2tjovxA">
                  <body>This class represents a specialization of the Patient role declared in the FHIM Person Demographics domain in which Behavioral Health specific properties are added.</body>
                </ownedComment>
                <generalization xmi:id="_UmgMdo8GEd-XNpj2tjovxA" general="_l0XegO_4Ed6OG-vjYTopTQ"/>
                <ownedAttribute xmi:id="_UmgMd48GEd-XNpj2tjovxA" name="biologicalGender" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMeI8GEd-XNpj2tjovxA" annotatedElement="_UmgMd48GEd-XNpj2tjovxA">
                    <body>This attribute is currently in this domain but it will be moved to Person.  It specifies the biological gender of a client/patient.  This attribute is optional (i.e. cardinality [0..1]).  HL7 Version 3 does not currently have a Concept Domain corresponding to Biological Gender.  There is a concept domain for AdministrativeGender which has the definition “the gender of a person used for administrative purposes (as opposed to clinical gender”.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMeo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMeY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMf48GEd-XNpj2tjovxA" name="custodialStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMgI8GEd-XNpj2tjovxA" annotatedElement="_UmgMf48GEd-XNpj2tjovxA">
                    <body>The primary purpose for this attribute is for reporting purposes. Custodial status refers to the legal guardianship according to example enumerations that were provided to this analysis and which appear in the Terminology section of this publication.  There are no values currently defined to indicate prison incarceration however.  This attribute is optional (i.e. cardinality [0..1]).</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMgo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMgY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMe48GEd-XNpj2tjovxA" name="immigrationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMfI8GEd-XNpj2tjovxA" annotatedElement="_UmgMe48GEd-XNpj2tjovxA">
                    <body>The primary purpose for this attribute is for reporting purposes, although in some instances, immigration status could be used to determine eligibility for Behavioral Health services.  Example enumerations have been provided for this attribute in the Terminology section of this publication.  This attribute is optional (i.e. cardinality [0..1]).</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMfo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMfY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMi48GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgMoI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmgMjI8GEd-XNpj2tjovxA" annotatedElement="_UmgMi48GEd-XNpj2tjovxA">
                    <body>This is an association between the patient and their history of abuse or neglect history records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMjo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMjY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMj48GEd-XNpj2tjovxA" name="suicidalIdeation" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgMoY8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmgMkI8GEd-XNpj2tjovxA" annotatedElement="_UmgMj48GEd-XNpj2tjovxA">
                    <body>This is an association between the patient and their records of suicidal ideation, suicide attempts, and alerts.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMko8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMkY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_QJhuwGJ6EeKl3I3Lt5ZAXg" name="problem" visibility="public" type="_420A62FD03B6421F8AD00244" association="_QI744GJ6EeKl3I3Lt5ZAXg">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QJhuwWJ6EeKl3I3Lt5ZAXg"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QJhuwmJ6EeKl3I3Lt5ZAXg" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_Zm5oIGJ6EeKl3I3Lt5ZAXg" name="psychiatricDiagnosis" visibility="public" type="_UmgMk48GEd-XNpj2tjovxA" association="_Zmv3IGJ6EeKl3I3Lt5ZAXg">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zm5oIWJ6EeKl3I3Lt5ZAXg"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zm5oImJ6EeKl3I3Lt5ZAXg" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgMk48GEd-XNpj2tjovxA" name="PsychiatricDiagnosis">
                <ownedComment xmi:id="_UmgMlI8GEd-XNpj2tjovxA" annotatedElement="_UmgMk48GEd-XNpj2tjovxA">
                  <body>This class is intended to specialize a generic diagnosis class by adding support for Diagnostic and Statistical Manual of Mental Disorders (DSM) codes and supports any extensions required to communicate information about Behavioral Health diagnoses between organizations and providers.</body>
                </ownedComment>
                <generalization xmi:id="_UmgMlY8GEd-XNpj2tjovxA" general="_420A62FD03B6424070DB0209"/>
                <ownedAttribute xmi:id="_UmgMmI8GEd-XNpj2tjovxA" name="confidentialityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMmY8GEd-XNpj2tjovxA" annotatedElement="_UmgMmI8GEd-XNpj2tjovxA">
                    <body>This code may be used to specify whether the diagnosis is sensitive (e.g., carries a social stigma).  This attribute relies on the sensitivity value set specified by HL7 Confidentiality coding system.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMm48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMmo8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMlo8GEd-XNpj2tjovxA" name="snomedDiagnosisCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMl48GEd-XNpj2tjovxA" annotatedElement="_UmgMlo8GEd-XNpj2tjovxA">
                    <body>This attribute is intended to store the code for the diagnosis in SNOMED-CT.  Since both the DSM IV and the ICD codes corresponding to the psychiatric diagnosis are mapped to SNOMED-CT should be sufficient to represent psychiatric diagnoses.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_loNYQHlYEeO6CY8V1St7og" name="dsmAxis1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_loNYQXlYEeO6CY8V1St7og" annotatedElement="_loNYQHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis I: Clinical disorders, including major mental disorders, and learning disorders</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oNTyQHlYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oNUZUHlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vBSngHlYEeO6CY8V1St7og" name="dsmAxis2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vBSngXlYEeO6CY8V1St7og" annotatedElement="_vBSngHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis II: Personality disorders and intellectual disabilities (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vBSng3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vBSngnlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vQQ3oHlYEeO6CY8V1St7og" name="dsmAxis3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vQQ3oXlYEeO6CY8V1St7og" annotatedElement="_vQQ3oHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis III: Acute medical conditions and physical disorders</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vQQ3o3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vQQ3onlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vhDFoHlYEeO6CY8V1St7og" name="dsmAxis4" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vhDFoXlYEeO6CY8V1St7og" annotatedElement="_vhDFoHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis IV: Psychosocial and environmental factors contributing to the disorder</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vhDFo3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vhDFonlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vmsaoHlYEeO6CY8V1St7og" name="dsmAxis5" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vmsaoXlYEeO6CY8V1St7og" annotatedElement="_vmsaoHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vmsao3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vmsaonlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_ADKNEHlZEeO6CY8V1St7og" name="globalAssessmentOfFunctioning" visibility="public">
                  <ownedComment xmi:id="_ADKNEXlZEeO6CY8V1St7og" annotatedElement="_ADKNEHlZEeO6CY8V1St7og">
                    <body>The Global Assessment of Functioning (GAF) is part of the diagnosis on Axis 5.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ADKNE3lZEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ADKNEnlZEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgMoI8GEd-XNpj2tjovxA" name="patientBehavioralHealth_historyOfAbuseOrNeglect" memberEnd="_UmgMi48GEd-XNpj2tjovxA _UmgLno8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgMoY8GEd-XNpj2tjovxA" name="patientBehavioralHealth_suicidalIdeation" memberEnd="_UmgMj48GEd-XNpj2tjovxA _UmgMoo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_wsyk4JaREd-1hLYGSfVdpQ" annotatedElement="_UmgMoY8GEd-XNpj2tjovxA">
                  <body>This is a directed association between a patient/client and the details of a health concern related to suicidal ideation.</body>
                </ownedComment>
                <ownedEnd xmi:id="_UmgMoo8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmgMoY8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMpI8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMo48GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_QI744GJ6EeKl3I3Lt5ZAXg" name="patientBehavioralHealth_associatedProblem" memberEnd="_QJhuwGJ6EeKl3I3Lt5ZAXg _QJhuw2J6EeKl3I3Lt5ZAXg">
                <ownedComment xmi:id="_VxuGUGJ6EeKl3I3Lt5ZAXg" annotatedElement="_QI744GJ6EeKl3I3Lt5ZAXg">
                  <body>This is a directed association between a behavioral patient/client and all of their behavioral health problems or concerns.</body>
                </ownedComment>
                <ownedEnd xmi:id="_QJhuw2J6EeKl3I3Lt5ZAXg" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_QI744GJ6EeKl3I3Lt5ZAXg"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_Zmv3IGJ6EeKl3I3Lt5ZAXg" name="patientBehavioralHealth_psychiatricDiagnosis" memberEnd="_Zm5oIGJ6EeKl3I3Lt5ZAXg _Zm5oI2J6EeKl3I3Lt5ZAXg">
                <ownedComment xmi:id="_dyZYMGJ6EeKl3I3Lt5ZAXg" annotatedElement="_Zmv3IGJ6EeKl3I3Lt5ZAXg">
                  <body>This is a directed association between a behavioral patient/client and their psychiatric diagnoses.</body>
                </ownedComment>
                <ownedEnd xmi:id="_Zm5oI2J6EeKl3I3Lt5ZAXg" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_Zmv3IGJ6EeKl3I3Lt5ZAXg"/>
              </packagedElement>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmgMqY8GEd-XNpj2tjovxA" name="2.5 Terminology Analysis">
              <eAnnotations xmi:id="_UmgMqo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgM-I8GEd-XNpj2tjovxA" annotatedElement="_UmgMqY8GEd-XNpj2tjovxA">
                <body>The following section specifies the terminology analysis for this document.  This section will be further elaborated to include ICD-9-CM codes for Self-Directed Violence concepts.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgM-Y8GEd-XNpj2tjovxA" name="AbuseType">
                <ownedComment xmi:id="_UmgM-o8GEd-XNpj2tjovxA" annotatedElement="_UmgM-Y8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the types of values that may be used to populate the typeCode attribute of a HistoryOfAbuse/Neglect class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgM_Y8GEd-XNpj2tjovxA" name="NeglectIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_cjk5AJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code used to indicate that the abuse is neglect.</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgM-48GEd-XNpj2tjovxA" name="PhysicalAbuseIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_dGmGgJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code used to specify that the type of abuse is
                  physical.</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgM_o8GEd-XNpj2tjovxA" name="SexualVictimIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_hwUqsJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code intended to specify sexual abuse.</body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNBo8GEd-XNpj2tjovxA" name="SelfDirectedType">
                <ownedComment xmi:id="_6JJ_gJd_Ed-1hLYGSfVdpQ" annotatedElement="_UmgNBo8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the values that may be used to populate the type attribute of a SuicidialIdeationObservation class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgNCI8GEd-XNpj2tjovxA" name="NonFatalSuicideBehavior"/>
                <ownedLiteral xmi:id="_UmgNB48GEd-XNpj2tjovxA" name="Suicide"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNCY8GEd-XNpj2tjovxA" name="SuicideRisk">
                <ownedComment xmi:id="_UmgNCo8GEd-XNpj2tjovxA" annotatedElement="_UmgNCY8GEd-XNpj2tjovxA">
                  <body> This enumeration illustrates the values that may be used to populate the                   attribute code of the SuicideRisk class. These values may be associated with a                   LOINC Answer ID associated with the LOINC code 42823-5 Suicide risk). </body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgNC48GEd-XNpj2tjovxA" name="Mild">
                  <ownedComment xmi:id="_bu9BUJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNC48GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6752-5</body>
                  </ownedComment>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgNDI8GEd-XNpj2tjovxA" name="Moderate">
                  <ownedComment xmi:id="_e0sDMJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNDI8GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6751-7</body>
                  </ownedComment>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgNDY8GEd-XNpj2tjovxA" name="Severe">
                  <ownedComment xmi:id="_hYdAcJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNDY8GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6750-9 </body>
                  </ownedComment>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNDo8GEd-XNpj2tjovxA" name="ViolenceRiskType">
                <ownedComment xmi:id="_-8mq8JeAEd-1hLYGSfVdpQ" annotatedElement="_UmgNDo8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the values that may be used to populate the attribute code of the ViolentBehaviorRisk class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgND48GEd-XNpj2tjovxA" name="Assault"/>
                <ownedLiteral xmi:id="_UmgNEI8GEd-XNpj2tjovxA" name="Homicide"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_WljMsJaFEd-1hLYGSfVdpQ" name="ImmigrationStatusCode">
                <ownedComment xmi:id="_1gB4QJd_Ed-1hLYGSfVdpQ" annotatedElement="_WljMsJaFEd-1hLYGSfVdpQ">
                  <body>This enumeration illustrates the types of values that may be used to populate the immigrationStatus code of the Patient_BehavioralHealth class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_dLmSoJaQEd-1hLYGSfVdpQ" name="CitizenLegalResident">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_kJ46cJaQEd-1hLYGSfVdpQ">
                    <body>Citizen/Permanent Resident/Legal Immigrant</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_rAu2cJaQEd-1hLYGSfVdpQ" name="IllegalImmigrant ">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_tr8fgJaQEd-1hLYGSfVdpQ">
                    <body>Illegal Immigrant </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_l0I1wJaQEd-1hLYGSfVdpQ" name="StudentVisa">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_nIVBgJaQEd-1hLYGSfVdpQ">
                    <body>Student Visa</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_pB7AYJaQEd-1hLYGSfVdpQ" name="VisitorVisa">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_qRfK0JaQEd-1hLYGSfVdpQ">
                    <body>Visitor Visa</body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_bYqWYJaFEd-1hLYGSfVdpQ" name="CustodialStatusCode">
                <ownedComment xmi:id="_mka0kJd_Ed-1hLYGSfVdpQ" annotatedElement="_bYqWYJaFEd-1hLYGSfVdpQ">
                  <body>This enumeration illustrates the types of values that may be used to populate the custodialStatus code of the Patient_BehavioralHealth class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_8Q3-AJaPEd-1hLYGSfVdpQ" name="AdultConservator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="__03CIJaPEd-1hLYGSfVdpQ">
                    <body>Adult with Conservator </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_BrLDgJaQEd-1hLYGSfVdpQ" name="AdultEstate">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_DXpzcJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Estate </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_FScFIJaQEd-1hLYGSfVdpQ" name="AdultEstatePerson">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_J1KpcJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Estate and Person</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_NeEp0JaQEd-1hLYGSfVdpQ" name="AdultLimGuardian">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_QGTQUJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Limited Guardian</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_grN1IJaFEd-1hLYGSfVdpQ" name="AdultNoGuardian ">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_63J9kJaFEd-1hLYGSfVdpQ">
                    <body>Adult, not under custodial supervision</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_K23-EJaQEd-1hLYGSfVdpQ" name="AdultPerson">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_M2IgEJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Person</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_RUY0EJaQEd-1hLYGSfVdpQ" name="AdultTempGuardian">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_SZrBIJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Temporary Guardian </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_V0bQwJaQEd-1hLYGSfVdpQ" name="Minor">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_WrteEJaQEd-1hLYGSfVdpQ">
                    <body>Minor</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_TxcFUJaQEd-1hLYGSfVdpQ" name="MinorConservator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_VH3swJaQEd-1hLYGSfVdpQ">
                    <body>Minor with Conservator </body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
            </packagedElement>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmgNEY8GEd-XNpj2tjovxA" name="3. Use Cases">
            <eAnnotations xmi:id="_UmgNEo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
            <ownedComment xmi:id="_UmgOsI8GEd-XNpj2tjovxA" annotatedElement="_UmgNEY8GEd-XNpj2tjovxA">
              <body> This section documents the use cases included to clarify the scope of the               analysis and to enable stakeholders with differing view-points to communicate their               Behavioral Health information exchange needs. These use cases are intended to support               the need to exchange information required for continuity of care, quality               measurements, and public health needs and are intended to be a representative but not               an exhaustive set of use cases. </body>
            </ownedComment>
            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgOsY8GEd-XNpj2tjovxA" name="Physical Health Provider">
              <ownedComment xmi:id="_UmgOso8GEd-XNpj2tjovxA" annotatedElement="_UmgOsY8GEd-XNpj2tjovxA">
                <body>This actors refers to non-behavioral health clinical users (physical medicine) who require summary Behavioral Health information to determine a care plan for a client with a complex medical history including behavioral health information.</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Component" xmi:id="_UmgOuo8GEd-XNpj2tjovxA" name="Behavioral Health Electronic Health System" useCase="_UmgOyI8GEd-XNpj2tjovxA _UmgOvI8GEd-XNpj2tjovxA _UmgOvo8GEd-XNpj2tjovxA _UmgOwI8GEd-XNpj2tjovxA _UmgOwo8GEd-XNpj2tjovxA _UmgOxI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgOu48GEd-XNpj2tjovxA" annotatedElement="_UmgOuo8GEd-XNpj2tjovxA">
                <body>This system is conceptually equivalent to any information system (open-source or commercial-off-the-shelf - COTS) used by behavioral health providers.  This system is expected to conform to the HL7 Behavioral Health Functional Profile.</body>
              </ownedComment>
              <ownedUseCase xmi:id="_UmgOvI8GEd-XNpj2tjovxA" name="Send Alerts" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOvY8GEd-XNpj2tjovxA" annotatedElement="_UmgOvI8GEd-XNpj2tjovxA">
                  <body>This use case addresses the need to provide alerts regarding the risk of self-directed or violence on others.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOvo8GEd-XNpj2tjovxA" name="Send Behavioral Health Information for a Patient" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOv48GEd-XNpj2tjovxA" annotatedElement="_UmgOvo8GEd-XNpj2tjovxA">
                  <body>This use case deals with those situations where behavioral health records are exchanged when a patient is referred to another provider.  This use case assumes that the Behavioral Health information is sufficient for a receiving system to create its own records based on the information provided by the referring Behavioral Health provider.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOwI8GEd-XNpj2tjovxA" name="Report Behavioral Health Records to Public Health" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOwY8GEd-XNpj2tjovxA" annotatedElement="_UmgOwI8GEd-XNpj2tjovxA">
                  <body>This use case supports Public Health reporting which requires information about suicide, a history of violence, abuse, neglect, etc.  These are high-priorities for evaluating the overall morbidity of a population.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOwo8GEd-XNpj2tjovxA" name="Outcomes and Quality Reporting" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOw48GEd-XNpj2tjovxA" annotatedElement="_UmgOwo8GEd-XNpj2tjovxA">
                  <body>This use case refers to the activities required to evaluate the efficacy of a treatment program.  For example Government Performance and Results Act (GPRA) may be used to evaluate the outcome of a Behavioral Health encounter (e.g. before treatment, after treatment, 3-month follow-up, etc.).</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOxI8GEd-XNpj2tjovxA" name="Coordinate Services" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOxY8GEd-XNpj2tjovxA" annotatedElement="_UmgOxI8GEd-XNpj2tjovxA">
                  <body>This use specifies the actions required to coordinate Behavioral Health services for a client with a complex medical, substance abuse, and psychiatric history.</body>
                </ownedComment>
              </ownedUseCase>
              <packagedElement xmi:type="uml:UseCase" xmi:id="_UmgOxo8GEd-XNpj2tjovxA" name="Provide Behavioral Health Summary to Emergency Provider">
                <ownedComment xmi:id="_UmgOx48GEd-XNpj2tjovxA" annotatedElement="_UmgOxo8GEd-XNpj2tjovxA">
                  <body>This use case requires that a subset of behavioral health information be made available to providers in case of emergency.  This information may be a high-level summary, only relevant to address the immediate needs of a patient.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:UseCase" xmi:id="_UmgOyI8GEd-XNpj2tjovxA" name="Exchange Assessment Information" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOyY8GEd-XNpj2tjovxA" annotatedElement="_UmgOyI8GEd-XNpj2tjovxA">
                  <body>This use case requires that the details of an assessment be shared between healthcare providers.  Not only score but the details provided by the patient through the assessment questions are relevant.  The receiving provider has the expertise to use that information in addition to the scores to determine a course of treatment for the patient.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgOyo8GEd-XNpj2tjovxA" name="emergencyClinician_sendAlerts" memberEnd="_UmgOy48GEd-XNpj2tjovxA _UmgOzo8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgOy48GEd-XNpj2tjovxA _UmgOzo8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_uuOaeGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgOy48GEd-XNpj2tjovxA" name="emergencyClinician" visibility="public" type="_UmgOsY8GEd-XNpj2tjovxA" association="_UmgOyo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgOzY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgOzI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmgOzo8GEd-XNpj2tjovxA" name="sendAlerts" visibility="public" type="_UmgOvI8GEd-XNpj2tjovxA" association="_UmgOyo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO0I8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgOz48GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgO0Y8GEd-XNpj2tjovxA" name="funder_outcomesAndQualityReporting" memberEnd="_UmgO0o8GEd-XNpj2tjovxA _UmgO1Y8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO0o8GEd-XNpj2tjovxA _UmgO1Y8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_uuOadGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgO0o8GEd-XNpj2tjovxA" name="funder" visibility="public" type="_UmgO_48GEd-XNpj2tjovxA" association="_UmgO0Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO1I8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO048GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmgO1Y8GEd-XNpj2tjovxA" name="outcomesAndQualityReporting" visibility="public" type="_UmgOwo8GEd-XNpj2tjovxA" association="_UmgO0Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO148GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO1o8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgO2I8GEd-XNpj2tjovxA" name="caseManager_coordinateServices" memberEnd="_UmgO2Y8GEd-XNpj2tjovxA _UmgO3I8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO2Y8GEd-XNpj2tjovxA _UmgO3I8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_vlRXMGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgO2Y8GEd-XNpj2tjovxA" name="caseManager" visibility="public" type="_UmgPCI8GEd-XNpj2tjovxA" association="_UmgO2I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO248GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO2o8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmgO3I8GEd-XNpj2tjovxA" name="coordinateServices" visibility="public" type="_UmgOxI8GEd-XNpj2tjovxA" association="_UmgO2I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO3o8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO3Y8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO348GEd-XNpj2tjovxA" name="emergencyClinician_provideBehavioralHealthSummaryToEmergencyProvider" memberEnd="_UmgO4I8GEd-XNpj2tjovxA _UmgO448GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO4I8GEd-XNpj2tjovxA _UmgO448GEd-XNpj2tjovxA">
              <eAnnotations xmi:id="_uuOadmJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
              <ownedEnd xmi:id="_UmgO4I8GEd-XNpj2tjovxA" name="provideBehavioralHealthSummaryToEmergencyProvider" visibility="public" type="_UmgOxo8GEd-XNpj2tjovxA" association="_UmgO348GEd-XNpj2tjovxA">
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO4o8GEd-XNpj2tjovxA" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO4Y8GEd-XNpj2tjovxA" value="1"/>
              </ownedEnd>
              <ownedEnd xmi:id="_UmgO448GEd-XNpj2tjovxA" name="emergencyClinician" visibility="public" type="_UmgOsY8GEd-XNpj2tjovxA" association="_UmgO348GEd-XNpj2tjovxA">
                <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO5Y8GEd-XNpj2tjovxA" value="1"/>
                <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO5I8GEd-XNpj2tjovxA" value="1"/>
              </ownedEnd>
            </packagedElement>
            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgO5o8GEd-XNpj2tjovxA" name="Public Health Staff">
              <ownedComment xmi:id="_UmgO548GEd-XNpj2tjovxA" annotatedElement="_UmgO5o8GEd-XNpj2tjovxA">
                <body>This actor refers to the public health staff that require Behavioral Health information in order to conduct studies across a large Behavioral Health population.</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO6I8GEd-XNpj2tjovxA" name="publicHealthStaff_surveilleSuicide" memberEnd="_UmgO6Y8GEd-XNpj2tjovxA _UmgO7I8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO6Y8GEd-XNpj2tjovxA _UmgO7I8GEd-XNpj2tjovxA">
              <eAnnotations xmi:id="_uuXkYGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
              <ownedEnd xmi:id="_UmgO6Y8GEd-XNpj2tjovxA" name="surveilleSuicide" visibility="public" type="_UmgOwI8GEd-XNpj2tjovxA" association="_UmgO6I8GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgO748GEd-XNpj2tjovxA" name="Behavioral Health Provider">
              <ownedComment xmi:id="_UmgO8I8GEd-XNpj2tjovxA" annotatedElement="_UmgO748GEd-XNpj2tjovxA">
                <body>This actor corresponds to a behavioral health provider using an information system.</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO8Y8GEd-XNpj2tjovxA" name="bhProvider_exchangeAssessmentInformation" memberEnd="_UmgO8o8GEd-XNpj2tjovxA _UmgO9Y8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO8o8GEd-XNpj2tjovxA _UmgO9Y8GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO-I8GEd-XNpj2tjovxA" name="bhProvider_sendBHInformationForAPatient" memberEnd="_UmgO-Y8GEd-XNpj2tjovxA _UmgO_I8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO-Y8GEd-XNpj2tjovxA _UmgO_I8GEd-XNpj2tjovxA">
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              <ownedEnd xmi:id="_UmgO-Y8GEd-XNpj2tjovxA" name="sendBHInformationForAPatient" visibility="public" type="_UmgOvo8GEd-XNpj2tjovxA" association="_UmgO-I8GEd-XNpj2tjovxA">
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              <ownedEnd xmi:id="_UmgO_I8GEd-XNpj2tjovxA" name="bhProvider" visibility="public" type="_UmgO748GEd-XNpj2tjovxA" association="_UmgO-I8GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgO_48GEd-XNpj2tjovxA" name="Funder">
              <ownedComment xmi:id="_UmgPAI8GEd-XNpj2tjovxA" annotatedElement="_UmgO_48GEd-XNpj2tjovxA">
                <body>This actor represents funding agency users who evaluate the efficacy of a treatment facility as reflected by its outcomes.</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgPAY8GEd-XNpj2tjovxA" name="bhProvider_outcomesAndQualityReporting" memberEnd="_UmgPAo8GEd-XNpj2tjovxA _UmgPBY8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgPAo8GEd-XNpj2tjovxA _UmgPBY8GEd-XNpj2tjovxA">
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              <ownedEnd xmi:id="_UmgPAo8GEd-XNpj2tjovxA" name="outcomesAndQualityReporting" visibility="public" type="_UmgOwo8GEd-XNpj2tjovxA" association="_UmgPAY8GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgPCI8GEd-XNpj2tjovxA" name="Case Manager">
              <ownedComment xmi:id="_UmgPCY8GEd-XNpj2tjovxA" annotatedElement="_UmgPCI8GEd-XNpj2tjovxA">
                <body>This actor represents a system user who requires a diverse set of information - including Behavioral Health - in order to manage the care for clients/patients.</body>
              </ownedComment>
            </packagedElement>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmgPCo8GEd-XNpj2tjovxA" name="4. Future Use">
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            <ownedComment xmi:id="_o8HEIGJlEeKl3I3Lt5ZAXg" annotatedElement="_UmgPCo8GEd-XNpj2tjovxA">
              <body>The following section identifies classes that are out-of-scope for now but which have been identified during the analysis for this domain.</body>
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            <packagedElement xmi:type="uml:Class" xmi:id="_UmgPDY8GEd-XNpj2tjovxA" name="BehavioralHealthAssessment/PlacementTool">
              <ownedComment xmi:id="_UmgPDo8GEd-XNpj2tjovxA" annotatedElement="_UmgPDY8GEd-XNpj2tjovxA">
                <body>This class identifies the tool used to create Behavioral Health Assessments rather than the assessment data that results from applying the tool.  Assessment/Placement Tools are used initiate treatment planning and guide the continuum of care (e.g. ASI, ASAM, PPCII, and GAIN).</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Class" xmi:id="_UmgPD48GEd-XNpj2tjovxA" name="ScreeningTool">
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                <body>Screening tools are used establish the presence, absence or the severity of a behavioral health problem and indicates the need for more comprehensive evaluation (e.g. CAGE /T-ACE, MAST / DAST, and AUDIT). The output of these tools is not in scope for this analysis model but may relevant for future modeling activities.</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Dependency" xmi:id="_UmgPEY8GEd-XNpj2tjovxA" name="" client="_UmgPDY8GEd-XNpj2tjovxA" supplier="_UmgOyI8GEd-XNpj2tjovxA"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Package" xmi:id="_UmgPEo8GEd-XNpj2tjovxA" name="0 - Change Log">
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          <packagedElement xmi:type="uml:Package" xmi:id="_UmgPFI8GEd-XNpj2tjovxA" name="Change Log">
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            <ownedComment xmi:id="_UmgPFo8GEd-XNpj2tjovxA" annotatedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <body>The following are the changes and revisions applied to this domain model:</body>
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            <ownedRule xmi:id="_UmgPF48GEd-XNpj2tjovxA" name="1. Peer Review - May 28th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgPGI8GEd-XNpj2tjovxA" annotatedElement="_UmgPF48GEd-XNpj2tjovxA">
                <body>Peer Review, initial version which includes analysis of Behavioral Health use cases for information exchange.</body>
              </ownedComment>
              <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmgPGY8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgPGo8GEd-XNpj2tjovxA" annotatedElement="_UmgPGY8GEd-XNpj2tjovxA">
                  <body></body>
                </ownedComment>
              </specification>
            </ownedRule>
            <ownedRule xmi:id="_UmgPG48GEd-XNpj2tjovxA" name="2. Interim Draft - July 7th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgPHI8GEd-XNpj2tjovxA" annotatedElement="_UmgPG48GEd-XNpj2tjovxA">
                <body>This version addresses the peer review comments as well as full alignment with FHIM style and makes use of the vocabulary binding extensions in the HDF UML profile.</body>
              </ownedComment>
              <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmgPHY8GEd-XNpj2tjovxA"/>
            </ownedRule>
            <ownedRule xmi:id="_YuUYkJacEd-1hLYGSfVdpQ" name="3. Final Draft - July 30th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_FTSt0JadEd-1hLYGSfVdpQ" annotatedElement="_YuUYkJacEd-1hLYGSfVdpQ">
                <body>This is the final draft following editorial edits and feedback from initial peer review comments.</body>
              </ownedComment>
              <specification xmi:type="uml:OpaqueExpression" xmi:id="_YuUYkZacEd-1hLYGSfVdpQ"/>
            </ownedRule>
          </packagedElement>
        </packagedElement>
        <packagedElement xmi:type="uml:Package" xmi:id="_oTsyIJAyEd-vzr_-PBHu3w" name="1 - Publication Overview ">
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        </packagedElement>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64447DE3C024C" name="BloodBank">
      <eAnnotations xmi:id="_PNHLtOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PNQ8sOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_f__KcOG8EeaHnLXha23s2A" annotatedElement="_420A62FD03B64447DE3C024C">
        <body>The Blood Bank domain originates from the VA VistA system, and had not yet been modeled in the FHIM. In VistA, Blood Bank is part of the Laboratory software system because of the laboratory tests routinely performed on the blood product. The FHIM Laboratory Subject Matter Experts (SMEs) determined that in the FHIM, Blood Bank should not be part of the Laboratory domain, but rather constitute its own domain. This package was therefore created in order to maintain a record of the original Blood Bank classes received from the VA for future modeling. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_gjqfQOG8EeaHnLXha23s2A">
        <body>Note: The Blood Bank domain originates from the VA VistA system, and had not yet been modeled in the FHIM. Please see the package documentation.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64458753B035E" name="TransfusionEvent">
        <eAnnotations xmi:id="_PLxu8uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PLeM9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458753B035E">
          <body>This class captures transfusion information associated with a specimen from the blood bank for a patient.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_ivwvoOeVEd6qdqXtvR-ZHQ" name="aboGroupCode" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jO694OG3EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jO694eG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SQT6oeeVEd6qdqXtvR-ZHQ" name="bloodComponent" visibility="public" type="_2o4roOeUEd6qdqXtvR-ZHQ" association="_SQT6oOeVEd6qdqXtvR-ZHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SQT6oueVEd6qdqXtvR-ZHQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SQT6o-eVEd6qdqXtvR-ZHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvpueVEd6qdqXtvR-ZHQ" name="comment" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ldj_sOG3EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ldj_seG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvo-eVEd6qdqXtvR-ZHQ" name="crossmatchComment" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWd0wOG3EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWd0weG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445875700183" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PLeM-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445875700183">
            <body>Indicates the reverse chronological order of blood components transfused.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_igET0OG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_igET0eG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644588D19034F" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PLeM9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644588D19034F">
            <body>This is the unique identifier of the transfusion event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iJxTsOG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iJxTseG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvpOeVEd6qdqXtvR-ZHQ" name="isRhPositive" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kgDOkOG3EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kgDOkeG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvp-eVEd6qdqXtvR-ZHQ" name="nbrOfUnitsPooled" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l1RVEOG3EeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l1RVEeG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvpeeVEd6qdqXtvR-ZHQ" name="transfusionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k2ZSAOG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k2ZSAeG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A400202A1" name="transfusionReaction" visibility="public" type="_420A62FD03B6445A3FC20208" isUnique="false" association="_420A62FD03B6445A40010367">
          <ownedComment xmi:id="_PMqf1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A400202A1">
            <body>Indicates the transfusion reaction information associated with a transfusion.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PM0QweLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PM0QwuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvoeeVEd6qdqXtvR-ZHQ" name="volumeTransfused" visibility="public" type="_420A62FD03B641886F630221">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j5rLEOG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j5rLEeG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvoueVEd6qdqXtvR-ZHQ" name="wasReaction" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kECA8OG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kECA8eG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445A3FC20208" name="TransfusionReaction">
        <eAnnotations xmi:id="_PL645OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PLxu_-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A3FC20208">
          <body>This class captures transfusion reaction associated with a transfusion on a patient.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_AHI0cOG6EeaHnLXha23s2A" name="dataEnterer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AHI0cuG6EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AHI0ceG6EeaHnLXha23s2A" value="1"/>
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        <ownedAttribute xmi:id="_420A62FD03B6445875E9030E" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PL644uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445875E9030E">
            <body>Indicates the transfusion reaction date.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZgqI0OG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgqI0eG3EeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k9XA4OebEd6qdqXtvR-ZHQ" name="reactionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z5uwIOG3EeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z5uwIeG3EeaHnLXha23s2A" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445A40010367" name="transfusionEvent_transfusionReaction" memberEnd="_420A62FD03B6445A400202A1 _420A62FD03B6445A400202A3">
        <ownedEnd xmi:id="_420A62FD03B6445A400202A3" name="" visibility="public" type="_420A62FD03B64458753B035E" isUnique="false" association="_420A62FD03B6445A40010367"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_JUXv0OeUEd6qdqXtvR-ZHQ" name="BloodBankRecord">
        <ownedAttribute xmi:id="_n-3U8OeZEd6qdqXtvR-ZHQ" name="aboGroupCode" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UggBoOG3EeaHnLXha23s2A" value="1"/>
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    <packagedElement xmi:type="uml:Package" xmi:id="_DVq1IAY0EeGz0dkadElrkQ" name="CarePlan">
      <eAnnotations xmi:id="_DVsqUAY0EeGz0dkadElrkQ" source="uml2.diagrams"/>
      <ownedComment xmi:id="_48D8EMl8EeOVt_7QhK83EQ" annotatedElement="_DVq1IAY0EeGz0dkadElrkQ">
        <body>A care plan is a planning and coordination tool to assist in delivery of integrated/collaborative care by a health care team within which the patient is the center of the team. A care plan supports the inclusion of health concerns and risks, health goals, care preferences and barriers, interventions, and iterative reviews during the planning and implementation phases of collaborative care. The care plan also supports communication of the whole, or parts of the plan, acceptance (or not) of the plan, and synchronization or reconciliation of multiple plans.&#xD;
&#xD;
This package describes the information classes required to define and document a care plan over time.  It is based on the HL7 Care Plan Domain Analysis Model (DAM) Release 1 balloted in May 2014.</body>
      </ownedComment>
      <ownedComment xmi:id="_cx9xAMRHEeSThJ7NwJgY1w">
        <body>A note on commonly used terms that often mean different things in different settings:&#xD;
&#xD;
In the VA/DoD, a CARE manager manages an episode of care, while a CASE manager manages across episodes of care.&#xD;
In many commercial settings, CARE managers have the same viewpoint, but additionally coordinate benefits in order to stabilize and improve the health status of the patient.&#xD;
UTILIZATION managers tend to look at each benefit request separately.</body>
      </ownedComment>
      <ownedComment xmi:id="_FF12wNo8EeSOxtrN8-7DcQ" annotatedElement="_HRcwALk9EeSvIbhHaIFeOA">
        <body>In the future, we might include an indication of the degree to which the Care Intervention conforms to the applicable Guideline(s)</body>
      </ownedComment>
      <ownedComment xmi:id="_f5pJ0N1EEeSZfdq7h5ueSA">
        <body>NOTICE: All Acts and Observations in this package are subtypes of Clinical Information. This is not shown in the diagram to avoid clutter.&#xD;
As a consequence of this, all classes potentially have recursive relationships to themselves and include provenance. Please see the Clinical Information model in the Common package for more details</body>
      </ownedComment>
      <ownedComment xmi:id="_DwzXQOt8EeW_d52hJF-Rwg" annotatedElement="_8nBtoOt6EeW_d52hJF-Rwg">
        <body>Note that this is a subclass of Observation (which is not shown in this diagram in order to reduce clutter). See the class definition for more details.</body>
      </ownedComment>
      <ownedComment xmi:id="_UgDj4O0eEeWjUp19yClo5Q" annotatedElement="_XoccULksEeSvIbhHaIFeOA">
        <body>Resource Allocation is included for compatibility with the HL7 DAM, but is considered a separate process from Care Planning, and would therefore likely be in a different domain in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_SlspoAY0EeGz0dkadElrkQ" name="carePlanEpisode_patient" memberEnd="_Slt3wAY0EeGz0dkadElrkQ _Slvs8AY0EeGz0dkadElrkQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rZMYcAY0EeGz0dkadElrkQ" name="HealthGoal">
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          <body>An objective intended to be realized by the successful execution of the Care Plan. &#xD;
&quot;A health goal specifies a future target or achievement towards which the effort of care planning and execution is directed. Goals represent concrete targets to reduce or eliminate concerns or risks. A Goal may exist in the absence of concerns or risks. For example, a patient may have a goal to improve their fitness level. The plan always has at least one goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.&quot; - HL7 FHIR, Goal&#xD;
&#xD;
Note that a goal might be constructed of sub-goals, which might each be associated with a single outcome.  For example, a goal to loose 5 pounds per week over 6 weeks might spawn 6 child goals to loose 5 pounds in week 1, week 2, etc.  Each child goal would be associated with one actual outcome (i.e., lost 4 pounds in week 1; lost 6 pounds in week 2, etc).  Then the &quot;parent&quot; goal outcome could be the total (e.g., lost 28 pounds in 6 weeks).</body>
        </ownedComment>
        <generalization xmi:id="_1wb9kNfLEeSTuOyAKngSWg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_1267kAY0EeGz0dkadElrkQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wbq1INfHEeSTuOyAKngSWg" annotatedElement="_1267kAY0EeGz0dkadElrkQ">
            <body>&quot;Names or describes the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates a category the goal falls within.&quot; - HL7 FHIR, Goal.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_t5cpsLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_t5cpsbzSEeasQoRN2Ou_5g" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Dd_MkDvwEeeAVuPecg5-Hg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(GoalCategory)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__kz9MAY0EeGz0dkadElrkQ" name="dateEstablished" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_T_wGcO9_EeWkMe7GVfjMFQ" annotatedElement="__kz9MAY0EeGz0dkadElrkQ">
            <body>The date (and optionally, the time) on which the Health Goal was agreed upon.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ut4XULzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ut4XUbzSEeasQoRN2Ou_5g" value="1"/>
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        <ownedAttribute xmi:id="_7Ip68AY0EeGz0dkadElrkQ" name="description" visibility="public">
          <ownedComment xmi:id="_aWCAcO_oEeOM48qnBkZzmw" annotatedElement="_7Ip68AY0EeGz0dkadElrkQ">
            <body>A summary of the health objective, whether articulated by the patient or by a clinician. Note that this description may include an indication of whether the goal is to achieve, maintain, manage or avoid a particular condition or circumstance.&#xD;
&quot;The goal intent is a modifier of the goal purpose and indicates whether the goal target is something to achieve, maintain, manage or avoid. For example, in late stage diabetes the only path may be to simply manage or control the condition.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Human-readable and/or coded description of a specific desired objective of care, such as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance with child at wedding&quot;.&quot; - HL7 FHIR, Goal.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vkHbwbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vkx4YDvtEeeAVuPecg5-Hg" name="expressedBy" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_Bt3ksDvuEeeAVuPecg5-Hg" annotatedElement="_vkx4YDvtEeeAVuPecg5-Hg">
            <body>Identifies who determined the Goal. FHIR allows a reference to Patient, Practitioner, or RelatedPerson, so FHIM uses the Participation construct. The FHIM PatientParticipation, PractitionerParticipation, UnAffilliatedParticipation classes correspond to the FHIR ones. The FHIM Participation construct has other participation constructs (such as DeviceParticipation) which would not be used.&#xD;
&quot;Indicates whose goal this is - patient goal, practitioner goal, etc.&quot; - HL7 FHIR, Goal.expressedBy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y7riwDvtEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y7riwTvtEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lY9q0OYEEeWMCcMdatPOjA" name="goalAchievementState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lY9q0eYEEeWMCcMdatPOjA" annotatedElement="_lY9q0OYEEeWMCcMdatPOjA">
            <body>&quot;Specifies a judgment on the goal achievement state&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wvGBILzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wvGBIbzSEeasQoRN2Ou_5g" value="1"/>
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            <language></language>
            <body>(GoalAchievementState)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0Chy8OfKEeWKHuD1aKU_UQ" name="goalIntent" visibility="public">
          <ownedComment xmi:id="_0Chy8efKEeWKHuD1aKU_UQ" annotatedElement="_0Chy8OfKEeWKHuD1aKU_UQ">
            <body>&quot;The goal intent is a modifier of the goal purpose and indicates whether the goal target is something to achieve, maintain, manage or avoid. For example, in late stage diabetes the only path may be to simply manage or control the condition.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yCcfYLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yCcfYbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WScXkNfJEeSTuOyAKngSWg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WScXkdfJEeSTuOyAKngSWg" annotatedElement="_WScXkNfJEeSTuOyAKngSWg">
            <body>&quot;This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).&quot; - HL7 FHIR, Goal.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WScXk9fJEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WScXktfJEeSTuOyAKngSWg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tLhfwO_oEeOM48qnBkZzmw" name="narrative" visibility="public">
          <ownedComment xmi:id="_tLhfwe_oEeOM48qnBkZzmw" annotatedElement="_tLhfwO_oEeOM48qnBkZzmw">
            <body>&quot;Captures comments or notes about the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Any comments related to the goal.&quot; - HL7 FHIR, Goal.notes.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vA8JQO_oEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vA8wUO_oEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jDh6wAZEEeGz0dkadElrkQ" name="priority" visibility="public">
          <ownedComment xmi:id="_wfCvsMQzEeSThJ7NwJgY1w" annotatedElement="_jDh6wAZEEeGz0dkadElrkQ">
            <body>&quot;Indicates the preference order to use for care planning purposes. The goal supports multiple priorities in order to support multiple care team perspectives and eventual harmonization.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.&quot; - HL7 FHIR, Goal.priority</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xt-oAMQzEeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xt_2IMQzEeSThJ7NwJgY1w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1aprIDvjEeeAVuPecg5-Hg" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_1aprITvjEeeAVuPecg5-Hg" annotatedElement="_1aprIDvjEeeAVuPecg5-Hg">
            <body>The date upon which the activities towards accomplishing the Goal commenced or is expected to commence. Note that FHIR allows either a date or an event (a code) here. For now, the FHIM only has the date.&#xD;
&quot;The date or event after which the goal should begin being pursued.&quot; - HL7 FHIR, Goal.start[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1aqSMTvjEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1aqSMDvjEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R1KOcAY9EeGz0dkadElrkQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_iA3lMO_oEeOM48qnBkZzmw" annotatedElement="_R1KOcAY9EeGz0dkadElrkQ">
            <body>This property indicates the state of the Health Goal within a workflow or within its life-cycle.  Possible values include proposed, accepted, on hold, etc.  Note that the progress of the patient towards the goal, or status of the achievement of the goal is not defined by this field, but rather in the goalAchievementState property.&#xD;
&quot;Indicates the implementation stage for the goal and related plan components.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates whether the goal has been reached and is still considered relevant.&quot; - HL7 FHIR, Goal.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ieJ-IO_oEeOM48qnBkZzmw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ieKlMO_oEeOM48qnBkZzmw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uXpZ4OYAEeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(HealthGoalStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wAWgMNfJEeSTuOyAKngSWg" name="statusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_wAWgMdfJEeSTuOyAKngSWg" annotatedElement="_wAWgMNfJEeSTuOyAKngSWg">
            <body>&quot;Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc.&quot; - HL7 FHIR, Goal.statusDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_znEIMNfJEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_znEIMdfJEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oarGUDvmEeeAVuPecg5-Hg" name="statusReason" visibility="public">
          <ownedComment xmi:id="_oarGUTvmEeeAVuPecg5-Hg" annotatedElement="_oarGUDvmEeeAVuPecg5-Hg">
            <body>&quot;Captures the reason for the current status.&quot; - HL7 FHIR, Goal.statusReason</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oarGUzvmEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oarGUjvmEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RF6xkAY3EeGz0dkadElrkQ" name="targetDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_K4Xz4MQ0EeSThJ7NwJgY1w" annotatedElement="_RF6xkAY3EeGz0dkadElrkQ">
            <body>The date upon which the goal should be met. Note that FHIR allows either a Date or a Duration, but FHIM only models a date at this time.&#xD;
&quot;Desired target date for meeting the goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates either the date or the duration after start by which the goal should be met.&quot; - HL7 FHIR, Goal.target.due[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0GWn0GPxEeaxw9SMkJS39A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0GWn0WPxEeaxw9SMkJS39A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cmO9MDwNEeezmIhKJ_S7hQ" name="targetMeasure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rXgZIDwNEeezmIhKJ_S7hQ" annotatedElement="_cmO9MDwNEeezmIhKJ_S7hQ">
            <body>&quot;The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.&quot; - HL7 FHIR, Goal.target.measure</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PBnAgIzHEeaPWbBiMJSPyg" name="acceptanceReview" visibility="public" type="_t21S4LPCEeS3iYN4R_wsuw" association="_PBiIAIzHEeaPWbBiMJSPyg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PBnnkIzHEeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PBoOoIzHEeaPWbBiMJSPyg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_weC4oJkzEeWp2-jxt6MtWQ" name="careIntervention" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_wd9ZEJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_IQYZcO94EeWkMe7GVfjMFQ" annotatedElement="_weC4oJkzEeWp2-jxt6MtWQ">
            <body>Pointer to a (set of) action(s) (treatment, procedure, or activity) designed to achieve an outcome for a diagnosis for which the clinician is accountable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_weEGwJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_weEt0JkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__tmnoAZGEeGz0dkadElrkQ" name="goalReview" visibility="public" type="_xLawkAZGEeGz0dkadElrkQ" association="__tkycAZGEeGz0dkadElrkQ">
          <ownedComment xmi:id="_Nscf4O-AEeWkMe7GVfjMFQ" annotatedElement="__tmnoAZGEeGz0dkadElrkQ">
            <body>Pointer to a (set of) assessments of the progress made toward reaching a Goal of the Care Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__tn1wAZGEeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__toc0AZGEeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-__JEOt6EeW_d52hJF-Rwg" name="goalSuccessCriterion" visibility="public" type="_8nBtoOt6EeW_d52hJF-Rwg" association="_-_63oOt6EeW_d52hJF-Rwg">
          <ownedComment xmi:id="_hc-aMO93EeWkMe7GVfjMFQ" annotatedElement="_-__JEOt6EeW_d52hJF-Rwg">
            <body>Pointer to a statement of a desired future state, expressed as an Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__AAXMOt6EeW_d52hJF-Rwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__AA-QOt6EeW_d52hJF-Rwg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AYCX8O_pEeOM48qnBkZzmw" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_AX_7sO_pEeOM48qnBkZzmw">
          <ownedComment xmi:id="_CQH68O_pEeOM48qnBkZzmw" annotatedElement="_AYCX8O_pEeOM48qnBkZzmw">
            <body>Pointer to the Health Concern(s) (aka Problem(s), or Condition(s)) which the Goal is intended to improve. Note that the FHIR Goal.addresses property can point to multiple resource types, including Condition, Observation, MedicationStatement, NutritionOrder, ProcedureRequest, or RiskAssessment, wherease FHIM currently only points to HealthConcern.&#xD;
&quot;The identified conditions and other health record elements that are intended to be addressed by the goal.&quot; - HL7 FHIR, Goal.addresses</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AYC_AO_pEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AYDmEO_pEeOM48qnBkZzmw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8hfY4DwNEeezmIhKJ_S7hQ" name="targetValue" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_8hfY4TwNEeezmIhKJ_S7hQ" annotatedElement="_8hfY4DwNEeezmIhKJ_S7hQ">
            <body>&quot;The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.&quot; - HL7 FHIR, Goal.target.detail[x]</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eDAlAAY1EeGz0dkadElrkQ" name="carePlanEpisode_careTeamMember" memberEnd="_eDCaMAY1EeGz0dkadElrkQ _eDDBQAY1EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_eDDBQAY1EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_eDAlAAY1EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_j-V7AAY1EeGz0dkadElrkQ" name="CarePlanGuideline">
        <ownedComment xmi:id="_lkrAsO65EeWGc6zSCrskfQ" annotatedElement="_j-V7AAY1EeGz0dkadElrkQ">
          <body>A care plan guideline is a statement expressed by a professional organization in order to influence how care is delivered. A guideline is a &quot;best practice&quot; and may be driven by historic precidents and outcomes - adapted from the HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8nyrEAY3EeGz0dkadElrkQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="__F9gAO9xEeWkMe7GVfjMFQ" annotatedElement="_8nyrEAY3EeGz0dkadElrkQ">
            <body>Uniquely identifies the Care Plan Guideline. The Care Plan Guideline will typically be issued by a professional association or by the organization responsible for the care of the Patient. The organization can be identified by the issuer of the identifier which is in the &quot;system&quot; subfield of the ID datatype.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_imegoLzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_imegobzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__78jcAY3EeGz0dkadElrkQ" name="text" visibility="public">
          <ownedComment xmi:id="_dB8gsO90EeWkMe7GVfjMFQ" annotatedElement="__78jcAY3EeGz0dkadElrkQ">
            <body>Contains the narrative or content of the Care Plan Guideline.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jcGhELzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jcGhEbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_l_xnQAY1EeGz0dkadElrkQ" name="carePlanEpisode_carePlanGuideline" memberEnd="_l_zccAY1EeGz0dkadElrkQ _l_2fwAY1EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_l_2fwAY1EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_l_xnQAY1EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_zXMUUAY1EeGz0dkadElrkQ" name="CarePlanEpisode">
        <ownedComment xmi:id="_6TV8UNewEeSTuOyAKngSWg" annotatedElement="_zXMUUAY1EeGz0dkadElrkQ">
          <body>This class represents a set of planned actions and goals for a Patient dealing with a given set of issues or concerns. The set of problems being managed may be complex and intertwined, and the Care Plan Episode will likely cover an extended period of time. However, the Care Plan Episode differs from the longitudinal Care Plan in that the longitudinal Care Plan covers all Care Plans over the life of the Patient, including those that have been terminated because the underlying condition had been resolved. The Care Plan Episode is focused on the set of issues that is being managed over a particular period of time or for a particular condition. Note that the HL7 Care Plan DAM includes a confidentiality property that we do not model, as confidentiality is expected to be handled by constructs in the Security and Privacy domain.&#xD;
&quot;The Plan captures the shared attributes for Care Plan, Plan of Care and Treatment Plan.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.&quot; - HL7 FHIR, CarePlan resource.</body>
        </ownedComment>
        <generalization xmi:id="_utVrEMQ_EeSThJ7NwJgY1w" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_x3mBcAZDEeGz0dkadElrkQ" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_C2HiwNe-EeSTuOyAKngSWg" annotatedElement="_x3mBcAZDEeGz0dkadElrkQ">
            <body>&quot;Specifies when the plan was created&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cnZ6ILzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cnZ6IbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dnEI0O_nEeOM48qnBkZzmw" name="dateModified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jg300O_nEeOM48qnBkZzmw" annotatedElement="_dnEI0O_nEeOM48qnBkZzmw">
            <body>&quot;Specifies the last date/time the plan was changed&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Identifies the most recent date on which the plan has been revised.&quot; - HL7 FHIR, CarePlan.modified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iuQsIO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iuQsIe_nEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UE4dEAY3EeGz0dkadElrkQ" name="description" visibility="public">
          <ownedComment xmi:id="_Hgyv4NfDEeSTuOyAKngSWg" annotatedElement="_UE4dEAY3EeGz0dkadElrkQ">
            <body>&quot;Indicates a descriptive coded type for the plan&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;A description of the scope and nature of the plan.&quot; - FHIR, CarePlan.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cbsFYO_oEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cbsscO_oEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6CV1UAZDEeGz0dkadElrkQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SUxP0NfDEeSTuOyAKngSWg" annotatedElement="_6CV1UAZDEeGz0dkadElrkQ">
            <body>This property categorizes the Care Plan Episode - typically by problem, but possibly by discipline or setting or some of combination of the three. &#xD;
&quot;Identifies what &quot;kind&quot; of plan this is to support differentiation between multiple co-existing plans; e.g. &quot;Home health&quot;, &quot;psychiatric&quot;, &quot;asthma&quot;, &quot;disease management&quot;, &quot;wellness plan&quot;, etc.&quot; - FHIR, CarePlan.category&#xD;
&quot;Specifies zero or more discipline or clinical specialties viewpoints represented in the plan&quot; - HL7 Care Plan Domain Analysis Model - Note that the DAM has this a separate field, but it was determined that category covers the discipline as well.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e3wMILzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e3wMIbzSEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uSMWYOU1EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanKind)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FTwnkAY2EeGz0dkadElrkQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Ge-L4O_nEeOM48qnBkZzmw" annotatedElement="_FTwnkAY2EeGz0dkadElrkQ">
            <body>&quot;A unique identifier for the plan&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).&quot; - FHIR, CarePlan.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R7MXkO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R7OMwO_nEeOM48qnBkZzmw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hEgBsDswEee5HYAV5-_TWg" name="intent" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_o44kADswEee5HYAV5-_TWg" annotatedElement="_hEgBsDswEee5HYAV5-_TWg">
            <body>&quot;Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.&quot; - FHIR, CarePlan.intent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kB-fcDswEee5HYAV5-_TWg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kB_GgDswEee5HYAV5-_TWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7fuskNpFEeSOxtrN8-7DcQ" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_7fuskdpFEeSOxtrN8-7DcQ" annotatedElement="_7fuskNpFEeSOxtrN8-7DcQ">
            <body>&quot;General notes about the care plan not covered elsewhere.&quot; - FHIR, CarePlan.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7fusk9pFEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7fusktpFEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FHxCUN5wEeaSVd0Fmxi4nQ" name="planSteward" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_S6cIAN5wEeaSVd0Fmxi4nQ" annotatedElement="_FHxCUN5wEeaSVd0Fmxi4nQ">
            <body>A Plan Steward Is the Person or Organization accountable for maintaining some aspect of the care plan. This may be more than one organization as the plan may span the continuum of care - adapted from S&amp;I Framework Longitudinal Coordination of Care Overview to HL7 Patient Care WG. Note that this class identifies the person or organization participating in the Care Plan as a steward. The same person or organization may also participate as a care team member – indeed, the steward will likely be a team member.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ku_wkN5wEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ku_wkd5wEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2DYFYAZDEeGz0dkadElrkQ" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_bAST0O_nEeOM48qnBkZzmw" annotatedElement="_2DYFYAZDEeGz0dkadElrkQ">
            <body>&quot;Specifies the start of the plan implementation&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates when the plan did (or is intended to) come into effect and end.&quot; - FHIR, CarePlan.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afnPsO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afn2wO_nEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U4M7QO_nEeOM48qnBkZzmw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_W6Su0O_nEeOM48qnBkZzmw" annotatedElement="_U4M7QO_nEeOM48qnBkZzmw">
            <body>&quot;Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.&quot; - FHIR, CarePlan.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gRj3sLzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gRj3sbzSEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_9CF8cOX9EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nBLmwNe-EeSTuOyAKngSWg" name="title" visibility="public">
          <ownedComment xmi:id="_rQ_PENe-EeSTuOyAKngSWg" annotatedElement="_nBLmwNe-EeSTuOyAKngSWg">
            <body>&quot;Descriptive display name for the plan&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Human-friendly name for the CarePlan.&quot; - FHIR, CarePlan.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nBLmwte-EeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nBLmwde-EeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FTxOoAY2EeGz0dkadElrkQ" name="version" visibility="public">
          <ownedComment xmi:id="_0D_uENfEEeSTuOyAKngSWg" annotatedElement="_FTxOoAY2EeGz0dkadElrkQ">
            <body>&quot;A value indicating some changes (e.g. concern, goal, risk, proposed actions) in a plan and denoting that it is different from the previously published form. &quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zTZ-oNfEEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zTZ-odfEEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u_eHcNo5EeSOxtrN8-7DcQ" name="acceptanceReview" visibility="public" type="_t21S4LPCEeS3iYN4R_wsuw" association="_u_c5UNo5EeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_hRtkcO6-EeWGc6zSCrskfQ" annotatedElement="_u_eHcNo5EeSOxtrN8-7DcQ">
            <body>Pointer to a (set of) appraisals during which agreements to adopt proposed Care Plan actions are affirmed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u_fVkNo5EeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u_f8oNo5EeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Rl7cN1CEeSZfdq7h5ueSA" name="careBarrier" visibility="public" type="_A8TPQLPAEeS3iYN4R_wsuw" association="_5RktUN1CEeSZfdq7h5ueSA">
          <ownedComment xmi:id="_jTCdkO9vEeWkMe7GVfjMFQ" annotatedElement="_5Rl7cN1CEeSZfdq7h5ueSA">
            <body>Pointer to a (set of) impediments which may reduce or block quality of care and/or increase cost, and which may hinder the achievement of the goal(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RmigN1CEeSZfdq7h5ueSA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RnJkN1CEeSZfdq7h5ueSA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rHfC4NoxEeSOxtrN8-7DcQ" name="careIntervention" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_rHaxcNoxEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_usQKINoxEeSOxtrN8-7DcQ" annotatedElement="_rHfC4NoxEeSOxtrN8-7DcQ">
            <body>Pointer to a set of actions or interventions intended to fulfill the the Care Plan.&#xD;
&quot;Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.&quot; - HL7 FHIR, CarePlan.activity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rHg4ENoxEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rHhfINoxEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l_zccAY1EeGz0dkadElrkQ" name="carePlanGuideline" visibility="public" type="_j-V7AAY1EeGz0dkadElrkQ" association="_l_xnQAY1EeGz0dkadElrkQ">
          <ownedComment xmi:id="_APAdoO9wEeWkMe7GVfjMFQ" annotatedElement="_l_zccAY1EeGz0dkadElrkQ">
            <body>Pointer to a (set of) statement(s) expressed by a professional organization describing &quot;best practice&quot; with respect to plans of care for a particular condition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l_0qkAY1EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l_0qkQY1EeGz0dkadElrkQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eDCaMAY1EeGz0dkadElrkQ" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_eDAlAAY1EeGz0dkadElrkQ">
          <ownedComment xmi:id="_dEG54H7iEeOYQJZKXKAJnw" annotatedElement="_eDCaMAY1EeGz0dkadElrkQ">
            <body>Pointer to a set of Persons or Organizations involved in the care of the Patient.&#xD;
&quot;Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.&quot; - HL7 FHIR, CarePlan.participant.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eDCaMQY1EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eDCaMgY1EeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dZZ_ANSvEeSyzs7OQneM_g" name="communication" visibility="public" type="_MGvssNfWEeSTuOyAKngSWg" association="_dZYJ0NSvEeSyzs7OQneM_g">
          <ownedComment xmi:id="_ZKlpIO66EeWGc6zSCrskfQ" annotatedElement="_dZZ_ANSvEeSyzs7OQneM_g">
            <body>Pointer to a set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dZbNINSvEeSyzs7OQneM_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dZb0MNSvEeSyzs7OQneM_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SlH_wN-1EeSQwMSQTXiDlA" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_SlEVYN-1EeSQwMSQTXiDlA">
          <ownedComment xmi:id="_RjIQ0O9wEeWkMe7GVfjMFQ" annotatedElement="_SlH_wN-1EeSQwMSQTXiDlA">
            <body>Pointer to the Patient's condition or &quot;problem&quot; upon which the Care Plan is focused.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SlKcAN-1EeSQwMSQTXiDlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SlMRMN-1EeSQwMSQTXiDlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HODKAAY2EeGz0dkadElrkQ" name="healthGoal" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_HOBU0AY2EeGz0dkadElrkQ">
          <ownedComment xmi:id="_KbqOcO_oEeOM48qnBkZzmw" annotatedElement="_HODKAAY2EeGz0dkadElrkQ">
            <body>Pointer to a set of objectives intended to be realized by the successful execution of the Care Plan. &#xD;
&quot;Describes the intended objective(s) of carrying out the Care Plan.&quot; - HL7 FHIR, CarePlan.goal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HOEYIAY2EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HOEYIQY2EeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bSOZYMRDEeSThJ7NwJgY1w" name="planReview" visibility="public" type="_YRZFoMRDEeSThJ7NwJgY1w" association="_bSMkMMRDEeSThJ7NwJgY1w">
          <ownedComment xmi:id="_GqcakO9xEeWkMe7GVfjMFQ" annotatedElement="_bSOZYMRDEeSThJ7NwJgY1w">
            <body>Pointer to a (set of) evaluation(s) of the overall consistency, appropriateness, completeness and effectiveness of the plan especially with respect to its efficacy towards achievement of the Care Plan Goal(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bSPAcMRDEeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bSPngMRDEeSThJ7NwJgY1w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DSq54NpFEeSOxtrN8-7DcQ" name="supportingInformation" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_DSprwNpFEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_TzEKENpFEeSOxtrN8-7DcQ" annotatedElement="_DSq54NpFEeSOxtrN8-7DcQ">
            <body>&quot;Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include co-morbidities, recent procedures, limitations, recent assessments, etc.&quot; - HL7 FHIR, CarePlan.support</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DSsIANpFEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DSsIAdpFEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HOBU0AY2EeGz0dkadElrkQ" name="carePlanEpisode_healthGoal" memberEnd="_HODKAAY2EeGz0dkadElrkQ _HOGNUAY2EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_HOGNUAY2EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_HOBU0AY2EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mwEawAZAEeGz0dkadElrkQ" name="ActivityOutcomeReview">
        <ownedComment xmi:id="_422QsNfSEeSTuOyAKngSWg" annotatedElement="_mwEawAZAEeGz0dkadElrkQ">
          <body>This class documents an evaluation of whether the activities that were undertaken have helped the patient meet their health goal. This is in contrast to the Goal Review class, which is an assessment of progress made toward reaching a Goal of the Care Plan. In other words, the Goal Review class asks &quot;did the patient make progress towards their goal?&quot;, while this ActivityOutcomeReview class asks &quot;did what we did make a difference?&quot;&#xD;
Note that the efficacy of the Activity towards achieving the Goal is not always knowable, rather one can only know whether the Goal was achieved or not, in which case this review class would simply not be created. However, in cases where the efficacy of the Activity towards achieving the Goal can be characterized, this class could be used to store such information.&#xD;
&quot;An activity outcome review measures the result of individual implemented action (observational or interventional) against goal success criteria. The action outcome review might address only a subset of goal success criteria.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8U5r8NfSEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_8U5r8dfSEeSTuOyAKngSWg" annotatedElement="_8U5r8NfSEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8U5r89fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8U5r8tfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8U5r9NfSEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_8U5r9dfSEeSTuOyAKngSWg" annotatedElement="_8U5r9NfSEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8U5r99fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8U5r9tfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__OpDwNfTEeSTuOyAKngSWg" name="interventionEffectiveness" visibility="public">
          <ownedComment xmi:id="__OpDwdfTEeSTuOyAKngSWg" annotatedElement="__OpDwNfTEeSTuOyAKngSWg">
            <body>&quot;Indicates a judgment evaluation regarding the intervention effectiveness&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Oy8EsLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OzF1sLzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DMlFYAZGEeGz0dkadElrkQ" name="outcomeDescription" visibility="public">
          <ownedComment xmi:id="_f4Z6UNfLEeSTuOyAKngSWg" annotatedElement="_DMlFYAZGEeGz0dkadElrkQ">
            <body>&quot;Specifies the type of outcome determined based on the review&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Identifies the change (or lack of change) at the point when the status of the goal is assessed.&quot; - HL7 FHIR, Goal.outcomeCode</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_P_f-cLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_P_f-cbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0dUyEO_rEeOM48qnBkZzmw" name="observationStatement" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_0dULAO_rEeOM48qnBkZzmw">
          <ownedComment xmi:id="_PXnOQO_sEeOM48qnBkZzmw" annotatedElement="_0dUyEO_rEeOM48qnBkZzmw">
            <body>Pointer to an Observation of the measurable goal. For example, if the goal was to loose weight with a target weight of 180 pounds, and the patient reached 189 pounds, this association will point to a weight measurement of 189 pounds.&#xD;
&quot;Details of what's changed (or not changed).&quot; - HL7 FHIR, Goal.outcomeReference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0dWAMO_rEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0dWAMe_rEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WivCUDwQEeezmIhKJ_S7hQ" name="outcomeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WivCUTwQEeezmIhKJ_S7hQ" annotatedElement="_WivCUDwQEeezmIhKJ_S7hQ">
            <body>&quot;Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).&quot; - HL7 FHIR, CarePlan.activity.outcomeCodeableConcept</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WivCUzwQEeezmIhKJ_S7hQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WivCUjwQEeezmIhKJ_S7hQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BpY_cDwREeezmIhKJ_S7hQ" name="progress" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_BpY_cTwREeezmIhKJ_S7hQ" annotatedElement="_BpY_cDwREeezmIhKJ_S7hQ">
            <body>&quot;Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).&quot; - HL7 FHIR, CarePlan.activity.outcomeCodeableConcept</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BpY_czwREeezmIhKJ_S7hQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BpY_cjwREeezmIhKJ_S7hQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pHlrwAZAEeGz0dkadElrkQ" name="careIntervention_activityOutcomeReview" memberEnd="_pHoIAAZAEeGz0dkadElrkQ _pHqkQAZAEeGz0dkadElrkQ">
        <ownedEnd xmi:id="_pHqkQAZAEeGz0dkadElrkQ" name="" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_pHlrwAZAEeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xLawkAZGEeGz0dkadElrkQ" name="GoalReview">
        <ownedComment xmi:id="_SY__0NfUEeSTuOyAKngSWg" annotatedElement="_xLawkAZGEeGz0dkadElrkQ">
          <body>An assessment of progress made toward reaching a Goal of the Care Plan. For example, if the Goal is for the Patient to reduce their weight by 10 pounds by a certain date, an observation would be made on or near that date of the patient’s actual weight, and this weight compared to the goal weight.&#xD;
&quot;Goal reviews reference multiple action outcomes reviews which support overall assessment of a HealthGoal.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <generalization xmi:id="_MNsbgNfREeSTuOyAKngSWg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_arkS8NfUEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_arkS8dfUEeSTuOyAKngSWg" annotatedElement="_arkS8NfUEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arkS89fUEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arkS8tfUEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_arkS9NfUEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_arkS9dfUEeSTuOyAKngSWg" annotatedElement="_arkS9NfUEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arkS99fUEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arkS9tfUEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nEG88tfUEeSTuOyAKngSWg" name="goalAchievementState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nEG889fUEeSTuOyAKngSWg" annotatedElement="_nEG88tfUEeSTuOyAKngSWg">
            <body>&quot;Specifies a judgment on the goal achievement state&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o6VEULzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o6VEUbzSEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_-V0jcDvwEeeAVuPecg5-Hg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(GoalAchievementState)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6aj0QNfUEeSTuOyAKngSWg" name="nextScheduledReview" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_6aj0QdfUEeSTuOyAKngSWg" annotatedElement="_6aj0QNfUEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the next review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qE2WsLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qE2WsbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6aj0QtfUEeSTuOyAKngSWg" name="reviewFrequency" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_6aj0Q9fUEeSTuOyAKngSWg" annotatedElement="_6aj0QtfUEeSTuOyAKngSWg">
            <body>&quot;Specifies a periodic frequency for future reviews&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rBV0ILzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rBV0IbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yPY6cJkzEeWp2-jxt6MtWQ" name="observation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_yPXsUJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_0LLlwO93EeWkMe7GVfjMFQ" annotatedElement="_yPY6cJkzEeWp2-jxt6MtWQ">
            <body>Pointer to an Observation of the measurable goal.  For example, if the goal was to loose weight with a target weight of 180 pounds, and the patient reached 189 pounds, this association will point to a weight measurement of 189 pounds.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yPZhgJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yPaIkJkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6WouYJkzEeWp2-jxt6MtWQ" name="activityOutcomeReview" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_6WngQJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_5zuNgO91EeWkMe7GVfjMFQ" annotatedElement="_6WouYJkzEeWp2-jxt6MtWQ">
            <body>Pointer to an evaluation of whether the activities that were undertaken have helped the patient meet their health goal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6WpVcJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6WpVcZkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v7FCoOt-EeW_d52hJF-Rwg" name="goalSuccessCriterion" visibility="public" type="_8nBtoOt6EeW_d52hJF-Rwg" association="_v7D0gOt-EeW_d52hJF-Rwg">
          <ownedComment xmi:id="_h6vUQO93EeWkMe7GVfjMFQ" annotatedElement="_v7FCoOt-EeW_d52hJF-Rwg">
            <body>Pointer to a statement of a desired future state, expressed as an Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v7FpsOt-EeW_d52hJF-Rwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v7GQwOt-EeW_d52hJF-Rwg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__tkycAZGEeGz0dkadElrkQ" name="healthGoal_goalReview" memberEnd="__tmnoAZGEeGz0dkadElrkQ __tpq8AZGEeGz0dkadElrkQ">
        <ownedEnd xmi:id="__tpq8AZGEeGz0dkadElrkQ" name="" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="__tkycAZGEeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AX_7sO_pEeOM48qnBkZzmw" name="healthGoal_healthConcern" memberEnd="_AYCX8O_pEeOM48qnBkZzmw _AYENIO_pEeOM48qnBkZzmw">
        <ownedEnd xmi:id="_AYENIO_pEeOM48qnBkZzmw" name="" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_AX_7sO_pEeOM48qnBkZzmw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0dULAO_rEeOM48qnBkZzmw" name="activityOutcomeReview_observationStatement" memberEnd="_0dUyEO_rEeOM48qnBkZzmw _0dWnQO_rEeOM48qnBkZzmw">
        <ownedEnd xmi:id="_0dWnQO_rEeOM48qnBkZzmw" name="" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_0dULAO_rEeOM48qnBkZzmw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_A8TPQLPAEeS3iYN4R_wsuw" name="CareBarrier">
        <ownedComment xmi:id="_JwQOoMmtEeSWo8c3GHgn0Q" annotatedElement="_A8TPQLPAEeS3iYN4R_wsuw">
          <body>An impediment which may reduce or block quality of care and/or increase cost, and which may hinder the achievement of the goal(s).&#xD;
&quot;A barrier impacts specific interventions or other plan activities and may necessitate their modification. Barriers are situations outside the health care system which nonetheless reduce or block quality of care and also increase cost. Barrier may also impact on goals achievement if modifications to interventions cannot effectively overcome identified barriers.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <generalization xmi:id="_sHOz8MmvEeSWo8c3GHgn0Q" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_i6vhIMmtEeSWo8c3GHgn0Q" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i6vhIcmtEeSWo8c3GHgn0Q" annotatedElement="_i6vhIMmtEeSWo8c3GHgn0Q">
            <body>Identifies the kind of impediment that causes the Patient to resist the suggested Care Intervention. Note that this property is modeled as a code, but at this time we have not identified a value-set that is universally applicable. &#xD;
&quot;Names or describes what the barrier is&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6vhI8mtEeSWo8c3GHgn0Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6vhIsmtEeSWo8c3GHgn0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bXDGMMmtEeSWo8c3GHgn0Q" name="comment" visibility="public">
          <ownedComment xmi:id="_bXDGMcmtEeSWo8c3GHgn0Q" annotatedElement="_bXDGMMmtEeSWo8c3GHgn0Q">
            <body>&quot;Free form comments related to the barrier&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bXDGM8mtEeSWo8c3GHgn0Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bXDGMsmtEeSWo8c3GHgn0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ox4qkMmvEeSWo8c3GHgn0Q" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ox4qkcmvEeSWo8c3GHgn0Q" annotatedElement="_Ox4qkMmvEeSWo8c3GHgn0Q">
            <body>&quot;The date/time the barrier was identified&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Re-0MLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Re-0MbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WdDvUNfNEeSTuOyAKngSWg" name="resolvedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_WdDvUdfNEeSTuOyAKngSWg" annotatedElement="_WdDvUNfNEeSTuOyAKngSWg">
            <body>&quot;The date/time when the barrier is either resolved or an acceptable alternative is found.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZK-uINfNEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZK-uIdfNEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t21S4LPCEeS3iYN4R_wsuw" name="AcceptanceReview">
        <ownedComment xmi:id="_cpK8QNSsEeSyzs7OQneM_g" annotatedElement="_t21S4LPCEeS3iYN4R_wsuw">
          <body>&quot;Acceptance reviews capture understanding and agreement to adopt a proposal for health goals, interventional actions or the plan itself. E.g. Upon review of the goals and actions a care manager (e.g. nurse case manager, social worker, physical therapist, pharmacist), PCP, nurse and patient will indicate understanding and acceptance of the Care Plan. Acceptance reviews may be used to indicate a provider’s  authorization to perform an intervention and another’s provider acknowledgement.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9uvpMtfREeSTuOyAKngSWg" name="acceptance" visibility="public">
          <ownedComment xmi:id="_9uvpM9fREeSTuOyAKngSWg" annotatedElement="_9uvpMtfREeSTuOyAKngSWg">
            <body>&quot;Indicates the type of acceptance expressed by the care team member and/or patient.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ky7L4LzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ky7L4bzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9uvpMNfREeSTuOyAKngSWg" name="applicability" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_9uvpMdfREeSTuOyAKngSWg" annotatedElement="_9uvpMNfREeSTuOyAKngSWg">
            <body>&quot;Indicted if there is an applicable time period for the acceptance. The acceptance is invalid when outside the specified time period.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QyuQcNfSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qy3aYNfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ilxbUNfSEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_ilxbUdfSEeSTuOyAKngSWg" annotatedElement="_ilxbUNfSEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ilxbU9fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ilxbUtfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ilnqUNfSEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ilnqUdfSEeSTuOyAKngSWg" annotatedElement="_ilnqUNfSEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ilnqU9fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ilnqUtfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qhRKkO0ZEeWjUp19yClo5Q" name="patientPreference" visibility="public">
          <ownedComment xmi:id="_FPqf0O0aEeWjUp19yClo5Q" annotatedElement="_qhRKkO0ZEeWjUp19yClo5Q">
            <body>A statement expressed by the patient or a proxy for the patient describing how he or she would prefered to be treated.  Note that this concept is modeled as a class in the HL7 DAM, which includes attributes such as the strength of the preference, reason, date range, and an indication of why the preference might not have been fulfilled.  The FHIM models these concepts collectively as a single text property because it was deemed to be unlikely that any current or near-future systems would need to compute on such properties of the patient's preferences.&#xD;
&#xD;
&quot;A care preference is a statement expressed by the patient, custodian or caretaker responsible for the patient in order to influence how their care is delivered. A preference expresses a personal choice and may be driven by cultural, religious and moral principles. As such it is a principal component of patient centered care and autonomy. Care preferences serve as modifiers of the Care Plan which influence how the plan is personalized for the individual. A care preference may be specified prospectively to influence future care planning and treatment or it may be expressed and recorded at arbitrary decision points during interventions. A preference expresses a request to fulfill a patient's choice or desire. The choice may be a strong and absolute statement such as an end of life directive. The request could also be a desire to be fulfilled if possible given care team capabilities and resources.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NSoIgLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NSoIgbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XoccULksEeSvIbhHaIFeOA" name="ResourceAllocation">
        <ownedComment xmi:id="_14crUNSwEeSyzs7OQneM_g" annotatedElement="_XoccULksEeSvIbhHaIFeOA">
          <body>&quot;Successful execution of any plan requires resources. Plan activities indicate resources which must be allocated in preparation for implementation of the activity which uses the resources. The achievement of plan activities requires allocation of human, asset, consumable and service resources.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
Note that the HL7 DAM has three subtypes of Resource Allocation: Asset Allocation, Consumable Allocation, and Service Allocation, whereas the FHIM currently combines these. We may wish to split these subtypes out in the future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JrudgN1BEeSZfdq7h5ueSA" name="dailyAmount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_VCjL0N1BEeSZfdq7h5ueSA" annotatedElement="_JrudgN1BEeSZfdq7h5ueSA">
            <body>&quot;Identifies the quantity expected to be consumed in a given day.&quot; - HL7 FHIR, CarePlan.activity.detail.dailyAmount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6d8sELzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6d8sEbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xAeaUNSxEeSyzs7OQneM_g" name="media" visibility="public">
          <ownedComment xmi:id="_xAeaUdSxEeSyzs7OQneM_g" annotatedElement="_xAeaUNSxEeSyzs7OQneM_g">
            <body>&quot;Specifies the resource type.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7NvKQLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7NvKQbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c7IeoNfQEeSTuOyAKngSWg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_qMdx0NfQEeSTuOyAKngSWg" annotatedElement="_c7IeoNfQEeSTuOyAKngSWg">
            <body>&quot;Specifies the time period for which the asset or service needs to be available or scheduled.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kkjuINfQEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kkjuIdfQEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f-gwENfQEeSTuOyAKngSWg" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_0iMPgNfQEeSTuOyAKngSWg" annotatedElement="_f-gwENfQEeSTuOyAKngSWg">
            <body>&quot;Specifies the quantity of material or consumable.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Identifies the quantity expected to be supplied, administered or consumed by the subject.&quot; - HL7 FHIR, CarePlan.activity.detail.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1i3pYNfQEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1i3pYdfQEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-ZjwwNSwEeSyzs7OQneM_g" name="resourceType" visibility="public">
          <ownedComment xmi:id="_-ZjwwdSwEeSyzs7OQneM_g" annotatedElement="_-ZjwwNSwEeSyzs7OQneM_g">
            <body>&quot;Specifies the resource type.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8i930LzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8i-e4LzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_jhwMoLksEeSvIbhHaIFeOA" name="Communication">
        <ownedComment xmi:id="_d_ZJQNfWEeSTuOyAKngSWg" annotatedElement="_jhwMoLksEeSvIbhHaIFeOA">
          <body>This class documents an interaction between two or more Care Team Members regarding the Care Plan for the patient. This is where the negotiation occurs between providers, or where the care team decides on a course of action during a periodic review. Note also that the care plan steward will likely be involved in such communications as a care team member.&#xD;
&quot;Communication is ongoing during care coordination. Care team communications is what causes the unfolding of the plan as new participants join, propose actions, change goals, record interventions, review outcomes and assess effectiveness of individual actions and of the overall plan.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
Note that the DAM has a &quot;pertainsTo&quot; property which &quot;Links the communication to some clinical object which is the target of the communication&quot;. This property is of type clinical object, which the FHIM doesn't have at the moment.  It could probably be linked to Observation in the future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zZZ6cM8oEeSxpbhu-p7faA" name="content" visibility="public">
          <ownedComment xmi:id="_zZZ6cc8oEeSxpbhu-p7faA" annotatedElement="_zZZ6cM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the content of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zZZ6c88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zZZ6cs8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dVNqgM8oEeSxpbhu-p7faA" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_dVNqgc8oEeSxpbhu-p7faA" annotatedElement="_dVNqgM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the date/time of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lhSE4LzSEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lhSE4bzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rLyYwM8oEeSxpbhu-p7faA" name="formId" visibility="public">
          <ownedComment xmi:id="_rLyYwc8oEeSxpbhu-p7faA" annotatedElement="_rLyYwM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies a formId if the communication is a response to a structured form &quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rLyYw88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rLyYws8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KszO0M8xEeSxpbhu-p7faA" name="receiver" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_KsxZoM8xEeSxpbhu-p7faA">
          <ownedComment xmi:id="_R6jO8M8xEeSxpbhu-p7faA" annotatedElement="_KszO0M8xEeSxpbhu-p7faA">
            <body>&quot;Specifies the receiver of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ksz14M8xEeSxpbhu-p7faA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ks0c8M8xEeSxpbhu-p7faA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A8xfMM8xEeSxpbhu-p7faA" name="source" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_A8pjYM8xEeSxpbhu-p7faA">
          <ownedComment xmi:id="_ILJxcM8xEeSxpbhu-p7faA" annotatedElement="_A8xfMM8xEeSxpbhu-p7faA">
            <body>&quot;Specifies the source or sender of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A83l0M8xEeSxpbhu-p7faA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A84z8M8xEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xVMnAM8oEeSxpbhu-p7faA" name="topic" visibility="public">
          <ownedComment xmi:id="_xVMnAc8oEeSxpbhu-p7faA" annotatedElement="_xVMnAM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the subject of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xVMnA88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xVMnAs8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HRcwALk9EeSvIbhHaIFeOA" name="CareIntervention">
        <ownedComment xmi:id="_N6gNgNfPEeSTuOyAKngSWg" annotatedElement="_HRcwALk9EeSvIbhHaIFeOA">
          <body>A single action (treatment, procedure, or activity) designed to achieve an outcome for a diagnosis for which the clinician is accountable. Note that actions include the following categories: Assess/Monitor, Perform, Teach, Manage.&#xD;
&#xD;
&quot;An intervention is a combination of program elements or strategies designed to produce behavior changes or improve health status among individuals or an entire population.  interventions may include treatments and procedures, wellness activities, educational programs, new or stronger policies, improvements in the environment, or a health promotion campaign. Interventions that include multiple strategies are typically the most effective in producing desired and lasting change.&quot; - DoD/VA iEHR Care and Disease Management model.&#xD;
&quot;Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.&quot; - HL7 FHIR, CarePlan.activity</body>
        </ownedComment>
        <generalization xmi:id="_H46moN1CEeSZfdq7h5ueSA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_q3sNgM8nEeSxpbhu-p7faA" name="applicability" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_q3sNgc8nEeSxpbhu-p7faA" annotatedElement="_q3sNgM8nEeSxpbhu-p7faA">
            <body>&quot;Applicability time point or time frame in which the activity may be carried out.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UndBALzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UndBAbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4fp4AM8nEeSxpbhu-p7faA" name="classification" visibility="public">
          <ownedComment xmi:id="_4fp4Ac8nEeSxpbhu-p7faA" annotatedElement="_4fp4AM8nEeSxpbhu-p7faA">
            <body>This property is used to categorize the Care Intervention. Note that this property is currently modeled as a string because a single suitable valuset could not be identified at this time.&#xD;
&quot;A classification of the activity such as Patient Instruction, Medication Administration, Self Blood Glucose Monitoring, etc.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;High-level categorization of the type of activity in a care plan.&quot; - HL7 FHIR, CarePlan.activity.detail.category</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uwvmkNpHEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uwvmkdpHEeSOxtrN8-7DcQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Txyo8M8nEeSxpbhu-p7faA" name="description" visibility="public">
          <ownedComment xmi:id="_Txyo8c8nEeSxpbhu-p7faA" annotatedElement="_Txyo8M8nEeSxpbhu-p7faA">
            <body>&quot;A sub-classification of an activity such as “wound care” which modifies the “patient instruction” classification.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.&quot; - HL7 FHIR, CarePlan.activity.detail.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Txyo888nEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Txyo8s8nEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FErQwO_qEeOM48qnBkZzmw" name="isProhibited" visibility="public">
          <ownedComment xmi:id="_Lyw5YO_qEeOM48qnBkZzmw" annotatedElement="_FErQwO_qEeOM48qnBkZzmw">
            <body>&quot;If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, indicates that the described activity is one that should be engaged in when following the plan.&quot; - HL7 FHIR, CarePlan.activity.detail.prohibited</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MTox0O_qEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MTox0e_qEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZajFENpHEeSOxtrN8-7DcQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZajFEdpHEeSOxtrN8-7DcQ" annotatedElement="_ZajFENpHEeSOxtrN8-7DcQ">
            <body>&quot;Detailed description of the type of planned activity. E.g. What lab test, what procedure, what kind of encounter.&quot; - HL7 FHIR, CarePlan.activity.detail.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HAqo8OX_EeWMCcMdatPOjA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HAqo8eX_EeWMCcMdatPOjA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Gza3IOX_EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanActivity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NdGSENo7EeSOxtrN8-7DcQ" name="planningStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4dOjoO7QEeWGc6zSCrskfQ" annotatedElement="_NdGSENo7EeSOxtrN8-7DcQ">
            <body>The state of the Care Intervention with respect to the negotiation process. Possible values include: Proposed, Accepted, Rejected. This property has been modeled separately from the status property which only is used when the Care Intervention has been accepted. It is possible that these two kinds of statuses may be combined into a larger workflow-aware status, but they are modeled separately for now for compatibility with FHIR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i9jAEOU6EeWlUtxA-8RVeQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i9jnIOU6EeWlUtxA-8RVeQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ktTtgOU6EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InterventionPlanningStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3G3oMNfPEeSTuOyAKngSWg" name="postCondition" visibility="public">
          <ownedComment xmi:id="_3G3oMdfPEeSTuOyAKngSWg" annotatedElement="_3G3oMNfPEeSTuOyAKngSWg">
            <body>&quot;Any conditions expected to be true after the activity is carried out.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_if5HcGPxEeaxw9SMkJS39A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_if5HcWPxEeaxw9SMkJS39A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3A6KINfPEeSTuOyAKngSWg" name="preCondition" visibility="public">
          <ownedComment xmi:id="_3A6KIdfPEeSTuOyAKngSWg" annotatedElement="_3A6KINfPEeSTuOyAKngSWg">
            <body>&quot;Any required preconditions which must be before the activity can be carried out.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_htEjYGPxEeaxw9SMkJS39A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_htEjYWPxEeaxw9SMkJS39A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q4Vl4DzBEeeL0ORQgjzliA" name="productDailyAmount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_WZEDgDzBEeeL0ORQgjzliA" annotatedElement="_Q4Vl4DzBEeeL0ORQgjzliA">
            <body>&quot;Identifies the quantity expected to be consumed in a given day.&quot; - HL7 FHIR, CarePlan.activity.detail.dailyAmount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UigKgDzBEeeL0ORQgjzliA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UigKgTzBEeeL0ORQgjzliA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mBY1oN5uEeaSVd0Fmxi4nQ" name="responsibleParty" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_2tQ9EN5uEeaSVd0Fmxi4nQ" annotatedElement="_mBY1oN5uEeaSVd0Fmxi4nQ">
            <body>Identifies the Care Team Member (typically a Provider) who is responsible for the performance of the Care Intervention.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yKeuYN5uEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yKeuYd5uEeaSVd0Fmxi4nQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TxzQAM8nEeSxpbhu-p7faA" name="scheduledPeriod" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TxzQAc8nEeSxpbhu-p7faA" annotatedElement="_TxzQAM8nEeSxpbhu-p7faA">
            <body>&quot;The actual start instant of the activity.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;The end date/time of the activity.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;The period, timing or frequency upon which the described activity is to occur.&quot; - HL7 FHIR, CarePlan.activity.detail.scheduled[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jMAmkGPxEeaxw9SMkJS39A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jMAmkWPxEeaxw9SMkJS39A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VlRg0NfPEeSTuOyAKngSWg" name="scheduledTiming" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_VlRg0dfPEeSTuOyAKngSWg" annotatedElement="_VlRg0NfPEeSTuOyAKngSWg">
            <body>&quot;Specification of repeating frequency of an activity.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;The period, timing or frequency upon which the described activity is to occur.&quot; - HL7 FHIR, CarePlan.activity.detail.scheduled[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WD4SsGPxEeaxw9SMkJS39A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WD4SsWPxEeaxw9SMkJS39A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nTVVUAY_EeGz0dkadElrkQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2IBrQO_pEeOM48qnBkZzmw" annotatedElement="_nTVVUAY_EeGz0dkadElrkQ">
            <body>&quot;Identifies what progress is being made for the specific activity.&quot; - HL7 FHIR, CarePlan.activity.detail.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_05n-cO_pEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_05n-ce_pEeOM48qnBkZzmw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_bV35cOX9EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanActivityStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__BiAgHdjEeWxwI-cgx2UYQ" name="statusReason" visibility="public">
          <ownedComment xmi:id="_Ku0uEHdkEeWxwI-cgx2UYQ" annotatedElement="__BiAgHdjEeWxwI-cgx2UYQ">
            <body>Provides further detail of the state of the Care Intervention beyond simply active and inactive, which is indicated by the status property.&#xD;
&quot;Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.&quot; - HL7 FHIR, CarePlan.activity.detail.statusReason</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6A5iwHdkEeWxwI-cgx2UYQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6A5iwXdkEeWxwI-cgx2UYQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wjHrgNo5EeSOxtrN8-7DcQ" name="acceptanceReview" visibility="public" type="_t21S4LPCEeS3iYN4R_wsuw" association="_wjGdYNo5EeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_h_PY0O6-EeWGc6zSCrskfQ" annotatedElement="_wjHrgNo5EeSOxtrN8-7DcQ">
            <body>Pointer to a (set of) appraisals during which agreements to adopt proposed Care Plan actions are affirmed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wjISkNo5EeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wjISkdo5EeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pHoIAAZAEeGz0dkadElrkQ" name="activityOutcomeReview" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_pHlrwAZAEeGz0dkadElrkQ">
          <ownedComment xmi:id="_TqucgNfLEeSTuOyAKngSWg" annotatedElement="_pHoIAAZAEeGz0dkadElrkQ">
            <body>Pointer to an Observation describing any changes that resulted from the pursuit of the HealthGoal.&#xD;
&quot;Identifies the change (or lack of change) at the point where the goal was deemed to be cancelled or achieved.&quot; - HL7 FHIR, Goal.outcome.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pHovEAZAEeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pHpWIAZAEeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JchssNpIEeSOxtrN8-7DcQ" name="healthGoal" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_JcgekNpIEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_jEPGsNpIEeSOxtrN8-7DcQ" annotatedElement="_JchssNpIEeSOxtrN8-7DcQ">
            <body>&quot;Internal reference that identifies the goals that this activity is intended to contribute towards meeting.&quot; - HL7 FHIR, CarePlan.activity.detail.goal</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JciTwNpIEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JciTwdpIEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TVheIXdkEeWxwI-cgx2UYQ" name="reason" visibility="public" type="_420A62FD03B6421F8AD00244" association="_TVheIHdkEeWxwI-cgx2UYQ">
          <ownedComment xmi:id="_VOGJUHdkEeWxwI-cgx2UYQ" annotatedElement="_TVheIXdkEeWxwI-cgx2UYQ">
            <body>&quot;Provides the health condition(s) or other rationale that drove the inclusion of this particular activity as part of the plan.&quot; - HL7 FHIR, CarePlan.activity.detail.reason[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TVheIndkEeWxwI-cgx2UYQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TVheI3dkEeWxwI-cgx2UYQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DOFXENSuEeSyzs7OQneM_g" name="resourceAllocation" visibility="public" type="_XoccULksEeSvIbhHaIFeOA" association="_DODh4NSuEeSyzs7OQneM_g">
          <ownedComment xmi:id="_559N4N1AEeSZfdq7h5ueSA" annotatedElement="_DOFXENSuEeSyzs7OQneM_g">
            <body>Pointer to any physical items or personnel that would be needed to fulfill the Intervention.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DOGlMNSuEeSyzs7OQneM_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOHMQNSuEeSyzs7OQneM_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M672YJJCEeaZIa0OJDQF7w" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_M61vwJJCEeaZIa0OJDQF7w">
          <ownedComment xmi:id="_7TIG4DySEeeO4r54vMMTVw" annotatedElement="_M672YJJCEeaZIa0OJDQF7w">
            <body>&quot;Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.&quot; - HL7 FHIR, CarePlan.activity.detail.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M6_gwJJCEeaZIa0OJDQF7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M6_gwZJCEeaZIa0OJDQF7w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QtUUkDy0EeeL0ORQgjzliA" name="product" visibility="public" type="_420A62FD03B6426545CB0072" association="_QtKjkDy0EeeL0ORQgjzliA">
          <ownedComment xmi:id="_hj0XoDy0EeeL0ORQgjzliA" annotatedElement="_QtUUkDy0EeeL0ORQgjzliA">
            <body>Pointer to a medicinal product that is to be used in the activity. Note that FHIR can point to a code, a medication, or a substance. In FHIM, this is handled by an Orderable Pharmacy Item&#xD;
&quot;Identifies the food, drug or other product to be consumed or supplied in the activity.&quot; - HL7 FHIR, CarePlan.activity.detail.product[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QtUUkTy0EeeL0ORQgjzliA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QtUUkjy0EeeL0ORQgjzliA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v9h8QDzBEeeL0ORQgjzliA" name="productQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v9h8QzzBEeeL0ORQgjzliA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v9h8QjzBEeeL0ORQgjzliA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YRZFoMRDEeSThJ7NwJgY1w" name="PlanReview">
        <ownedComment xmi:id="_RsGxwNSsEeSyzs7OQneM_g" annotatedElement="_YRZFoMRDEeSThJ7NwJgY1w">
          <body>&quot;Plan reviews are performed at periodic intervals to assess the overall consistency, appropriateness, completeness and effectiveness of the plan. The plan review includes comprehensive review of all the goals.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SpigwNfVEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_SpigwdfVEeSTuOyAKngSWg" annotatedElement="_SpigwNfVEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Spigw9fVEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SpigwtfVEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SpigxNfVEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_SpigxdfVEeSTuOyAKngSWg" annotatedElement="_SpigxNfVEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Spigx9fVEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SpigxtfVEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y3HbgNfVEeSTuOyAKngSWg" name="outcome" visibility="public">
          <ownedComment xmi:id="_y3HbgdfVEeSTuOyAKngSWg" annotatedElement="_y3HbgNfVEeSTuOyAKngSWg">
            <body>&quot;Captures a text comment of the outcome review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3bavMLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3bavMbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fAz_cNfVEeSTuOyAKngSWg" name="nextScheduledReview" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fAz_cdfVEeSTuOyAKngSWg" annotatedElement="_fAz_cNfVEeSTuOyAKngSWg">
            <body>&quot;Indicates the next scheduled review date&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2eCg8LzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2eLq4LzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EMdCkNo6EeSOxtrN8-7DcQ" name="reasonForReview" visibility="public">
          <ownedComment xmi:id="_LB-v8No6EeSOxtrN8-7DcQ" annotatedElement="_EMdCkNo6EeSOxtrN8-7DcQ">
            <body>This optional property describes the circumstances that triggered the review. The assumption is that this property would generally only be used to describe non-routine reasons why a review is/was required. Regularly scheduled reviews would not need to be indicated in this text. For example, a review might be indicated due to a change in the condition of the patient that causes a requirement to revise the care plan.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4MAeoLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4MAeobzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fAz_ctfVEeSTuOyAKngSWg" name="reviewFrequency" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_fAz_c9fVEeSTuOyAKngSWg" annotatedElement="_fAz_ctfVEeSTuOyAKngSWg">
            <body>&quot;Specifies a periodic frequency for future reviews&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46YAgLzSEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46YAgbzSEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bSMkMMRDEeSThJ7NwJgY1w" name="carePlanEpisode_planReview" memberEnd="_bSOZYMRDEeSThJ7NwJgY1w _bSRcsMRDEeSThJ7NwJgY1w">
        <ownedEnd xmi:id="_bSRcsMRDEeSThJ7NwJgY1w" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_bSMkMMRDEeSThJ7NwJgY1w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_A8pjYM8xEeSxpbhu-p7faA" name="communication_source" memberEnd="_A8xfMM8xEeSxpbhu-p7faA _A86pIM8xEeSxpbhu-p7faA">
        <ownedEnd xmi:id="_A86pIM8xEeSxpbhu-p7faA" name="" visibility="public" type="_jhwMoLksEeSvIbhHaIFeOA" association="_A8pjYM8xEeSxpbhu-p7faA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KsxZoM8xEeSxpbhu-p7faA" name="communication_receiver" memberEnd="_KszO0M8xEeSxpbhu-p7faA _Ks1rEM8xEeSxpbhu-p7faA">
        <ownedEnd xmi:id="_Ks1rEM8xEeSxpbhu-p7faA" name="" visibility="public" type="_jhwMoLksEeSvIbhHaIFeOA" association="_KsxZoM8xEeSxpbhu-p7faA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DODh4NSuEeSyzs7OQneM_g" name="careIntervention_resourceAllocation" memberEnd="_DOFXENSuEeSyzs7OQneM_g _DOIaYNSuEeSyzs7OQneM_g">
        <ownedEnd xmi:id="_DOIaYNSuEeSyzs7OQneM_g" name="" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_DODh4NSuEeSyzs7OQneM_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dZYJ0NSvEeSyzs7OQneM_g" name="carePlanEpisode_communication" memberEnd="_dZZ_ANSvEeSyzs7OQneM_g _dZdCUNSvEeSyzs7OQneM_g">
        <ownedEnd xmi:id="_dZdCUNSvEeSyzs7OQneM_g" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_dZYJ0NSvEeSyzs7OQneM_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MGvssNfWEeSTuOyAKngSWg" name="Conversation">
        <ownedComment xmi:id="_Q0YggNfWEeSTuOyAKngSWg" annotatedElement="_MGvssNfWEeSTuOyAKngSWg">
          <body>A set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan. The current intent of this class is to provide a record of such communications. It is envisioned that this structure could be used in the future to record negotiations among Care Team Members (especially between members belonging to different organizations) as the Care Plan is formulated. The ability to negotiate between Care Team Members does not exist in an automated fashion today, but would be an important feature in future systems.&#xD;
&quot;A conversation organizes individual communications in a meaningful manner for the benefit and understanding of care plan stakeholders.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XdydcNfWEeSTuOyAKngSWg" name="topic" visibility="public">
          <ownedComment xmi:id="_XdydcdfWEeSTuOyAKngSWg" annotatedElement="_XdydcNfWEeSTuOyAKngSWg">
            <body>Categorizes the set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan such that the Communications can be logically grouped into this Conversation. Note that this property is currently modeled as a string rather than as a Code as no widely acceptable set of values exists for this concept at this time.&#xD;
&quot;Specifies the subject of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xdydc9fWEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XdydctfWEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ip014No4EeSOxtrN8-7DcQ" name="communication" visibility="public" type="_jhwMoLksEeSvIbhHaIFeOA" aggregation="composite" association="_ipznwNo4EeSOxtrN8-7DcQ">
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            <language></language>
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          <body>A desired future state, expressed as an Observation.  Note that this class is a subtype of Observation, although this observation is for a future state. In other words, this is an Observation in a &quot;Goal&quot; mood (in HL7 V3 speak). The observation date would in this case be the target date of the success criterion, not the date that an actual observation was made.  Note also that the value is an Any so it can handle textual goals (like “I want to walk my daughter down the aisle for her wedding”) as well as coded or structured goals such as “HbA1c below 7”.  The latter kind of goal could potentially be tested against lab results in an automated fashion.&#xD;
&quot;Defines criteria which must be met to determine goal achievement.&quot; - HL7 Care Plan Domain Analysis Model</body>
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          <body>This class represents a collection of Care Plan Episodes, each of which is a set of planned actions and goals for a Patient dealing with a given set of issues or concerns over an extended period of time. This Longitudinal Care Plan covers all Care Plans over the life of the Patient, including those that have been terminated because the underlying condition had been resolved. This construct is useful for patients who have long-term problems such as Downs Syndrome or diabetes, which will manifest in different sets of issues to be managed over the course of the patient’s life. Some organizations, including DoD and the VA view the &quot;Care Plan&quot; as a Longitudinal Care Plan – i.e., they consider the Care Plan to be a long-running collection of Care Plan Episodes, whereas other organizations may consider the &quot;Care Plan&quot; to refer to each episode. Organizations in the latter case could consider this class to have one and only one Care Plan Episode associated with it.</body>
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        <ownedAttribute xmi:id="_Slt3wAY0EeGz0dkadElrkQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_SlspoAY0EeGz0dkadElrkQ">
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            <body>&quot;Identifies the patient or group whose intended care is described by the plan.&quot; - FHIR, CarePlan.subject</body>
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        <ownedAttribute xmi:id="_c9EzIZe6EeaSqP4Tgr4Cgg" name="carePlanEpisode" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" aggregation="composite" association="_c9EzIJe6EeaSqP4Tgr4Cgg">
          <ownedComment xmi:id="_Ii8zIJfMEeaSqP4Tgr4Cgg" annotatedElement="_c9EzIZe6EeaSqP4Tgr4Cgg">
            <body>Pointer to a set of planned actions and goals for a Patient dealing with a given set of issues or concerns.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f2iTkJe6EeaSqP4Tgr4Cgg" value="1"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_r8xoADvOEeeAVuPecg5-Hg" name="CareTeam">
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          <body>&quot;The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.&quot; - HL7 FHIR, CareTeam</body>
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        <ownedAttribute xmi:id="_9-0UUTvSEeeAVuPecg5-Hg" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_9-0UUDvSEeeAVuPecg5-Hg">
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            <body>Pointer to the Care Team Members that comprise this Care Team. Note that members may be persons or organizations, and that the persons may be healthcare providers or non-healthcare providers (e.g., family members)&#xD;
&quot;Identifies all people and organizations who are expected to be involved in the care team.&quot; - HL7 FHIR, CareTeam.participant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9-0UUjvSEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-0UUzvSEeeAVuPecg5-Hg" value="*"/>
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            <body>&quot;Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.&quot; - HL7 FHIR, CareTeam.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7iy6ojvOEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7iy6oTvOEeeAVuPecg5-Hg" value="*"/>
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        <ownedAttribute xmi:id="_ygOToDveEeeAVuPecg5-Hg" name="context" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_ygOToTveEeeAVuPecg5-Hg" annotatedElement="_ygOToDveEeeAVuPecg5-Hg">
            <body>&quot;The encounter or episode of care that establishes the context for this care team.&quot; - HL7 FHIR, CareTeam.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ygOTozveEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ygOTojveEeeAVuPecg5-Hg" value="1"/>
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        <ownedAttribute xmi:id="_wKlsQDvOEeeAVuPecg5-Hg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_T9NbEDvPEeeAVuPecg5-Hg" annotatedElement="_wKlsQDvOEeeAVuPecg5-Hg">
            <body>&quot;This records identifiers associated with this care team that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.&quot; - HL7 FHIR, CareTeam.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z4BnUDvOEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z4BnUTvOEeeAVuPecg5-Hg" value="*"/>
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        <ownedAttribute xmi:id="_jytdsDvbEeeAVuPecg5-Hg" name="managingOrganization" visibility="public" type="_420A62FD03B6418AA15801A9">
          <ownedComment xmi:id="_mWJq0DvbEeeAVuPecg5-Hg" annotatedElement="_jytdsDvbEeeAVuPecg5-Hg">
            <body>&quot;The organization responsible for the care team.&quot; - HL7 FHIR, CareTeam.managingOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jytdszvbEeeAVuPecg5-Hg"/>
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        <ownedAttribute xmi:id="_DGQsEDvPEeeAVuPecg5-Hg" name="name" visibility="public">
          <ownedComment xmi:id="_lJObIDvPEeeAVuPecg5-Hg" annotatedElement="_DGQsEDvPEeeAVuPecg5-Hg">
            <body>&quot;A label for human use intended to distinguish like teams. E.g. the &quot;red&quot; vs. &quot;green&quot; trauma teams.&quot; - HL7 FHIR, CareTeam.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DGQsEjvPEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DGQsETvPEeeAVuPecg5-Hg" value="1"/>
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        <ownedAttribute xmi:id="_UFeIwDvbEeeAVuPecg5-Hg" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_UFeIwTvbEeeAVuPecg5-Hg" annotatedElement="_UFeIwDvbEeeAVuPecg5-Hg">
            <body>&quot;Comments made about the CareTeam.&quot; - HL7 FHIR, CareTeam.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UFeIwzvbEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UFeIwjvbEeeAVuPecg5-Hg" value="*"/>
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        <ownedAttribute xmi:id="_lcLW4DvQEeeAVuPecg5-Hg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_lcLW4TvQEeeAVuPecg5-Hg" annotatedElement="_lcLW4DvQEeeAVuPecg5-Hg">
            <body>&quot;Indicates when the team did (or is intended to) come into effect and end.&quot; - HL7 FHIR, CareTeam.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lcLW4zvQEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lcLW4jvQEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vHY28TvbEeeAVuPecg5-Hg" name="reason" visibility="public" type="_420A62FD03B6421F8AD00244" association="_vHY28DvbEeeAVuPecg5-Hg">
          <ownedComment xmi:id="_2t-N0DvbEeeAVuPecg5-Hg" annotatedElement="_vHY28TvbEeeAVuPecg5-Hg">
            <body>Pointer to the HealthConcerns addressed by the Care Team&#xD;
&quot;Condition(s) that this care team addresses.&quot; - HL7 FHIR, CareTeam.reasonReference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vHY28jvbEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vHY28zvbEeeAVuPecg5-Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R54fIDvUEeeAVuPecg5-Hg" name="reasonCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_VvMj0DvUEeeAVuPecg5-Hg" annotatedElement="_R54fIDvUEeeAVuPecg5-Hg">
            <body>&quot;Describes why the care team exists.&quot; - HL7 FHIR, CareTeam.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R54fIzvUEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R54fIjvUEeeAVuPecg5-Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3dsGcDvOEeeAVuPecg5-Hg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_YyB08DvPEeeAVuPecg5-Hg" annotatedElement="_3dsGcDvOEeeAVuPecg5-Hg">
            <body>&quot;Indicates the current state of the care team.&quot; - HL7 FHIR, CareTeam.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3dsGcjvOEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3dsGcTvOEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VHLeYTvQEeeAVuPecg5-Hg" name="subject" visibility="public" type="_420A62FD03B6418A4E500034" association="_VHLeYDvQEeeAVuPecg5-Hg">
          <ownedComment xmi:id="_WXDx4DvQEeeAVuPecg5-Hg" annotatedElement="_VHLeYTvQEeeAVuPecg5-Hg">
            <body>Pointer to the Patient(s) for whom the Care Team is coordinating and providing care. Note that FHIR points to either a Patient or a Group, but the FHIM currently only points to a Patient&#xD;
&quot;Identifies the patient or group whose intended care is handled by the team.&quot; - HL7 FHIR, CareTeam.subject</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VHLeYjvQEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VHLeYzvQEeeAVuPecg5-Hg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VHLeYDvQEeeAVuPecg5-Hg" memberEnd="_VHLeYTvQEeeAVuPecg5-Hg _VHUoUDvQEeeAVuPecg5-Hg">
        <ownedEnd xmi:id="_VHUoUDvQEeeAVuPecg5-Hg" name="" visibility="private" type="_r8xoADvOEeeAVuPecg5-Hg" association="_VHLeYDvQEeeAVuPecg5-Hg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VHUoUTvQEeeAVuPecg5-Hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VHUoUjvQEeeAVuPecg5-Hg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9-0UUDvSEeeAVuPecg5-Hg" memberEnd="_9-0UUTvSEeeAVuPecg5-Hg _9-0UVDvSEeeAVuPecg5-Hg">
        <ownedEnd xmi:id="_9-0UVDvSEeeAVuPecg5-Hg" name="" visibility="private" type="_r8xoADvOEeeAVuPecg5-Hg" association="_9-0UUDvSEeeAVuPecg5-Hg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9-0UVTvSEeeAVuPecg5-Hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-0UVjvSEeeAVuPecg5-Hg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vHY28DvbEeeAVuPecg5-Hg" memberEnd="_vHY28TvbEeeAVuPecg5-Hg _vHin8DvbEeeAVuPecg5-Hg">
        <ownedEnd xmi:id="_vHin8DvbEeeAVuPecg5-Hg" name="" visibility="private" type="_r8xoADvOEeeAVuPecg5-Hg" association="_vHY28DvbEeeAVuPecg5-Hg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vHin8TvbEeeAVuPecg5-Hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vHin8jvbEeeAVuPecg5-Hg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QtKjkDy0EeeL0ORQgjzliA" memberEnd="_QtUUkDy0EeeL0ORQgjzliA _QtUUkzy0EeeL0ORQgjzliA">
        <ownedEnd xmi:id="_QtUUkzy0EeeL0ORQgjzliA" name="" visibility="private" type="_HRcwALk9EeSvIbhHaIFeOA" association="_QtKjkDy0EeeL0ORQgjzliA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QtUUlDy0EeeL0ORQgjzliA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QtUUlTy0EeeL0ORQgjzliA" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64447DEB201EB" name="ClinicalDecisionSupport">
      <eAnnotations xmi:id="_PPpiXOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PPzTVOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_LAKMcAl-EeK7r9f9lcnhnQ" annotatedElement="_AKx-UAl-EeK7r9f9lcnhnQ">
        <body>Note this is different from the UserRole in Security/Privacy</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6444FF0FB0333" name="PatientRecordFlagAssignment">
        <eAnnotations xmi:id="_PNatuuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PNQ8tOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FF0FB0333">
          <body>This class contains attributes related to the original assignment of the flag only.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6444FF1860116" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PNQ8t-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FF1860116">
            <body>Internal entry number (IEN) which is assigned to each record of this file.  [A unique identifier for the Act. (HL7 3.0)]  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WWbWkPQ4Edyj3usHGf_SVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WWbWkfQ4Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6444FFB6800C4" name="assignmentHistory" visibility="public" type="_420A62FD03B6444FFB3A0013" isUnique="false" association="_420A62FD03B6444FFB6601BB">
          <ownedComment xmi:id="_POnAiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FFB6800C4">
            <body>Patient Record Flag Assignment History.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_POnAjOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_POnAjeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64468B85800BA" name="assignmentNarrative" visibility="public">
          <ownedComment xmi:id="_PNatuOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64468B85800BA">
            <body>This is a text description of the incident or reason that generated the need for this patient record flag assignment, followed by the recommended actions that should be performed by a person working with this specific patient.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O-Z7kOPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O-Z7kePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458DC0F0153" name="assignmentOriginatedBy" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64458DC0E01AC">
          <ownedComment xmi:id="_PPDFZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458DC0F0153">
            <body>Indicates the site that initially assigned the patient record flag to this patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPM2YeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPM2YuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458DC050375" name="assignmentOwnedBy" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64458DC0402FC">
          <ownedComment xmi:id="_PO57feLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458DC050375">
            <body>Indicates the current site that owns this patient flag assignment.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPDFYeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPDFYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6444FF93D03B5" name="assignmentReviewDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PNatteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FF93D03B5">
            <body>The date that the flag assignment is due for review to determine continuing appropriateness  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YexjIPQ4Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YexjIfQ4Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6444FF8B000AF" name="assignmentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PNatsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FF8B000AF">
            <body>Indicates if the patient record flag assignment is Active or Inactive for this Patient.  Possible values are Inactive; Active etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Odow0OPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Odow0ePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6444FF82A0355" name="flagName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PNQ8uuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FF82A0355">
            <body>Indicates the Patient Record Flag Name that is assigned to a patient.   Possible values are behavioral; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhHeMOPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhHeMePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644578A8C0061" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B644578A8B0042">
          <ownedComment xmi:id="_POnAkeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578A8C0061">
            <body>Patient who is the subject of this Patient Record Flag.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_POwKceLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_POwKcuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6444FFB3A0013" name="PatientRecordFlagAssignmentHistory">
        <eAnnotations xmi:id="_PNtoouLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PNatveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FFB3A0013">
          <body>This class contains attributes related to all subsequent action of an original assignment of the flag.  This is the audit information associated with PRF Assignment.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644578DA200AD" name="assignmentHistoryId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PNj3ouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578DA200AD">
            <body>Internal entry number (IEN) which is assigned to each record of this file.             A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ipYggPQ5Edyj3usHGf_SVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ipYggfQ5Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644578DD00371" name="assignmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PNj3peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578DD00371">
            <body>The Date and Time of either the initial ASSIGNMENT of the PATIENT RECORD FLAG or the REVIEW Date/Time of the PATIENT RECORD FLAG.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QbztsOPnEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qb0UwOPnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644578FAC0108" name="assignmentHistoryAction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PNj3qOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578FAC0108">
            <body>Indicates the event that created this PRF ASSIGNMENT HISTORY record.  Possible values are New Assignment; Continue; Inactivate; Reactivate; Entered in Error; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RYSkEOPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RYSkEePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64468B898024D" name="assignmentHistoryComments" visibility="public">
          <ownedComment xmi:id="_PNtooOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64468B898024D">
            <body>The comments associated with the patient record flag assignment history.  The history comments should describe the reason that the history record was generated.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R2FTUOPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R2F6YOPnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jHpzsOPlEea407qNHok1lQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jHpzsuPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jHpzsePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jTZJoOPlEea407qNHok1lQ" name="verifier" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jTZJouPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jTZJoePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64457929A01D9" name="document" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_420A62FD03B64457929901EB">
          <ownedComment xmi:id="_PO57duLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64457929A01D9">
            <body>The Progress Note IEN that will be linked to this assignment history record.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PO57eOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PO57eeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445A730D0304" name="PatientRecordTask">
        <eAnnotations xmi:id="_PN2yl-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PNtopeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A730D0304">
          <body>This class contains all attributes - supporting as well as tracking of each one's cancellation or fulfillment - related to patient tasks (Care Management).  Note that this class may not be supported by HDR but rather from other repository.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zvJxcOPlEea407qNHok1lQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zvJxcuPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zvJxcePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A80550118" name="dateTaskCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PNtoqOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A80550118">
            <body>This is the date and time the task was created.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3JIlAOPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3JIlAePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A841C02C7" name="taskDueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PN2yleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A841C02C7">
            <body>The date [and time] by which this task should be completed.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c5sH4PQ7Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c5sH4fQ7Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A83CA00F3" name="taskPriority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PN2ykuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A83CA00F3">
            <body>Priority for accomplishing this task.  Possible values are LOW; MEDIUM; HIGH  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49CyoOPlEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49CyoePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A80B2039D" name="taskSubjectDescription" visibility="public">
          <ownedComment xmi:id="_PNtoq-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A80B2039D">
            <body>This is the subject of the task.   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4aW8UOPlEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4aW8UePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445FB041037E" name="item" visibility="public" type="_420A62FD03B6445FB00A0343" isUnique="false" association="_420A62FD03B6445FB040037D">
          <ownedComment xmi:id="_PPWnZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB041037E">
            <body>Item linked to this task.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPWnaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPWnaeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445FABB10162" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6445FABAF024F">
          <ownedComment xmi:id="_PPM2ZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FABB10162">
            <body>The patient that this task applies to.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPM2aOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPM2aeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445FB00A0343" name="LinkedItem">
        <eAnnotations xmi:id="_POAjkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PN2ymuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB00A0343">
          <body>This class contains attributes that gives context to the task. It links the task that you create to an order, for example follow up based upon lab result.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6445FB01D039B" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PN2yneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB01D039B">
            <body>This is an identifier for item that have been linked to this task.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gBzvYPQ7Edyj3usHGf_SVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gBzvYfQ7Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qUrrMO_8Ed6OG-vjYTopTQ" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-Aj0OPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-Aj0ePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64460C2CC01EE" name="AlertTrackingEvent">
        <eAnnotations xmi:id="_POTeguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_POAjlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64460C2CC01EE">
          <body>This class contains attributes related to track the content and interactions with an alert.  e.g.  When the alert was generated, package id, Status, each user that the alert was sent to. Note that this class may not be supported by HDR but rather from other repository. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446107B10252" name="associatedPackage" visibility="public">
          <ownedComment xmi:id="_POAjneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446107B10252">
            <body>Identifies the Package Associated to the alert.  1-30 characters in length.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vH_doPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vH_dofQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MHgR0OPlEea407qNHok1lQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QVqUUOPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QVqUUePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461092202C1" name="dataForProcessing" visibility="public">
          <ownedComment xmi:id="_POKUmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461092202C1">
            <body>This is a String of data elements returned to the application when the alert is selected for processing.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BDrnIPQ3Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BDrnIfQ3Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446CE9F60139" name="dateAlertProcessed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_POTegOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446CE9F60139">
            <body>Indicates the date when the processing of the alert was completed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B5xhoPQ3Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B5xhofQ3Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461078B015D" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_POAjmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461078B015D">
            <body>Date and time that the alert was created.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uOUqsPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uOUqsfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461090F0057" name="displayText" visibility="public">
          <ownedComment xmi:id="_POKUleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461090F0057">
            <body>Text diplayed for alert.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-pKFcPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-pKFcfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644610759021A" name="name" visibility="public">
          <ownedComment xmi:id="_POAjl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644610759021A">
            <body>Name of Alert  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RNkMsOPlEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RNkMsePlEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446107E902D5" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_POKUkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446107E902D5">
            <body>Indicates the the status of the alert. Possible values are UNREAD-REMOVED BY DATE; COMPLETELY READ; PARTIALLY READ - REMOVED; etc.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9ph0cPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9ph0cfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4VYkEeqREd64CbuBU_dxGA" name="recipientLog" visibility="public" type="_z1DMcOqREd64CbuBU_dxGA" association="_4VYkEOqREd64CbuBU_dxGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4VYkEuqREd64CbuBU_dxGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4VYkE-qREd64CbuBU_dxGA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6444FFB6601BB" name="patientRecordFlagAssignment_assignmentHistory" memberEnd="_420A62FD03B6444FFB6800C4 _420A62FD03B6444FFB6800C6">
        <ownedEnd xmi:id="_420A62FD03B6444FFB6800C6" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B6444FFB6601BB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644578A8B0042" name="patientRecordFlagAssignment_patient" memberEnd="_420A62FD03B644578A8C0061 _420A62FD03B644578A8C00C5">
        <ownedEnd xmi:id="_420A62FD03B644578A8C00C5" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B644578A8B0042">
          <ownedComment xmi:id="_POwKdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578A8C00C5">
            <body>Patient Record Flag Assignment</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64457929901EB" name="patientRecordFlagAssignmentHistory_document" memberEnd="_420A62FD03B64457929A01D9 _420A62FD03B64457929A020B">
        <ownedEnd xmi:id="_420A62FD03B64457929A020B" name="" visibility="public" type="_420A62FD03B6444FFB3A0013" isUnique="false" association="_420A62FD03B64457929901EB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64458DC0402FC" name="patientRecordFlagAssignment_assignmentOwnedBy" memberEnd="_420A62FD03B64458DC050375 _420A62FD03B64458DC05037F">
        <ownedEnd xmi:id="_420A62FD03B64458DC05037F" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B64458DC0402FC"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64458DC0E01AC" name="patientRecordFlagAssignment_assignmentOriginatedBy" memberEnd="_420A62FD03B64458DC0F0153 _420A62FD03B64458DC0F015D">
        <ownedEnd xmi:id="_420A62FD03B64458DC0F015D" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B64458DC0E01AC"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445FABAF024F" name="patientRecordTask_patient" memberEnd="_420A62FD03B6445FABB10162 _420A62FD03B6445FABB101DA">
        <ownedEnd xmi:id="_420A62FD03B6445FABB101DA" name="" visibility="public" type="_420A62FD03B6445A730D0304" isUnique="false" association="_420A62FD03B6445FABAF024F">
          <ownedComment xmi:id="_PPM2a-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FABB101DA">
            <body>The task that is associated with this patient.</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445FB040037D" name="patientRecordTask_item" memberEnd="_420A62FD03B6445FB041037E _420A62FD03B6445FB0410388">
        <ownedEnd xmi:id="_420A62FD03B6445FB0410388" name="" visibility="public" type="_420A62FD03B6445A730D0304" isUnique="false" association="_420A62FD03B6445FB040037D"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_z1DMcOqREd64CbuBU_dxGA" name="AlertRecipientLog">
        <ownedAttribute xmi:id="_7214oOqREd64CbuBU_dxGA" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__O9nMOPmEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__O9nMePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fxQDIOPmEea407qNHok1lQ" name="recipient" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fxQDIuPmEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fxQDIePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4VYkEOqREd64CbuBU_dxGA" name="alertTrackingEvent_recipientLog" memberEnd="_4VYkEeqREd64CbuBU_dxGA _4ViVEOqREd64CbuBU_dxGA">
        <ownedEnd xmi:id="_4ViVEOqREd64CbuBU_dxGA" name="" visibility="public" type="_420A62FD03B64460C2CC01EE" association="_4VYkEOqREd64CbuBU_dxGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Prmo4O_-Ed6OG-vjYTopTQ" name="AlertDefinition">
        <ownedAttribute xmi:id="_WpSZEOPmEea407qNHok1lQ" name="recipient" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WpSZEuPmEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WpSZEePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tP70Ae__Ed6OG-vjYTopTQ" name="alertInstance" visibility="public" type="_0cfWwO_-Ed6OG-vjYTopTQ" association="_tP70AO__Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tP70Au__Ed6OG-vjYTopTQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tP70A-__Ed6OG-vjYTopTQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h9MJ4e_-Ed6OG-vjYTopTQ" name="surrogateRecipient" visibility="public" type="_Tp974O_-Ed6OG-vjYTopTQ" association="_h9MJ4O_-Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h9V64O_-Ed6OG-vjYTopTQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h9V64e_-Ed6OG-vjYTopTQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Tp974O_-Ed6OG-vjYTopTQ" name="AlertSurrogateRecipient">
        <ownedAttribute xmi:id="_WO6k4O_-Ed6OG-vjYTopTQ" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AWgeEOPnEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AWgeEePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gKdA8O_-Ed6OG-vjYTopTQ" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A3H30OPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A3H30ePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nKvZMOPmEea407qNHok1lQ" name="recipient" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nKvZMuPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nKvZMePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h9MJ4O_-Ed6OG-vjYTopTQ" name="alertDefinition_surrogateRecipient" memberEnd="_h9MJ4e_-Ed6OG-vjYTopTQ _h9V64u_-Ed6OG-vjYTopTQ">
        <ownedEnd xmi:id="_h9V64u_-Ed6OG-vjYTopTQ" name="" visibility="public" type="_Prmo4O_-Ed6OG-vjYTopTQ" association="_h9MJ4O_-Ed6OG-vjYTopTQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0cfWwO_-Ed6OG-vjYTopTQ" name="AlertEventInstance">
        <ownedAttribute xmi:id="_rjv_B-__Ed6OG-vjYTopTQ" name="alertData" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-G5L4OPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-G5L4ePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_Au__Ed6OG-vjYTopTQ" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8L9JMOPmEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8L9JMePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_A-__Ed6OG-vjYTopTQ" name="daysForReviewer" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6k7hAOPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6k7hAePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_AO__Ed6OG-vjYTopTQ" name="daysForSupervisor" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_66gIYOPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_66gIYePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_CO__Ed6OG-vjYTopTQ" name="daysForSurrogate" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7FRN8OPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7FRN8ePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_Ae__Ed6OG-vjYTopTQ" name="forwardingComment" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7XLdUOPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7XLdUePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_BO__Ed6OG-vjYTopTQ" name="identifier" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8i2mQOPmEea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8i2mQePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_Bu__Ed6OG-vjYTopTQ" name="isNewAlert" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9v8rgOPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9v8rgePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2IYQ0e_-Ed6OG-vjYTopTQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_2IYQ0O_-Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2IYQ0u_-Ed6OG-vjYTopTQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2IYQ0-_-Ed6OG-vjYTopTQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rjv_Be__Ed6OG-vjYTopTQ" name="text" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9VPsgOPmEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9VPsgePmEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2IYQ0O_-Ed6OG-vjYTopTQ" name="alertEventInstance_patient" memberEnd="_2IYQ0e_-Ed6OG-vjYTopTQ _2IYQ1O_-Ed6OG-vjYTopTQ">
        <ownedEnd xmi:id="_2IYQ1O_-Ed6OG-vjYTopTQ" name="" visibility="public" type="_0cfWwO_-Ed6OG-vjYTopTQ" association="_2IYQ0O_-Ed6OG-vjYTopTQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tP70AO__Ed6OG-vjYTopTQ" name="alertDefinition_alertInstance" memberEnd="_tP70Ae__Ed6OG-vjYTopTQ _tQE98O__Ed6OG-vjYTopTQ">
        <ownedEnd xmi:id="_tQE98O__Ed6OG-vjYTopTQ" name="" visibility="public" type="_Prmo4O_-Ed6OG-vjYTopTQ" association="_tP70AO__Ed6OG-vjYTopTQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yYqxoPw9EeGt5sUKBtQt1g" name="KnowledgeArtifact">
        <ownedAttribute xmi:id="_snfCMAmbEeKMGPdOkDVc3w" name="artifactType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FRkC0OPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FRkC0ePnEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jj2fgAmQEeK7r9f9lcnhnQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F9IvYOPnEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F9IvYePnEea407qNHok1lQ" value="1"/>
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          <body>&quot;Document:  &quot;Specialization of Act to add the characteristics unique to document management services.&quot; (HL7 3.0)  &quot;ClinicalDocument:  &quot;A clinical document is a documentation of clinical observations and services, as defined in.&quot; (HL7 3.0 CDA 2.0)  &quot;An actual occurrence of an event (i.e., the documentation act already happened and is not just a request, intent, plan or promise to document).&quot;   (HL7 3.0)  This class servers the purpose of the Header.  &quot;The header identifies and classifies the document; provides information on authentication, the encounter, the patient, and the provider; and sets the context for the document as a whole.&quot; (HL7 3.0)    </body>
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            <body>&quot;The practitioner that has responsibility for overseeing a patient's care during a patient encounter.&quot; - HL7 Version 3 (ParticipationType->attender)</body>
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            <body>&quot;Confidentiality is a required contextual component of CDA, where the value expressed in the header holds true for the entire document, unless overridden by a nested value (as further described in CDA Context (  4.4 )).&quot;  (HL7 V3)  </body>
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            <body>A code depicting the storage status of a Clinical Document. Possible Values Include: Active, Archived, Purged etc.    </body>
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            <body>&quot;Represents the title of the document. It is commonly the case that clinical documents do not have a title, and are collectively referred to by the display name of ClinicalDocument.code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;). Where these display names are rendered to the clinician, or where the document has a unique title, the ClinicalDocument.title component should be used.&quot; (HL7 3.0)  </body>
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            <body>Classifies the document.  In VistA this is a pointer to file 8925.1.   In HL7 CDA, this is: &quot;The code specifying the particular kind of document (e.g. History and Physical, Discharge Summary, Progress Note). The value set is drawn from LOINC, and has a CWE coding strength.&quot; (HL7 3.0)      </body>
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            <body>&quot;Represents the unique instance identifier of a clinical document&quot;  (HL7 3.0)</body>
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            <body>Indicates whether or not a cosignature is needed.    </body>
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        <ownedAttribute xmi:id="_420A62FD03B6425EE29D03D8" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Specifies the human language of character data (whether they be in contents or attribute values). The values of the attribute are language identifiers as defined by the IETF (Internet Engineering Task Force) RFC 3066 for the Identification of Languages, ed. H. Alvestrand. 1995, which obsoletes RFC 1766. Language is a contextual component of CDA., where the value expressed in the header holds true for the entire document, unless overridden by a nested value (as further described in CDA Context (  4.4 )).&quot;   (HL7 3.0 CDA 2.0)  </body>
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            <body>In VistA, &quot;this is the Date (and time) by which the clinician will reference the document.  For Progress Notes, this will likely be the date of the provider's encounter with the patient.  For documents which have been dictated, and transcribed (e.g., discharge summaries), it will correspond to the dictation date of the record.  In all cases, this is the date by which the document will be referenced and sorted.&quot;    In CDA, this is the creation date: &quot;Signifies the document creation time, when the document first came into being. &quot; (HL7 3.0, CDA 2.0)</body>
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            <body>The current status of a given clinical document.  Possible values include: undictated, untranscribed, unreleased, unverified, unsigned, uncosigned, completed, etc.     Displayed in CPRS. And is an automatic system change when updated (never through a prompt to the user).   </body>
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            <body>The date/time at which the treatment episode associated with this document was initiated (e.g., Admission date/time for a discharge summary, Visit date/time for a clinic note, Transfer date/time for an interim summary)</body>
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            <body>The ending date/time for the treatment episode associated with this document (e.g.Time is optional)</body>
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            <body>&amp;amp;lt;HTML&amp;amp;gt;&amp;amp;lt;HEAD&amp;amp;gt;  &amp;amp;lt;META content=&quot;MSHTML 6.00.2900.3492&quot; name=GENERATOR&amp;amp;gt;&amp;amp;lt;/HEAD&amp;amp;gt;  &amp;amp;lt;BODY&amp;amp;gt;This contains the date and time this document was updated.&amp;amp;lt;/BODY&amp;amp;gt;&amp;amp;lt;/HTML&amp;amp;gt;</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642237A4B0068" name="version" visibility="public">
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            <body>&quot;An integer value used to version successive replacement documents.&quot;  (HL7 V3)    </body>
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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        <ownedAttribute xmi:id="_0YgcYfi8EduqDYxhTFYOmg" name="administrativeClosure" visibility="public" type="_H4CiYH-7Ed-Ure_vzgD_TA" isUnique="false" association="_0YgcYPi8EduqDYxhTFYOmg">
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            <body>This document was closed by Administrative Action.  </body>
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          <ownedComment xmi:id="_4Q7RUH-_Ed-Ure_vzgD_TA" annotatedElement="_0o6o0X-_Ed-Ure_vzgD_TA">
            <body>Records the amendment of a clinical document.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0pDywH-_Ed-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0pDywX-_Ed-Ure_vzgD_TA" value="1"/>
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          <ownedComment xmi:id="_MSkpkMugEd2ggPdCmUn-VA" annotatedElement="_8UCykRXnEdyN7Oa0heT2nw">
            <body>This is the institution associated with the document. It is extracted from the document's hospital location if known; otherwise it is extracted from the user's log-on division.   Equivalent to a pointer to File #4.  </body>
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          <ownedComment xmi:id="_bvHQEMugEd2ggPdCmUn-VA" annotatedElement="_lOgIcRXpEdyN7Oa0heT2nw">
            <body>Identifies a node within a workflow process that is typically performed by the Service to facilitate collection of workload and financial information.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lOgIchXpEdyN7Oa0heT2nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lOgIcxXpEdyN7Oa0heT2nw" value="1"/>
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        <ownedAttribute xmi:id="_pIREYQlpEdyJN53YUEkojQ" name="hospitalLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_pIREYAlpEdyJN53YUEkojQ">
          <ownedComment xmi:id="_z7FtwAlpEdyJN53YUEkojQ" annotatedElement="_pIREYQlpEdyJN53YUEkojQ">
            <body>Hospital Location assiciated with this document.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x5cmIAlpEdyJN53YUEkojQ" value="1"/>
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          <ownedComment xmi:id="_MVbWsAlfEdy7_a5YNchS8Q" annotatedElement="_Icbr4QlfEdy7_a5YNchS8Q">
            <body>The pointer to the Image File.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QDPsQAlfEdy7_a5YNchS8Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QDPsQQlfEdy7_a5YNchS8Q" value="1"/>
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        <ownedAttribute xmi:id="_XgtIsfgOEdurueg6idzyLQ" name="linkedDataObject" visibility="public" type="_-f4IgPgNEdurueg6idzyLQ" association="_XgtIsPgOEdurueg6idzyLQ">
          <ownedComment xmi:id="_guyo4PgOEdurueg6idzyLQ" annotatedElement="_XgtIsfgOEdurueg6idzyLQ">
            <body>The document for which the linkage is beding made.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V_jckBXqEdyN7Oa0heT2nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V_jckRXqEdyN7Oa0heT2nw" value="1"/>
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        <ownedAttribute xmi:id="_u1XcMX_HEd-Ure_vzgD_TA" name="patientTransfer" visibility="public" type="_420A62FD03B642690158012E" association="_u1XcMH_HEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_0SWpUH_HEd-Ure_vzgD_TA" annotatedElement="_u1XcMX_HEd-Ure_vzgD_TA">
            <body>The inpatient movement with which the document is associated. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u1XcMn_HEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u1XcM3_HEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hP-2sRXkEdyN7Oa0heT2nw" name="procedureSummary" visibility="public" type="_IJWJcBXkEdyN7Oa0heT2nw" association="_hP-2sBXkEdyN7Oa0heT2nw">
          <ownedComment xmi:id="_SUdhEBtfEdy9KJgCiKQkoQ" annotatedElement="_hP-2sRXkEdyN7Oa0heT2nw">
            <body>The summary for the clinical procedure performed.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hP-2shXkEdyN7Oa0heT2nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hP-2sxXkEdyN7Oa0heT2nw" value="*"/>
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        <ownedAttribute xmi:id="_2prOMAlZEdy7_a5YNchS8Q" name="recordTarget" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_2phdMAlZEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_kk7Z4AlaEdy7_a5YNchS8Q" annotatedElement="_2prOMAlZEdy7_a5YNchS8Q">
            <body>A Role of a Person as a recipient of health care services from a healthcare provider.</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_syqmoH-xEd-Ure_vzgD_TA" name="relatedDocument" visibility="public" type="_haPV0H-xEd-Ure_vzgD_TA" association="_syg1oH-xEd-Ure_vzgD_TA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_syqmoX-xEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_syqmon-xEd-Ure_vzgD_TA" value="*"/>
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        <ownedAttribute xmi:id="_6fh24X-_Ed-Ure_vzgD_TA" name="retraction" visibility="public" type="_420A62FD03B643BD69A10200" association="_6fh24H-_Ed-Ure_vzgD_TA">
          <ownedComment xmi:id="_HPN1kH_AEd-Ure_vzgD_TA" annotatedElement="_6fh24X-_Ed-Ure_vzgD_TA">
            <body>Records the retraction, or &quot;nullification&quot; of a clinical document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6fh24n-_Ed-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6fh243-_Ed-Ure_vzgD_TA" value="1"/>
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        <ownedAttribute xmi:id="_420A62FD03B6422897A60217" name="section" visibility="public" type="_420A62FD03B64228976C03D6" isUnique="false" association="_420A62FD03B6422897A50324">
          <ownedComment xmi:id="_N3SBQeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422897A60217">
            <body>A clinical document body is comprised of one or more document sections.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N3byMeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N3byMuLiEduGJrQyRGTO1A" value="*"/>
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        <ownedAttribute xmi:id="_Uq6lgQlgEdy7_a5YNchS8Q" name="service" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_Uq6lgAlgEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_dZQ1sAlgEdy7_a5YNchS8Q" annotatedElement="_Uq6lgQlgEdy7_a5YNchS8Q">
            <body>The treating speciality associated with this document.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d8i8cEW6EdyXLv7yJlGbaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d8stcEW6EdyXLv7yJlGbaA" value="1"/>
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        <ownedAttribute xmi:id="_Au9KMQlcEdy7_a5YNchS8Q" name="treatingSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_Au9KMAlcEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_CmBZgAlcEdy7_a5YNchS8Q" annotatedElement="_Au9KMQlcEdy7_a5YNchS8Q">
            <body>The treating speciality associated with this document.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aAqOUEW9EdyXLv7yJlGbaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aAqOUUW9EdyXLv7yJlGbaA" value="1"/>
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        <ownedAttribute xmi:id="_EMRIUX_IEd-Ure_vzgD_TA" name="visit" visibility="public" type="_420A62FD03B64239A33400D4" association="_EMRIUH_IEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_Qz13YH_JEd-Ure_vzgD_TA" annotatedElement="_EMRIUX_IEd-Ure_vzgD_TA">
            <body>Indicates the visit to which the clinical document is related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EMRIUn_IEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EMRIU3_IEd-Ure_vzgD_TA" value="1"/>
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        <ownedAttribute xmi:id="_G5MzAAlpEdyJN53YUEkojQ" name="visitLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_G454EAlpEdyJN53YUEkojQ">
          <ownedComment xmi:id="_PEO6wAlpEdyJN53YUEkojQ" annotatedElement="_G5MzAAlpEdyJN53YUEkojQ">
            <body>This is the Admitting/Screening Clinic associated with this document     </body>
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        <ownedAttribute xmi:id="_N6JXsPONEeGMQvy2b7FvNg" name="documentGroup" visibility="public" type="_420A62FD03B6422491260300" association="_N5pocPONEeGMQvy2b7FvNg">
          <ownedComment xmi:id="_SjRe8PONEeGMQvy2b7FvNg" annotatedElement="_N6JXsPONEeGMQvy2b7FvNg">
            <body>Documents can be aggregated into clinically meaningfully groups; each document in the group will usually reference the same patient.  A clinical document will typically belong to at most one Document Group.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6QscPONEeGMQvy2b7FvNg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6RTgPONEeGMQvy2b7FvNg" value="*"/>
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            <body>&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TUZpo99AEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TUZpot9AEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6422491260300" name="DocumentGroup">
        <eAnnotations xmi:id="_N2sLU-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N2iaVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422491260300">
          <body>This is a flat level document. The purpose of DocumentGroup class is to link a set of documents about a patient in clinically meaningful ways at the point-of-use.    &quot;Specialization of Act to add the characteristics unique to document management services.&quot; (HL7 3.0)    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424453AE0008" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_N2iaV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424453AE0008">
            <body>This is a date range of the date and time for which the 1st document in the group is created and the date and time for which the recent document in the group is created.        </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422491510063" name="groupId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_N2iaWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422491510063">
            <body>A unique identifier for the Act.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642445398034E" name="groupName" visibility="public">
          <ownedComment xmi:id="_N2sLUeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642445398034E">
            <body>A textual description of a  collection of documents in clinically meaningful ways.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___qCIX_AEd-Ure_vzgD_TA" name="document" visibility="public" type="_420A62FD03B6420B7198029C" aggregation="composite" association="___qCIH_AEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_ZoIRIH_BEd-Ure_vzgD_TA" annotatedElement="___qCIX_AEd-Ure_vzgD_TA">
            <body>Documents can be aggregated into clinically meaningfully groups; each document in the group will usually reference the same patient.  A clinical document will typically belong to at most one Document Group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___qCIn_AEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___qCI3_AEd-Ure_vzgD_TA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64228976C03D6" name="ClinicalDocumentSection">
        <eAnnotations xmi:id="_N21VSuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N2sLVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64228976C03D6">
          <body>This class serves the purpose of a  context that distinguishes the body of a document from the document header.  &quot;The body contains the clinical report, and can be either an unstructured blob, or can be comprised of structured markup. &quot; (HL7 3.0 CDA 2.0)  &quot;Document sections can nest, can override context propagated from the header (see CDA Context (  4.4 ), and can contain CDA entries.&quot; (HL7 3.0)  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425EE21A000E" name="confidentiality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N2sLWeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE21A000E">
            <body>&quot;A value for Section.confidentialityCode overrides the value propagated from StructuredBody. See CDA Context (  4.4 ) for more details.confidentialityCode is of type CE, and therefore must carry both a code and a codeSystem.&quot; (HL7 3.0 CDA 2.0)    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE23500AD" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N2sLXOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE23500AD">
            <body>&quot;Specifies the human language of character data (whether they be in contents or attribute values). The values of the attribute are language identifiers as defined by the IETF (Internet Engineering Task Force) RFC 3066: Tags for the Identification of Languages, ed. H. Alvestrand. 1995 , which obsoletes RFC 1766. &quot; (HL7 3.0, CDA 2.0) </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE3210323" name="sectionTitle" visibility="public">
          <ownedComment xmi:id="_N21VReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE3210323">
            <body>&quot;Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body.&quot;   (Hl7 3.0 CDA 2.0)   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE32D0118" name="sectionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N21VSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE32D0118">
            <body>Corresponding to Section.Code: &quot;The code specifying the particular kind of section (e.g. Chief Complaint, Review of Systems, Assessment). The value set is drawn from LOINC, and has a CWE coding strength.&quot;Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body. &quot; (Hl7 3.0, CDA 2.0)   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420B795101DB" name="text" visibility="public">
          <ownedComment xmi:id="_N21VQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420B795101DB">
            <body>&quot;A textual or multimedia description (or reference to a description) of the Act.  (e.g. For act definitions, the Act.text can contain textbook-like information about that act. For act orders, the description will contain particular instructions pertaining only to that order.) Free text descriptions are used to help an individual interpret the content and context of the act, but all information relevant for automated functions must be communicated using the proper attributes and associated objects.&quot; (HL7 3.0 CDA 2.0)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6422897A50324" name="clinicalDocumentEvent_section" memberEnd="_420A62FD03B6422897A60217 _420A62FD03B6422897A60219">
        <eAnnotations xmi:id="_szJwBH_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B6422897A60219" name="" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_420A62FD03B6422897A50324"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-f4IgPgNEdurueg6idzyLQ" name="LinkedDataObject">
        <eAnnotations xmi:id="_CAbeIPgOEdurueg6idzyLQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MDuIAPgOEdurueg6idzyLQ" annotatedElement="_-f4IgPgNEdurueg6idzyLQ">
          <body>The external data object to be linked to the selected document e.g. a path to a fileserver, and a filename for the object (VA1$:[IMAGES]JR042696.BMP, or i:\images\jr042696.bmp), etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MXYq4PgOEdurueg6idzyLQ" name="uri" visibility="public">
          <ownedComment xmi:id="_TSQLQPgOEdurueg6idzyLQ" annotatedElement="_MXYq4PgOEdurueg6idzyLQ">
            <body>The path to a fileserver, and a filename for the object (VA1$:[IMAGES]JR042696.BMP, or i:\images\jr042696.bmp), etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XgtIsPgOEdurueg6idzyLQ" name="clinicalDocumentEvent_linkedDataObject" memberEnd="_XgtIsfgOEdurueg6idzyLQ _Xg25sPgOEdurueg6idzyLQ">
        <eAnnotations xmi:id="_szJwBn_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_Xg25sPgOEdurueg6idzyLQ" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_XgtIsPgOEdurueg6idzyLQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0YgcYPi8EduqDYxhTFYOmg" name="clinicalDocumentEvent_administrativeClosure" memberEnd="_0YgcYfi8EduqDYxhTFYOmg _0YgcYvi8EduqDYxhTFYOmg">
        <eAnnotations xmi:id="_szcq8H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_0YgcYvi8EduqDYxhTFYOmg" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_0YgcYPi8EduqDYxhTFYOmg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4CzzoBX3EdyN7Oa0heT2nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4CzzoRX3EdyN7Oa0heT2nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IzOkBU3EdyxsJkKJSeTqA" name="InterdisciplinaryNoteAction">
        <ownedComment xmi:id="_E7HMsMYiEd2ZAepatfUxXw" annotatedElement="_5IzOkBU3EdyxsJkKJSeTqA">
          <body>The IN (Interdiscipl'ry Note) action is the universal action for operations on Interdisciplinary Notes.  This class contains attributes pertaining to the action (i.e., Attachment or Detachment) that was carried out for a given ID Entry.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ejHT8BU4EdyxsJkKJSeTqA" name="action" visibility="public">
          <ownedComment xmi:id="_TpsbYEdhEdyAEMN_cocIBA" annotatedElement="_ejHT8BU4EdyxsJkKJSeTqA">
            <body>The set of codes describes the action that was carried out for a given ID Entry.    Possible valuesw are Attachment, Detachment., etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ejHT8RU4EdyxsJkKJSeTqA" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_VO4QgEdhEdyAEMN_cocIBA" annotatedElement="_ejHT8RU4EdyxsJkKJSeTqA">
            <body>The Date and Time at which the entry was attached to (or detached from) its ID Parent.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nlIuEBU4EdyxsJkKJSeTqA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Xp_oEEdhEdyAEMN_cocIBA" annotatedElement="_nlIuEBU4EdyxsJkKJSeTqA">
            <body>The STATUS of the Entry at the time of the action  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IkVTARU5EdyxsJkKJSeTqA" name="idParent" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_IkVTABU5EdyxsJkKJSeTqA">
          <ownedComment xmi:id="_vdVm0MujEd2ggPdCmUn-VA" annotatedElement="_IkVTARU5EdyxsJkKJSeTqA">
            <body>Identifies the Parent Document when the action occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ikec8BU5EdyxsJkKJSeTqA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ikec8RU5EdyxsJkKJSeTqA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cbslUN9AEeaqfsYBRmvQmQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_cbslUd9AEeaqfsYBRmvQmQ" annotatedElement="_cbslUN9AEeaqfsYBRmvQmQ">
            <body>&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cbslU99AEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cbslUt9AEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IkVTABU5EdyxsJkKJSeTqA" name="interdisciplinaryNoteAction_idParent" memberEnd="_IkVTARU5EdyxsJkKJSeTqA _Ikec8hU5EdyxsJkKJSeTqA">
        <eAnnotations xmi:id="_szvl5H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_Ikec8hU5EdyxsJkKJSeTqA" name="" visibility="public" type="_5IzOkBU3EdyxsJkKJSeTqA" association="_IkVTABU5EdyxsJkKJSeTqA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_IJWJcBXkEdyN7Oa0heT2nw" name="ProcedureSummary">
        <ownedComment xmi:id="_fV2-ABtjEdy9KJgCiKQkoQ" annotatedElement="_IJWJcBXkEdyN7Oa0heT2nw">
          <body>This class contains attributes pertaining to the clinical procedure peformed indentified in this document.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MP5vIBXkEdyN7Oa0heT2nw" name="procedureSummaryCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cEikABqvEdy9IMWyfVr5Ww" annotatedElement="_MP5vIBXkEdyN7Oa0heT2nw">
            <body>It contains the summary code for this procedure once it is complete. Possible Values include: Normal, Abnormal, Borderline, Incomplete, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UgS4ABXkEdyN7Oa0heT2nw" name="procedureDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_nhrVsBqvEdy9IMWyfVr5Ww" annotatedElement="_UgS4ABXkEdyN7Oa0heT2nw">
            <body>The Date/Time when the procedure was performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxJkUPd5EdyItpxrjHceWA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxTVUPd5EdyItpxrjHceWA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hP-2sBXkEdyN7Oa0heT2nw" name="clinicalDocumentEvent_procedureSummary" memberEnd="_hP-2sRXkEdyN7Oa0heT2nw _hP-2tBXkEdyN7Oa0heT2nw">
        <eAnnotations xmi:id="_szS5-H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_hP-2tBXkEdyN7Oa0heT2nw" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_hP-2sBXkEdyN7Oa0heT2nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hP-2tRXkEdyN7Oa0heT2nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hP-2thXkEdyN7Oa0heT2nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_haPV0H-xEd-Ure_vzgD_TA" name="RelatedDocument">
        <ownedAttribute xmi:id="_nJIyUH-xEd-Ure_vzgD_TA" name="documentRelationType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_yhHXMX-xEd-Ure_vzgD_TA" name="document" visibility="public" type="_420A62FD03B6420B7198029C" association="_yhHXMH-xEd-Ure_vzgD_TA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yhHXMn-xEd-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yhHXM3-xEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_syg1oH-xEd-Ure_vzgD_TA" name="clinicalDocumentEvent_relatedDocument" memberEnd="_syqmoH-xEd-Ure_vzgD_TA _syqmo3-xEd-Ure_vzgD_TA">
        <eAnnotations xmi:id="_sy2OAH_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_syqmo3-xEd-Ure_vzgD_TA" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_syg1oH-xEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yhHXMH-xEd-Ure_vzgD_TA" name="relatedDocument_document" memberEnd="_yhHXMX-xEd-Ure_vzgD_TA _yhHXNH-xEd-Ure_vzgD_TA">
        <eAnnotations xmi:id="_sy2OAn_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_yhHXNH-xEd-Ure_vzgD_TA" name="" visibility="public" type="_haPV0H-xEd-Ure_vzgD_TA" association="_yhHXMH-xEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_G8uwsH-7Ed-Ure_vzgD_TA" name="AmendmentAct">
        <eAnnotations xmi:id="_G8uwsX-7Ed-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_G8uwsn-7Ed-Ure_vzgD_TA" annotatedElement="_G8uwsH-7Ed-Ure_vzgD_TA">
          <body>Records the amendmenet of a clinical document.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_G8uws3-7Ed-Ure_vzgD_TA" name="comment" visibility="public">
          <ownedComment xmi:id="_APs7MH-_Ed-Ure_vzgD_TA" annotatedElement="_G8uws3-7Ed-Ure_vzgD_TA">
            <body>Contains any remarks about the amendment.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G8uwtH-7Ed-Ure_vzgD_TA" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_DASMcH-_Ed-Ure_vzgD_TA" annotatedElement="_G8uwtH-7Ed-Ure_vzgD_TA">
            <body>The date/time that the document was closed by amended.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G8uwtX-7Ed-Ure_vzgD_TA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FSA-gH-_Ed-Ure_vzgD_TA" annotatedElement="_G8uwtX-7Ed-Ure_vzgD_TA">
            <body>Provides a reason why the document was amended.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G8uwt3-7Ed-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G8uwtn-7Ed-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q8D3cN9AEeaqfsYBRmvQmQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_q8D3cd9AEeaqfsYBRmvQmQ" annotatedElement="_q8D3cN9AEeaqfsYBRmvQmQ">
            <body>Identifies the person who ammended the document.&#xD;
&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q8D3c99AEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q8D3ct9AEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_H4CiYH-7Ed-Ure_vzgD_TA" name="AdministrativeClosureAct">
        <eAnnotations xmi:id="_H4CiYX-7Ed-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_H4CiYn-7Ed-Ure_vzgD_TA" annotatedElement="_H4CiYH-7Ed-Ure_vzgD_TA">
          <body>This class contains attributes associated with the closure of a document by an Administrative Action.  Whether the document was closed manually by an administrative person (in order to satisfy authentication requirements), or automatically by scanning a paper document bearing the signature of the patient (e.g., Consents, Advanced Directives, etc.) and not requiring the signature of an author. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_H4CiY3-7Ed-Ure_vzgD_TA" name="comment" visibility="public">
          <ownedComment xmi:id="_aDla4H-9Ed-Ure_vzgD_TA" annotatedElement="_H4CiY3-7Ed-Ure_vzgD_TA">
            <body>Contains any remarks about the administrative closure.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H4CiZH-7Ed-Ure_vzgD_TA" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_WEmSQH-8Ed-Ure_vzgD_TA" annotatedElement="_H4CiZH-7Ed-Ure_vzgD_TA">
            <body>The date/time that the document was closed by administrative action.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lXCFEH-9Ed-Ure_vzgD_TA" name="mode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lXCFEX-9Ed-Ure_vzgD_TA" annotatedElement="_lXCFEH-9Ed-Ure_vzgD_TA">
            <body>Indicates whether the document was closed manually by an administrative person (in order to satisfy authentication requirements), or automatically by scanning a paper document bearing the signature of the patient (e.g., Consents, Advanced Directives, etc.) and not requiring the signature of an author.  Possible values include Manual or Scanned document</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H4CiZX-7Ed-Ure_vzgD_TA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5eYYYH--Ed-Ure_vzgD_TA" annotatedElement="_H4CiZX-7Ed-Ure_vzgD_TA">
            <body>Provides a reason why the document was administratively closed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H4CiZ3-7Ed-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H4CiZn-7Ed-Ure_vzgD_TA" value="1"/>
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        <ownedAttribute xmi:id="_qe_g8N9AEeaqfsYBRmvQmQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_qe_g8d9AEeaqfsYBRmvQmQ" annotatedElement="_qe_g8N9AEeaqfsYBRmvQmQ">
            <body>Identifies the person who closed the document.&#xD;
&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
          </ownedComment>
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    <packagedElement xmi:type="uml:Package" xmi:id="_nbBsIFaeEd6rJ7jpZ7LBFg" name="ClinicalObservation">
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        <ownedComment xmi:id="_7CEKMEWYEeKmiJoj9rWMSg" annotatedElement="_3XW7MGH_EeCHAoM78Lf2xA">
          <body>Indicates the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit.  If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7&#xD;
&quot;Guidance on how to interpret the value by comparison to a normal or recommended range.&quot; - HL7 FHIR, Observation.referenceRange</body>
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        <ownedAttribute xmi:id="_nCKZoB76EeeR140udo0pbA" name="ageRange" visibility="public">
          <ownedComment xmi:id="_VsmBQB-EEeeZ3N7_V_4PrA" annotatedElement="_nCKZoB76EeeR140udo0pbA">
            <body>&quot;The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.&quot; - HL7 FHIR, Observation.referenceRange.age</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_szp3IB76EeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_szp3IR76EeeR140udo0pbA" value="1"/>
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        <ownedAttribute xmi:id="_t1BqAB75EeeR140udo0pbA" name="appliesTo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_VzaOoB76EeeR140udo0pbA" annotatedElement="_t1BqAB75EeeR140udo0pbA">
            <body>Reference ranges may be different for specific populations of individuals, based on some other determinant trait held by those individuals. For example, total serum iron concentrations normally differ in males versus females. Males and post-menopausal females share the same reference range for the normal concentration of Ferritin, but the reference range for pre-menopausal females normally has a lower upper limit. Similarly, Prostate Specific Antigen levels are normally lower in Asian men than in Caucasian men. In addition, some reference ranges may differ depending on the time of day the sample was drawn. For example, Cortisol levels are normally higher in the morning than they are at night. This property therefore indicates the determinant that distinguishes this reference range instance from other reference range instances. In other words, it contains (codes conveying) male, female, pre-menopausal female, post-menopausal female, Caucasian, Asian, African, etc.&#xD;
&#xD;
&quot;Contains the nature of the abnormal test....  As many of the codes as apply may be included&quot; - HL7 Version 2.8, OBX-10.  Possible values (from HL7 Table 80) include: An age-based population; None - generic normal range; A race-based population; A sex-based population; Species; Breed; Strain.&#xD;
&quot;Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.&quot; - HL7 FHIR, Observation.referenceRange.appliesTo</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_t1BqAh75EeeR140udo0pbA"/>
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            <language></language>
            <body>(CriterionCategory)</body>
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        <ownedAttribute xmi:id="_MXC4wCjsEeKdfLgBSxgNnA" name="criterionDescription" visibility="public">
          <ownedComment xmi:id="_fomB8CjsEeKdfLgBSxgNnA" annotatedElement="_MXC4wCjsEeKdfLgBSxgNnA">
            <body>Describes the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.  This property is a human-readable label for the criterion, it is not necessarily computable.  Examples include 40-50 years old, Female, etc.  &#xD;
&#xD;
</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eaTmgLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eaTmgbyjEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_cT9r8PjREeCmc6EQPl3F9g" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_p7q3wPjREeCmc6EQPl3F9g" annotatedElement="_cT9r8PjREeCmc6EQPl3F9g">
            <body>&quot;Contains the date (and, optionally, the time) on which the values in OBX-7-reference range went into effect....&quot; - HL7 Version 2.8, OBX-12.  Note that we may wish change this to a date range in the future.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e1K9kLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e1K9kbyjEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_xY_oIB-KEeeZ3N7_V_4PrA" name="high" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>The upper bound of the range of normal values determined for a particular kind of observation. For toxicology, this range is the theraputic range.&#xD;
&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit. If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7.&#xD;
&quot;The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - &lt;=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).&quot; - HL7 FHIR, Observation.referenceRange.high</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xY_oIx-KEeeZ3N7_V_4PrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xY_oIh-KEeeZ3N7_V_4PrA" value="1"/>
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        <ownedAttribute xmi:id="_xNjNIB-KEeeZ3N7_V_4PrA" name="low" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DKSfgB-LEeeZ3N7_V_4PrA" annotatedElement="_xNjNIB-KEeeZ3N7_V_4PrA">
            <body>The lower bound of the range of normal values determined for a particular kind of observation. For toxicology, this range is the theraputic range.&#xD;
&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit. If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7.&#xD;
&quot;The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - &lt;=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is &lt;=2.3).&quot; - HL7 FHIR, Observation.referenceRange.low</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xNjNIx-KEeeZ3N7_V_4PrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xNjNIh-KEeeZ3N7_V_4PrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8465QB70EeeR140udo0pbA" name="referenceRangeKind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dAh8oB76EeeR140udo0pbA" annotatedElement="_8465QB70EeeR140udo0pbA">
            <body>Specifies the type of Reference Range to which this criterion belongs. For example, there are normal reference ranges, therapeutic ranges, etc.&#xD;
&quot;Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.&quot; - HL7 FHIR, Observation.referenceRange.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__9D_sB70EeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__9D_sR70EeeR140udo0pbA" value="1"/>
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        <ownedAttribute xmi:id="_6IeGAN13EeSq65vB-N1vxw" name="text" visibility="public">
          <ownedComment xmi:id="_GoQAcN14EeSq65vB-N1vxw" annotatedElement="_6IeGAN13EeSq65vB-N1vxw">
            <body>&quot;Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of &quot;Negative&quot; or a list or table of normal values.&quot; - HL7 FHIR, Observation.referenceRange.text.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HSrdgN14EeSq65vB-N1vxw" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_eWYXgO3MEeCFZuasLkncZQ" name="InterpretationEvent">
        <ownedComment xmi:id="_jT1YELskEeGZTLDYkoM_Sw" annotatedElement="_eWYXgO3MEeCFZuasLkncZQ">
          <body>This class represents an assessment of the value or result of the Clinical Observation or Laboratory Test. For example, a blood pressure measurement of an adult at rest with a value of 147/94 mmHg would be considered abnormally high (i.e., falls within the definition of high blood pressure). For chemistry tests, provides an indication of the result (usually automated), based upon &quot;normal&quot; values as indicated by the reference range. Examples include High, Low, Critically High, Critically Low, etc. For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic. Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.&#xD;
&#xD;
&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8.&#xD;
&quot;The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.&quot; - HL7 FHIR, Observation.interpretation&#xD;
&quot;A clinical judgment concerning the significance or impact of the finding with respect to its subject (e.g., the patient).&quot; - HL7 CIMI, FindingTopic.interpretation</body>
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        <ownedAttribute xmi:id="_420A62FD03B64263C9AE023E" name="interpretation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M6oyw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263C9AE023E">
            <body>A categorical assessment of the observation value, expressed as a code appropriate to the kind of observation being made. For chemistry tests, provides an automated indication of the result, based upon &quot;normal&quot; values as indicated by the reference range. Examples include High, Low, Critically High, Critically Low, etc. For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic. Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.&#xD;
&#xD;
&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8&#xD;
&quot;The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.&quot; - HL7 FHIR, Observation.interpretation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yAHUALyZEea_DaXmJ278Kw"/>
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            <language></language>
            <body>(Observation Interpretation)</body>
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        <ownedAttribute xmi:id="_DsDIsBJdEeKEjrc2hUE4_Q" name="interpretatationText" visibility="public">
          <ownedComment xmi:id="_RzejkEU4EeKmiJoj9rWMSg" annotatedElement="_DsDIsBJdEeKEjrc2hUE4_Q">
            <body>Contains the clinician's assessment based on the observation. This property is used for textual assessments as opposed to a coded interpretation. This property is used more often for pathology observations where pathologist's interpretation may be several sentences long, as opposed to &quot;chemistry&quot; tests, which are often automated and which produce a coded interpretation.&#xD;
&#xD;
When used with a &quot;Vital Sign&quot; Observation, this text is an abbreviated interpretation of the Vital Sign Observation, e.g., Normal, Abnormal, High, etc. Required by the Public Health Reporting Initiative, 10/5/2012.</body>
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        <ownedAttribute xmi:id="_LvDOMOPoEea407qNHok1lQ" name="principalResultInterpreter" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_PAM14OPoEea407qNHok1lQ" annotatedElement="_LvDOMOPoEea407qNHok1lQ">
            <body>&quot;Identifies the physician or other clinician who interpreted the observation and is responsible for the report content.&quot; - HL7 Version 2.8, OBR-32.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LvDOMuPoEea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LvDOMePoEea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_USBU0OPoEea407qNHok1lQ" name="assistantResultInterpreter" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_USBU0ePoEea407qNHok1lQ" annotatedElement="_USBU0OPoEea407qNHok1lQ">
            <body>&quot;Identifies the clinical observer who assisted with the interpretation of this study.&quot; - HL7 Version 2.8, OBR-33.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_USBU0-PoEea407qNHok1lQ"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_nbH1BlaeEd6rJ7jpZ7LBFg" name="ObservationSet">
        <eAnnotations xmi:id="_sswqwHy_EeSWGIFkX6Zyfg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_nbH1B1aeEd6rJ7jpZ7LBFg" annotatedElement="_nbH1BlaeEd6rJ7jpZ7LBFg">
          <body>This class is a PLACEHOLDER for some kind of panel of related observations</body>
        </ownedComment>
        <ownedAttribute xmi:id="_nbH1FFaeEd6rJ7jpZ7LBFg" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8IOMcLyZEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_Xe_pUH_gEd-Ure_vzgD_TA" name="clinicalObservation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" aggregation="shared" association="_Xe14UH_gEd-Ure_vzgD_TA">
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            <body>A clinical observation being done by a practioner for a patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xe_pUX_gEd-Ure_vzgD_TA"/>
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        <ownedAttribute xmi:id="_k1uZ4X_gEd-Ure_vzgD_TA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_k1uZ4H_gEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_lnDJIH_gEd-Ure_vzgD_TA" annotatedElement="_k1uZ4X_gEd-Ure_vzgD_TA">
            <body>Pointer to the (Person or Animal in the Role of) Patient whose problems are being observed and documented.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k1uZ4n_gEd-Ure_vzgD_TA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nbH1LVaeEd6rJ7jpZ7LBFg" name="ObservationStatement">
        <eAnnotations xmi:id="_nbH1LlaeEd6rJ7jpZ7LBFg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_KSq9oIFvEeiFweA6NKJQOg" key="CIMI_EvaluationResultRecorded"/>
        </eAnnotations>
        <ownedComment xmi:id="_YbedUF-WEd67Z-0RDQoqiA" annotatedElement="_nbH1LVaeEd6rJ7jpZ7LBFg">
          <body>An event in which a Clinical Observation is recorded.&#xD;
&quot;Measurements and simple assertions made about a patient, device or other subject.&quot; - HL7 FHIR, Observation resource.</body>
        </ownedComment>
        <generalization xmi:id="__8cJoIFuEeiFweA6NKJQOg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_XX-xkIFwEeiFweA6NKJQOg" name="basedOn" visibility="public" type="_Da36EE_EEeicO4zK57V_lA" association="_XXiFoIFwEeiFweA6NKJQOg">
          <ownedComment xmi:id="_cCKowIFwEeiFweA6NKJQOg" annotatedElement="_XX-xkIFwEeiFweA6NKJQOg">
            <body>&quot;A plan, proposal or order that is fulfilled in whole or in part by this event.&quot; - HL7 CIMI, EvaluationResultTopic.basedOn&#xD;
&quot;A plan, proposal or order that is fulfilled in whole or in part by this event.&quot; - HL7 FHIR, Observation.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XX-xkYFwEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XX-xkoFwEeiFweA6NKJQOg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1L1aeEd6rJ7jpZ7LBFg" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aR5vkH-0EeOzENpLs8HIcg" annotatedElement="_nbH1L1aeEd6rJ7jpZ7LBFg">
            <body>A code specifying detail about the anatomical site or system that is the focus of the Observation.&#xD;
&quot;Indicates the site on the subject's body where the observation was made (i.e. the target site).&quot; - HL7 FHIR, Observation.bodySite.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1MVaeEd6rJ7jpZ7LBFg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1MFaeEd6rJ7jpZ7LBFg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kn6owB7OEeeR140udo0pbA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kn6owR7OEeeR140udo0pbA" annotatedElement="_kn6owB7OEeeR140udo0pbA">
            <body>This optional property is used to classify the observation into coarse-grained groups such as vital signs, laboratory, etc. This property is included for compatibility to FHIR, although in the FHIM, such a categorization is usually handled through generalization (sub-type) relationships.&#xD;
&quot;A code that classifies the general type of observation being made.&quot; - HL7 FHIR, Observation.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kn6owx7OEeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kn6owh7OEeeR140udo0pbA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lm5ZcB-SEee94IovPwpKfw" name="componentObservation" visibility="public" type="_zXI9kB-PEee94IovPwpKfw" association="_lm4LUB-SEee94IovPwpKfw">
          <ownedComment xmi:id="_5EhaUB-TEee94IovPwpKfw" annotatedElement="_lm5ZcB-SEee94IovPwpKfw">
            <body>Pointer to a set of observations that occurred during the same time or as part of the primary observation.&#xD;
&quot;Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.&quot; - HL7 FHIR, Observation.component</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lm6AgB-SEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lm6AgR-SEee94IovPwpKfw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EpMB8HywEeSWGIFkX6Zyfg" name="dataAbsentReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EpMB8XywEeSWGIFkX6Zyfg" annotatedElement="_EpMB8HywEeSWGIFkX6Zyfg">
            <body>&quot;Provides a reason why the expected value in [value] is missing&quot; - HL7 FHIR, Observation.dataAbsentReason.&#xD;
&quot;If the result value is missing, a code explaining the reason the result cannot be provided.&quot; - HL7 CIMI, RecordedContext.exceptionValue</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EpMB83ywEeSWGIFkX6Zyfg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EpMB8nywEeSWGIFkX6Zyfg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1NVaeEd6rJ7jpZ7LBFg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_KverIHyhEeOHq5zPTCjDoQ" annotatedElement="_nbH1NVaeEd6rJ7jpZ7LBFg">
            <body>The date (and optionally, time) that the Observation took place.  Note that this is the clinically-relevant time, for example, the clinically relevant time of a result of a lab test on a blood sample is the time the blood was drawn, not when the test was run.  Note that in FHIR this can be either a point in time or a period (i.e., a TimeInterval).  In the FHIM, this is currently modeled as only a point in time.  Note also that when used by the Condition sub-type of Observation, this is the date that the Condition was first detected or asserted.&#xD;
&#xD;
&quot;This field is required in two circumstances. The first is when the observations reported beneath one report header have different dates/times.  This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement.... The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time. In the case of tests performed on specimens, the relevant date-time is the specimen's collection date-time. In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX-14.&#xD;
&quot;The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the &quot;physiologically relevant time&quot;. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.&quot; - HL7 FHIR, Observation.effective[x]&#xD;
&#xD;
&quot;Contains the date/time when the corresponding problem was initially identified by the caregiver.&quot; - HL7 Version 2.8, PRB-7&#xD;
&quot;Estimated or actual date the condition/problem/diagnosis was first detected/suspected.&quot; - HL7 FHIR, Condition resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Gi5cLyZEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1Gi5cbyZEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6U_P0B7nEeeR140udo0pbA" name="dateTimeIssued" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HV9LwB7oEeeR140udo0pbA" annotatedElement="_6U_P0B7nEeeR140udo0pbA">
            <body>&quot;The date and time this observation was made available to providers, typically after the results have been reviewed and verified.&quot; - HL7 FHIR, Observation.issued&#xD;
&quot;The date and time this observation was made available to providers, typically after the results have been reviewed and verified.&quot; - HL7 CIMI, RecordedContext.RecordedContext</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-PTJQB7nEeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-PTwUB7nEeeR140udo0pbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QURJJIFuEeiFweA6NKJQOg" name="deltaFlag" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QURJJYFuEeiFweA6NKJQOg" annotatedElement="_QURJJIFuEeiFweA6NKJQOg">
            <body>&quot;Flag indicating whether there was a significant change from previous results.&quot; - HL7 CIMI, RecordedContext.deltaFlag</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QURJJ4FuEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QURJJoFuEeiFweA6NKJQOg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u06oAIFuEeiFweA6NKJQOg" name="description" visibility="public">
          <ownedComment xmi:id="_u06oAYFuEeiFweA6NKJQOg" annotatedElement="_u06oAIFuEeiFweA6NKJQOg">
            <body>&quot;An optional description of the finding in human narrative form.&quot; - HL7 CIMI, FindingTopic.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u06oA4FuEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u06oAoFuEeiFweA6NKJQOg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fVFsIB7tEeeR140udo0pbA" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_fVEeAB7tEeeR140udo0pbA">
          <ownedComment xmi:id="_ptlJ8B7tEeeR140udo0pbA" annotatedElement="_fVFsIB7tEeeR140udo0pbA">
            <body>&quot;The device used to evaluate the characteristic such as the type of blood pressure cuff used on a patient.&quot; - HL7 CIMI, EvaluationResultTopic.device&#xD;
&quot;The device used to generate the observation data.&quot; - HL7 FHIR, Observation.device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fVGTMB7tEeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fVGTMR7tEeeR140udo0pbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PKp3ABybEeOR-a0_xUg6BQ" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_PKmzsBybEeOR-a0_xUg6BQ">
          <ownedComment xmi:id="_h8NRAJpcEeOswd2lHBTpDQ" annotatedElement="_PKp3ABybEeOR-a0_xUg6BQ">
            <body>Pointer to the Encounter during which the Observation was made.  When used by the Condition Statement sub-type of Observation Statement, this is the Encounter during which the Condition was first asserted.&#xD;
&quot;The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.&quot; - HL7 FHIR, Observation.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PKrFIBybEeOR-a0_xUg6BQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PKrsMBybEeOR-a0_xUg6BQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ocTYwYFxEeiFweA6NKJQOg" name="evaluationProcedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_ocTYwIFxEeiFweA6NKJQOg">
          <ownedComment xmi:id="_z0FJUIFxEeiFweA6NKJQOg" annotatedElement="_ocTYwYFxEeiFweA6NKJQOg">
            <body>&quot;The evaluation procedure that is the source of the evaluation result.&quot; - HL7 CIMI, EvaluationResultTopic.evaluationProcedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ocTYwoFxEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ocTYw4FxEeiFweA6NKJQOg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l45L8BcpEeOL3Nw-k5HkNw" name="interpretationEvent" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_l4390BcpEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_ITTgQJnEEeOY14GUwwUH5Q" annotatedElement="_l45L8BcpEeOL3Nw-k5HkNw">
            <body>Pointer to an assessment of the value or result of the Clinical Observation.&#xD;
&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8&#xD;
&quot;The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.&quot; - HL7 FHIR, Observation.interpretation&#xD;
&quot;A clinical judgment concerning the significance or impact of the finding with respect to its subject (e.g., the patient).&quot; - HL7 CIMI, FindingTopic.interpretation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l46aEBcpEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l46aERcpEeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1QlaeEd6rJ7jpZ7LBFg" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_uy5ucH-0EeOzENpLs8HIcg" annotatedElement="_nbH1QlaeEd6rJ7jpZ7LBFg">
            <body>Provides additional detail about the means or technique used to ascertain the Observation.  The method used may affect how the observation value is interpreted.&#xD;
&quot;Indicates the mechanism used to perform the observation.&quot; - HL7 FHIR, Observation.method.&#xD;
&quot;The means by which a measurement, evaluation, or assessment was made.&quot; - HL7 CIMI, EvaluationResultTopic.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1RFaeEd6rJ7jpZ7LBFg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1Q1aeEd6rJ7jpZ7LBFg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u06oBIFuEeiFweA6NKJQOg" name="multimedia" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_u06oBYFuEeiFweA6NKJQOg" annotatedElement="_u06oBIFuEeiFweA6NKJQOg">
            <body>&quot;Audio, visual, or other binary content produced during the evaluation, such as an X-ray.&quot; - HL7 CIMI, FindingTopic.multimedia</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u06oB4FuEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u06oBoFuEeiFweA6NKJQOg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EKVi4IFuEeiFweA6NKJQOg" name="observed" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_EKVi4YFuEeiFweA6NKJQOg" annotatedElement="_EKVi4IFuEeiFweA6NKJQOg">
            <body>&quot;Information about who observed the characteristic, when did they make the observation, etc...&quot; - HL7 CIMI, RecordedContext.observed&#xD;
&quot;Who was responsible for asserting the observed value as true.&quot; - HL7 FHIR, Observation.performer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EKVi44FuEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EKVi4oFuEeiFweA6NKJQOg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qRz1UBcbEeOL3Nw-k5HkNw" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_qRz1URcbEeOL3Nw-k5HkNw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_qRz1UxcbEeOL3Nw-k5HkNw" annotatedElement="_qRz1UBcbEeOL3Nw-k5HkNw">
            <body>Indicates what was observed.  This property may be re-defined in sub-classes to explictly describe a particular kind of observation (e.g., Heart Rate).&#xD;
&quot;Describes what was observed. Sometimes this is called the observation &quot;name&quot;.&quot; - HL7 FHIR, Observation.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qRz1VRcbEeOL3Nw-k5HkNw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qRz1VBcbEeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LYGwEPDOEeO_Te8vAbT_YQ" name="referenceRange" visibility="public" type="_3XW7MGH_EeCHAoM78Lf2xA" association="_LYFh8PDOEeO_Te8vAbT_YQ">
          <ownedComment xmi:id="_4FD8oPDOEeO_Te8vAbT_YQ" annotatedElement="_LYGwEPDOEeO_Te8vAbT_YQ">
            <body>Pointer to a set of normal or recommended ranges that can be used to compare against the value of the actual observation or test results.&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit.  If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7&#xD;
&quot;The range for the measurement.&quot; - HL7 CIMI, EvaluationResultTopic.referenceRange&#xD;
&quot;Guidance on how to interpret the value by comparison to a normal or recommended range.&quot; - HL7 FHIR, Observation.referenceRange</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LYHXIPDOEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LYHXIfDOEeO_Te8vAbT_YQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1TFaeEd6rJ7jpZ7LBFg" name="reliability" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Loux4HyiEeOHq5zPTCjDoQ" annotatedElement="_nbH1TFaeEd6rJ7jpZ7LBFg">
            <body>&quot;An estimate of the degree to which quality issues have impacted on the value reported.&quot; - HL7 FHIR, Observation.reliability.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XaTe4JpkEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XaUF8JpkEeOswd2lHBTpDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GIb5cB7MEeeR140udo0pbA" name="resultStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MeuGEB7MEeeR140udo0pbA" annotatedElement="_GIb5cB7MEeeR140udo0pbA">
            <body>Indicates the state of the result value, for example whether it is preliminary or final, etc. Note that this status differs from the record status inherited from Clinical Information, in that the record status indicates whether the record is active, obsoleted, etc. While there is some overlap between the two statuses (e.g., they both can represent entered-in-error), this property is meant to convey more clinical information regarding the reliability of the information (e.g., preliminary versus final), whereas the record status tends to focus on the lifecycle of the record (e.g., new versus active).&#xD;
&quot;Contains the observation result status.... This field reflects the current completion status of the results for one Observation Identifier....&quot; - HL7 Version 2.8, OBX-11&#xD;
&quot;The last recorded state of the finding, indicating whether the finding is preliminary, amended, final, to be attained, etc.&quot; - HL7 CIMI, FindingContext.status&#xD;
&quot;The status of the result value.&quot; - HL7 FHIR, Observation.status. Note that the possible values for status in FHIR are: Registered, Preliminary, Final, Amended, Corrected, Cancelled, Entered in Error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JfsJIB7MEeeR140udo0pbA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JfsJIR7MEeeR140udo0pbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DU4wwB7tEeeR140udo0pbA" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_DU1GYB7tEeeR140udo0pbA">
          <ownedComment xmi:id="_RJa3oB7tEeeR140udo0pbA" annotatedElement="_DU4wwB7tEeeR140udo0pbA">
            <body>Pointer to the specimen about which the observation took place.&#xD;
&quot;The specimen that was used when this observation was made.&quot; - HL7 FHIR, Observation.specimen</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DU5X0B7tEeeR140udo0pbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DU5X0R7tEeeR140udo0pbA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VCEnMPOOEeGMQvy2b7FvNg" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_b8pzsPOOEeGMQvy2b7FvNg" annotatedElement="_VCEnMPOOEeGMQvy2b7FvNg">
            <body>Contains the value of the Clinical Observation.  This property is modeled as an Any datatype in the generic Observation; specific subtypes are expected to re-define this property to the appropriate datatype.&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5&#xD;
&quot;Contains the units of measurement for the value in OBX-5, Observation Value.&quot; - HL7 Version 2.8, OBX-6&#xD;
&quot;The value of the finding, typically a quantity for measurements and a concept code for qualitative evaluations and assertions. In general, any data type can be the value of a finding.&quot; - HL7 CIMI, RecordedContext.resultValue&#xD;
&quot;The information determined as a result of making the observation, if the information has a simple value.&quot; - HL7 FHIR, Observation.value[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_31a6gLyZEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_31a6gbyZEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JKN16IFxEeiFweA6NKJQOg" name="derivedFrom" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA" isDerived="true">
          <ownedComment xmi:id="_JKN16YFxEeiFweA6NKJQOg" annotatedElement="_JKN16IFxEeiFweA6NKJQOg">
            <body>Pointer to another ObservationStatement from which this Observation was derived. This property is currently marked as derived as it can potentially be realized through the RelatedClinicalInformation structure inherited from ClinicalStatement.&#xD;
&quot;The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.&quot; - HL7 CIMI, EvaluationResultTopic.derivedFrom&#xD;
&quot;The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.&quot; - HL7 FHIR, Observation.derivedFrom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JKN164FxEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JKN16oFxEeiFweA6NKJQOg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_djgDMIFxEeiFweA6NKJQOg" name="hasMember" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA" isDerived="true">
          <ownedComment xmi:id="_djgDMYFxEeiFweA6NKJQOg" annotatedElement="_djgDMIFxEeiFweA6NKJQOg">
            <body>&quot;This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.&quot; - HL7 FHIR, Observation.hasMember</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_djgDM4FxEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_djgDMoFxEeiFweA6NKJQOg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JKN14IFxEeiFweA6NKJQOg" name="partOf" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA" isDerived="true">
          <ownedComment xmi:id="_JKN14YFxEeiFweA6NKJQOg" annotatedElement="_JKN14IFxEeiFweA6NKJQOg">
            <body>Pointer to a ClinicalStatement about an event of which this Observation is a component or step. This property is currently marked as derived as it can potentially be realized through the RelatedClinicalInformation structure inherited from ClinicalStatement.&#xD;
&quot;A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure. Do not use this attribute to link this observation to the encounter where it originates. Use the 'encounter' attribute of ClinicalStatement instead.&quot; - HL7 CIMI, EvaluationResultTopic.partOf&#xD;
&quot;A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.&quot; - HL7 FHIR, Observation.partOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JKN144FxEeiFweA6NKJQOg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JKN14oFxEeiFweA6NKJQOg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Xe14UH_gEd-Ure_vzgD_TA" name="observationSet_clinicalObservation" memberEnd="_Xe_pUH_gEd-Ure_vzgD_TA _Xe_pU3_gEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_Xe_pU3_gEd-Ure_vzgD_TA" name="" visibility="public" type="_nbH1BlaeEd6rJ7jpZ7LBFg" association="_Xe14UH_gEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_k1uZ4H_gEd-Ure_vzgD_TA" name="observationSet_patient" memberEnd="_k1uZ4X_gEd-Ure_vzgD_TA _k1uZ5H_gEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_k1uZ5H_gEd-Ure_vzgD_TA" name="" visibility="public" type="_nbH1BlaeEd6rJ7jpZ7LBFg" association="_k1uZ4H_gEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_l4390BcpEeOL3Nw-k5HkNw" name="observationStatement_interpretationEvent" memberEnd="_l45L8BcpEeOL3Nw-k5HkNw _l47oMBcpEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_l47oMBcpEeOL3Nw-k5HkNw" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_l4390BcpEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PKmzsBybEeOR-a0_xUg6BQ" name="observationStatement_encounter" memberEnd="_PKp3ABybEeOR-a0_xUg6BQ _PKsTQBybEeOR-a0_xUg6BQ">
        <ownedEnd xmi:id="_PKsTQBybEeOR-a0_xUg6BQ" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_PKmzsBybEeOR-a0_xUg6BQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LYFh8PDOEeO_Te8vAbT_YQ" name="observationStatement_referenceRange" memberEnd="_LYGwEPDOEeO_Te8vAbT_YQ _LYH-MPDOEeO_Te8vAbT_YQ">
        <ownedEnd xmi:id="_LYH-MPDOEeO_Te8vAbT_YQ" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_LYFh8PDOEeO_Te8vAbT_YQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_NmeRkMNzEeSFjdDJNF9NPA" client="_nbH1LVaeEd6rJ7jpZ7LBFg">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_9MaIUMNxEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/CoreVitalSigns?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_B64igOd1EeSKGaa1qzZLJg" client="_eWYXgO3MEeCFZuasLkncZQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_B2WXEGhEEeOywMcrK34nEA?FHIM_Vocab/LabVocab/Observation%20Interpretation?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DU1GYB7tEeeR140udo0pbA" name="observationStatement_specimen" memberEnd="_DU4wwB7tEeeR140udo0pbA _DU6l8B7tEeeR140udo0pbA">
        <ownedEnd xmi:id="_DU6l8B7tEeeR140udo0pbA" name="" visibility="private" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_DU1GYB7tEeeR140udo0pbA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DU7NAB7tEeeR140udo0pbA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DU70EB7tEeeR140udo0pbA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fVEeAB7tEeeR140udo0pbA" name="observationStatement_deviceInstance" memberEnd="_fVFsIB7tEeeR140udo0pbA _fVIIYB7tEeeR140udo0pbA">
        <ownedEnd xmi:id="_fVIIYB7tEeeR140udo0pbA" name="" visibility="private" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_fVEeAB7tEeeR140udo0pbA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fVIvcB7tEeeR140udo0pbA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fVJWgB7tEeeR140udo0pbA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_3QVuoB-NEee94IovPwpKfw" client="_3XW7MGH_EeCHAoM78Lf2xA">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_vGzOMGHhEeO5pLNjYnguHg?FHIM_Vocab/LabVocab/Criterion%20Category?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_zXI9kB-PEee94IovPwpKfw" name="ComponentObservation">
        <ownedAttribute xmi:id="_5c8eMB-PEee94IovPwpKfw" name="dataAbsentReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5c8eMR-PEee94IovPwpKfw" annotatedElement="_5c8eMB-PEee94IovPwpKfw">
            <body>&quot;Provides a reason why the expected value in the element Observation.value[x] is missing.&quot; - HL7 FHIR, Observation.component.dataAbsentReason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5c8eMx-PEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5c8eMh-PEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5c8eNB-PEee94IovPwpKfw" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_5c8eNR-PEee94IovPwpKfw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_5c8eNh-PEee94IovPwpKfw" annotatedElement="_5c8eNB-PEee94IovPwpKfw">
            <body>&quot;Describes what was observed. Sometimes this is called the observation &quot;code&quot;.&quot; - HL7 FHIR, Observation.component.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5c8eOB-PEee94IovPwpKfw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5c8eNx-PEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5c8eOR-PEee94IovPwpKfw" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_LPsHEB-QEee94IovPwpKfw" annotatedElement="_5c8eOR-PEee94IovPwpKfw">
            <body>&quot;The information determined as a result of making the observation, if the information has a simple value.&quot; - HL7 FHIR, Observation.component.value[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5c8ePB-PEee94IovPwpKfw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5c8eOx-PEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fnSAYB-SEee94IovPwpKfw" name="referenceRange" visibility="public" type="_3XW7MGH_EeCHAoM78Lf2xA" association="_fnNu8B-SEee94IovPwpKfw">
          <ownedComment xmi:id="_c_jTsB-TEee94IovPwpKfw" annotatedElement="_fnSAYB-SEee94IovPwpKfw">
            <body>&quot;Guidance on how to interpret the value by comparison to a normal or recommended range.&quot; - HL7 FHIR, Observation.component.referenceRange</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fnT1kB-SEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fnT1kR-SEee94IovPwpKfw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gE2tMB-SEee94IovPwpKfw" name="interpretationEvent" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_gE04AB-SEee94IovPwpKfw">
          <ownedComment xmi:id="_xfzhIB-SEee94IovPwpKfw" annotatedElement="_gE2tMB-SEee94IovPwpKfw">
            <body>&quot;The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.&quot; - HL7 FHIR, Observation.component.interpretation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gE3UQB-SEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gE37UB-SEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fnNu8B-SEee94IovPwpKfw" name="componentObservation_referenceRange" memberEnd="_fnSAYB-SEee94IovPwpKfw _fnVqwB-SEee94IovPwpKfw">
        <ownedEnd xmi:id="_fnVqwB-SEee94IovPwpKfw" name="" visibility="private" type="_zXI9kB-PEee94IovPwpKfw" association="_fnNu8B-SEee94IovPwpKfw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fnW44B-SEee94IovPwpKfw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fnW44R-SEee94IovPwpKfw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gE04AB-SEee94IovPwpKfw" name="componentObservation_interpretationEvent" memberEnd="_gE2tMB-SEee94IovPwpKfw _gE5JcB-SEee94IovPwpKfw">
        <ownedEnd xmi:id="_gE5JcB-SEee94IovPwpKfw" name="" visibility="private" type="_zXI9kB-PEee94IovPwpKfw" association="_gE04AB-SEee94IovPwpKfw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gE5wgB-SEee94IovPwpKfw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gE5wgR-SEee94IovPwpKfw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lm4LUB-SEee94IovPwpKfw" name="observationStatement_componentObservation" memberEnd="_lm5ZcB-SEee94IovPwpKfw _lm7OoB-SEee94IovPwpKfw">
        <ownedEnd xmi:id="_lm7OoB-SEee94IovPwpKfw" name="" visibility="private" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_lm4LUB-SEee94IovPwpKfw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lm71sB-SEee94IovPwpKfw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lm71sR-SEee94IovPwpKfw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XXiFoIFwEeiFweA6NKJQOg" name="observationStatement_basedOn" memberEnd="_XX-xkIFwEeiFweA6NKJQOg _XX-xk4FwEeiFweA6NKJQOg">
        <ownedEnd xmi:id="_XX-xk4FwEeiFweA6NKJQOg" name="" visibility="private" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_XXiFoIFwEeiFweA6NKJQOg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ocTYwIFxEeiFweA6NKJQOg" name="observationStatement_evaluationProcedure" memberEnd="_ocTYwYFxEeiFweA6NKJQOg _ocTYxIFxEeiFweA6NKJQOg">
        <ownedEnd xmi:id="_ocTYxIFxEeiFweA6NKJQOg" name="" visibility="private" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_ocTYwIFxEeiFweA6NKJQOg"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6422C7466026C" name="Common">
      <eAnnotations xmi:id="_MFcQLeLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MFvLEuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_PY-a0FAdEeCNoo8JCSlflA" annotatedElement="_JoESsFx_EeCsbYJDFyCu_A _420A62FD03B6426545CB0072">
        <body>This construct is meant to convey that the Orderable Pharmacy Item is a code (probably an RxNorm code). Since the code is in effect a pointer to a particular product, the association and the code are performing the same function.</body>
      </ownedComment>
      <ownedComment xmi:id="_badHMNXiEeGG7JUIKyvuAg" annotatedElement="_SH75INNUEeGRnPi2MLPE0g">
        <body>The Common Product package contains medications and devices</body>
      </ownedComment>
      <ownedComment xmi:id="_Nj63UOSnEeaMP8OhjVeyrg">
        <body>Differences between FHIM and CIMI:&#xD;
- dropped activityType as this is known by the calling clinical information&#xD;
- dropped policy&#xD;
- dropped agent (which is handled by the participation)&#xD;
- dropped entity because it's the calling or owning clinical information&#xD;
- made the attributions 0..1 rather than 0..*</body>
      </ownedComment>
      <ownedComment xmi:id="_TuPEgOSnEeaMP8OhjVeyrg" annotatedElement="_FdABsOQyEeaH9t35G2snaA">
        <body>Differences between FHIM and FHIR:&#xD;
 - dropped type, because that's known by the calling Attribution (e.g., Signer)&#xD;
 - dropped when, because that's known by the calling Attribution&#xD;
 - dropped who, because that's known by the calling Attribution&#xD;
 - did not model onBehalfOf, because it's uncertain how to handle this</body>
      </ownedComment>
      <ownedComment xmi:id="_gwYsMOSnEeaMP8OhjVeyrg" annotatedElement="_jdXpIOSiEeaMP8OhjVeyrg">
        <body>Viewed, Updated, Forwarded, Printed, etc.&#xD;
Key concept here is that these are audit-trail type information about who did something to the record without changing the content of the record</body>
      </ownedComment>
      <ownedComment xmi:id="_DZriwOpLEeaWrIJdHo1TMw">
        <body>XOR</body>
      </ownedComment>
      <ownedComment xmi:id="_eEKoYOpLEeaWrIJdHo1TMw">
        <body>Used ONLY when the subject of information is DIFFERENT than the Patient (or is NOT a Patient (e.g., a sample of pond water)).</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_x5t_MDnEEeily54_XzrISg" name="AssertAbsence">
        <generalization xmi:id="_C3T_UIFvEeiFweA6NKJQOg" general="_2k-88IFsEeiFweA6NKJQOg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_soVlIDnEEeily54_XzrISg" name="AssertPresence">
        <generalization xmi:id="_DoWasIFvEeiFweA6NKJQOg" general="_2k-88IFsEeiFweA6NKJQOg"/>
        <ownedAttribute xmi:id="_h8lhYDn2EeiefcoRQJXpFA" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h8lhYTn2EeiefcoRQJXpFA" annotatedElement="_h8lhYDn2EeiefcoRQJXpFA">
            <body>&quot;Represents a qualitative probability for the presence of the condition, such as unlikely, highly likely, etc.&quot; - HL7 CIMI, PresenceContext.certainty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhYzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhYjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8lhZDn2EeiefcoRQJXpFA" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_h8lhZTn2EeiefcoRQJXpFA" annotatedElement="_h8lhZDn2EeiefcoRQJXpFA">
            <body>&quot;Date when the asserted finding began manifesting or was first observed. This property may have a broad precision (e.g., a year rather than a date).&quot; - HL7 CIMI, PresenceContext.dateOfOnset</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhZzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhZjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8lhaDn2EeiefcoRQJXpFA" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_h8lhaTn2EeiefcoRQJXpFA" annotatedElement="_h8lhaDn2EeiefcoRQJXpFA">
            <body>&quot;The age of the patient or subject at onset of the Condition. Note that this property could potentially be derived.&quot; - HL7 CIMI, PresenceContext.ageAtOnset&#xD;
Note that this property is marked as derived as it may be calculated or may be stored, depending on the implementation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhazn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhajn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8lhbDn2EeiefcoRQJXpFA" name="dateAbated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_h8lhbTn2EeiefcoRQJXpFA" annotatedElement="_h8lhbDn2EeiefcoRQJXpFA">
            <body>&quot;Date when the asserted finding abated. This property may have a broad precision (e.g., a year rather than a date).&quot; HL7 CIMI, PresenceContext.dateAbated</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhbzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhbjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8lhcDn2EeiefcoRQJXpFA" name="hasAbated" visibility="public">
          <ownedComment xmi:id="_h8lhcTn2EeiefcoRQJXpFA" annotatedElement="_h8lhcDn2EeiefcoRQJXpFA">
            <body>&quot;Flag indicating whether a condition has abated when a specific date of, time period, or age at abatement is not known.&quot; HL7 CIMI, PresenceContext.hasAbated</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhczn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhcjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h8lhdDn2EeiefcoRQJXpFA" name="presentOnAdmission" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h8lhdTn2EeiefcoRQJXpFA" annotatedElement="_h8lhdDn2EeiefcoRQJXpFA">
            <body>&quot;PresentOnAdmission is used to indicate if a finding or other characteristic existed upon admission. Wound, IV, dressing, bruise etc.&quot; HL7 CIMI, PresenceContext.presentOnAdmission</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h8lhdzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h8lhdjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2m3q0DnEEeily54_XzrISg" name="FindingGoal">
        <generalization xmi:id="_0RnKAE_FEeicO4zK57V_lA" general="_NF5YcE_FEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_ew_IEDn2EeiefcoRQJXpFA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ew_IETn2EeiefcoRQJXpFA" annotatedElement="_ew_IEDn2EeiefcoRQJXpFA">
            <body>&quot;The last recorded state of the finding, indicating whether the finding is preliminary, amended, final, to be attained, etc.&quot; - HL7 CIMI, FindingContext.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ew_IEzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ew_IEjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDbBMDn2EeiefcoRQJXpFA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pDbBMTn2EeiefcoRQJXpFA" annotatedElement="_pDbBMDn2EeiefcoRQJXpFA">
            <body>&quot;Indicates the preference order to use for care planning purposes. The goal supports multiple priorities in order to support multiple care team perspectives and eventual harmonization.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.&quot; - HL7 CIMI, GoalContext.priority&#xD;
&quot;Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.&quot; - HL7 FHIR, Goal.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBMzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBMjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDbBNDn2EeiefcoRQJXpFA" name="start" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_pDbBNTn2EeiefcoRQJXpFA" annotatedElement="_pDbBNDn2EeiefcoRQJXpFA">
            <body>The date upon which the activities towards accomplishing the Goal commenced or is expected to commence. Note that FHIR allows either a date or an event (a code) here. For now, the FHIM only has the date.&#xD;
&quot;The date or event after which the goal should begin being pursued.&quot; - HL7 CIMI, GoalContext.start&#xD;
&quot;The date or event after which the goal should begin being pursued.&quot; - HL7 FHIR, Goal.start[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBNzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBNjn2EeiefcoRQJXpFA" value="1"/>
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        <ownedAttribute xmi:id="_pDbBODn2EeiefcoRQJXpFA" name="expressedBy" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_pDbBOTn2EeiefcoRQJXpFA" annotatedElement="_pDbBODn2EeiefcoRQJXpFA">
            <body>Identifies who determined the Goal. FHIR allows a reference to Patient, Practitioner, or RelatedPerson, so FHIM uses the Participation construct. The FHIM PatientParticipation, PractitionerParticipation, UnAffilliatedParticipation classes correspond to the FHIR ones. The FHIM Participation construct has other participation constructs (such as DeviceParticipation) which would not be used.&#xD;
&quot;Indicates who established the goal (rather than the subject who is to pursue the goal).&quot; - HL7 CIMI, GoalContext.expressedBy&#xD;
&quot;Indicates whose goal this is - patient goal, practitioner goal, etc.&quot; - HL7 FHIR, Goal.expressedBy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBOzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBOjn2EeiefcoRQJXpFA" value="1"/>
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        <ownedAttribute xmi:id="_pDbBPDn2EeiefcoRQJXpFA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pDbBPTn2EeiefcoRQJXpFA" annotatedElement="_pDbBPDn2EeiefcoRQJXpFA">
            <body>&quot;Names or describes the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates a category the goal falls within, for example, dietary, safety, behavioral, nursing, physiotherapy.&quot; - HL7 CIMI, GoalContext.category&#xD;
&quot;Indicates a category the goal falls within.&quot; - HL7 FHIR, Goal.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBPzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBPjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDbBQDn2EeiefcoRQJXpFA" name="objectiveOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pDbBQTn2EeiefcoRQJXpFA" annotatedElement="_pDbBQDn2EeiefcoRQJXpFA">
            <body>&quot;Human-readable and optionally coded description of a specific desired objective of care, such as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance with child at wedding&quot;.&quot; - HL7 CIMI, GoalContext.objectiveOfCare</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBQzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBQjn2EeiefcoRQJXpFA" value="1"/>
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        <ownedAttribute xmi:id="_pDbBRDn2EeiefcoRQJXpFA" name="targetDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_pDbBRTn2EeiefcoRQJXpFA" annotatedElement="_pDbBRDn2EeiefcoRQJXpFA">
            <body>The date upon which the goal should be met. Note that FHIR allows either a Date or a Duration, but FHIM only models a date at this time.&#xD;
&quot;Desired target date for meeting the goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates when goal should be reached.&quot; - HL7 CIMI, GoalContext.targetDate&#xD;
&quot;Indicates either the date or the duration after start by which the goal should be met.&quot; - HL7 FHIR, Goal.target.due[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBRzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBRjn2EeiefcoRQJXpFA" value="1"/>
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        <ownedAttribute xmi:id="_pDbBSDn2EeiefcoRQJXpFA" name="addresses" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
          <ownedComment xmi:id="_pDbBSTn2EeiefcoRQJXpFA" annotatedElement="_pDbBSDn2EeiefcoRQJXpFA">
            <body>Pointer to the Health Concern(s) (aka Problem(s), or Condition(s)) which the Goal is intended to improve. Note that the FHIR Goal.addresses property can point to multiple resource types, including Condition, Observation, MedicationStatement, NutritionOrder, ProcedureRequest, or RiskAssessment, wherease FHIM currently only points to HealthConcern.&#xD;
&quot;The identified conditions and other health record elements that are intended to be addressed by the goal.&quot; - HL7 FHIR, Goal.addresses&#xD;
&quot;The identified conditions and other health record elements that are intended to be addressed by the goal&quot; - HL7 CIMI, GoalContext.addresses&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBSzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBSjn2EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDbBTDn2EeiefcoRQJXpFA" name="outcomeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pDbBTTn2EeiefcoRQJXpFA" annotatedElement="_pDbBTDn2EeiefcoRQJXpFA">
            <body>&quot;Identifies the change (or lack of change) at the point when the status of the goal is assessed.&quot; - HL7 CIMI, GoalContext.outcomeCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBTzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBTjn2EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDbBUDn2EeiefcoRQJXpFA" name="outcomeReference" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
          <ownedComment xmi:id="_pDbBUTn2EeiefcoRQJXpFA" annotatedElement="_pDbBUDn2EeiefcoRQJXpFA">
            <body>&quot;Details of what's changed (or not changed).&quot; - HL7 CIMI, GoalContext.outcomeReference</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDbBUzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDbBUjn2EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pDkyMDn2EeiefcoRQJXpFA" name="targetValue" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_pDkyMTn2EeiefcoRQJXpFA" annotatedElement="_pDkyMDn2EeiefcoRQJXpFA">
            <body>&quot;The value of the finding, typically a quantity for measurements and a concept code for qualitative evaluations and assertions. In general, any data type can be the value of a finding.&quot; - HL7 CIMI, GoalContext.resultValue&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pDkyMzn2EeiefcoRQJXpFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pDkyMjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Ez5KMDnFEeily54_XzrISg" name="ActionNotCompleted">
        <generalization xmi:id="_GGIOIDnFEeily54_XzrISg" general="_rr-pACaOEdyiJKb4ZqIfnw"/>
        <ownedAttribute xmi:id="_nZ8sgDn3EeiefcoRQJXpFA" name="nonCompletionTimeframe" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_nZ8sgTn3EeiefcoRQJXpFA" annotatedElement="_nZ8sgDn3EeiefcoRQJXpFA">
            <body>&quot;The original scheduled time for the action planned for execution.&quot; - HL7 CIMI, NonCompletion.nonCompletionTimeframe</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nZ8sgzn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nZ8sgjn3EeiefcoRQJXpFA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_DDh_0DnFEeily54_XzrISg" name="ActionNotPerformed">
        <generalization xmi:id="_YS58EE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_OMH5UE_IEeicO4zK57V_lA" name="scheduledPerformanceTime" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_OMH5UU_IEeicO4zK57V_lA" annotatedElement="_OMH5UE_IEeicO4zK57V_lA">
            <body>&quot;The time period during which the act had been intended for execution.&quot; - HL7 CIMI, NonPerformance.scheduledPerformanceTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OMH5U0_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OMH5Uk_IEeicO4zK57V_lA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9pEiQDnEEeily54_XzrISg" name="ActionOrdered">
        <generalization xmi:id="_Z9xicE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_9DY2wE_HEeicO4zK57V_lA" name="requested" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_9DY2wU_HEeicO4zK57V_lA" annotatedElement="_9DY2wE_HEeicO4zK57V_lA">
            <body>&quot;Information about the ordering of the action such as who made the request, when the request was made, how it was made, etc...&quot; - HL7 CIMI, Request.requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9DY2w0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9DY2wk_HEeicO4zK57V_lA" value="1"/>
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        <ownedAttribute xmi:id="_9DY2xE_HEeicO4zK57V_lA" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9DY2xU_HEeicO4zK57V_lA" annotatedElement="_9DY2xE_HEeicO4zK57V_lA">
            <body>&quot;Indicates the type of the request that is made, for example, to initiate an action, to suspend an ongoing activity, to discontinue an ongoing activity, or to cancel an existing request.&quot; - HL7 CIMI, Request.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9DY2x0_HEeicO4zK57V_lA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9DY2xk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9DY2yE_HEeicO4zK57V_lA" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_9DY2yU_HEeicO4zK57V_lA" annotatedElement="_9DY2yE_HEeicO4zK57V_lA">
            <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery.&quot; - HL7 CIMI, Request.expectedPerformer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9DY2y0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9DY2yk_HEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9DY2zE_HEeicO4zK57V_lA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9DY2zU_HEeicO4zK57V_lA" annotatedElement="_9DY2zE_HEeicO4zK57V_lA">
            <body>&quot;How quickly the action must be initiated. Includes concepts such as stat, urgent, routine.&quot; - HL7 CIMI, Request.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9DY2z0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9DY2zk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9DY20E_HEeicO4zK57V_lA" name="timing" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_9DY20U_HEeicO4zK57V_lA" annotatedElement="_9DY20E_HEeicO4zK57V_lA">
            <body>&quot;The proposed timing for the request.&quot; - HL7 CIMI, Request.timing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9DY200_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9DY20k_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AbIOoE_IEeicO4zK57V_lA" name="groupIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_AbIOoU_IEeicO4zK57V_lA" annotatedElement="_AbIOoE_IEeicO4zK57V_lA">
            <body>&quot;A shared identifier common to all requests that were authorized more or less simultaneously by a single author. It could be the identifier of a requisition or prescription that contains orders for a set of medications, each individual medication order having the identifier of the parent order.&quot; - HL7 CIMI, Order.groupIdentifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AbIOo0_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AbIOok_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AbIOqE_IEeicO4zK57V_lA" name="patientInstructions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AbIOqU_IEeicO4zK57V_lA" annotatedElement="_AbIOqE_IEeicO4zK57V_lA">
            <body>&quot;Identifies the ordering provider's instructions to the patient or to the provider on how to deliver or comply with the ordered procedure.&quot; - HL7 CIMI, Order.patientInstructions</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AbIOq0_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AbIOqk_IEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AbR_oE_IEeicO4zK57V_lA" name="priorRequest" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_AbR_oU_IEeicO4zK57V_lA" annotatedElement="_AbR_oE_IEeicO4zK57V_lA">
            <body>&quot;A link to a resource representing an earlier order related order or prescription.&quot; - HL7 CIMI, Order.priorRequest</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AbR_o0_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AbR_ok_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BF08AU_JEeicO4zK57V_lA" name="basedOn" visibility="public" type="_7cG7cDnEEeily54_XzrISg" association="_BF08AE_JEeicO4zK57V_lA">
          <ownedComment xmi:id="_REeNME_NEeicO4zK57V_lA" annotatedElement="_BF08AU_JEeicO4zK57V_lA">
            <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI, Order.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BF08Ak_JEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BF08A0_JEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3jr4YDnEEeily54_XzrISg" name="ActionPlanned">
        <generalization xmi:id="_WpaOsE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_iphKkU_IEeicO4zK57V_lA" name="basedOn" visibility="public" type="_7cG7cDnEEeily54_XzrISg" association="_iphKkE_IEeicO4zK57V_lA">
          <ownedComment xmi:id="_swZ7AE_IEeicO4zK57V_lA" annotatedElement="_iphKkU_IEeicO4zK57V_lA">
            <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI Plan.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ipqUgE_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ipqUgU_IEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4OlgfE_GEeicO4zK57V_lA" name="expectedPerformanceTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_4OlgfU_GEeicO4zK57V_lA" annotatedElement="_4OlgfE_GEeicO4zK57V_lA">
            <body>&quot;The time when the action is expected to be performed.&quot; - HL7 CIMI, Plan.expectedPerformanceTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Olgf0_GEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4Olgfk_GEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4OlggE_GEeicO4zK57V_lA" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_4OlggU_GEeicO4zK57V_lA" annotatedElement="_4OlggE_GEeicO4zK57V_lA">
            <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery. &quot; - HL7 CIMI, Plan.expectedPerformer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Olgg0_GEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4Olggk_GEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_huzOwE_IEeicO4zK57V_lA" name="fulfillsOrder" visibility="public" type="_9pEiQDnEEeily54_XzrISg" association="_hupdwE_IEeicO4zK57V_lA">
          <ownedComment xmi:id="_lr-2AE_IEeicO4zK57V_lA" annotatedElement="_huzOwE_IEeicO4zK57V_lA">
            <body>Points to the Healthcare Order in response to which the Healthcare Plan was created.&#xD;
&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Plan.fulfillsOrder</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_huzOwU_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_huzOwk_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4OlgcE_GEeicO4zK57V_lA" name="planned" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_4OlgcU_GEeicO4zK57V_lA" annotatedElement="_4OlgcE_GEeicO4zK57V_lA">
            <body>&quot;Information about who planned the action, when they planned it, etc...&quot; - HL7 CIMI, Plan.planned</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Olgc0_GEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4Olgck_GEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Ab5PMDnFEeily54_XzrISg" name="ActionPromised">
        <generalization xmi:id="_XHXWAE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_znSTQU_IEeicO4zK57V_lA" name="fulfillsOrder" visibility="public" type="_9pEiQDnEEeily54_XzrISg" association="_znSTQE_IEeicO4zK57V_lA">
          <ownedComment xmi:id="_1FqVwE_IEeicO4zK57V_lA" annotatedElement="_znSTQU_IEeicO4zK57V_lA">
            <body>&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Promise.fulfillsOrder</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_znSTQk_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_znSTQ0_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1mvfDE_HEeicO4zK57V_lA" name="orderDiscontinueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_1mvfDU_HEeicO4zK57V_lA" annotatedElement="_1mvfDE_HEeicO4zK57V_lA">
            <body>&quot;This is the date the order was discontinued.&quot; - HL7 CIMI, Promise.orderDiscontinueDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1mvfD0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1mvfDk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1mvfCE_HEeicO4zK57V_lA" name="orderModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1mvfCU_HEeicO4zK57V_lA" annotatedElement="_1mvfCE_HEeicO4zK57V_lA">
            <body>&quot;The method the provider used to communicate to the user to take action on the order. Examples include: written, telephoned, verbal, electronically entered, etc.&quot; - HL7 CIMI, Promise.orderModality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1mvfC0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1mvfCk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1mvfAE_HEeicO4zK57V_lA" name="promised" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_1mvfAU_HEeicO4zK57V_lA" annotatedElement="_1mvfAE_HEeicO4zK57V_lA">
            <body>&quot;Information about who made the promise, when did they make it, how was it conveyed, etc...&quot; - HL7 CIMI, Promise.promised</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1mvfA0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1mvfAk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7cG7cDnEEeily54_XzrISg" name="ActionProposed">
        <generalization xmi:id="_arqjME_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_-Lw0GE_HEeicO4zK57V_lA" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_-Lw0GU_HEeicO4zK57V_lA" annotatedElement="_-Lw0GE_HEeicO4zK57V_lA">
            <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery.&quot; - HL7 CIMI, Request.expectedPerformer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Lw0G0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Lw0Gk_HEeicO4zK57V_lA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Lw0HE_HEeicO4zK57V_lA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-Lw0HU_HEeicO4zK57V_lA" annotatedElement="_-Lw0HE_HEeicO4zK57V_lA">
            <body>&quot;How quickly the action must be initiated. Includes concepts such as stat, urgent, routine.&quot; - HL7 CIMI, Request.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Lw0H0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Lw0Hk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Lw0EE_HEeicO4zK57V_lA" name="requested" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_-Lw0EU_HEeicO4zK57V_lA" annotatedElement="_-Lw0EE_HEeicO4zK57V_lA">
            <body>&quot;Information about the ordering of the action such as who made the request, when the request was made, how it was made, etc...&quot; - HL7 CIMI, Request.requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Lw0E0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Lw0Ek_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Lw0IE_HEeicO4zK57V_lA" name="timing" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_-Lw0IU_HEeicO4zK57V_lA" annotatedElement="_-Lw0IE_HEeicO4zK57V_lA">
            <body>&quot;The proposed timing for the request.&quot; - HL7 CIMI, Request.timing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Lw0I0_HEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Lw0Ik_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Lw0FE_HEeicO4zK57V_lA" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-Lw0FU_HEeicO4zK57V_lA" annotatedElement="_-Lw0FE_HEeicO4zK57V_lA">
            <body>&quot;Indicates the type of the request that is made, for example, to initiate an action, to suspend an ongoing activity, to discontinue an ongoing activity, or to cancel an existing request.&quot; - HL7 CIMI, Request.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Lw0F0_HEeicO4zK57V_lA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Lw0Fk_HEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-fTmsDnEEeily54_XzrISg" name="ActionProposedAgainst">
        <generalization xmi:id="_WFpaUE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_Ye0xBDn3EeiefcoRQJXpFA" name="requested" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_Ye0xBTn3EeiefcoRQJXpFA" annotatedElement="_Ye0xBDn3EeiefcoRQJXpFA">
            <body>&quot;Information about who made the proposal against the performance of a particular action, when it was made, how it was conveyed, etc...&quot; - HL7 CIMI, ProposalAgainst.requested</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ye0xBzn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ye0xBjn3EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ye0xADn3EeiefcoRQJXpFA" name="validityPeriod" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_Ye0xATn3EeiefcoRQJXpFA" annotatedElement="_Ye0xADn3EeiefcoRQJXpFA">
            <body>&quot;The time period during which the act should not be performed. If omitted, the implication is that the act should not be performed, ever.&quot; - HL7 CIMI, ProposalAgainst.validityPeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ye0xAzn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ye0xAjn3EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_zzZeQAXREeebQs_lQM5n6g" name="_deprecated_ProcedureTopic">
        <ownedComment xmi:id="_HdOOcF2_Eeercrca8w8cRw" annotatedElement="_zzZeQAXREeebQs_lQM5n6g">
          <body>&quot;Description of a healthcare action, independent of action context.&quot; - HL7 CIMI, ProcedureTopic</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2eUMYAXREeebQs_lQM5n6g" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ny6dgCRSEeeGzeZ-iJyMXQ" annotatedElement="_2eUMYAXREeebQs_lQM5n6g">
            <body>&quot;A coded specification of the anatomic site where the medication first entered the body. For example, &quot;left arm&quot;.&quot; - HL7 FHIR, MedicationAdministration.dosage.site[x]&#xD;
&quot;Body site where vaccine was administered.&quot;  - HL7 FHIR, Immunization.site</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nZhuICRHEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nZhuISRHEeeGzeZ-iJyMXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G9tW4GGvEeeNCem-9yFTpQ" name="description" visibility="public">
          <ownedComment xmi:id="_G9tW4WGvEeeNCem-9yFTpQ" annotatedElement="_G9tW4GGvEeeNCem-9yFTpQ">
            <body>&quot;An account of the procedure in narrative form.&quot; - HL7 CIMI, ProcedureTopic.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G9tW42GvEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G9tW4mGvEeeNCem-9yFTpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AAQzUCRIEeeGzeZ-iJyMXQ" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_AAO-ICRIEeeGzeZ-iJyMXQ">
          <ownedComment xmi:id="_KLPZkCRIEeeGzeZ-iJyMXQ" annotatedElement="_AAQzUCRIEeeGzeZ-iJyMXQ">
            <body>Pointer to any Devices that were used to accomplish the Procedure&#xD;
&#xD;
&quot;Contains the mechanical device used to aid in the administration of the drug or other treatment.  Common examples are IV-sets of different types.&quot; - HL7 Version 2.8, RXR-3&#xD;
&quot;The device used in administering the medication to the patient. For example, a particular infusion pump.&quot; - HL7 FHIR, MedicationAdministration.device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AAQzUSRIEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AARaYCRIEeeGzeZ-iJyMXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AzYtMGGwEeeNCem-9yFTpQ" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AzYtMWGwEeeNCem-9yFTpQ" annotatedElement="_AzYtMGGwEeeNCem-9yFTpQ">
            <body>&quot;Technique or way of accomplishing the act, e.g., endoscopic, arthroscopic, etc.&quot; - HL7 CIMI, ProcedureTopic.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AzYtM2GwEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AzYtMmGwEeeNCem-9yFTpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XMRoQB5REeizW5HiKXPAjA" name="precondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XMRoQR5REeizW5HiKXPAjA" annotatedElement="_XMRoQB5REeizW5HiKXPAjA">
            <body>&quot;Patient state or condition that must be true prior to the performance of the procedure such as 'at rest', 'supine', 'fasting', etc.&quot; - HL7 CIMI, ProcedureTopic.precondition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XMRoQx5REeizW5HiKXPAjA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XMRoQh5REeizW5HiKXPAjA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gR1GgGGvEeeNCem-9yFTpQ" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_616CIGGvEeeNCem-9yFTpQ" annotatedElement="_gR1GgGGvEeeNCem-9yFTpQ">
            <body>&quot;The reason for performing this act.&quot; - HL7 CIMI, ProcedureTopic.reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gR1Gg2GvEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gR1GgmGvEeeNCem-9yFTpQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q13E8LxMEeCjnsq0FtkmeA" name="RelatedSubject">
        <ownedComment xmi:id="_1NihwMoQEeGas4Yp_oUthg" annotatedElement="_Q13E8LxMEeCjnsq0FtkmeA">
          <body>This class relates two or more persons or things that are subjects of a healthcare activity to each other.  For example, samples from multiple bags of chicken feed might be combined (&quot;pooled&quot;), against which tests might be performed.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_WD-voLxMEeCjnsq0FtkmeA" name="subject" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_WD7sULxMEeCjnsq0FtkmeA">
          <ownedComment xmi:id="_Fx32wMoREeGas4Yp_oUthg" annotatedElement="_WD-voLxMEeCjnsq0FtkmeA">
            <body>Points to the Subject (i.e., the &quot;target Subject&quot;) to which the &quot;source Subject&quot; (i.e., the Subject that points to this class) is somehow related.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WD-vobxMEeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WD-vorxMEeCjnsq0FtkmeA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ap6sIMqBEeC9Pb3leltpqQ" name="relatedSubjectCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6NfNkMoQEeGas4Yp_oUthg" annotatedElement="_Ap6sIMqBEeC9Pb3leltpqQ">
            <body>Indicates how the &quot;subject&quot; is related to the &quot;related subject&quot;.  Examples include Parent, Child, Replaces, Replaced By, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fJKeULyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fJKeUbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_61ai4MTBEd-6Z_53K--WsA" name="Subject">
        <ownedComment xmi:id="_SgZnkMoAEeGas4Yp_oUthg" annotatedElement="_61ai4MTBEd-6Z_53K--WsA">
          <body>This class represents the person or thing, other than a patient, that is the subject of a healthcare activity.  For example, the subject might be a research animal, an environmental sample, or a foodstuff sample for food safety testing.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VgmVwLxMEeCjnsq0FtkmeA" name="relatedSubject" visibility="public" type="_Q13E8LxMEeCjnsq0FtkmeA" association="_VgjScLxMEeCjnsq0FtkmeA">
          <ownedComment xmi:id="_ACTr4MoREeGas4Yp_oUthg" annotatedElement="_VgmVwLxMEeCjnsq0FtkmeA">
            <body>Contains other Subjects to which this Subject is related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VgmVwbxMEeCjnsq0FtkmeA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VgmVwrxMEeCjnsq0FtkmeA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ut2M4OpKEeaWrIJdHo1TMw" name="relationshipToSubjectOfRecord" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zOnCUOpKEeaWrIJdHo1TMw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zOnpYOpKEeaWrIJdHo1TMw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_192yEcqAEeC9Pb3leltpqQ" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_192yEMqAEeC9Pb3leltpqQ">
          <ownedComment xmi:id="_3dagoEFwEeOWAYGYxfkLag" annotatedElement="_192yEcqAEeC9Pb3leltpqQ">
            <body>Pointer to the Person or Animal or Thing (e.g., a soil sample) that is the subject of the Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_192yEsqAEeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_192yE8qAEeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xTt2IMIxEeGx0M-CyAbegA" name="InformationReporter">
        <ownedComment xmi:id="_FOSHIMIyEeGx0M-CyAbegA" annotatedElement="_xTt2IMIxEeGx0M-CyAbegA">
          <body>The Person who reported information on the Patient's behalf.  This may be the Patient him/herself, a spouse or relative, or another clinician.&#xD;
&#xD;
Note that because all we need is the Person's name and contact information (name, address, phone numbers), this class does not have an association to the Person class (although logically it should).  This is because the other properties of Person, such as sex and date of birth, are irrelevant to the usage.  The HL7 Role class allows for names and addresses on the Role, which technically should be only those names or addresses as the relate to the role (i.e., as they differ from those in Person class), but since these are available for use, we are utilizing them in this manner.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_acZDoMIyEeGx0M-CyAbegA" name="participant" visibility="public" type="_420A62FD03B6418CF92600E1">
          <eAnnotations xmi:id="_acZDocIyEeGx0M-CyAbegA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_acZDosIyEeGx0M-CyAbegA" annotatedElement="_acZDoMIyEeGx0M-CyAbegA">
            <body>Pointer to the Person who provided the clinically relevant information. The datatype of this property is a Participation which could be a practitioner, the patient, or a relative of the patient (e.g., patient's mother), in which case it would probably be an &quot;unaffiliated person&quot;.&#xD;
&quot;Contains the name of the person reporting the allergy to a caregiver at the time reported in [dateReported]&quot; - HL7 Version 2.8, IAM-14</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_acZDpMIyEeGx0M-CyAbegA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_acZDo8IyEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_acZqsMIyEeGx0M-CyAbegA" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_acZqscIyEeGx0M-CyAbegA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_acZqssIyEeGx0M-CyAbegA" annotatedElement="_acZqsMIyEeGx0M-CyAbegA">
            <body>&quot;Contains the personal relationship that the person reporting the allergy has to the patient.&quot; - HL7 Version 2.8, IAM-15.  HL7 Version 2 suggested values (table 63) include: Self; Spouse; Parent; Friend, etc.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_acZqtMIyEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_acZqs8IyEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W_aIoBb8EeOL3Nw-k5HkNw" name="ClinicalDataSource">
        <ownedComment xmi:id="_jmeaAHioEeODk9Eid2o3dQ" annotatedElement="_W_aIoBb8EeOL3Nw-k5HkNw">
          <body>The term &quot;provenance&quot; originally refers to the chronology of the ownership, custody or location of a historical object, but has come to mean any information about the history of any object.  This class conveys information about who provided the information about a clinically relevant assertion (such as a Clinical Observation), and when that information was recorded, entered, verified, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JR8mUMIxEeGx0M-CyAbegA" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JR8mUcIxEeGx0M-CyAbegA" annotatedElement="_JR8mUMIxEeGx0M-CyAbegA">
            <body>The date that the Clinical Observation was reported to the Practitioner who &quot;owns&quot; the record of the observation.  This date is potentially different from the time that the underlying condition occurred or was actually observed.&#xD;
&quot;Contains the date/time the allergy was reported to a caregiver.&quot; - HL7 Version 2.8, IAM-13</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JR8mU8IxEeGx0M-CyAbegA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JR8mUsIxEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FtH2kBb-EeOL3Nw-k5HkNw" name="informationSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FtH2kRb-EeOL3Nw-k5HkNw" annotatedElement="_FtH2kBb-EeOL3Nw-k5HkNw">
            <body>The property categorizes the source of the clinically relevant information.  This categorization provides an indication of the trustworthiness of the information.  For example, a Practitioner might place a higher degree of confidence in information provided by another Practitioner over information provide by a Patient's relative.  Possible values include: Patient, Patient Guardian, Other Practitioner, Records Review, Clinical Evidence, etc.  When the information source is someone other than the Author of the record (i.e., the Practitioner who &quot;owns&quot; the record, or the Patient, the name of that Person may be recorded in the Information Reporter class.&#xD;
&#xD;
Note that in VistA, this concept is generally called Observed if observed by a clinician, or Historical if patient-reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VulioLyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VuliobyaEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_tJjj8N71EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InformationSource)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DFXLMGGFEeKL0cZcPmQjWw" name="isPatientReported" visibility="public" isDerived="true">
          <ownedComment xmi:id="_5Bzg4HitEeODk9Eid2o3dQ" annotatedElement="_DFXLMGGFEeKL0cZcPmQjWw">
            <body>This property indicates whether the clinically relevant information was provided by the Patient (or by a Patient's relative or guardian), and therefore provides an indication of the trustworthiness of the information.  Note that this property can be derived from the informationSource property, and therefore might not be stored as a separate concept in some implementations.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W0FLELyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W0FLEbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e3iwQHipEeODk9Eid2o3dQ" name="informationReporter" visibility="public" type="_xTt2IMIxEeGx0M-CyAbegA" association="_e3hiIHipEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_GsXwQHiqEeODk9Eid2o3dQ" annotatedElement="_e3iwQHipEeODk9Eid2o3dQ">
            <body>Pointer to a Person who reported information on the patient's behalf.  This may be the Patient him/herself, a spouse or relative, or another clinician.&#xD;
&quot;Contains the name of the person reporting the allergy to a caregiver at the time reported in Reported Date/Time.&quot; - HL7 Version 2.8, IAM-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e3jXUHipEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e3jXUXipEeODk9Eid2o3dQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JGgF0RcBEeOL3Nw-k5HkNw" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_JGgF0BcBEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_u0i8UHilEeODk9Eid2o3dQ" annotatedElement="_JGgF0RcBEeOL3Nw-k5HkNw">
            <body>Pointer to the Service Delivery Location at which or under whose auspices the Clinical Information was created.  This pointer implies which Organization &quot;owns&quot; the Clinical Information record.&#xD;
&#xD;
&#xD;
Represents &quot;the section of the diagnostic service where the observation was performed.  If the study was performed by an outside service, the identification of that service should be recorded here&quot; - HL7 Version 2.8, OBR-24.&#xD;
&quot;Contains the name of the organization/service responsible for performing the service.&quot; - HL7 Version 2.8, OBX-23.&#xD;
&quot;Contains the address of the organization/service responsible for performing the service.&quot; - HL7 Version 2.8, OBX-24.&#xD;
&#xD;
&quot;Contains the name of the organization providing the update to the allergy&quot; - HL7 Version 2.8, IAM-19.&#xD;
&quot;Contains the name of the organization that initially recorded the allergy&quot; - HL7 Version 2.8, IAM-28.&#xD;
&quot;Contains the name of the organization that modified the allergy&quot; - HL7 Version 2.8, IAM-29.&#xD;
&quot;Contains the name of the organization that inactivated the allergy&quot; - HL7 Version 2.8, IAM-30.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JGgF0hcBEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JGgF0xcBEeOL3Nw-k5HkNw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Wu4MgKMyEeSjK-UNpoDZuQ" name="ClinicalStatement" isAbstract="true">
        <ownedComment xmi:id="_IGg4IKM2EeSjK-UNpoDZuQ" annotatedElement="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <body>This abstract class provides properties and behaviors common to all medical records, or in terms of the HL7 QIDAM, to all &quot;statements of occurance&quot; as well as &quot;statements of non-occurance&quot;.  This class allows for common representations data provenance, including the Author, the Data Enterer, the Verifier, etc.</body>
        </ownedComment>
        <generalization xmi:id="_AwCRYDKtEeidlpJU2TuLzA" general="_8lvuIDKfEeidlpJU2TuLzA"/>
        <ownedAttribute xmi:id="_yUDeoOSkEeaMP8OhjVeyrg" name="clinicalDataSource" visibility="public" type="_W_aIoBb8EeOL3Nw-k5HkNw" association="_yUBCYOSkEeaMP8OhjVeyrg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yUDeoeSkEeaMP8OhjVeyrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yUEFsOSkEeaMP8OhjVeyrg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y6-nEDn0EeiefcoRQJXpFA" name="contextCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_y6-nETn0EeiefcoRQJXpFA" annotatedElement="_y6-nEDn0EeiefcoRQJXpFA">
            <body>&quot;The ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.&quot; - HL7 CIMI, StatementContext.contextCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y6-nEzn0EeiefcoRQJXpFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y6-nEjn0EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F7gcQDn2EeiefcoRQJXpFA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316">
          <ownedComment xmi:id="_F7gcQTn2EeiefcoRQJXpFA" annotatedElement="_F7gcQDn2EeiefcoRQJXpFA">
            <body>&quot;Encounter associated with this clinical statement.&quot; - HL7 CIMI, ClinicalStatement.encounter&#xD;
&quot;The encounter during which the procedure was performed.&quot; - HL7 FHIR, Procedure.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F7gcQzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F7gcQjn2EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y6-nFDn0EeiefcoRQJXpFA" name="temporalContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_y6-nFTn0EeiefcoRQJXpFA" annotatedElement="_y6-nFDn0EeiefcoRQJXpFA">
            <body>&quot;Whether the topic is prospective or retrospective. E.g., action occurred in the past. This attribute is aligned with the SNOMED Situation With Explicit Context temporal context attribute.&quot; - HL7 CIMI, StatementContext.temporalContext</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y6-nFzn0EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y6-nFjn0EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A_6W8LkxEeSvIbhHaIFeOA" name="relatedClinicalInformation" visibility="public" type="_8qnKoLkwEeSvIbhHaIFeOA" association="_A_03YLkxEeSvIbhHaIFeOA">
          <ownedComment xmi:id="_q8l3cLk1EeSvIbhHaIFeOA" annotatedElement="_A_6W8LkxEeSvIbhHaIFeOA">
            <body>Pointer to other Clinical Information record(s) to which this Clinical Information record is related in some manner.&#xD;
&#xD;
&quot;Related observations - either components, or previous observations, or statements of derivation.&quot; - HL7 FHIR, Observation.related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A_8MILkxEeSvIbhHaIFeOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A_8MIbkxEeSvIbhHaIFeOA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rgEUsDn0EeiefcoRQJXpFA" name="topicCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rgEUsTn0EeiefcoRQJXpFA" annotatedElement="_rgEUsDn0EeiefcoRQJXpFA">
            <body>This property represents the kind of finding or action that is being described by the Clinical Statement. It has its origin in CIMI's notion of assembling clinical statements from a topic and a context, so that each might be treated more consistently across medical records. It has the additional benefit of the topic being a pointer into the appropriate terminology (e.g., SNOMED). The separation of topic and context allow one to build the equivalent Situation with Explicit Context construct using SNOMED. In practical terms, this means that every observation (e.g., serum sodium, heart rate, etc.) will use this property to define what is being observed. Similarly, every procedure (e.g., appendectomy proposed, appendectomy performed) will also use this property to define the procedure (i.e., appendectomy).&#xD;
&#xD;
&quot;The concept representing the finding or action that is the topic of the statement. For actions, the key represents the action being described. For findings, the key represents the &quot;question&quot; or property being investigated. For evaluation result findings, the key contains a concept for an observable entity, such as systolic blood pressure. For assertion findings (which by nature lack an explicit question), the key contains a default concept signifying that an assertion is being made. In all cases, the key describes the topic independent of the context of the action or the finding.&quot; - HL7 CIMI, StatementTopic.topicCode&#xD;
&quot;Describes what was observed. Sometimes this is called the observation &quot;name&quot;.&quot; - HL7 FHIR, Observation.code&#xD;
&quot;The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g., Laparoscopic Appendectomy).&quot; - HL7 FHIR, Procedure.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rgEUszn0EeiefcoRQJXpFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rgEUsjn0EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ra07EOQxEeaH9t35G2snaA" name="cosigned" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_f_n_AH61Eeezad2MI5PaRA" annotatedElement="_Ra07EOQxEeaH9t35G2snaA">
            <body>&quot;Provenance information specific to the cosigning of the clinical statement.&quot; - HL7 CIMI, InformationEntry.cosigned</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ra07EuQxEeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ra07EeQxEeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NlqAUOQxEeaH9t35G2snaA" name="signed" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_IG0ocIdpEeeJXvOkPl8Bfw" annotatedElement="_NlqAUOQxEeaH9t35G2snaA">
            <body>&quot;The healthcare professional responsible for authorizing the initial prescription.&quot; - HL7 FHIR, MedicationRequest.requester.agent&#xD;
&quot;Provenance information specific to the signing of the clinical statement.&quot; - HL7 CIMI InformationEntry.signed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NlqAUuQxEeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NlqAUeQxEeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bmyYOS8EeaMP8OhjVeyrg" name="verified" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_-Er1IIdoEeeJXvOkPl8Bfw" annotatedElement="_-bmyYOS8EeaMP8OhjVeyrg">
            <body>&quot;Provenance information specific to the verification process associated with this statement (e.g., verifier, verification method, when verified, etc.)&quot; - HL7 CIMI InformationEntry.verified</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-bmyYuS8EeaMP8OhjVeyrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-bmyYeS8EeaMP8OhjVeyrg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GY1OsAY1EeGz0dkadElrkQ" name="CareTeamMember">
        <ownedComment xmi:id="_rxlQYH7hEeOYQJZKXKAJnw" annotatedElement="_GY1OsAY1EeGz0dkadElrkQ">
          <body>&quot;In an advanced primary care model the care team would include anyone actively involved in the patient's care such as the PCMH team, the patient’s designees, entities providing care and all additional caregivers designated by the PCP or designated provider.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012. Note that this class identifies the person or organization participating in the Care Plan as a care team member. The same person or organization may also participate as a care plan steward. Note also that care team members will participate in communications or negotiations concerning the development of the care plan. The care plan steward will likely be involved in such communications as a care team member.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_znViIDvdEeeAVuPecg5-Hg" name="onBehalfOf" visibility="public" type="_420A62FD03B6418AA15801A9">
          <ownedComment xmi:id="_znViITvdEeeAVuPecg5-Hg" annotatedElement="_znViIDvdEeeAVuPecg5-Hg">
            <body>&quot;The organization of the practitioner.&quot; - HL7 FHIR, CareTeam.participant.onBehalfOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_znViIzvdEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_znViIjvdEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eOcNcOpFEeaWrIJdHo1TMw" name="participant" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_zZtRUOpFEeaWrIJdHo1TMw" annotatedElement="_eOcNcOpFEeaWrIJdHo1TMw">
            <body>Identifies the Person or Organization who is Participating as a Care Team Member. This property is a pointer to the generic Participation rather than a PractitionerParticipation because the Care Team Member might be the Patient him/herself or a member of the Patient’s family, whereas elsewhere in the FHIM, most Participation classes assume the Participating Entity is a Provider.&#xD;
&quot;The specific person or organization who is participating/expected to participate in the care team.&quot; - HL7 FHIR, CareTeam.participant.member</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iBiEkOpFEeaWrIJdHo1TMw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iBiEkepFEeaWrIJdHo1TMw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TGiwcDvdEeeAVuPecg5-Hg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Y6XwQDvdEeeAVuPecg5-Hg" annotatedElement="_TGiwcDvdEeeAVuPecg5-Hg">
            <body>&quot;Indicates when the specific member or organization did (or is intended to) come into effect and end.&quot; - HL7 FHIR, CareTeam.participant.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TGiwczvdEeeAVuPecg5-Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TGiwcjvdEeeAVuPecg5-Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S9o1oH7hEeOYQJZKXKAJnw" name="role" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QP5AgH7iEeOYQJZKXKAJnw" annotatedElement="_S9o1oH7hEeOYQJZKXKAJnw">
            <body>&quot;The role on the care team. Includes non-physician providers such as physical therapist, LCSW, nutritionist, who might be part of care team.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Note that this property is used distinguish between the roles a person might be playing, rather than the degree or specialty that they have.  So, despite the implication in the CEDD defintion above, this property might contain Primary Care Physician or Designated Provider, but specialty information like LCSW or Physical Therapist would be in the provider's specialty instance.&#xD;
&quot;Indicates specific responsibility of an individual within the care team, such as &quot;Primary care physician&quot;, &quot;Trained social worker counselor&quot;, &quot;Caregiver&quot;, etc.&quot; - HL7 FHIR, CareTeam.participant.role</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XyjWIH7hEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xyj9MH7hEeOYQJZKXKAJnw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Lq-PAO0dEeWjUp19yClo5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CareTeamMemberRole)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_r6v0YIsdEeGv9r5ZNThaOw" name="Indication">
        <ownedComment xmi:id="_H1u0cNEuEeG6d5ozG3gSdw" annotatedElement="_r6v0YIsdEeGv9r5ZNThaOw">
          <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_CLergIseEeGv9r5ZNThaOw" name="indicationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K3cR8NEuEeG6d5ozG3gSdw" annotatedElement="_CLergIseEeGv9r5ZNThaOw">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d-3WwLyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_AgsLyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DBE3F101E7" name="Specimen">
        <eAnnotations xmi:id="_M_s48-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_Z-CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE3F101E7">
          <body>&quot;A physical entity that is an individual, a group, an item, or a part representative of a larger group, class or whole that is the target of an observation or analysis for the purpose of drawing conclusions about the group, class, or whole. This can be used to code a component of the specimen that the observation diagnosis relates to. Note that any physical entity in the universe has the potential to become a specimen.&quot; - HL7 V3.  This model attempts to distinguish between that which is collected from the patient (or other entity), and that portion of such material that may have been further divided or modified in some way before testing. For example, (whole) blood is taken from the patient, but the object of the test may be only the plasma or redblood cells taken (spun down) from the blood.  The specimen that undergoes testing may be the unaltered specimen that was collected, or may have undergone some sort of processing.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0mIPkP8sEd-Koe9flR96lw" name="dangerCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QNljkBHgEeCBuOUrBnIXmQ" annotatedElement="_0mIPkP8sEd-Koe9flR96lw">
            <body>&quot;Contains any known or suspected specimen hazards, e.g., exceptionally infectious agent or blood from a hepatitis patient.&quot; - HL7 Version 2.8, SPM-16.  Possible values include (from HL7 Table 489): Biological; Corrosive; Escape Risk; Aggressive; MaterialDangerInflammable; Explosive; MaterialDangerInfectious; Biohazard; Injury Hazard; Poison; Radioactive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d510QJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d52bUJ_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x-OKYB-xEee94IovPwpKfw" name="dateTimeReceived" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_Rus5cB-yEee94IovPwpKfw" annotatedElement="_x-OKYB-xEee94IovPwpKfw">
            <body>The date and time when the Specimen was received by the laboratory for processing or testing. Note that this property could potentially be derived from the collection of Specimen Handling records.&#xD;
&quot;Time when specimen was received for processing or testing.&quot; - HL7 FHIR, Specimen.receivedTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_19aj0B-xEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_19aj0R-xEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0jvp8P8sEd-Koe9flR96lw" name="handlingCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Awh_sBHgEeCBuOUrBnIXmQ" annotatedElement="_0jvp8P8sEd-Koe9flR96lw">
            <body>&quot;Describes how the specimen and/or container need to be handled from the time of collection through the initiation of testing.&quot; - HL7 Version 2.8, SPM-15.  Possible values include (from HL7 Table 376): Body temperature; Ambient temperature; Critical ambient temperature; Refrigerated temperature; Critical refrigerated temperature; Frozen temperature; Critical frozen temperature; Deep frozen; Ultra frozen; Liquid nitrogen; Protect from light; Protect from air; Dry; No shock; Do not shake; Upright; Metal Free.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cLCJEJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cLCwIJ_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586B8830199" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_M_Z-DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586B8830199">
            <body>A designation that uniquely identifies the specimen.&#xD;
&quot;Unique identifier for the specimen as referenced by the Placer application, the Filler application, or both.&quot; - HL7 Version 2.8, SPM-2&#xD;
&quot;Contains other identifier(s) for the specimen ... in addition to those identified in [SPM-2, Specimen ID]. In may cases other applications involved in the collection, transportation or testing of the specimen will assign additional specimen identifiers.&quot; - HL7 Version 2.8, SPM-31.&#xD;
&quot;Id for specimen.&quot; - HL7 FHIR, Specimen.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WOoG0AljEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WOoG0QljEeGe4v7RnpTDUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456B46A2001C" name="note" visibility="public">
          <ownedComment xmi:id="_M_jvCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456B46A2001C">
            <body>&quot;A text field that allows additional information specifically about the specimen&quot; - HL7 Version 2.8, SPM-14.&#xD;
&quot;To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).&quot; - HL7 FHIR, Specimen.note</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pIuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pI-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2zI1cB-yEee94IovPwpKfw" name="parent" visibility="public" type="_420A62FD03B642DBE3F101E7" isDerived="true">
          <ownedComment xmi:id="_X5Tx0B_DEee94IovPwpKfw" annotatedElement="_2zI1cB-yEee94IovPwpKfw">
            <body>This optional, derived property points to another Specimen from which this Specimen was taken or derived. Note that this property is marked as derived because the FHIM handles this relationship through an explicit Specimen Processing Event class which details the event of aliquoting or isolate extraction and which points to the parent or source specimen as well as the resulting specimens. Thus this property is meant to be used for compatibility with FHIR or for ease of processing, but can be omitted in favor of using the Specimen Processing Event mechanism.&#xD;
&quot;Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.&quot; - HL7 FHIR, Specimen.parent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6yDiEB-yEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6yEJIB-yEee94IovPwpKfw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QvNKsLxJEeCjnsq0FtkmeA" name="specimenExpirationDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QvNKsbxJEeCjnsq0FtkmeA" annotatedElement="_QvNKsLxJEeCjnsq0FtkmeA">
            <body>&quot;The date and time the specimen can no longer be used for the purpose implied by the order....&quot; - HL7 Version 2.8, SPM-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7OZzELyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7OZzEbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QX_cMBSUEeKpJeaG5gXc6Q" name="specimenOrigin" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nFDC8BSUEeKpJeaG5gXc6Q" annotatedElement="_QX_cMBSUEeKpJeaG5gXc6Q">
            <body>Domain from which the specimen comes (e.g., human, animal, environmental).  Added for Public Health Reporting Initiative 10/12/12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8ANDcLyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8ANDcbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MqHUQPvQEd-3ndaGus2qMA" name="specimenRole" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hM_ZEBHiEeCBuOUrBnIXmQ" annotatedElement="_MqHUQPvQEd-3ndaGus2qMA">
            <body>Provides an indication of how this sample relates to other aspects of the overall workflow and/or to other specimens gathered or processed during the workflow.  This property is populated from HL7 V2 user-defined Table 0369, which contains a mish-mash of concepts including &quot;group&quot; and &quot;pool&quot; which relate to aliquotting, &quot;calibarator&quot;, &quot;verifying calibrator&quot;, &quot;operator testing&quot;, etc. which relate to laboratory quality assurance, etc.&#xD;
&#xD;
&quot;Indicates the role of the sample.&quot; - HL7 Version 2.8, SPM-11.  Possible values include (from HL7 Table 369):&#xD;
Blind Sample;&#xD;
Calibrator, used for initial setting of calibration;&#xD;
Electronic QC, used with manufactured reference providing signals that simulate QC results;&#xD;
Specimen used for testing proficiency of the organization performing the testing (Filler);&#xD;
Group (where a specimen consists of multiple individual elements that are not individually identified);&#xD;
Pool (aliquots of individual specimens combined to form a single specimen representing all of the components.);&#xD;
Specimen used for testing Operator Proficiency;&#xD;
Patient (default if blank component value);&#xD;
Control specimen;&#xD;
Replicate (of patient sample as a control);&#xD;
Verifying Calibrator, used for periodic calibration checks.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gEUHwJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gEUu0J_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE407001C" name="specimenType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M_jvBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE407001C">
            <body>&quot;Describes the precise nature of the entity that will be the source material for the observation. Any physical entity that may have observations made about it may qualify as a specimen. The entry in this attribute describes the specific entity as precisely as possible, whether that is a complex organism (e.g., an ostrich) or a specific cellular mass (e.g., a specific muscle biopsy).&quot; - HL7 Version 2.8, SPM-4. Note that HL7 identifies a Code Table (Table 487) for this property, which currently contains 271 suggested values.&#xD;
&quot;The kind of material that forms the specimen.&quot; - HL7 FHIR, Specimen.type. Note that FHIR also uses table 487.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9ZjcALyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9ZjcAbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v2X84P8hEd-Koe9flR96lw" name="specimenTypeModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_v2X84f8hEd-Koe9flR96lw" annotatedElement="_v2X84P8hEd-Koe9flR96lw">
            <body>&quot;Contains modifying or qualifying description(s) about the specimen type.  The use of this attribute is to modify, qualify or further specify, the entity described by [SpecimenType].  This is particularly useful when the code set used in [SpecimenType] does not provide the precision required to fully describe the specimen.  For example, if the specimen was precisely described as capillary venous blood but the code set employed only provided venous blood, this attribute could be employed to add the modifier capillary.&quot; - HL7 Version 2.8, SPM-5.  Note that HL7 identifies a Code Table (Table 541) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dQNoIP8jEd-Koe9flR96lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dQOPMP8jEd-Koe9flR96lw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F4IQ4B-uEee94IovPwpKfw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fJhxwB-wEee94IovPwpKfw" annotatedElement="_F4IQ4B-uEee94IovPwpKfw">
            <body>This optional property specifies whether the Specimen is available and in sufficient condition to proceed with the requested lab test, or not.&#xD;
&quot;The availability of the specimen.&quot; - HL7 FHIR, Specimen.status.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IpAdEB-uEee94IovPwpKfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IpBEIB-uEee94IovPwpKfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J28rIcp7EeC9Pb3leltpqQ" name="definedPatientEvent" visibility="public" type="_rWnUoMHPEeCdLPayeDTWtA" association="_J28rIMp7EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_0RecwM6GEeCM-vbOXYpzjw" annotatedElement="_J28rIcp7EeC9Pb3leltpqQ">
            <body>The specific patient-related event to which a specimen collection or collections (and subsequently, any tests performed on that specimen) are related or affected by time, sequence, directive, intent, etc.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), Last Menstrual Period (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J28rIsp7EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J28rI8p7EeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE47D00A0" name="specimenCollectionEvent" visibility="public" type="_420A62FD03B64263CF150098" isUnique="false" association="_420A62FD03B642DBE479028D">
          <ownedComment xmi:id="_NEBYROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE47D00A0">
            <body>Pointer to the event during which the Specimen was collected.&#xD;
&quot;Details concerning the specimen collection.&quot; - HL7 FHIR, Specimen.collection</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWISYKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWISYaqYEeGeRqsN3l6jrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y6MwoPZQEd-e1vPpWfL-Bw" name="specimenContainer" visibility="public" type="_iI8NkPZPEd-e1vPpWfL-Bw" association="_Y6KUYPZQEd-e1vPpWfL-Bw">
          <ownedComment xmi:id="_yUB54BHfEeCBuOUrBnIXmQ" annotatedElement="_Y6MwoPZQEd-e1vPpWfL-Bw">
            <body>Identifies the object in which the specimen is contained, such as the capacity, etc. Some containers are manufactured such that they contain a pre-defined substance that may act to preserve, maintain or enhance the particular nature or component of the specimen. For example, a &quot;blue top tube&quot; typically contains an anticoagulant such as citrate. It is therefore important to know what kind of container the sample is in, as the condition of the sample may be affected.&#xD;
&quot;The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.&quot; - HL7 FHIR, Specimen.container</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y6N-wPZQEd-e1vPpWfL-Bw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y6N-wfZQEd-e1vPpWfL-Bw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_orQfkKqYEeGeRqsN3l6jrA" name="specimenProcessingEvent" visibility="public" type="_wb_GYKqXEeGeRqsN3l6jrA" association="_orMOIKqYEeGeRqsN3l6jrA">
          <ownedComment xmi:id="_4y5O0EWWEeKmiJoj9rWMSg" annotatedElement="_orQfkKqYEeGeRqsN3l6jrA">
            <body>Pointer to actions performed on a specimen in order to prepare it for future testing.&#xD;
&quot;Details concerning processing and processing steps for the specimen.&quot; - HL7 FHIR, Specimen.processing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_orRGoKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_orRtsKqYEeGeRqsN3l6jrA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_e4dl4AgVEd6eWYJXJewDdQ" name="DiagnosisListEntry">
        <ownedComment xmi:id="_Pk6nAPGUEd-ZlYn0p4HjQw" annotatedElement="_e4dl4AgVEd6eWYJXJewDdQ">
          <body>This class provides a mechanism to associate a record with multiple diagnoses.  Rather than have the traditional &quot;primary diagnosis&quot;, &quot;secondary diagnosis&quot;, etc. in a record, the record will contain a zero-to-many pointer to this class, which then has a one-to-one pointer to a diagnosis, with a precedence property to indicate primary, secondary, tertiary, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kdpFsAgVEd6eWYJXJewDdQ" name="precedence" visibility="public">
          <ownedComment xmi:id="_h9SsgPGUEd-ZlYn0p4HjQw" annotatedElement="_kdpFsAgVEd6eWYJXJewDdQ">
            <body>Provides an indication of whether the diagnosis is primary, secondary, tertiary, etc.&#xD;
&quot;Ranking of the diagnosis (for each role type).&quot; - HL7 FHIR, Encounter.diagnosis.rank&#xD;
&quot;Sequence of diagnosis which serves to provide a link.&quot; - HL7 FHIR, Claim.diagnosis.sequence</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b2mCsLyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b2mCsbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kLK5sd39Ed6yatlejfcw_g" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_kLK5sN39Ed6yatlejfcw_g">
          <ownedComment xmi:id="_cYlt0PGUEd-ZlYn0p4HjQw" annotatedElement="_kLK5sd39Ed6yatlejfcw_g">
            <body>Indicates the diagnosis associated with this entry in the list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kLK5st39Ed6yatlejfcw_g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kLK5s939Ed6yatlejfcw_g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rr-pACaOEdyiJKb4ZqIfnw" name="ActionPerformed">
        <eAnnotations xmi:id="_Fic3wCaPEdyiJKb4ZqIfnw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_xmVg4BH0EeCBuOUrBnIXmQ" annotatedElement="_rr-pACaOEdyiJKb4ZqIfnw">
          <body>&quot;An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.&quot; - HL7 V3.&#xD;
&quot;An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.&quot; - HL7 FHIR, Procedure</body>
        </ownedComment>
        <generalization xmi:id="_cXjdQE_IEeicO4zK57V_lA" general="_Da36EE_EEeicO4zK57V_lA"/>
        <ownedAttribute xmi:id="_R5KS4Ws_EeiYVvtnLEaW4w" name="basedOn" visibility="public" type="_7cG7cDnEEeily54_XzrISg" association="_R5KS4Gs_EeiYVvtnLEaW4w">
          <ownedComment xmi:id="_hnsoUGs_EeiYVvtnLEaW4w" annotatedElement="_R5KS4Ws_EeiYVvtnLEaW4w">
            <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI, Performance.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R5KS4ms_EeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R5QZgGs_EeiYVvtnLEaW4w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438D2BF7003D" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zCt_UBH0EeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6438D2BF7003D">
            <body>Contains a code indicating a procedure or a non-procedural event involving the patient. This code could come from various coding systems; typically the Common Procedure Terminology (CPT) is used, but other coding systems might be employed, especially to capture workload-related data.&#xD;
&quot;The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. &quot;Laparoscopic Appendectomy&quot;).&quot; - HL7 FHIR, Procedure.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sYUIkLyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sYUIkbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LJo_0E_IEeicO4zK57V_lA" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_LJo_0U_IEeicO4zK57V_lA" annotatedElement="_LJo_0E_IEeicO4zK57V_lA">
            <body>The amount of time over which a long-term activity occurred. This optional property is only used for longer-duration activities, such as an hour-long counselling session.&#xD;
&quot;The duration of time the action was performed.&quot; - HL7 CIMI, Performance.duration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LJo_00_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LJo_0k_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_arJiYGs-EeiYVvtnLEaW4w" name="enactsPlan" visibility="public" type="_3jr4YDnEEeily54_XzrISg" association="_arDbwGs-EeiYVvtnLEaW4w">
          <ownedComment xmi:id="_fSaBYGs-EeiYVvtnLEaW4w" annotatedElement="_arJiYGs-EeiYVvtnLEaW4w">
            <body>&quot;The plan that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.enactsPlan</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arJiYWs-EeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arJiYms-EeiYVvtnLEaW4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gmo08Gs0EeiYVvtnLEaW4w" name="fulfillsOrder" visibility="public" type="_9pEiQDnEEeily54_XzrISg" association="_gmV6AGs0EeiYVvtnLEaW4w">
          <ownedComment xmi:id="_nT4wEGs0EeiYVvtnLEaW4w" annotatedElement="_gmo08Gs0EeiYVvtnLEaW4w">
            <body>&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.fulfillsOrder&#xD;
&quot;A reference to a resource that contains details of the request for this procedure.&quot; - HL7 FHIR, Procedure.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gmo08Ws0EeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gmo08ms0EeiYVvtnLEaW4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VJ84wWtAEeiYVvtnLEaW4w" name="partOf" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_VJ84wGtAEeiYVvtnLEaW4w">
          <ownedComment xmi:id="_c5APIGtAEeiYVvtnLEaW4w" annotatedElement="_VJ84wWtAEeiYVvtnLEaW4w">
            <body>&quot;A larger action of which this particular action is a component or step.&quot; - HL7 CIMI, Performance.partOf&#xD;
&quot;A larger event of which this particular procedure is a component or step.&quot; - HL7 FHIR, Procedure.partOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJ84wmtAEeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJ84w2tAEeiYVvtnLEaW4w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pRFz4GtFEeiYVvtnLEaW4w" name="peformancePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_pRFz4WtFEeiYVvtnLEaW4w" annotatedElement="_pRFz4GtFEeiYVvtnLEaW4w">
            <body>The date/time or period over which the procedure was performed. Note that FHIR uses a choice of dateTime, Period, string, Age, or Range for its datatype, while FHIM currently only handles dateTime or Period. Further elaboration will be needed to handle string, Age, or Range in other fields.&#xD;
&quot;Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.&quot; - HL7 FHIR, Procedure.performed[x]&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pRFz42tFEeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pRFz4mtFEeiYVvtnLEaW4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LJo_wE_IEeicO4zK57V_lA" name="performed" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_LJo_wU_IEeicO4zK57V_lA" annotatedElement="_LJo_wE_IEeicO4zK57V_lA">
            <body>Identifies the Entity that was principally responsible for the performance of the activity. In many cases this will be a clinician, but in other cases it may be the patient, a non-clinician care giver (e.g., the patient’s spouse), or an automated device.&#xD;
&#xD;
&quot;Contains the provider ID of the person administering the pharmaceutical/treatment.&quot; - HL7 Version 2.8, RXA-10&#xD;
&quot;The device, practitioner, etc. who performed the action.&quot; - HL7 FHIR, MedicationAdministration.performer.actor&#xD;
&quot;Clinician who administered the vaccine.&quot;  - HL7 FHIR, Immunization.performer&#xD;
&quot;The party that performed the action.&quot; - HL7 CIMI, Performance.performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LJo_w0_IEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LJo_wk_IEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ttn-oN38Ed6yatlejfcw_g" name="procedureModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ok1YEBHcEeCBuOUrBnIXmQ" annotatedElement="_Ttn-oN38Ed6yatlejfcw_g">
            <body>Contains an optional modifier to further describe the procedure.  Some coding systems employ combinations of procedure codes and modifiers, while others do not.  This property accomodates those systems which do permit the use of a modifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XO00gN38Ed6yatlejfcw_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XO00gd38Ed6yatlejfcw_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XlJTYGtBEeiYVvtnLEaW4w" name="statusReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XlJTYWtBEeiYVvtnLEaW4w" annotatedElement="_XlJTYGtBEeiYVvtnLEaW4w">
            <body>&quot;Captures the reason for the current state of the procedure.&quot; - HL7 FHIR, Procedure.statusReason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XlJTY2tBEeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XlJTYmtBEeiYVvtnLEaW4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SHW5gN3-Ed6yatlejfcw_g" name="timesPerformed" visibility="public">
          <ownedComment xmi:id="_AvDgYBHdEeCBuOUrBnIXmQ" annotatedElement="_SHW5gN3-Ed6yatlejfcw_g">
            <body>Indicates the number of times this procedure was performed for the patient at one setting.  Most procedures are only performed (and recorded) once; this property allows for the recording of multiple procedures in order to remove the necessity to record the same procedure multiple times.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xS1h0LyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xS1h0byaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418CF92600E1" name="Participation" isAbstract="true">
        <eAnnotations xmi:id="_L88beOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L8fvieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418CF92600E1">
          <body>&quot;An association between an Act and a Role with an Entity playing that Role. Each Entity (in a Role) involved in an Act in a certain way is linked to the act by one Participation-instance.&quot; - HL7 V3.  This class contains the minimal data (date/time, comments, and a pointer to IndividualProvider) that is most commonly needed for participations that involve and entity playing the role of Practitioner.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643BD69A10200" name="NullifyAct">
        <eAnnotations xmi:id="_MArE4-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_txSxYOw2Ed-kfrmay8LxLw" annotatedElement="_420A62FD03B643BD69A10200">
          <body>Records the nullification of an Act. Typically used when an erroneous record is &quot;deleted&quot;. Because medical  records should never be deleted, the record is instead &quot;nullified&quot;, and is rendered not visible to typical users, but still  exists in the system for the purpose of audit trails, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_492-QN9AEeaqfsYBRmvQmQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_492-Qd9AEeaqfsYBRmvQmQ" annotatedElement="_492-QN9AEeaqfsYBRmvQmQ">
            <body>Indicates the practitioner who created the nullification record. In other words, the practitioner who nullified the action.&#xD;
&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_492-Q99AEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_492-Qt9AEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ttchoNYwEd62cosTNS-_lw" name="comment" visibility="public">
          <ownedComment xmi:id="_OePfUIlIEd-pqcFAwb-XNw" annotatedElement="_ttchoNYwEd62cosTNS-_lw">
            <body>Any comments or remarks regarding the nullification of the Activity record or Order.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_keZmALyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kejXALyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4xnEkNYuEd62cosTNS-_lw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Xj2Y8IlIEd-pqcFAwb-XNw" annotatedElement="_4xnEkNYuEd62cosTNS-_lw">
            <body>The date/time the Activity record or Order was nullified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lXSV0LyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lXSV0byaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zpNVcNYwEd62cosTNS-_lw" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h58DAIlIEd-pqcFAwb-XNw" annotatedElement="_zpNVcNYwEd62cosTNS-_lw">
            <body>The reason why the Order or Activity record was nullified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3U6LINYwEd62cosTNS-_lw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3U6LIdYwEd62cosTNS-_lw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6424070DB0209" name="Diagnosis">
        <eAnnotations xmi:id="_MCm-l-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <eAnnotations xmi:id="_9kSx0B6gEdyNJKpxCqdJAQ" source="uml2.diagrams"/>
        <ownedComment xmi:id="_MCdNleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424070DB0209">
          <body>&quot;a.The act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and/or review of laboratory data. b.The opinion derived from such an evaluation&quot;  American Heritage Dictionary</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1khOcLxhEeSyBtXdDFDzRA" name="contextCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aqQyALxiEeSyBtXdDFDzRA" annotatedElement="_1khOcLxhEeSyBtXdDFDzRA">
            <body>This optional code is used to categorize the Diagnosis in such a manner as to accommodate LOINC codes that are required by certain implementations (especially CDA). In the FHIM, the &quot;type&quot; of diagnosis is conveyed by the context of the class pointing to this class. For example, an association from Surgery to Diagnosis might have a role name of &quot;pre-operative diagnosis&quot;. This mechanism, however, does not allow binding to the a coded terminology such as LOINC. This property provides the ability to bind the diagnosis to such a code. Possible values include:&#xD;
59769-0  Postprocedure diagnosis &#xD;
11535-2  Hospital discharge diagnosis&#xD;
46241-6  Admission diagnosis&#xD;
29308-4  Diagnosis (used for Encounter Diagnosis template)&#xD;
10219-4  Preoperative Diagnosis&#xD;
10218-6  Postoperative Diagnosis&#xD;
&quot;Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).&quot; - HL7 FHIR, Encounter.diagnosis.role</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_45UAALxhEeSyBtXdDFDzRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_45UnELxhEeSyBtXdDFDzRA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64240710C0054" name="diagnosisCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M_w_IPGTEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B64240710C0054">
            <body>Contains a code that most closely identifies the condition or the diagnosis. This code will come from one of several  commonly used coding systems, depending on the branch of medicine involved (e.g., clinical medicine, dentistry, mental  health), and on the purpose (e.g., clinical, billing). The code will likely come from one of the following:  Structured Nomenclature for Medicine (SNOMED), International Classifications of Diseases (ICD), Diagnostic and Statistical  Manual of Mental Disorders (DSM).&#xD;
&quot;Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.&quot; - HL7 FHIR, Encounter.diagnosis.condition&#xD;
&quot;The diagnosis.&quot; - HL7 FHIR, Claim.diagnosis.diagnosis[x]. Note that FHIR can be a code or a pointer to a Condition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xTlWgBWAEd6k0oda9Q09hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xTlWgRWAEd6k0oda9Q09hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cozwkBWAEd6k0oda9Q09hg" name="diagnosisModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mR1gUPGTEd-ZlYn0p4HjQw" annotatedElement="_cozwkBWAEd6k0oda9Q09hg">
            <body>Contains a &quot;modifier&quot; that more precisely identifies the condition or the diagnosis. Some coding schemes, such as the  International Classifications of Diseases version 9, support the notion of a &quot;modifier&quot;, while others do not. This  property is only to be used when the code property is using a coding scheme that supports a modifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s6_loBWAEd6k0oda9Q09hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s6_loRWAEd6k0oda9Q09hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kLK5sN39Ed6yatlejfcw_g" name="diagnosisList_diagnosis" memberEnd="_kLK5sd39Ed6yatlejfcw_g _kLUqsN39Ed6yatlejfcw_g">
        <eAnnotations xmi:id="_qr2YcN39Ed6yatlejfcw_g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_kLUqsN39Ed6yatlejfcw_g" name="" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_kLK5sN39Ed6yatlejfcw_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dP9loN3-Ed6yatlejfcw_g" name="ProcedureListEntry">
        <ownedComment xmi:id="_MqqWwBHdEeCBuOUrBnIXmQ" annotatedElement="_dP9loN3-Ed6yatlejfcw_g">
          <body>This class provides a mechanism to associate a record with multiple procedures. Rather than have the traditional  &quot;primary procedure&quot;, &quot;secondary procedure&quot;, etc. in a record, the record will contain a zero-to-many pointer to this class,  which then has a one-to-one pointer to a procedure, with a precedence property to indicate primary, secondary, tertiary,  etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_g73PoN3-Ed6yatlejfcw_g" name="precedence" visibility="public">
          <ownedComment xmi:id="_SUpeEBHdEeCBuOUrBnIXmQ" annotatedElement="_g73PoN3-Ed6yatlejfcw_g">
            <body>Provides an indication of whether the procedure is primary, secondary, tertiary, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yhV8ULyaEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yhV8UbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_joRLgd3-Ed6yatlejfcw_g" name="procedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_joRLgN3-Ed6yatlejfcw_g">
          <eAnnotations xmi:id="_lr2M0N3-Ed6yatlejfcw_g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_a6QpABHdEeCBuOUrBnIXmQ" annotatedElement="_joRLgd3-Ed6yatlejfcw_g">
            <body>Indicates the procedure associated with this entry in the list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_joRLgt3-Ed6yatlejfcw_g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_joRLg93-Ed6yatlejfcw_g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_joRLgN3-Ed6yatlejfcw_g" name="procedureList_procedure" memberEnd="_joRLgd3-Ed6yatlejfcw_g _joRLhN3-Ed6yatlejfcw_g">
        <eAnnotations xmi:id="_5vuVAOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_joRLhN3-Ed6yatlejfcw_g" name="" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_joRLgN3-Ed6yatlejfcw_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1_OF4Aq6Ed-426xscrxYmQ" name="practitionerParticipation_individualProvider" memberEnd="_1_OF4Qq6Ed-426xscrxYmQ _1_X24Aq6Ed-426xscrxYmQ">
        <ownedEnd xmi:id="_1_X24Aq6Ed-426xscrxYmQ" name="" visibility="public" type="__uCqINw2EeaxScmtI1Szow" association="_1_OF4Aq6Ed-426xscrxYmQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6ir00N6BEeaQL8YZ3sNKnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6iu4IN6BEeaQL8YZ3sNKnw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y6KUYPZQEd-e1vPpWfL-Bw" name="specimen_container" memberEnd="_Y6MwoPZQEd-e1vPpWfL-Bw _Y6Pz8PZQEd-e1vPpWfL-Bw">
        <ownedEnd xmi:id="_Y6Pz8PZQEd-e1vPpWfL-Bw" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_Y6KUYPZQEd-e1vPpWfL-Bw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y6QbAPZQEd-e1vPpWfL-Bw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y6RCEPZQEd-e1vPpWfL-Bw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_orMOIKqYEeGeRqsN3l6jrA" name="specimen_specimenProcessingEvent" memberEnd="_orQfkKqYEeGeRqsN3l6jrA _orVYEKqYEeGeRqsN3l6jrA">
        <ownedEnd xmi:id="_orVYEKqYEeGeRqsN3l6jrA" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_orMOIKqYEeGeRqsN3l6jrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_orWmMKqYEeGeRqsN3l6jrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_orWmMaqYEeGeRqsN3l6jrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JGgF0BcBEeOL3Nw-k5HkNw" name="provenance_serviceDeliveryLocation" memberEnd="_JGgF0RcBEeOL3Nw-k5HkNw _JGgF1BcBEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_JGgF1BcBEeOL3Nw-k5HkNw" name="" visibility="public" type="_W_aIoBb8EeOL3Nw-k5HkNw" association="_JGgF0BcBEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e3hiIHipEeODk9Eid2o3dQ" name="provenance_informationReporter" memberEnd="_e3iwQHipEeODk9Eid2o3dQ _e3j-YHipEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_e3j-YHipEeODk9Eid2o3dQ" name="" visibility="public" type="_W_aIoBb8EeOL3Nw-k5HkNw" association="_e3hiIHipEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_8qnKoLkwEeSvIbhHaIFeOA" name="RelatedClinicalInformation">
        <ownedComment xmi:id="_bCPQYLkxEeSvIbhHaIFeOA" annotatedElement="_8qnKoLkwEeSvIbhHaIFeOA">
          <body>This class links two Clinical Information records that are related to each other in some way. This class is intended to only link two records of the same type together. For example, to link an Order with another Order, or an Observation with another Observation.  Relationships between different kinds (i.e., different subtypes) should be modeled explicitly.&#xD;
&#xD;
In general, there are two reasons why a Clinical Information record is related to another Clinical Information record: a) if one record is replacing another; or b) if one record has subordinate record(s) (often called a “parent/child” relationship).  The relatedInformationCategory property indicates how the referenced Clinical Information record is related to the &quot;owning&quot; Clinical Information record. This construct allows the relationship to be traversed in either direction: for example, the “parent” record could point to its “children” records, or the “children” records could each point to their “parent”, or both could be the case. Thus the vocabulary for the relatedInformationCategory code will contain entries for either directionality, that is: “parent”, “child”, “replaces”, and “replaced by”.&#xD;
&#xD;
For example, say that Order1 and Order2 are instances of Order, and that Order2 is replacing Order1.  Then: &#xD;
a1) Order1. relatedClinicalInformation. relatedInformationCategory is set to (a code that means) &quot;replaced by&quot; and&#xD;
a2) Order1. relatedClinicalInformation. clinicalInformation points to Order2, &#xD;
and/or:&#xD;
b1) Order2. relatedClinicalInformation. relatedInformationCategory is set to (a code that means) &quot;replaces&quot;, and&#xD;
b2) Order2. relatedClinicalInformation. clinicalInformation points to Order1.&#xD;
&#xD;
&quot;Relates a child to its parent when a parent child relationship exists.&quot; - HL7 Version 2, ORC-8.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3kpEcLkyEeSvIbhHaIFeOA" name="clinicalInformation" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_3kn2ULkyEeSvIbhHaIFeOA">
          <ownedComment xmi:id="_4WVVMLk0EeSvIbhHaIFeOA" annotatedElement="_3kpEcLkyEeSvIbhHaIFeOA">
            <body>Pointer to another Clinical Information record (aka the target) to which the Clinical Information that points to this class (aka the &quot;owning&quot; record) is related in some manner.&#xD;
&#xD;
&quot;A reference to the observation that is related to this observation.&quot; - HL7 FHIR, Observation.related.target.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3kprgLkyEeSvIbhHaIFeOA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3kprgbkyEeSvIbhHaIFeOA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AY8rICm4EeaNs6xvp1xk4g" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_PsrT4Cm4EeaNs6xvp1xk4g" annotatedElement="_AY8rICm4EeaNs6xvp1xk4g">
            <body>This optional property contains the time period during which the relationship between the two Clinical Information instances is or was in existence.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FWKMACm4EeaNs6xvp1xk4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FWKMASm4EeaNs6xvp1xk4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FeolALkxEeSvIbhHaIFeOA" name="relatedInformationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FeolAbkxEeSvIbhHaIFeOA" annotatedElement="_FeolALkxEeSvIbhHaIFeOA">
            <body>This property indicates how the &quot;owning&quot; and &quot;target&quot; Clinical Information records are related to each other.  Possible values include: Replaces, Replaced By, Parent, Child, has Component, is Component of, has Member, is Member of, Causes, Is caused by, Derived from, ?, Sequel to, ?, Qualified by, Qualifies, Interfered by, Interferes with, etc.&#xD;
&#xD;
&quot;A code specifying the kind of relationship that exists with the target resource.&quot; - HL7 FHIR, Observation.related.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GpFzgCm4EeaNs6xvp1xk4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GpFzgSm4EeaNs6xvp1xk4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_A_03YLkxEeSvIbhHaIFeOA" name="clinicalInformation_relatedClinicalInformation" memberEnd="_A_6W8LkxEeSvIbhHaIFeOA _A_9aQLkxEeSvIbhHaIFeOA">
        <ownedEnd xmi:id="_A_9aQLkxEeSvIbhHaIFeOA" name="" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_A_03YLkxEeSvIbhHaIFeOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3kn2ULkyEeSvIbhHaIFeOA" name="relatedClinicalInformation_clinicalInformation" memberEnd="_3kpEcLkyEeSvIbhHaIFeOA _3kqSkLkyEeSvIbhHaIFeOA">
        <ownedEnd xmi:id="_3kqSkLkyEeSvIbhHaIFeOA" name="" visibility="public" type="_8qnKoLkwEeSvIbhHaIFeOA" association="_3kn2ULkyEeSvIbhHaIFeOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-VXT0LxzEeSLwM7JIxbinw" name="DeviceParticipation">
        <generalization xmi:id="_ZqxY4N5bEeaSVd0Fmxi4nQ" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_MG5xELx0EeSLwM7JIxbinw" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_MG374Lx0EeSLwM7JIxbinw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MG7mQLx0EeSLwM7JIxbinw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MG7mQbx0EeSLwM7JIxbinw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MG374Lx0EeSLwM7JIxbinw" name="nonHumanAuthor_deviceInstance" memberEnd="_MG5xELx0EeSLwM7JIxbinw _MG80YLx0EeSLwM7JIxbinw">
        <ownedEnd xmi:id="_MG80YLx0EeSLwM7JIxbinw" name="" visibility="public" type="_-VXT0LxzEeSLwM7JIxbinw" association="_MG374Lx0EeSLwM7JIxbinw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_ukzdkNS7EeSyzs7OQneM_g" client="_GY1OsAY1EeGz0dkadElrkQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_0OWpQOx8EeW5tJ4V3DOBLA?FHIM_Vocab/CarePlanVocab/CareTeamMemberRole?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_QZ2RsNooEeSOxtrN8-7DcQ" client="_W_aIoBb8EeOL3Nw-k5HkNw">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_G_1q0NonEeSOxtrN8-7DcQ?FHIM_Vocab/CommonAndDatatypesVocab/InformationSource?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_WbFrQPNqEeSMC5mPc_cPMQ" client="_8lvuIDKfEeidlpJU2TuLzA">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_zpQTQGQyEeODL8RnVGcWEw?FHIM_Vocab/CommonAndDatatypesVocab/Act%20Instance%20Status?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__uCqINw2EeaxScmtI1Szow" name="PractitionerParticipation">
        <generalization xmi:id="_wz9bANw3EeaxScmtI1Szow" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_1_OF4Qq6Ed-426xscrxYmQ" name="practitioner" visibility="public" type="_420A62FD03B6418A6B760063" association="_1_OF4Aq6Ed-426xscrxYmQ">
          <ownedComment xmi:id="_5zTEoBHbEeCBuOUrBnIXmQ" annotatedElement="_1_OF4Qq6Ed-426xscrxYmQ">
            <body>Represents information about a person who is authorized to provide health care services in the role of practitioner for a health care provider organization. The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1_OF4gq6Ed-426xscrxYmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1_OF4wq6Ed-426xscrxYmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CGSAMUI6Eee2bJNtigJtLg" name="onBehalfOf" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_CGSAMEI6Eee2bJNtigJtLg">
          <ownedComment xmi:id="_x2Yj8EJWEeeS-9es3uiEeg" annotatedElement="_CGSAMUI6Eee2bJNtigJtLg">
            <body>Pointer to the Organizational Provider under the auspices of which the Individual Provider participated in the Act. Since providers may be associated with multiple organizations, this mechanism facilitates the specification of the particular organization for which the provider was acting with respect to the owning Act.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGYG0EI6Eee2bJNtigJtLg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGYG0UI6Eee2bJNtigJtLg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Wv-bwN2XEeaby7vXKhx5Xg" name="_deprecated_Performance">
        <ownedComment xmi:id="_vaYToGGnEeeNCem-9yFTpQ" annotatedElement="_Wv-bwN2XEeaby7vXKhx5Xg">
          <body>&quot;A context indicating the actual performance or execution of a healthcare-related action, e.g., administration of the third dose of Hepatitis B vaccine on Dec 4th 2012, or an appendectomy performed today.&quot; - HL7 CIMI, Performance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_k-GFgGGoEeeNCem-9yFTpQ" name="basedOn" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_k-GFgWGoEeeNCem-9yFTpQ" annotatedElement="_k-GFgGGoEeeNCem-9yFTpQ">
            <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI, Performance.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k-GFg2GoEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k-GFgmGoEeeNCem-9yFTpQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JuWJgKEzEeaPGoZdqoy2Qw" name="dateTimeStart" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JuWJgaEzEeaPGoZdqoy2Qw" annotatedElement="_JuWJgKEzEeaPGoZdqoy2Qw">
            <body>The date (and optionally, time) upon which an activity either occurred or began to occur. This property is used both in situations where a single date/time is documented (which is typical for short-duration activities), or in situations where a start date/time and end date/time should be captured (which is typical for longer-duration activities, such as an hour-long counselling session).&#xD;
&#xD;
MedicationAdministration:&#xD;
The date (and optionally, time) that the medication administration was started or will be started. For single dose administrations, such as giving a tablet or an injection, this is the date and time that the administration did or will occur.&#xD;
&quot;If the order is for a continuous administration (such as an IV), and the rate is changed at a certain time after the start, an RAS message can be issued to record the change.  For such an RAS message, this field records the time the rate was changed to the new value recorded in the RXA-12-Administered Per (time unit) of the same message.&quot; - HL7 Version 2.8, RXA-3&#xD;
&quot;A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.&quot;  - HL7 FHIR, MedicationAdministration.effectiveTime[x]. Note that FHIR can use either a single date/time or a period. When FHIR uses a single date/time, this property is the equivalent. When FHIR uses a period, this property contains the start date/time.&#xD;
&quot;Date vaccine administered or was to be administered.&quot; - HL7 FHIR, Immunization.date&#xD;
&quot;When the activity was performed.&quot; - HL7 CIMI, Performance.performedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JuWJg6EzEeaPGoZdqoy2Qw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JuWJgqEzEeaPGoZdqoy2Qw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tqJCcKEzEeaPGoZdqoy2Qw" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_tqJCcaEzEeaPGoZdqoy2Qw" annotatedElement="_tqJCcKEzEeaPGoZdqoy2Qw">
            <body>The date (and optionally, time) upon which a long-term activity was completed. This optional property is only used in situations where both a start date/time and end date/time should be captured (which is typical for longer-duration activities, such as an hour-long counselling session).&#xD;
&#xD;
MedicationAdministration:&#xD;
The date (and optionally, time) that the medication administration was completed or will be completed. Used only for administrations that span a length of time, such as an IV. For single dose administrations, such as giving a tablet or an injection, this property is not used.&#xD;
&quot;If null, the date/time of RXA-3-Date/Time Start of Administration is assumed.&quot; - HL7 Version 2.8, RXA-4&#xD;
&quot;A specific date/time or interval of time during which the administration took place (or did not take place, when the notGiven attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.&quot;  - HL7 FHIR, MedicationAdministration.effectiveTime[x]. Note that FHIR can use either a single date/time or a period. When FHIR uses a single date/time, this property is not used. When FHIR uses a period, this property contains the end date/time.&#xD;
&quot;Date vaccine administered or was to be administered.&quot; - HL7 FHIR, Immunization.date&#xD;
&quot;When the activity was performed.&quot; - HL7 CIMI, Performance.performedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tqJCc6EzEeaPGoZdqoy2Qw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tqJCcqEzEeaPGoZdqoy2Qw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DXOrMDfsEeKnE98EkGeXFQ" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_N0IH4DfsEeKnE98EkGeXFQ" annotatedElement="_DXOrMDfsEeKnE98EkGeXFQ">
            <body>The amount of time over which a long-term activity occurred. This optional property is only used for longer-duration activities, such as an hour-long counselling session.&#xD;
&quot;The duration of time the action was performed.&quot; - HL7 CIMI, Performance.duration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TlNukHbOEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TlNukXbOEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RoRgUGGoEeeNCem-9yFTpQ" name="enactsPlan" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_RoRgUWGoEeeNCem-9yFTpQ" annotatedElement="_RoRgUGGoEeeNCem-9yFTpQ">
            <body>&quot;The plan that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.enactsPlan</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RoRgU2GoEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RoRgUmGoEeeNCem-9yFTpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rsl_oGGoEeeNCem-9yFTpQ" name="fulfillsOrder" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_Rsl_oWGoEeeNCem-9yFTpQ" annotatedElement="_Rsl_oGGoEeeNCem-9yFTpQ">
            <body>&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.fulfillsOrder</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rsl_o2GoEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rsl_omGoEeeNCem-9yFTpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7WIFsId_EeeJXvOkPl8Bfw" name="partOf" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_7WIFsYd_EeeJXvOkPl8Bfw" annotatedElement="_7WIFsId_EeeJXvOkPl8Bfw">
            <body>&quot;A larger action of which this particular action is a component or step.&quot; - HL7 CIMI, Performance.partOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n-Ig0IeAEeeJXvOkPl8Bfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n-Ig0YeAEeeJXvOkPl8Bfw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d15VkN2XEeaby7vXKhx5Xg" name="primaryPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_-e7qUAg2Eee_toNtDpbL8w" annotatedElement="_d15VkN2XEeaby7vXKhx5Xg">
            <body>Identifies the Entity that was principally responsible for the performance of the activity. In many cases this will be a clinician, but in other cases it may be the patient, a non-clinician care giver (e.g., the patient’s spouse), or an automated device.&#xD;
&#xD;
&quot;Contains the provider ID of the person administering the pharmaceutical/treatment.&quot; - HL7 Version 2.8, RXA-10&#xD;
&quot;The device, practitioner, etc. who performed the action.&quot; - HL7 FHIR, MedicationAdministration.performer.actor&#xD;
&quot;Clinician who administered the vaccine.&quot;  - HL7 FHIR, Immunization.performer&#xD;
&quot;The party that performed the action.&quot; - HL7 CIMI, Performance.performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NZGJUAUSEee0I6zDzuEapA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NZGwYAUSEee0I6zDzuEapA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1nqfgOQXEeak6NCuAd5Onw" name="Attribution">
        <ownedComment xmi:id="_12ohEDK7EeidlpJU2TuLzA" annotatedElement="_1nqfgOQXEeak6NCuAd5Onw">
          <body>&quot;Attribution provides a formal pattern and reusable structure for attributes of a record that describes an activity in a process involved in producing, delivering or otherwise influencing the entry in a record. Attribution provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies. Attribution provides a common reference model pattern that may be included directly within a clinical statement (e.g., the metadata associated with the recording of a clinical statement in a system) or within the Provenance pattern when it is preferrable to have such information external to but referencing the clinical statement (see Provenance). Note that, when included directly within a clinical statement, updates made to attribution attribute values will result in a versioning change in the instance. When part of the Provenance class, updates to provenance do not result in an update of the clinical statement referenced by the Provenance class (see Provenance.target).&quot; - HL7 CIMI, Attribution</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4VibAOQXEeak6NCuAd5Onw" name="activityTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hnIP8DK9EeidlpJU2TuLzA" annotatedElement="_4VibAOQXEeak6NCuAd5Onw">
            <body>&quot;The period during which the activity occurred.&quot; - HL7 CIMI, Attribution.activityTimeRange</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-I_AUOQXEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-I_AUeQXEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b_mpQAA8EeeM3qRGzsKjtw" name="applicationContext" visibility="public">
          <ownedComment xmi:id="_Cky3wAjMEeeH-JUbuHPVcg" annotatedElement="_b_mpQAA8EeeM3qRGzsKjtw">
            <body>This optional property provides additional information about the application role of the participant at the time of the attribution. For example, the person might have been acting as the charge nurse at the time. Note that the person's professional credentials can be obtained from the Provider classes, but there are times when a person has more than one professional credential and wishes to assert that they are performing this action while acting under one of those credentials. Or, as in the charge nurse example above, there are privileges are situational and over and above the privileges implied by the person's credential (e.g., she's not only a nurse but at time of the Attribution, she's the charge nurse). Added for DaVita 3/2017.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gSsPEAA8EeeM3qRGzsKjtw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gSsPEQA8EeeM3qRGzsKjtw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GHF20GGFEeKL0cZcPmQjWw" name="dateRecorded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MnTlAHinEeODk9Eid2o3dQ" annotatedElement="_GHF20GGFEeKL0cZcPmQjWw">
            <body>The date (and optionally time) that the Clinical Information was recorded into the EHR. This date/time is potentially different from the time that the underlying condition occurred or was actually observed.&#xD;
&quot;The time at which the activity was recorded.&quot; - HL7 CIMI, Attribution.recordedOn&#xD;
&quot;The date and time this observation was made available.&quot; - HL7 FHIR, Observation.issued.&#xD;
&quot;Date when the sensitivity was recorded.&quot; - HL7 FHIR, AllergyIntolerance resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c7_J4Bb-EeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c7_J4Rb-EeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qBSPQeQ4EeaH9t35G2snaA" name="digitalSignature" visibility="public" type="_FdABsOQyEeaH9t35G2snaA" association="_qBSPQOQ4EeaH9t35G2snaA">
          <ownedComment xmi:id="_v5LHUDK_EeidlpJU2TuLzA" annotatedElement="_qBSPQeQ4EeaH9t35G2snaA">
            <body>&quot;A digital signature on the target Reference(s). The signer should match a Attribution.participant. The purpose of the signature is indicated.&quot; - HL7 CIMI, Attribution.signature</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qBSPQuQ4EeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qBSPQ-Q4EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XW2yoDLAEeidlpJU2TuLzA" name="location" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_XW2yoTLAEeidlpJU2TuLzA" annotatedElement="_XW2yoDLAEeidlpJU2TuLzA">
            <body>&quot;Where the activity occurred, if relevant.&quot; - HL7 CIMI, Attribution.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XW2yozLAEeidlpJU2TuLzA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XW2yojLAEeidlpJU2TuLzA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-mMfAFZPEeCNYNwvTI8hbQ" name="modeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_-mMfAVZPEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_-mMfAlZPEeCNYNwvTI8hbQ" annotatedElement="_-mMfAFZPEeCNYNwvTI8hbQ">
            <body>&quot;The modality by which the Entity playing the Role is participating in the Act. Usage Notes: For author (originator) participants, this is used to specify whether the information represented by the act was initially provided verbally, (hand-) written, or electronically. Examples: Physically present, over the telephone, written communication.&quot; - HL7 V3&#xD;
Note that this property is included for compatibility with HL7 V3, and while it seems reasonable that such information would be useful, we are not aware of situations where this is commonly used, so it is modeled as optional. We do not anticipate this property being used much if at all.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-mMfBFZPEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-mMfA1ZPEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uTZm4DLAEeidlpJU2TuLzA" name="participant" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_uTZm4TLAEeidlpJU2TuLzA" annotatedElement="_uTZm4DLAEeidlpJU2TuLzA">
            <body>&quot;A person, entity, or other party responsible for execution of some facet of the activity.&quot; - HL7 CIMI, Attribution.participant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uTZm4zLAEeidlpJU2TuLzA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uTZm4jLAEeidlpJU2TuLzA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fnxagDNxEei4WMuUY0e-jQ" name="recordedBy" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_RFCQMDN5Eei4WMuUY0e-jQ" annotatedElement="_fnxagDNxEei4WMuUY0e-jQ">
            <body>&quot;The person or entity capturing the attribution information.&quot; - HL7 CIMI, Attribution.recordedBy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fnxagjNxEei4WMuUY0e-jQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fnxagTNxEei4WMuUY0e-jQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_rbgOsOQxEeaH9t35G2snaA" client="_Wu4MgKMyEeSjK-UNpoDZuQ" supplier="_1nqfgOQXEeak6NCuAd5Onw"/>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_LuIMEOQzEeaH9t35G2snaA" client="_1nqfgOQXEeak6NCuAd5Onw" supplier="_420A62FD03B6418CF92600E1"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_XhE1sOQzEeaH9t35G2snaA" name="UnAffiliatedPersonParticipation">
        <generalization xmi:id="_B4f40OQ1EeaH9t35G2snaA" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_x9vk8eQ3EeaH9t35G2snaA" name="unaffiliatedPerson" visibility="public" type="_1ICBkOQ1EeaH9t35G2snaA" association="_x9vk8OQ3EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x9vk8uQ3EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x9vk8-Q3EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__WtG8OQzEeaH9t35G2snaA" name="PatientParticipation">
        <generalization xmi:id="_C7AesOQ1EeaH9t35G2snaA" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_adc1UOQ1EeaH9t35G2snaA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_adbAIOQ1EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_adc1UeQ1EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_addcYOQ1EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PuOH8OQ0EeaH9t35G2snaA" name="SystemParticipation">
        <generalization xmi:id="_DmwxcOQ1EeaH9t35G2snaA" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_YkbW0eQ4EeaH9t35G2snaA" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_YkbW0OQ4EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YkbW0uQ4EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YkbW0-Q4EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_S309MOQ0EeaH9t35G2snaA" name="UnaffiliatedOrganizationParticipation">
        <generalization xmi:id="_ERrWsOQ1EeaH9t35G2snaA" general="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_fN7aYeQ4EeaH9t35G2snaA" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_fN7aYOQ4EeaH9t35G2snaA">
          <ownedComment xmi:id="_Nk6fcDvTEeeAVuPecg5-Hg" annotatedElement="_fN7aYeQ4EeaH9t35G2snaA">
            <body>Pointer to the Organization that is participating in the healthcare action</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fN7aYuQ4EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fN7aY-Q4EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_adbAIOQ1EeaH9t35G2snaA" name="patientParticipation_patient" memberEnd="_adc1UOQ1EeaH9t35G2snaA _adhGwOQ1EeaH9t35G2snaA">
        <ownedEnd xmi:id="_adhGwOQ1EeaH9t35G2snaA" name="" visibility="private" type="__WtG8OQzEeaH9t35G2snaA" association="_adbAIOQ1EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_adht0OQ1EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_adiU4OQ1EeaH9t35G2snaA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_x9vk8OQ3EeaH9t35G2snaA" name="unAffiliatedPersonParticipation_unaffiliatedPerson" memberEnd="_x9vk8eQ3EeaH9t35G2snaA _x9vk9OQ3EeaH9t35G2snaA">
        <ownedEnd xmi:id="_x9vk9OQ3EeaH9t35G2snaA" name="" visibility="private" type="_XhE1sOQzEeaH9t35G2snaA" association="_x9vk8OQ3EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x9vk9eQ3EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x9vk9uQ3EeaH9t35G2snaA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YkbW0OQ4EeaH9t35G2snaA" name="systemParticipation_deviceInstance" memberEnd="_YkbW0eQ4EeaH9t35G2snaA _YkbW1OQ4EeaH9t35G2snaA">
        <ownedEnd xmi:id="_YkbW1OQ4EeaH9t35G2snaA" name="" visibility="private" type="_PuOH8OQ0EeaH9t35G2snaA" association="_YkbW0OQ4EeaH9t35G2snaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YkbW1eQ4EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YkbW1uQ4EeaH9t35G2snaA" value="1"/>
        </ownedEnd>
      </packagedElement>
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      <packagedElement xmi:type="uml:Class" xmi:id="_gyLvYPRzEeaL1vtd_d-dUA" name="_deprecated_StatementTopic" isAbstract="true">
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          <body>&quot;Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of the statement. StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).&quot; - HL7 CIMI, StatementTopic</body>
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        <ownedAttribute xmi:id="_J7vq4AXREeebQs_lQM5n6g" name="key" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The concept representing the finding or action that is the topic of the statement. For actions, the key represents the action being described. For findings, the key represents the &quot;question&quot; or property being investigated. For evaluation result findings, the key contains a concept for an observable entity, such as systolic blood pressure. For assertion findings (which by nature lack an explicit question), the key contains a default concept signifying that an assertion is being made. In all cases, the key describes the topic independent of the context of the action or the finding.&quot; - HL7 CIMI, StatementTopic.key</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J7vq4wXREeebQs_lQM5n6g" value="1"/>
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        <ownedComment xmi:id="_6GlpkGGlEeeNCem-9yFTpQ" annotatedElement="_aT8j0PR3EeaL1vtd_d-dUA">
          <body>&quot;A record that a clinical act was not performed and&amp;#47;or never initiated. Do not use this context if the act was initiated or started but aborted or cancelled. Use the NotPerformed context instead.&quot; - HL7 CIMI, NonPerformance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_msSXkGGmEeeNCem-9yFTpQ" name="scheduledPerformanceTime" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
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            <body>&quot;The time period during which the act had been intended for execution.&quot; - HL7 CIMI, NonPerformance.scheduledPerformanceTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_msSXk2GmEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_msSXkmGmEeeNCem-9yFTpQ" value="1"/>
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        <ownedComment xmi:id="_p0MfoF20Eeercrca8w8cRw" annotatedElement="_eGjKkAgyEee_toNtDpbL8w">
          <body>&quot;The base topic class for assertions and evaluation results that result from medical investigations or diagnostics, independent of the context of the result being present, absent, or hypothetical (as in the case of a goal).&quot; - HL7 CIMI, FindingTopic</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xnPjMF3KEeercrca8w8cRw" name="result" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
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            <body>&quot;The value of the finding, typically a quantity for measurements and a concept code for qualitative evaluations and assertions. In general, any data type can be the value of a finding.&quot; - HL7 CIMI, FindingTopic.result</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4W__wF3KEeercrca8w8cRw" value="1"/>
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        <ownedAttribute xmi:id="_5i5yMF3KEeercrca8w8cRw" name="description" visibility="public">
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            <body>&quot;An optional description of the finding in human narrative form.&quot; - HL7 CIMI, FindingTopic.description</body>
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            <body>&quot;Audio, visual, or other binary content produced during the evaluation, such as an X-ray.&quot; - HL7 CIMI, FindingTopic.multimedia</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5nEggl3KEeercrca8w8cRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5nEggV3KEeercrca8w8cRw" value="*"/>
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        <ownedAttribute xmi:id="_aCWyoB5TEeizW5HiKXPAjA" name="interpretation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;A clinical judgment concerning the significance or impact of the finding with respect to its subject (e.g., the patient).&quot; - HL7 CIMI, FindingTopic.interpretation</body>
          </ownedComment>
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      <packagedElement xmi:type="uml:Class" xmi:id="_BzFQIDvTEeeAVuPecg5-Hg" name="OrganizationParticipation">
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      <packagedElement xmi:type="uml:Association" xmi:id="_JswiIDvTEeeAVuPecg5-Hg" name="organizationParticipation_organization" memberEnd="_JswiITvTEeeAVuPecg5-Hg _JswiJDvTEeeAVuPecg5-Hg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Dc-MgEIdEee2bJNtigJtLg" name="_deprecated_ActionStatement" isAbstract="true">
        <ownedComment xmi:id="_06GjgEIdEee2bJNtigJtLg" annotatedElement="_Dc-MgEIdEee2bJNtigJtLg">
          <body>&quot;The ActionContext class aligns with the SNOMED Situation with Explicit Context and provides the context for the Act topic of a clinical statement. For instance, a statement about a procedure may specify that the procedure has been proposed, ordered, planned, performed or possibly not performed.&quot; - HL7 CIMI, ActionContext</body>
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        <generalization xmi:id="_bqtKYAezEeikM77QF_3UkA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
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            <body>&quot;Indicates the type of context and where the context is expected to be carried out. E.g., Inpatient, outpatient, community. TODO: Handle definition&quot; - HL7 CIMI ActionContext.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ttQ2k4dvEeeJXvOkPl8Bfw"/>
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        <ownedAttribute xmi:id="_p2KKAGGPEeeNCem-9yFTpQ" name="currentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The latest status of an action within the specified context. An action may be interpretable within a specific context such as whether it is planned, ordered, or performed. Moreover, within each of these context, an action may have a set of allowable states in which it can exist. For instance, a proposal may be rejected or an order may be signed, canceled or superceded by another order. It is expected that set of such states will vary based on the type of action context. The status code must coincide with the activity code of one of the attribution elements of statusHistory if a context status history is provided.&quot; - HL7 CIMI, ActionContext.currentStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p2KKA2GPEeeNCem-9yFTpQ"/>
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        <ownedAttribute xmi:id="_Is8Q8GGQEeeNCem-9yFTpQ" name="justification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Reason the action was done or justification for the action. Reasons may also be specified for not performing an action. &quot; - HL7 CIMI ActionContext.justification</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Is8Q82GQEeeNCem-9yFTpQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Is8Q8mGQEeeNCem-9yFTpQ" value="*"/>
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        <ownedAttribute xmi:id="_Q5mBcIdwEeeJXvOkPl8Bfw" name="supportingInformation" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
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            <body>&quot;Indicates the type of context and where the context is expected to be carried out. E.g., Inpatient, outpatient, community. TODO: Handle definition&quot; - HL7 CIMI ActionContext.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q5mBc4dwEeeJXvOkPl8Bfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q5mBcodwEeeJXvOkPl8Bfw" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CGSAMEI6Eee2bJNtigJtLg" name="practitionerParticipation_onBehalfOf" memberEnd="_CGSAMUI6Eee2bJNtigJtLg _CGYG0kI6Eee2bJNtigJtLg">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGYG00I6Eee2bJNtigJtLg" value="1"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_xmvW4LLPEeeKfvjx78dWlQ" name="Flag">
        <ownedComment xmi:id="_FV7eULLQEeeKfvjx78dWlQ" annotatedElement="_xmvW4LLPEeeKfvjx78dWlQ">
          <body>&quot;Prospective warnings of potential issues when providing care to the patient.&quot;- HL7 FHIR, Flag&#xD;
Note that FHIR has a subject property that points to the resource that the Flag is about. In the FHIM, the resource will likely point to the Flag(s) concerning it.</body>
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        <ownedAttribute xmi:id="_3t47ULLPEeeKfvjx78dWlQ" name="author" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_C0oUULLSEeeKfvjx78dWlQ" annotatedElement="_3t47ULLPEeeKfvjx78dWlQ">
            <body>&quot;The person, organization or device that created the flag.&quot;- HL7 FHIR, Flag.author</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3t47UrLPEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3t47UbLPEeeKfvjx78dWlQ" value="1"/>
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        <ownedAttribute xmi:id="_qzCZALLQEeeKfvjx78dWlQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Allows an flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.&quot;- HL7 FHIR, Flag.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qzCZA7LQEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qzCZArLQEeeKfvjx78dWlQ" value="*"/>
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        <ownedAttribute xmi:id="_3so-ILLPEeeKfvjx78dWlQ" name="encounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_kmcecLLREeeKfvjx78dWlQ" annotatedElement="_3so-ILLPEeeKfvjx78dWlQ">
            <body>&quot;This alert is only relevant during the encounter.&quot;- HL7 FHIR, Flag.encounter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3so-IrLPEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3so-IbLPEeeKfvjx78dWlQ" value="1"/>
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        <ownedAttribute xmi:id="_0LADYLLPEeeKfvjx78dWlQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="__l9q0LLPEeeKfvjx78dWlQ" annotatedElement="_0LADYLLPEeeKfvjx78dWlQ">
            <body>&quot;Identifier assigned to the flag for external use (outside the FHIR environment).&quot;- HL7 FHIR, Flag.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1-okMLLPEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1-okMbLPEeeKfvjx78dWlQ" value="1"/>
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        <ownedAttribute xmi:id="_Qo_RgLLREeeKfvjx78dWlQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The coded value or textual component of the flag to display to the user.&quot;- HL7 FHIR, Flag.code</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qo_Rg7LREeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qo_RgrLREeeKfvjx78dWlQ" value="1"/>
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        <ownedAttribute xmi:id="_3rMMoLLPEeeKfvjx78dWlQ" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_c4AzILLREeeKfvjx78dWlQ" annotatedElement="_3rMMoLLPEeeKfvjx78dWlQ">
            <body>&quot;The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.&quot;- HL7 FHIR, Flag.period</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3rMMorLPEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3rMMobLPEeeKfvjx78dWlQ" value="1"/>
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        <ownedAttribute xmi:id="_3pe8cLLPEeeKfvjx78dWlQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jJvFULLQEeeKfvjx78dWlQ" annotatedElement="_3pe8cLLPEeeKfvjx78dWlQ">
            <body>&quot;Supports basic workflow.&quot;- HL7 FHIR, Flag.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3pe8crLPEeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3pe8cbLPEeeKfvjx78dWlQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dd-KgMC0Eee8L6dSHLP3zQ" name="BodySite">
        <ownedAttribute xmi:id="_T5wXYMC2Eee8L6dSHLP3zQ" name="description" visibility="public">
          <ownedComment xmi:id="_WNxocMC2Eee8L6dSHLP3zQ" annotatedElement="_T5wXYMC2Eee8L6dSHLP3zQ">
            <body>&quot;A summary, charactarization or explanation of the anatomic location.&quot; - HL7 FHIR, BodySite.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T5wXYsC2Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T5wXYcC2Eee8L6dSHLP3zQ" value="1"/>
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        <ownedAttribute xmi:id="_ezNCoMC1Eee8L6dSHLP3zQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ezNCocC1Eee8L6dSHLP3zQ" annotatedElement="_ezNCoMC1Eee8L6dSHLP3zQ">
            <body>&quot;Identifier for this instance of the anatomical location.&quot; - HL7 FHIR, BodySite.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezNCo8C1Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezNCosC1Eee8L6dSHLP3zQ" value="*"/>
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        <ownedAttribute xmi:id="_gDtLwMC2Eee8L6dSHLP3zQ" name="image" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_ij8T4MC2Eee8L6dSHLP3zQ" annotatedElement="_gDtLwMC2Eee8L6dSHLP3zQ">
            <body>&quot;Image or images used to identify a location.&quot; - HL7 FHIR, BodySite.image</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gDtLwsC2Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gDtLwcC2Eee8L6dSHLP3zQ" value="*"/>
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        <ownedAttribute xmi:id="_uM2GIMC1Eee8L6dSHLP3zQ" name="isActive" visibility="public">
          <ownedComment xmi:id="_xlOXMMC1Eee8L6dSHLP3zQ" annotatedElement="_uM2GIMC1Eee8L6dSHLP3zQ">
            <body>&quot;Whether this body site is in active use.&quot; - HL7 FHIR, BodySite.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uM2GIsC1Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uM2GIcC1Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ezNCpMC1Eee8L6dSHLP3zQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ezNCpcC1Eee8L6dSHLP3zQ" annotatedElement="_ezNCpMC1Eee8L6dSHLP3zQ">
            <body>&quot;Named anatomical location - ideally coded where possible.&quot; - HL7 FHIR, BodySite.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezNCp8C1Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezNCpsC1Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qrffQMC1Eee8L6dSHLP3zQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034">
          <ownedComment xmi:id="_u0mNMMC2Eee8L6dSHLP3zQ" annotatedElement="_qrffQMC1Eee8L6dSHLP3zQ">
            <body>&quot;The person to which the body site belongs.&quot; - HL7 FHIR, BodySite.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qrffQ8C1Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qrffQsC1Eee8L6dSHLP3zQ" value="1"/>
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        <ownedAttribute xmi:id="_KARJwMC2Eee8L6dSHLP3zQ" name="qualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KARJwcC2Eee8L6dSHLP3zQ" annotatedElement="_KARJwMC2Eee8L6dSHLP3zQ">
            <body>&quot;Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.&quot; - HL7 FHIR, BodySite.qualifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KARJw8C2Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KARJwsC2Eee8L6dSHLP3zQ" value="*"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_ji-V8NOkEeeihrw9sUIZpA" name="ResearchStudy">
        <ownedComment xmi:id="_KHJ7gNOnEeeihrw9sUIZpA" annotatedElement="_ji-V8NOkEeeihrw9sUIZpA">
          <body>&quot;A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge. This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques. A ResearchStudy involves the gathering of information about human or animal subjects.&quot; - HL7 FHIR, ResearchStudy</body>
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        <ownedAttribute xmi:id="_odMs4NOnEeeihrw9sUIZpA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc.&quot; - HL7 FHIR, ResearchStudy.category</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_odMs49OnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_odMs4tOnEeeihrw9sUIZpA" value="*"/>
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        <ownedAttribute xmi:id="_oQOA0NOnEeeihrw9sUIZpA" name="condition" visibility="public" type="_420A62FD03B6421F8AD00244">
          <ownedComment xmi:id="_oQOA0dOnEeeihrw9sUIZpA" annotatedElement="_oQOA0NOnEeeihrw9sUIZpA">
            <body>&quot;The condition that is the focus of the study.&quot; - HL7 FHIR, ResearchStudy.condition</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oQOA09OnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQOA0tOnEeeihrw9sUIZpA" value="*"/>
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          <ownedComment xmi:id="_F40gkdOsEeeihrw9sUIZpA" annotatedElement="_F40gkNOsEeeihrw9sUIZpA">
            <body>&quot;A full description of how the study is being conducted.&quot; - HL7 FHIR, ResearchStudy.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F40gk9OsEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F40gktOsEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_lne8oNOqEeeihrw9sUIZpA" name="focus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lne8odOqEeeihrw9sUIZpA" annotatedElement="_lne8oNOqEeeihrw9sUIZpA">
            <body>&quot;The medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about.&quot; - HL7 FHIR, ResearchStudy.focus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lne8o9OqEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lne8otOqEeeihrw9sUIZpA" value="*"/>
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        <ownedAttribute xmi:id="_UBJfcNOnEeeihrw9sUIZpA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_eTl_oNOnEeeihrw9sUIZpA" annotatedElement="_UBJfcNOnEeeihrw9sUIZpA">
            <body>&quot;Identifiers assigned to this research study by the sponsor or other systems.&quot; - HL7 FHIR, ResearchStudy.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YJAFoNOnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YJAssNOnEeeihrw9sUIZpA" value="*"/>
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        <ownedAttribute xmi:id="_zTVMINOrEeeihrw9sUIZpA" name="keyword" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zTVMIdOrEeeihrw9sUIZpA" annotatedElement="_zTVMINOrEeeihrw9sUIZpA">
            <body>&quot;Key terms to aid in searching for or filtering the study.&quot; - HL7 FHIR, ResearchStudy.keyword</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zTVMI9OrEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zTVMItOrEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9P9NUNOrEeeihrw9sUIZpA" name="participatingLocation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9P9NUdOrEeeihrw9sUIZpA" annotatedElement="_9P9NUNOrEeeihrw9sUIZpA">
            <body>&quot;Indicates a country, state or other region where the study is taking place.&quot; - HL7 FHIR, ResearchStudy.participatingLocation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9P9NU9OrEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9P9NUtOrEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2F9BkdOnEeeihrw9sUIZpA" name="partOf" visibility="public" type="_ji-V8NOkEeeihrw9sUIZpA" association="_2F9BkNOnEeeihrw9sUIZpA">
          <ownedComment xmi:id="_9MGk4NOnEeeihrw9sUIZpA" annotatedElement="_2F9BkdOnEeeihrw9sUIZpA">
            <body>&quot;A larger research study of which this particular study is a component or step.&quot; - HL7 FHIR, ResearchStudy.partOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2F9BktOnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2F9Bk9OnEeeihrw9sUIZpA" value="*"/>
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        <ownedAttribute xmi:id="_S1DGcNOsEeeihrw9sUIZpA" name="period" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_S1DGcdOsEeeihrw9sUIZpA" annotatedElement="_S1DGcNOsEeeihrw9sUIZpA">
            <body>&quot;Identifies the start date and the expected (or actual, depending on status) end date for the study.&quot; - HL7 FHIR, ResearchStudy.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S1DGc9OsEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S1DGctOsEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_ZbPUINOoEeeihrw9sUIZpA" name="phase" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZbPUIdOoEeeihrw9sUIZpA" annotatedElement="_ZbPUINOoEeeihrw9sUIZpA">
            <body>&quot;The stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.&quot; - HL7 FHIR, ResearchStudy.phase</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZbPUI9OoEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZbPUItOoEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oC4IYNOnEeeihrw9sUIZpA" name="primaryPurposeType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oC4IYdOnEeeihrw9sUIZpA" annotatedElement="_oC4IYNOnEeeihrw9sUIZpA">
            <body>&quot;The type of study based upon the intent of the study's activities. A classification of the intent of the study.&quot; - HL7 FHIR, ResearchStudy.primaryPurposeType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oC4IY9OnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oC4IYtOnEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_bJ8HENOnEeeihrw9sUIZpA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DupE0NOoEeeihrw9sUIZpA" annotatedElement="_bJ8HENOnEeeihrw9sUIZpA">
            <body>&quot;The current state of the study.&quot; - HL7 FHIR, ResearchStudy.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bJ8HEtOnEeeihrw9sUIZpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bJ8HEdOnEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_Z4npINOnEeeihrw9sUIZpA" name="title" visibility="public">
          <ownedComment xmi:id="_q2WVkNOnEeeihrw9sUIZpA" annotatedElement="_Z4npINOnEeeihrw9sUIZpA">
            <body>&quot;A short, descriptive user-friendly label for the study.&quot; - HL7 FHIR, ResearchStudy.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z4npItOnEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z4npIdOnEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_sI8XINOtEeeihrw9sUIZpA" name="contact" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_sI8XIdOtEeeihrw9sUIZpA" annotatedElement="_sI8XINOtEeeihrw9sUIZpA">
            <body>&quot;Contact details to assist a user in learning more about or engaging with the study.&quot; - HL7 FHIR, ResearchStudy.contact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sI8XI9OtEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sI8XItOtEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i4P88NOvEeeihrw9sUIZpA" name="enrollment" visibility="public" type="_VD7rEBPZEee2yObkTlcn4g">
          <ownedComment xmi:id="_i4P88dOvEeeihrw9sUIZpA" annotatedElement="_i4P88NOvEeeihrw9sUIZpA">
            <body>&quot;Reference to a Group that defines the criteria for and quantity of subjects participating in the study, e.g., 200 female Europeans between the ages of 20 and 45 with early onset diabetes.&quot; - HL7 FHIR, ResearchStudy.enrollment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i4P889OvEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i4P88tOvEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7SmL8NOvEeeihrw9sUIZpA" name="sponsor" visibility="public" type="_420A62FD03B6418AA15801A9">
          <ownedComment xmi:id="_7SmL8dOvEeeihrw9sUIZpA" annotatedElement="_7SmL8NOvEeeihrw9sUIZpA">
            <body>&quot;An organization that initiates the investigation and is legally responsible for the study.&quot; - HL7 FHIR, ResearchStudy.sponsor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7SmL89OvEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7SmL8tOvEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7e3tYNOvEeeihrw9sUIZpA" name="principalInvestigator" visibility="public" type="_420A62FD03B6418A6B760063">
          <ownedComment xmi:id="_GWHjwNOwEeeihrw9sUIZpA" annotatedElement="_7e3tYNOvEeeihrw9sUIZpA">
            <body>&quot;A researcher in a study who oversees multiple aspects of the study, such as concept development, protocol writing, protocol submission for IRB approval, participant recruitment, informed consent, data collection, analysis, interpretation and presentation.&quot; - HL7 FHIR, ResearchStudy.principalInvestigator</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7e3tY9OvEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7e3tYtOvEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_MgsPoNOwEeeihrw9sUIZpA" name="site" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_OXvQ0NOwEeeihrw9sUIZpA" annotatedElement="_MgsPoNOwEeeihrw9sUIZpA">
            <body>&quot;A facility in which study activities are conducted.&quot; - HL7 FHIR, ResearchStudy.site</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MgsPo9OwEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MgsPotOwEeeihrw9sUIZpA" value="*"/>
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        <ownedAttribute xmi:id="_Wx5ZsNOwEeeihrw9sUIZpA" name="reasonStopped" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_a8TkoNOwEeeihrw9sUIZpA" annotatedElement="_Wx5ZsNOwEeeihrw9sUIZpA">
            <body>&quot;A description and/or code explaining the premature termination of the study.&quot; - HL7 FHIR, ResearchStudy.reasonStopped</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wx5Zs9OwEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wx5ZstOwEeeihrw9sUIZpA" value="1"/>
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        <ownedAttribute xmi:id="_uMIPgNOwEeeihrw9sUIZpA" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_y7_Q4NOwEeeihrw9sUIZpA" annotatedElement="_uMIPgNOwEeeihrw9sUIZpA">
            <body>&quot;Comments made about the study by the performer, subject or other participants.&quot; - HL7 FHIR, ResearchStudy.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uMIPg9OwEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uMIPgtOwEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FImLQNOxEeeihrw9sUIZpA" name="studyArm" visibility="public" type="_1gi4UNOwEeeihrw9sUIZpA" association="_FIkWENOxEeeihrw9sUIZpA">
          <ownedComment xmi:id="_LMJCENOxEeeihrw9sUIZpA" annotatedElement="_FImLQNOxEeeihrw9sUIZpA">
            <body>Pointer to a group or subgroup of participants in a clinical trial or research study.&#xD;
&quot;Describes an expected sequence of events for one of the participants of a study. E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.&quot; - HL7 FHIR, ResearchStudy.arm</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FImLQdOxEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FImLQtOxEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wYcrMdOyEeeihrw9sUIZpA" name="objective" visibility="public" type="_TwRw4NOyEeeihrw9sUIZpA" association="_wYcrMNOyEeeihrw9sUIZpA">
          <ownedComment xmi:id="_yRdbQNOyEeeihrw9sUIZpA" annotatedElement="_wYcrMdOyEeeihrw9sUIZpA">
            <body>&quot;A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study.&quot; - HL7 FHIR, ResearchStudy.objective</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wYhjsNOyEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wYiKwNOyEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2F9BkNOnEeeihrw9sUIZpA" name="researchStudy_partOf" memberEnd="_2F9BkdOnEeeihrw9sUIZpA _2F9BlNOnEeeihrw9sUIZpA">
        <ownedEnd xmi:id="_2F9BlNOnEeeihrw9sUIZpA" name="" visibility="private" type="_ji-V8NOkEeeihrw9sUIZpA" association="_2F9BkNOnEeeihrw9sUIZpA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1gi4UNOwEeeihrw9sUIZpA" name="StudyArm">
        <ownedComment xmi:id="_En8VQNOxEeeihrw9sUIZpA" annotatedElement="_1gi4UNOwEeeihrw9sUIZpA">
          <body>A study arm is &quot;a group or subgroup of participants in a clinical trial that receives specific interventions, or no intervention, according to the study protocol. This is decided before the trial begins&quot; (ClinicalTrials.gov).&#xD;
&quot;Describes an expected sequence of events for one of the participants of a study. E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.&quot; - HL7 FHIR, ResearchStudy.arm</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3BwW8NOxEeeihrw9sUIZpA" name="name" visibility="public">
          <ownedComment xmi:id="_3BwW8dOxEeeihrw9sUIZpA" annotatedElement="_3BwW8NOxEeeihrw9sUIZpA">
            <body>&quot;Unique, human-readable label for this arm of the study.&quot; - HL7 FHIR, ResearchStudy.arm.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3BwW89OxEeeihrw9sUIZpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3BwW8tOxEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3s6MwNOxEeeihrw9sUIZpA" name="description" visibility="public">
          <ownedComment xmi:id="_3s6MwdOxEeeihrw9sUIZpA" annotatedElement="_3s6MwNOxEeeihrw9sUIZpA">
            <body>&quot;A succinct description of the path through the study that would be followed by a subject adhering to this arm.&quot; - HL7 FHIR, ResearchStudy.arm.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3s6Mw9OxEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3s6MwtOxEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_92VCENOxEeeihrw9sUIZpA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_92VCEdOxEeeihrw9sUIZpA" annotatedElement="_92VCENOxEeeihrw9sUIZpA">
            <body>&quot;Categorization of study arm, e.g. experimental, active comparator, placebo comparater.&quot; - HL7 FHIR, ResearchStudy.arm.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_92VCE9OxEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_92VCEtOxEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FIkWENOxEeeihrw9sUIZpA" name="researchStudy_studyArm" memberEnd="_FImLQNOxEeeihrw9sUIZpA _FImLQ9OxEeeihrw9sUIZpA">
        <ownedEnd xmi:id="_FImLQ9OxEeeihrw9sUIZpA" name="" visibility="private" type="_ji-V8NOkEeeihrw9sUIZpA" association="_FIkWENOxEeeihrw9sUIZpA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_TwRw4NOyEeeihrw9sUIZpA" name="Objective">
        <ownedComment xmi:id="_vtZjENOyEeeihrw9sUIZpA" annotatedElement="_TwRw4NOyEeeihrw9sUIZpA">
          <body>&quot;A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study.&quot; - HL7 FHIR, ResearchStudy.objective</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TwRw4tOyEeeihrw9sUIZpA" name="name" visibility="public">
          <ownedComment xmi:id="_TwRw49OyEeeihrw9sUIZpA" annotatedElement="_TwRw4tOyEeeihrw9sUIZpA">
            <body>&quot;Unique, human-readable label for this objective of the study.&quot; - HL7 FHIR, ResearchStudy.objective.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TwRw5dOyEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TwRw5NOyEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TwRw6tOyEeeihrw9sUIZpA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TwRw69OyEeeihrw9sUIZpA" annotatedElement="_TwRw6tOyEeeihrw9sUIZpA">
            <body>&quot;The kind of study objective.&quot; - HL7 FHIR, ResearchStudy.objective.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TwRw7dOyEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TwRw7NOyEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wYcrMNOyEeeihrw9sUIZpA" name="researchStudy_objective" memberEnd="_wYcrMdOyEeeihrw9sUIZpA _wYjY4NOyEeeihrw9sUIZpA">
        <ownedEnd xmi:id="_wYjY4NOyEeeihrw9sUIZpA" name="" visibility="private" type="_ji-V8NOkEeeihrw9sUIZpA" association="_wYcrMNOyEeeihrw9sUIZpA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GWWocNUdEeeaHvV-nCCy9A" name="Media">
        <ownedComment xmi:id="_8d7f4NUeEeeaHvV-nCCy9A" annotatedElement="_GWWocNUdEeeaHvV-nCCy9A">
          <body>&quot;A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.&quot; - HL7 FHIR, Media</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Y2EIMNUhEeeaHvV-nCCy9A" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qf2pYNUhEeeaHvV-nCCy9A" annotatedElement="_Y2EIMNUhEeeaHvV-nCCy9A">
            <body>&quot;Indicates the site on the subject's body where the media was collected (i.e. the target site).&quot; - HL7 FHIR, Media.bodySite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y2EIMtUhEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y2EIMdUhEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Cb-ysNUfEeeaHvV-nCCy9A" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2yVZkNUfEeeaHvV-nCCy9A" annotatedElement="_Cb-ysNUfEeeaHvV-nCCy9A">
            <body>&quot;Whether the media is a photo (still image), an audio recording, or a video recording.&quot; - HL7 FHIR, Media.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Cb-ystUfEeeaHvV-nCCy9A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Cb-ysdUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDVvMNUhEeeaHvV-nCCy9A" name="content" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_i6gMINUiEeeaHvV-nCCy9A" annotatedElement="_ZDVvMNUhEeeaHvV-nCCy9A">
            <body>&quot;The actual content of the media - inline or by direct reference to the media source file.&quot; - HL7 FHIR, Media.content</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDVvMtUhEeeaHvV-nCCy9A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDVvMdUhEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CxJxcNUfEeeaHvV-nCCy9A" name="context" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_3XxMcNUgEeeaHvV-nCCy9A" annotatedElement="_CxJxcNUfEeeaHvV-nCCy9A">
            <body>&quot;The encounter or episode of care that establishes the context for this media.&quot; - HL7 FHIR, Media.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CxJxctUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CxJxcdUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y9GkUNUhEeeaHvV-nCCy9A" name="device" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA">
          <ownedComment xmi:id="_uzELANUhEeeaHvV-nCCy9A" annotatedElement="_Y9GkUNUhEeeaHvV-nCCy9A">
            <body>&quot;The device used to collect the media.&quot; - HL7 FHIR, Media.device&#xD;
Note that FHIR can point to either a Device or a DeviceMetric. FHIM points to DeviceInstance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y9GkUtUhEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y9GkUdUhEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FazM4NUiEeeaHvV-nCCy9A" name="duration" visibility="public">
          <ownedComment xmi:id="_beUHYNUiEeeaHvV-nCCy9A" annotatedElement="_FazM4NUiEeeaHvV-nCCy9A">
            <body>&quot;The duration of the recording in seconds - for audio and video.&quot; - HL7 FHIR, Media.duration</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FazM4tUiEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FazM4dUiEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FUQgANUiEeeaHvV-nCCy9A" name="frames" visibility="public">
          <ownedComment xmi:id="_Wb-18NUiEeeaHvV-nCCy9A" annotatedElement="_FUQgANUiEeeaHvV-nCCy9A">
            <body>&quot;The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.&quot; - HL7 FHIR, Media.frames</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FUQgAtUiEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FUQgAdUiEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__IGfwNUhEeeaHvV-nCCy9A" name="height" visibility="public">
          <ownedComment xmi:id="_IDqskNUiEeeaHvV-nCCy9A" annotatedElement="__IGfwNUhEeeaHvV-nCCy9A">
            <body>&quot;Height of the image in pixels (photo/video).&quot; - HL7 FHIR, Media.height</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__IGfwtUhEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__IGfwdUhEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_96PF0NUeEeeaHvV-nCCy9A" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NDIXkNUfEeeaHvV-nCCy9A" annotatedElement="_96PF0NUeEeeaHvV-nCCy9A">
            <body>&quot;Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.&quot; - HL7 FHIR, Media.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A5oPINUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A5oPIdUfEeeaHvV-nCCy9A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yIZSoNUiEeeaHvV-nCCy9A" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_3ESk4NUiEeeaHvV-nCCy9A" annotatedElement="_yIZSoNUiEeeaHvV-nCCy9A">
            <body>&quot;Comments made about the media by the performer, subject or other participants.&quot; - HL7 FHIR, Media.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yIZSo9UiEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yIZSotUiEeeaHvV-nCCy9A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C6ON4NUfEeeaHvV-nCCy9A" name="occurrence" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_NsImYNUhEeeaHvV-nCCy9A" annotatedElement="_C6ON4NUfEeeaHvV-nCCy9A">
            <body>&quot;The date and time(s) at which the media was collected.&quot; - HL7 FHIR, Media.occurrence[x]&#xD;
Note that FHIR can be a dateTime or a Period. The FHIM is modeled as a TimeInterval in order to handle both cases.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C6ON4tUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C6ON4dUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DDVGkNUfEeeaHvV-nCCy9A" name="operator" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_U5FVQNUhEeeaHvV-nCCy9A" annotatedElement="_DDVGkNUfEeeaHvV-nCCy9A">
            <body>&quot;The person who administered the collection of the image.&quot; - HL7 FHIR, Media.operator</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DDVGktUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DDVGkdUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DSgLANUfEeeaHvV-nCCy9A" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_e7CiYNUhEeeaHvV-nCCy9A" annotatedElement="_DSgLANUfEeeaHvV-nCCy9A">
            <body>&quot;Describes why the event occurred in coded or textual form.&quot; - HL7 FHIR, Media.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DSgLAtUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DSgLAdUfEeeaHvV-nCCy9A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8N0x4NUfEeeaHvV-nCCy9A" name="subCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8N0x4dUfEeeaHvV-nCCy9A" annotatedElement="_8N0x4NUfEeeaHvV-nCCy9A">
            <body>&quot;Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.&quot; - HL7 FHIR, Media.subtype</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8N0x49UfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8N0x4tUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CnZYgNUfEeeaHvV-nCCy9A" name="subject" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA">
          <ownedComment xmi:id="_Z1A5MNUgEeeaHvV-nCCy9A" annotatedElement="_CnZYgNUfEeeaHvV-nCCy9A">
            <body>&quot;Who/What this Media is a record of.&quot; - HL7 FHIR, Media.subject&#xD;
Note that in FHIR, the subject can be a Patient, Practitioner, Group, Device, or Specimen. In the FHIM, we point to Subject, which points to an Entity, so this can be handled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CnZYgtUfEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CnZYgdUfEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JM20INUgEeeaHvV-nCCy9A" name="view" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JM20IdUgEeeaHvV-nCCy9A" annotatedElement="_JM20INUgEeeaHvV-nCCy9A">
            <body>&quot;The name of the imaging view e.g. Lateral or Antero-posterior (AP).&quot; - HL7 FHIR, Media.view</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JM20I9UgEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JM20ItUgEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FMj8kNUiEeeaHvV-nCCy9A" name="width" visibility="public">
          <ownedComment xmi:id="_Myw48NUiEeeaHvV-nCCy9A" annotatedElement="_FMj8kNUiEeeaHvV-nCCy9A">
            <body>&quot;Width of the image in pixels (photo/video).&quot; - HL7 FHIR, Media.width</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FMj8ktUiEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FMj8kdUiEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bepdkNUtEeeaHvV-nCCy9A" name="RiskAssessment">
        <ownedComment xmi:id="_nfMeUNUtEeeaHvV-nCCy9A" annotatedElement="_bepdkNUtEeeaHvV-nCCy9A">
          <body>&quot;An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.&quot; - HL7 FHIR, RiskAssessment</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7qrgMNUtEeeaHvV-nCCy9A" name="comment" visibility="public">
          <ownedComment xmi:id="_2MKaUNUzEeeaHvV-nCCy9A" annotatedElement="_7qrgMNUtEeeaHvV-nCCy9A">
            <body>&quot;Additional comments about the risk assessment.&quot; - HL7 FHIR, RiskAssessment.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7qrgMtUtEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7qrgMdUtEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7n0ZcNUtEeeaHvV-nCCy9A" name="condition" visibility="public" type="_420A62FD03B6421F8AD00244">
          <ownedComment xmi:id="_5ubkANUvEeeaHvV-nCCy9A" annotatedElement="_7n0ZcNUtEeeaHvV-nCCy9A">
            <body>&quot;For assessments or prognosis specific to a particular condition, indicates the condition being assessed.&quot; - HL7 FHIR, RiskAssessment.condition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7n0ZctUtEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7n0ZcdUtEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cLttANUvEeeaHvV-nCCy9A" name="context" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_cLttAdUvEeeaHvV-nCCy9A" annotatedElement="_cLttANUvEeeaHvV-nCCy9A">
            <body>&quot;The encounter where the assessment was performed.&quot; - HL7 FHIR, RiskAssessment.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cLttA9UvEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cLttAtUvEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7kzhsNUtEeeaHvV-nCCy9A" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_FYnlINUuEeeaHvV-nCCy9A" annotatedElement="_7kzhsNUtEeeaHvV-nCCy9A">
            <body>&quot;Business identifier assigned to the risk assessment.&quot; - HL7 FHIR, RiskAssessment.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7kzhstUtEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7kzhsdUtEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MNhAYNUuEeeaHvV-nCCy9A" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BMj-8NUvEeeaHvV-nCCy9A" annotatedElement="_MNhAYNUuEeeaHvV-nCCy9A">
            <body>&quot;The type of the risk assessment performed.&quot; - HL7 FHIR, RiskAssessment.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNhAYtUuEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNhAYdUuEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MIPe0NUuEeeaHvV-nCCy9A" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7Y9BkNUuEeeaHvV-nCCy9A" annotatedElement="_MIPe0NUuEeeaHvV-nCCy9A">
            <body>&quot;The algorithm, process or mechanism used to evaluate the risk.&quot; - HL7 FHIR, RiskAssessment.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIPe0tUuEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIPe0dUuEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ov54QNUtEeeaHvV-nCCy9A" name="mitigation" visibility="public">
          <ownedComment xmi:id="_wYVagNUzEeeaHvV-nCCy9A" annotatedElement="_ov54QNUtEeeaHvV-nCCy9A">
            <body>&quot;A description of the steps that might be taken to reduce the identified risk(s).&quot; - HL7 FHIR, RiskAssessment.mitigation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vtsw0NUtEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vtsw0dUtEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_krEe8NUvEeeaHvV-nCCy9A" name="occurrence" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_krEe8dUvEeeaHvV-nCCy9A" annotatedElement="_krEe8NUvEeeaHvV-nCCy9A">
            <body>&quot;The date (and possibly time) the risk assessment was performed.&quot; - HL7 FHIR, RiskAssessment.occurrence[x]&#xD;
Note that FHIR can be a dateTime or a Period. The FHIM is modeled as a TimeInterval in order to handle both cases.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_krEe89UvEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_krEe8tUvEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gHNcwNUwEeeaHvV-nCCy9A" name="prediction" visibility="public" type="_Y8aqANUwEeeaHvV-nCCy9A" association="_gHH9MNUwEeeaHvV-nCCy9A">
          <ownedComment xmi:id="_iTIhwNUwEeeaHvV-nCCy9A" annotatedElement="_gHNcwNUwEeeaHvV-nCCy9A">
            <body>&quot;Describes the expected outcome for the subject.&quot; - HL7 FHIR, RiskAssessment.prediction</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gHOD0NUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gHOD0dUwEeeaHvV-nCCy9A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OmcUsNUwEeeaHvV-nCCy9A" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QagTUNUwEeeaHvV-nCCy9A" annotatedElement="_OmcUsNUwEeeaHvV-nCCy9A">
            <body>&quot;The reason the risk assessment was performed.&quot; - HL7 FHIR, RiskAssessment.reason[x]&#xD;
Note that in FHIR this can be a code or a pointer to any resource. In FHIM, this is currently modeled as a code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OmcUstUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OmcUsdUwEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MDBnoNUuEeeaHvV-nCCy9A" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RLOQgNUuEeeaHvV-nCCy9A" annotatedElement="_MDBnoNUuEeeaHvV-nCCy9A">
            <body>&quot;The status of the RiskAssessment, using the same statuses as an Observation.&quot; - HL7 FHIR, RiskAssessment.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MDBnotUuEeeaHvV-nCCy9A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MDBnodUuEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NQecwNUvEeeaHvV-nCCy9A" name="subject" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA">
          <ownedComment xmi:id="_NQecwdUvEeeaHvV-nCCy9A" annotatedElement="_NQecwNUvEeeaHvV-nCCy9A">
            <body>&quot;The patient or group the risk assessment applies to.&quot; - HL7 FHIR, RiskAssessment.subject&#xD;
Note that in FHIR, the subject can be a Patient, or Group. In the FHIM, we point to Subject, which points to an Entity, so this can be handled</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NQecw9UvEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NQecwtUvEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y8aqANUwEeeaHvV-nCCy9A" name="Prediction">
        <ownedComment xmi:id="_fO1qUNUwEeeaHvV-nCCy9A" annotatedElement="_Y8aqANUwEeeaHvV-nCCy9A">
          <body>&quot;Describes the expected outcome for the subject.&quot; - HL7 FHIR, RiskAssessment.prediction</body>
        </ownedComment>
        <ownedAttribute xmi:id="_phkeYNUwEeeaHvV-nCCy9A" name="outcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_sCVK8NUwEeeaHvV-nCCy9A" annotatedElement="_phkeYNUwEeeaHvV-nCCy9A">
            <body>&quot;One of the potential outcomes for the patient (e.g. remission, death, a particular condition).&quot; - HL7 FHIR, RiskAssessment.prediction.outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_phkeYtUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_phkeYdUwEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qFg48NUwEeeaHvV-nCCy9A" name="probabilityDecimal" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LmPoMNUyEeeaHvV-nCCy9A" annotatedElement="_qFg48NUwEeeaHvV-nCCy9A">
            <body>&quot;How likely is the outcome (in the specified timeframe).&quot; - HL7 FHIR, RiskAssessment.prediction.probability[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qFg48tUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qFg48dUwEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rt2foNUyEeeaHvV-nCCy9A" name="probabilityRange" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Rt2fodUyEeeaHvV-nCCy9A" annotatedElement="_Rt2foNUyEeeaHvV-nCCy9A">
            <body>&quot;How likely is the outcome (in the specified timeframe).&quot; - HL7 FHIR, RiskAssessment.prediction.probability[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rt2fo9UyEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rt2fotUyEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xKDSsNUwEeeaHvV-nCCy9A" name="qualitativeRisk" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Zr7wgNUyEeeaHvV-nCCy9A" annotatedElement="_xKDSsNUwEeeaHvV-nCCy9A">
            <body>&quot;How likely is the outcome (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, high).&quot; - HL7 FHIR, RiskAssessment.prediction.qualitativeRisk</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xKDSstUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xKDSsdUwEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xNoyMNUwEeeaHvV-nCCy9A" name="relativeRisk" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_jHed4NUyEeeaHvV-nCCy9A" annotatedElement="_xNoyMNUwEeeaHvV-nCCy9A">
            <body>&quot;Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk).&quot; - HL7 FHIR, RiskAssessment.prediction.relativeRisk</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xNoyMtUwEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xNoyMdUwEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7s5GsNUtEeeaHvV-nCCy9A" name="rationale" visibility="public">
          <ownedComment xmi:id="_R8rJUNUzEeeaHvV-nCCy9A" annotatedElement="_7s5GsNUtEeeaHvV-nCCy9A">
            <body>&quot;Additional information explaining the basis for the prediction.&quot; - HL7 FHIR, RiskAssessment.prediction.rationale</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7s5GstUtEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7s5GsdUtEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g4KGoNUyEeeaHvV-nCCy9A" name="when" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_smFtYNUyEeeaHvV-nCCy9A" annotatedElement="_g4KGoNUyEeeaHvV-nCCy9A">
            <body>&quot;Indicates the period of time or age range of the subject to which the specified probability applies.&quot; - HL7 FHIR, RiskAssessment.prediction.when&#xD;
Note that the FHIR datatype can be a Period or Range; FHIM currently models this as a TimeInterval.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g4KGotUyEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g4KGodUyEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gHH9MNUwEeeaHvV-nCCy9A" memberEnd="_gHNcwNUwEeeaHvV-nCCy9A _gHP5ANUwEeeaHvV-nCCy9A">
        <ownedEnd xmi:id="_gHP5ANUwEeeaHvV-nCCy9A" name="" visibility="private" type="_bepdkNUtEeeaHvV-nCCy9A" association="_gHH9MNUwEeeaHvV-nCCy9A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_hr_wwBgBEeiwcpUehaEhrA" name="CIMIReferenceModel">
        <eAnnotations xmi:id="_hsSrsBgBEeiwcpUehaEhrA" source="uml2.diagrams"/>
        <ownedComment xmi:id="_1pptkC6gEeiK-Nu2QYEazg">
          <body>This package contains the CIMI Reference Model exactly as it appears in the HL7 ballot, except that it uses FHIM datatypes (for convenience) rather than CIMI datatypes. The FHIM models can be transformed to comply with this reference model using a model-to-model transformation.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_tK5UwEIgEee2bJNtigJtLg" name="PresenceContext">
          <ownedComment xmi:id="_za5TMEIgEee2bJNtigJtLg" annotatedElement="_tK5UwEIgEee2bJNtigJtLg">
            <body>&quot;A context indicating that a finding is known or suspected to be present in the subject of information.&quot; - HL7 CIMI, PresenceContext</body>
          </ownedComment>
          <generalization xmi:id="_FcK1YEIjEee2bJNtigJtLg" general="_hqawoEIfEee2bJNtigJtLg"/>
          <ownedAttribute xmi:id="_KhG4kId0EeeJXvOkPl8Bfw" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_KhG4kYd0EeeJXvOkPl8Bfw" annotatedElement="_KhG4kId0EeeJXvOkPl8Bfw">
              <body>&quot;Represents a qualitative probability for the presence of the condition, such as unlikely, highly likely, etc.&quot; - HL7 CIMI, PresenceContext.certainty</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KhG4k4d0EeeJXvOkPl8Bfw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KhG4kod0EeeJXvOkPl8Bfw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__XKX4GGQEeeNCem-9yFTpQ" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="__XKX4WGQEeeNCem-9yFTpQ" annotatedElement="__XKX4GGQEeeNCem-9yFTpQ">
              <body>&quot;Date when the asserted finding began manifesting or was first observed. This property may have a broad precision (e.g., a year rather than a date).&quot; - HL7 CIMI, PresenceContext.dateOfOnset</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__XKX42GQEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__XKX4mGQEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ohj5IGGQEeeNCem-9yFTpQ" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
            <ownedComment xmi:id="_ohj5IWGQEeeNCem-9yFTpQ" annotatedElement="_ohj5IGGQEeeNCem-9yFTpQ">
              <body>&quot;The age of the patient or subject at onset of the Condition. Note that this property could potentially be derived.&quot; - HL7 CIMI, PresenceContext.ageAtOnset&#xD;
Note that this property is marked as derived as it may be calculated or may be stored, depending on the implementation.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ohj5I2GQEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ohj5ImGQEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_OFso4GGREeeNCem-9yFTpQ" name="dateAbated" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_OFso4WGREeeNCem-9yFTpQ" annotatedElement="_OFso4GGREeeNCem-9yFTpQ">
              <body>&quot;Date when the asserted finding abated. This property may have a broad precision (e.g., a year rather than a date).&quot; HL7 CIMI, PresenceContext.dateAbated</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OFso42GREeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OFso4mGREeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_WPlhIGGREeeNCem-9yFTpQ" name="hasAbated" visibility="public">
            <ownedComment xmi:id="_WPlhIWGREeeNCem-9yFTpQ" annotatedElement="_WPlhIGGREeeNCem-9yFTpQ">
              <body>&quot;Flag indicating whether a condition has abated when a specific date of, time period, or age at abatement is not known.&quot; HL7 CIMI, PresenceContext.hasAbated</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WPlhI2GREeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WPlhImGREeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_9Mc0QCu5EeiPA_4ODyGYTQ" name="presentOnAdmission" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_9Mc0QSu5EeiPA_4ODyGYTQ" annotatedElement="_9Mc0QCu5EeiPA_4ODyGYTQ">
              <body>&quot;PresentOnAdmission is used to indicate if a finding or other characteristic existed upon admission. Wound, IV, dressing, bruise etc.&quot; HL7 CIMI, PresenceContext.presentOnAdmission</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9Mc0Qyu5EeiPA_4ODyGYTQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9Mc0Qiu5EeiPA_4ODyGYTQ" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_7vPvAEIgEee2bJNtigJtLg" name="AbsenceContext">
          <ownedComment xmi:id="_96HEEEIgEee2bJNtigJtLg" annotatedElement="_7vPvAEIgEee2bJNtigJtLg">
            <body>&quot;Context indicating the known absence of a finding in the subject of information. If the finding is suspected to be absent, use the known or suspected present context instead.&quot; - HL7 CIMI, AbsenceContext</body>
          </ownedComment>
          <generalization xmi:id="_F8NnYEIjEee2bJNtigJtLg" general="_hqawoEIfEee2bJNtigJtLg"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hqawoEIfEee2bJNtigJtLg" name="PresenceAbsenceContext" isAbstract="true">
          <ownedComment xmi:id="_i_OK8EIgEee2bJNtigJtLg" annotatedElement="_hqawoEIfEee2bJNtigJtLg">
            <body>&quot;Base class for contexts asserting presence or absence of a finding.&quot; - HL7 CIMI, PresenceAbsenceContext</body>
          </ownedComment>
          <generalization xmi:id="_TYviMCu4EeiPA_4ODyGYTQ" general="_zxWdsCu3EeiPA_4ODyGYTQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_29nUQBgBEeiwcpUehaEhrA" name="InformationEntry">
          <ownedComment xmi:id="_8dMiYBgBEeiwcpUehaEhrA" annotatedElement="_29nUQBgBEeiwcpUehaEhrA">
            <body>&quot;An entry in a patient record or in a report, generally used for the documentation of clinical information about a subject of information such as a patient or a relative of the patient, asserted by a particular source, recorded, and potentially verified.&quot; - HL7 CIMI, InformationEntry</body>
          </ownedComment>
          <ownedAttribute xmi:id="_DSzvUBgCEeiwcpUehaEhrA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_I47qUBgCEeiwcpUehaEhrA" annotatedElement="_DSzvUBgCEeiwcpUehaEhrA">
              <body>&quot;A unique identifier(s) for this clinical statement. Some identifiers may include version information.&quot; - HL7 CIMI, InformationEntry.identifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H-mwEBgCEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H-mwERgCEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_b_DKIBgDEeiwcpUehaEhrA" name="subjectOfInformation" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA">
            <ownedComment xmi:id="_b_DKIRgDEeiwcpUehaEhrA" annotatedElement="_b_DKIBgDEeiwcpUehaEhrA">
              <body>&quot;The subject of the entry, which is unusually the patient, but may also be a relative of the patient, a a cohort, a device, etc. When the subject of information is the same as the subject of record, the relationship self is used. In cases such as family history or descriptions of device (mal)function, the relationship type is something other than self. This attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) and is bound to the SNOMED attribute: 'Subject relationship context (attribute)' (SCTID: 408732007).&quot; - HL7 CIMI, InformationEntry.subjectOfInformation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b_DKIxgDEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b_DKIhgDEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_VjSLIBgEEeiwcpUehaEhrA" name="additionalText" visibility="public" type="_420A62FD03B642C044DB02ED">
            <ownedComment xmi:id="_pfW4ABgEEeiwcpUehaEhrA" annotatedElement="_VjSLIBgEEeiwcpUehaEhrA">
              <body>&quot;An unstructured note appended to the information entry.&quot; - HL7 CIMI, InformationEntry.additionalText</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VjSLIhgEEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VjSLIRgEEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wAjwoBgDEeiwcpUehaEhrA" name="recordStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_8zSm0BgEEeiwcpUehaEhrA" annotatedElement="_wAjwoBgDEeiwcpUehaEhrA">
              <body>&quot;Concept indicating the state of this record, e.g., entered in error.&quot; - HL7 CIMI, InformationEntry.recordStatus</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wAjwoxgDEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wAjwohgDEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__paGwDQ8EeiTMPysKlR2iA" name="cosigned" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="__paGwTQ8EeiTMPysKlR2iA" annotatedElement="__paGwDQ8EeiTMPysKlR2iA">
              <body>&quot;Provenance information specific to the cosigning of the clinical statement.&quot; - HL7 CIMI, InformationEntry.cosigned</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__paGwzQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__paGwjQ8EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__paGxDQ8EeiTMPysKlR2iA" name="recorded" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="__paGxTQ8EeiTMPysKlR2iA" annotatedElement="__paGxDQ8EeiTMPysKlR2iA">
              <body>&quot;The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.&quot; - HL7 FHIR, MedicationRequest.recorder&#xD;
&quot;Provenance information specific to the recording of the clinical statement (e.g., when recorded, where recorded, etc...).&quot; - HL7 CIMI, InformationEntry.recorded</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__paGxzQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__paGxjQ8EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__pj3wDQ8EeiTMPysKlR2iA" name="signed" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="__pj3wTQ8EeiTMPysKlR2iA" annotatedElement="__pj3wDQ8EeiTMPysKlR2iA">
              <body>&quot;The healthcare professional responsible for authorizing the initial prescription.&quot; - HL7 FHIR, MedicationRequest.requester.agent&#xD;
&quot;Provenance information specific to the signing of the clinical statement.&quot; - HL7 CIMI InformationEntry.signed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__pj3wzQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__pj3wjQ8EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__pj3xDQ8EeiTMPysKlR2iA" name="verified" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="__pj3xTQ8EeiTMPysKlR2iA" annotatedElement="__pj3xDQ8EeiTMPysKlR2iA">
              <body>&quot;Provenance information specific to the verification process associated with this statement (e.g., verifier, verification method, when verified, etc.)&quot; - HL7 CIMI InformationEntry.verified</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__pj3xzQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__pj3xjQ8EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_vRMTwBgEEeiwcpUehaEhrA" name="ClinicalStatement">
          <ownedComment xmi:id="_DNipQBgMEeiwcpUehaEhrA" annotatedElement="_vRMTwBgEEeiwcpUehaEhrA">
            <body>&quot;A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement archetypes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model. A clinical statement is composed of the StatementTopic class (grouping of attributes for capturing information about a procedure or a clinical finding) and the StatementContext class (grouping of attributes providing the context for the statement topic such as whether a procedure was performed, requested, not performed or whether a finding is suspected present or absent in the patient). At the archetype level, the topic and context components are coordinated to form the clinical statement. For instance, the composition of the ProcedureTopic with the NotPerformed context indicates that the given procedure was not performed.&quot; - HL7 CIMI, ClinicalStatement</body>
          </ownedComment>
          <generalization xmi:id="_WPLGIBgXEeiwcpUehaEhrA" general="_29nUQBgBEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_xiLZwBgWEeiwcpUehaEhrA" name="topic" visibility="public">
            <ownedComment xmi:id="_7dKcMBgWEeiwcpUehaEhrA" annotatedElement="_xiLZwBgWEeiwcpUehaEhrA">
              <body>&quot;What the statement is about, e.g., the kind of finding or action. The range of this attribute is a structure (StatementTopic) rather than a value set. For instance, if the 'topic' attribute's meaning is bound to 'ProcedureTopic, then the topic must be a specialization of ProcedureTopic. This attribute aligns with the SNOMED CT 'Associated finding (attribute)' (SCTID: 246090004) and 'Associated procedure (attribute)' (SCTID: 363589002).&quot; - HL7 CIMI, ClinicalStatement.topic</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_06PhwBgWEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_06PhwRgWEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_KBb98BgXEeiwcpUehaEhrA" name="context" visibility="public">
            <ownedComment xmi:id="_KBb98RgXEeiwcpUehaEhrA" annotatedElement="_KBb98BgXEeiwcpUehaEhrA">
              <body>&quot;The ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range of this attribute is a structure (StatementContext) rather than a value set. The context of the clinical statement must align with the range specified by the SWEC Concept Model. For instance, if the 'context' attribute's meaning is bound to 'Finding context', then the context may not be a specialization of the ActionContext statement context. Instead, it should be a specialization of the FindingContext statement context.&quot; - HL7 CIMI, ClinicalStatement.context</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KBb98xgXEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KBb98hgXEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_VR18MBgMEeiwcpUehaEhrA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316">
            <ownedComment xmi:id="_Z8oQUBgMEeiwcpUehaEhrA" annotatedElement="_VR18MBgMEeiwcpUehaEhrA">
              <body>&quot;Encounter associated with this clinical statement.&quot; - HL7 CIMI, ClinicalStatement.encounter</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VR18MhgMEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VR18MRgMEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3X0XcBgWEeiwcpUehaEhrA" name="StatementContext">
          <ownedComment xmi:id="_rkqgMBgbEeiwcpUehaEhrA" annotatedElement="_3X0XcBgWEeiwcpUehaEhrA">
            <body>&quot;Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm.&quot; - HL7 CIMI, StatementContext</body>
          </ownedComment>
          <ownedAttribute xmi:id="_wdDLcBgbEeiwcpUehaEhrA" name="contextCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_1g9KMBgbEeiwcpUehaEhrA" annotatedElement="_wdDLcBgbEeiwcpUehaEhrA">
              <body>&quot;The ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.&quot; - HL7 CIMI, StatementContext.contextCode</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wdDLchgbEeiwcpUehaEhrA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wdDLcRgbEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Cf_McBgcEeiwcpUehaEhrA" name="temporalContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Cf_McRgcEeiwcpUehaEhrA" annotatedElement="_Cf_McBgcEeiwcpUehaEhrA">
              <body>&quot;Whether the topic is prospective or retrospective. E.g., action occurred in the past. This attribute is aligned with the SNOMED Situation With Explicit Context temporal context attribute.&quot; - HL7 CIMI, StatementContext.temporalContext</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Cf_McxgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Cf_MchgcEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_Ken28BgcEeiwcpUehaEhrA" client="_vRMTwBgEEeiwcpUehaEhrA" supplier="_3X0XcBgWEeiwcpUehaEhrA"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_gI2HsBgcEeiwcpUehaEhrA" name="FindingContext" isAbstract="true">
          <ownedComment xmi:id="_gI2HsRgcEeiwcpUehaEhrA" annotatedElement="_gI2HsBgcEeiwcpUehaEhrA">
            <body>&quot;The FindingContext class provides the context for the EvaluationResult and Assertion topics of a clinical statement. For instance, a statement about findings may state that the finding was observed present or absent. This class aligns with the SNOMED Situation with Explicit Context.&quot; - HL7 CIMI, FindingContext</body>
          </ownedComment>
          <generalization xmi:id="__VgGEBgeEeiwcpUehaEhrA" general="_3X0XcBgWEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_gI2HshgcEeiwcpUehaEhrA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_gI2HsxgcEeiwcpUehaEhrA" annotatedElement="_gI2HshgcEeiwcpUehaEhrA">
              <body>&quot;The last recorded state of the finding, indicating whether the finding is preliminary, amended, final, to be attained, etc.&quot; - HL7 CIMI, FindingContext.status</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gI2HtRgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gI2HtBgcEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="__RCHsBgcEeiwcpUehaEhrA" name="ActionContext" isAbstract="true">
          <ownedComment xmi:id="__RCHsRgcEeiwcpUehaEhrA" annotatedElement="__RCHsBgcEeiwcpUehaEhrA">
            <body>&quot;The ActionContext class provides the context for the ProcedureTopic of a clinical statement. For instance, a statement about a procedure may specify that the procedure has been proposed, ordered, planned, performed or possibly not performed. This class aligns with the SNOMED Situations with Explicit Context.&quot; - HL7 CIMI, ActionContext</body>
          </ownedComment>
          <generalization xmi:id="_-1PRoBgeEeiwcpUehaEhrA" general="_3X0XcBgWEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="__RCHuBgcEeiwcpUehaEhrA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="__RCHuRgcEeiwcpUehaEhrA" annotatedElement="__RCHuBgcEeiwcpUehaEhrA">
              <body>&quot;The latest recorded status of an action within the specified context. An action may be interpretable within a specific context such as whether it is planned, ordered, or performed. Moreover, within each of these contexts, an action may have a set of allowable states in which it can exist. For instance, a proposal may be rejected or an order may be signed, canceled or superceded by another order.&quot; - HL7 CIMI, ActionContext.currentStatus</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__RCHuxgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__RCHuhgcEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__RCHvBgcEeiwcpUehaEhrA" name="justification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="__RCHvRgcEeiwcpUehaEhrA" annotatedElement="__RCHvBgcEeiwcpUehaEhrA">
              <body>&quot;Reason the action was done or justification for the action. Reasons may also be specified for not performing an action.&quot; - HL7 CIMI, ActionContext.justification</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__RCHvxgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__RCHvhgcEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__RCHtBgcEeiwcpUehaEhrA" name="scope" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="__RCHtRgcEeiwcpUehaEhrA" annotatedElement="__RCHtBgcEeiwcpUehaEhrA">
              <body>&quot;Indicates the scope or clinical setting where the context applies, e.g., Inpatient, outpatient, community.&quot; - HL7 CIMI, ActionContext.scope</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__RCHtxgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__RCHthgcEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__RCHwBgcEeiwcpUehaEhrA" name="supportingInformation" visibility="public" type="_29nUQBgBEeiwcpUehaEhrA">
            <ownedComment xmi:id="__RCHwRgcEeiwcpUehaEhrA" annotatedElement="__RCHwBgcEeiwcpUehaEhrA">
              <body>&quot;Additional information that supports the performance, non-performance, ordering, or proposing of the clinical action, for example, the patient height and weight, or documentation of heart rate before administering the medication (in case medication needs to be held if heart rate falls in a specific range).&quot; - HL7 CIMI, ActionContext.supportingInformation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__RCHwxgcEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__RCHwhgcEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_-XZUgBgdEeiwcpUehaEhrA" name="InformationEntryAssociation">
          <ownedComment xmi:id="_F5aUcBgeEeiwcpUehaEhrA" annotatedElement="_-XZUgBgdEeiwcpUehaEhrA">
            <body>&quot;Association class used to represent the relationship between a class and one or more clinical statements where the relationship is qualified by one or more attributes.&quot; - HL7 CIMI, InformationEntryAssociation</body>
          </ownedComment>
          <ownedAttribute xmi:id="_RbpokRgeEeiwcpUehaEhrA" name="target" visibility="public" type="_29nUQBgBEeiwcpUehaEhrA" association="_RbpokBgeEeiwcpUehaEhrA">
            <ownedComment xmi:id="_S1l3ABgeEeiwcpUehaEhrA" annotatedElement="_RbpokRgeEeiwcpUehaEhrA">
              <body>&quot;The statements to be associated with the current information item.&quot; - HL7 CIMI, InformationEntryAssociation.target</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RbpokhgeEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RbpokxgeEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dqpVABgeEeiwcpUehaEhrA" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_dqpVARgeEeiwcpUehaEhrA" annotatedElement="_dqpVABgeEeiwcpUehaEhrA">
              <body>&quot;The type of association between the source and the target.&quot; - HL7 CIMI, InformationEntryAssociation.type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dqpVAxgeEeiwcpUehaEhrA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dqpVAhgeEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-EoUcH7yEeiqneFp1k9mGg" name="strength" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-EoUcX7yEeiqneFp1k9mGg" annotatedElement="_-EoUcH7yEeiqneFp1k9mGg">
              <body>&quot;The strength of the association when known.&quot; - HL7 CIMI, InformationEntryAssociation.strength</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-EoUc37yEeiqneFp1k9mGg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-EoUcn7yEeiqneFp1k9mGg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-I9a0H7yEeiqneFp1k9mGg" name="targetConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-I9a0X7yEeiqneFp1k9mGg" annotatedElement="_-I9a0H7yEeiqneFp1k9mGg">
              <body>&quot;The target of the association when not an actual information entry class.&quot; - HL7 CIMI, InformationEntryAssociation.targetConcept</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-I9a037yEeiqneFp1k9mGg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-I9a0n7yEeiqneFp1k9mGg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_RbpokBgeEeiwcpUehaEhrA" name="informationEntryAssociation_target" memberEnd="_RbpokRgeEeiwcpUehaEhrA _Rb0AoBgeEeiwcpUehaEhrA">
          <ownedEnd xmi:id="_Rb0AoBgeEeiwcpUehaEhrA" name="" visibility="private" type="_-XZUgBgdEeiwcpUehaEhrA" association="_RbpokBgeEeiwcpUehaEhrA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_7nEsgBgeEeiwcpUehaEhrA" name="EventContext" isAbstract="true">
          <ownedComment xmi:id="_7nEsgRgeEeiwcpUehaEhrA" annotatedElement="_7nEsgBgeEeiwcpUehaEhrA">
            <body>&quot;Context associated with non-clinical events such as floods, accidents, and tornadoes.&quot; - HL7 CIMI, EventContext</body>
          </ownedComment>
          <generalization xmi:id="__18gsBgeEeiwcpUehaEhrA" general="_3X0XcBgWEeiwcpUehaEhrA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_u4DfYBgiEeiwcpUehaEhrA" name="ProposalAgainstContext">
          <ownedComment xmi:id="_u4DfYRgiEeiwcpUehaEhrA" annotatedElement="_u4DfYBgiEeiwcpUehaEhrA">
            <body>&quot;Concept represents a recommendation from a clinical decision support system or advice from a consultation to not perform an act.&quot; - HL7 CIMI, ProposalAgainst</body>
          </ownedComment>
          <generalization xmi:id="_0fea4BgiEeiwcpUehaEhrA" general="__RCHsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_u4DfYxgiEeiwcpUehaEhrA" name="validityPeriod" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
            <ownedComment xmi:id="_u4DfZBgiEeiwcpUehaEhrA" annotatedElement="_u4DfYxgiEeiwcpUehaEhrA">
              <body>&quot;The time period during which the act should not be performed. If omitted, the implication is that the act should not be performed, ever.&quot; - HL7 CIMI, ProposalAgainst.validityPeriod</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u4DfZhgiEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u4DfZRgiEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_u4DfZxgiEeiwcpUehaEhrA" name="requested" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="_u4DfaBgiEeiwcpUehaEhrA" annotatedElement="_u4DfZxgiEeiwcpUehaEhrA">
              <body>&quot;Information about who made the proposal against the performance of a particular action, when it was made, how it was conveyed, etc...&quot; - HL7 CIMI, ProposalAgainst.requested</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u4DfahgiEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u4DfaRgiEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_i34coBgjEeiwcpUehaEhrA" name="NonPerformanceContext">
          <ownedComment xmi:id="_i34coRgjEeiwcpUehaEhrA" annotatedElement="_i34coBgjEeiwcpUehaEhrA">
            <body>&quot;A record that a clinical act was not performed and&amp;#47;or never initiated. Do not use this context if the act was initiated or started but aborted or cancelled. Use the NotPerformed context instead.&quot; - HL7 CIMI, NonPerformance</body>
          </ownedComment>
          <generalization xmi:id="_lNMHIBgjEeiwcpUehaEhrA" general="__RCHsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_i34coxgjEeiwcpUehaEhrA" name="scheduledPerformanceTime" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
            <ownedComment xmi:id="_i34cpBgjEeiwcpUehaEhrA" annotatedElement="_i34coxgjEeiwcpUehaEhrA">
              <body>&quot;The time period during which the act had been intended for execution.&quot; - HL7 CIMI, NonPerformance.scheduledPerformanceTime</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i34cphgjEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i34cpRgjEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_slJxwBioEeiwcpUehaEhrA" name="PerformanceContext">
          <ownedComment xmi:id="_slJxwRioEeiwcpUehaEhrA" annotatedElement="_slJxwBioEeiwcpUehaEhrA">
            <body>&quot;A context indicating the actual performance or execution of a healthcare-related action, e.g., administration of the third dose of Hepatitis B vaccine on Dec 4th 2012, or an appendectomy performed today.&quot; - HL7 CIMI, Performance</body>
          </ownedComment>
          <generalization xmi:id="_A8rrkBipEeiwcpUehaEhrA" general="__RCHsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_slJx3xioEeiwcpUehaEhrA" name="performed" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_slJx4BioEeiwcpUehaEhrA" annotatedElement="_slJx3xioEeiwcpUehaEhrA">
              <body>Identifies the Entity that was principally responsible for the performance of the activity. In many cases this will be a clinician, but in other cases it may be the patient, a non-clinician care giver (e.g., the patient’s spouse), or an automated device.&#xD;
&#xD;
&quot;Contains the provider ID of the person administering the pharmaceutical/treatment.&quot; - HL7 Version 2.8, RXA-10&#xD;
&quot;The device, practitioner, etc. who performed the action.&quot; - HL7 FHIR, MedicationAdministration.performer.actor&#xD;
&quot;Clinician who administered the vaccine.&quot;  - HL7 FHIR, Immunization.performer&#xD;
&quot;The party that performed the action.&quot; - HL7 CIMI, Performance.performed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJx4hioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJx4RioEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_slJx0xioEeiwcpUehaEhrA" name="enactsPlan" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_slJx1BioEeiwcpUehaEhrA" annotatedElement="_slJx0xioEeiwcpUehaEhrA">
              <body>&quot;The plan that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.enactsPlan</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJx1hioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJx1RioEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_slJx1xioEeiwcpUehaEhrA" name="fulfillsOrder" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_slJx2BioEeiwcpUehaEhrA" annotatedElement="_slJx1xioEeiwcpUehaEhrA">
              <body>&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Performance.fulfillsOrder</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJx2hioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJx2RioEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_slJxwxioEeiwcpUehaEhrA" name="basedOn" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_slJxxBioEeiwcpUehaEhrA" annotatedElement="_slJxwxioEeiwcpUehaEhrA">
              <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI, Performance.basedOn</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJxxhioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJxxRioEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_slJxzxioEeiwcpUehaEhrA" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
            <ownedComment xmi:id="_slJx0BioEeiwcpUehaEhrA" annotatedElement="_slJxzxioEeiwcpUehaEhrA">
              <body>The amount of time over which a long-term activity occurred. This optional property is only used for longer-duration activities, such as an hour-long counselling session.&#xD;
&quot;The duration of time the action was performed.&quot; - HL7 CIMI, Performance.duration</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJx0hioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJx0RioEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_slJx2xioEeiwcpUehaEhrA" name="partOf" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_slJx3BioEeiwcpUehaEhrA" annotatedElement="_slJx2xioEeiwcpUehaEhrA">
              <body>&quot;A larger action of which this particular action is a component or step.&quot; - HL7 CIMI, Performance.partOf</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_slJx3hioEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_slJx3RioEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Weg1UBipEeiwcpUehaEhrA" name="NonCompletionContext">
          <ownedComment xmi:id="_Weg1URipEeiwcpUehaEhrA" annotatedElement="_Weg1UBipEeiwcpUehaEhrA">
            <body>&quot;A record that a clinical act was initiated by not completed.&quot; - HL7 CIMI, NonCompletion</body>
          </ownedComment>
          <generalization xmi:id="_ZAbYcBipEeiwcpUehaEhrA" general="_slJxwBioEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_Weg1UxipEeiwcpUehaEhrA" name="nonCompletionTimeframe" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_Weg1VBipEeiwcpUehaEhrA" annotatedElement="_Weg1UxipEeiwcpUehaEhrA">
              <body>&quot;The original scheduled time for the action planned for execution.&quot; - HL7 CIMI, NonCompletion.nonCompletionTimeframe</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Weg1VhipEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Weg1VRipEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_CzEBkBitEeiwcpUehaEhrA" name="PlanContext">
          <ownedComment xmi:id="_CzEBkRitEeiwcpUehaEhrA" annotatedElement="_CzEBkBitEeiwcpUehaEhrA">
            <body>&quot;A record indicating an action in the planning phase. Typically, this would include a time at which the action is scheduled to be performed.&quot; - HL7 CIMI, Plan</body>
          </ownedComment>
          <generalization xmi:id="_I8p2ABitEeiwcpUehaEhrA" general="__RCHsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_CzEBkxitEeiwcpUehaEhrA" name="planned" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="_CzEBlBitEeiwcpUehaEhrA" annotatedElement="_CzEBkxitEeiwcpUehaEhrA">
              <body>&quot;Information about who planned the action, when they planned it, etc...&quot; - HL7 CIMI, Plan.planned</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzEBlhitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzEBlRitEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CzEBlxitEeiwcpUehaEhrA" name="fulfillsOrder" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_CzEBmBitEeiwcpUehaEhrA" annotatedElement="_CzEBlxitEeiwcpUehaEhrA">
              <body>Points to the Healthcare Order in response to which the Healthcare Plan was created.&#xD;
&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Plan.fulfillsOrder</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzEBmhitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzEBmRitEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CzEBmxitEeiwcpUehaEhrA" name="basedOn" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_CzEBnBitEeiwcpUehaEhrA" annotatedElement="_CzEBmxitEeiwcpUehaEhrA">
              <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI Plan.basedOn</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzEBnhitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzEBnRitEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CzEBnxitEeiwcpUehaEhrA" name="expectedPerformanceTime" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_CzEBoBitEeiwcpUehaEhrA" annotatedElement="_CzEBnxitEeiwcpUehaEhrA">
              <body>&quot;The time when the action is expected to be performed.&quot; - HL7 CIMI, Plan.expectedPerformanceTime</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzEBohitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzEBoRitEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CzEBoxitEeiwcpUehaEhrA" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_CzEBpBitEeiwcpUehaEhrA" annotatedElement="_CzEBoxitEeiwcpUehaEhrA">
              <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery. &quot; - HL7 CIMI, Plan.expectedPerformer</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzEBphitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzEBpRitEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_S_hCEBitEeiwcpUehaEhrA" name="RequestContext" isAbstract="true">
          <ownedComment xmi:id="_OTvaABiuEeiwcpUehaEhrA" annotatedElement="_S_hCEBitEeiwcpUehaEhrA">
            <body>&quot;A request by a healthcare provider or system to another healthcare provider or system to perform some action.&quot; - HL7 CIMI, Request</body>
          </ownedComment>
          <generalization xmi:id="_YmdccBitEeiwcpUehaEhrA" general="__RCHsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_hOQ_wBitEeiwcpUehaEhrA" name="requested" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="_hOQ_wRitEeiwcpUehaEhrA" annotatedElement="_hOQ_wBitEeiwcpUehaEhrA">
              <body>&quot;Information about the ordering of the action such as who made the request, when the request was made, how it was made, etc...&quot; - HL7 CIMI, Request.requested</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hOQ_wxitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hOQ_whitEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UhWLwBiuEeiwcpUehaEhrA" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UhWLwRiuEeiwcpUehaEhrA" annotatedElement="_UhWLwBiuEeiwcpUehaEhrA">
              <body>&quot;Indicates the type of the request that is made, for example, to initiate an action, to suspend an ongoing activity, to discontinue an ongoing activity, or to cancel an existing request.&quot; - HL7 CIMI, Request.type</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UhWLwxiuEeiwcpUehaEhrA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UhWLwhiuEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hOQ_xBitEeiwcpUehaEhrA" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_hOQ_xRitEeiwcpUehaEhrA" annotatedElement="_hOQ_xBitEeiwcpUehaEhrA">
              <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery.&quot; - HL7 CIMI, Request.expectedPerformer</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hOQ_xxitEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hOQ_xhitEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_iEmVYBiuEeiwcpUehaEhrA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_iEmVYRiuEeiwcpUehaEhrA" annotatedElement="_iEmVYBiuEeiwcpUehaEhrA">
              <body>&quot;How quickly the action must be initiated. Includes concepts such as stat, urgent, routine.&quot; - HL7 CIMI, Request.priority</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iEmVYxiuEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iEmVYhiuEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wGneoBiuEeiwcpUehaEhrA" name="timing" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
            <ownedComment xmi:id="_wGneoRiuEeiwcpUehaEhrA" annotatedElement="_wGneoBiuEeiwcpUehaEhrA">
              <body>&quot;The proposed timing for the request.&quot; - HL7 CIMI, Request.timing</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wGneoxiuEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wGneohiuEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_6jScYBivEeiwcpUehaEhrA" name="ProposalContext">
          <ownedComment xmi:id="_JmIwgBiwEeiwcpUehaEhrA" annotatedElement="_6jScYBivEeiwcpUehaEhrA">
            <body>&quot;An offer or a suggestion to perform a healthcare act. A recommendation to a provider is an example of proposal made by a CDS system. A proposal must be accepted by an entity in order for it to be performed.&quot; - HL7 CIMI, Proposal</body>
          </ownedComment>
          <generalization xmi:id="_9N958BivEeiwcpUehaEhrA" general="_S_hCEBitEeiwcpUehaEhrA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="__iceABivEeiwcpUehaEhrA" name="OrderContext">
          <ownedComment xmi:id="_QDM6kBiwEeiwcpUehaEhrA" annotatedElement="__iceABivEeiwcpUehaEhrA">
            <body>&quot;An instruction by a healthcare provider to another healthcare provider to perform some act.&quot; - HL7 CIMI, Order</body>
          </ownedComment>
          <generalization xmi:id="_K0I0sBiwEeiwcpUehaEhrA" general="_S_hCEBitEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_AWUVgBixEeiwcpUehaEhrA" name="groupIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_D4KroBixEeiwcpUehaEhrA" annotatedElement="_AWUVgBixEeiwcpUehaEhrA">
              <body>&quot;A shared identifier common to all requests that were authorized more or less simultaneously by a single author. It could be the identifier of a requisition or prescription that contains orders for a set of medications, each individual medication order having the identifier of the parent order.&quot; - HL7 CIMI, Order.groupIdentifier</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AWUVghixEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AWUVgRixEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_sIc4kBixEeiwcpUehaEhrA" name="basedOn" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_sIc4kRixEeiwcpUehaEhrA" annotatedElement="_sIc4kBixEeiwcpUehaEhrA">
              <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI, Order.basedOn</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sIc4kxixEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sIc4khixEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3zs-wBixEeiwcpUehaEhrA" name="patientInstructions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_3zs-wRixEeiwcpUehaEhrA" annotatedElement="_3zs-wBixEeiwcpUehaEhrA">
              <body>&quot;Identifies the ordering provider's instructions to the patient or to the provider on how to deliver or comply with the ordered procedure.&quot; - HL7 CIMI, Order.patientInstructions</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3zs-wxixEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3zs-whixEeiwcpUehaEhrA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_i0jpUBjHEeiwcpUehaEhrA" name="priorRequest" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_i0jpURjHEeiwcpUehaEhrA" annotatedElement="_i0jpUBjHEeiwcpUehaEhrA">
              <body>&quot;A link to a resource representing an earlier order related order or prescription.&quot; - HL7 CIMI, Order.priorRequest</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i0jpUxjHEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i0jpUhjHEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_0y1-YBjIEeiwcpUehaEhrA" name="PromiseContext">
          <ownedComment xmi:id="_8qWQsBjJEeiwcpUehaEhrA" annotatedElement="_0y1-YBjIEeiwcpUehaEhrA">
            <body>&quot;An order from the perspective of a fulfillment system. &quot; - HL7 CIMI, Promise</body>
          </ownedComment>
          <ownedAttribute xmi:id="_7IyMwBjIEeiwcpUehaEhrA" name="promised" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="_7IyMwRjIEeiwcpUehaEhrA" annotatedElement="_7IyMwBjIEeiwcpUehaEhrA">
              <body>&quot;Information about who made the promise, when did they make it, how was it conveyed, etc...&quot; - HL7 CIMI, Promise.promised</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7IyMwxjIEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7IyMwhjIEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_XfOocBjKEeiwcpUehaEhrA" name="fulfillsOrder" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
            <ownedComment xmi:id="_XfOocRjKEeiwcpUehaEhrA" annotatedElement="_XfOocBjKEeiwcpUehaEhrA">
              <body>&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Promise.fulfillsOrder</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XfOocxjKEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XfOochjKEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_z_HJcBjKEeiwcpUehaEhrA" name="orderModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_z_HJcRjKEeiwcpUehaEhrA" annotatedElement="_z_HJcBjKEeiwcpUehaEhrA">
              <body>&quot;The method the provider used to communicate to the user to take action on the order. Examples include: written, telephoned, verbal, electronically entered, etc.&quot; - HL7 CIMI, Promise.orderModality</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z_HJcxjKEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z_HJchjKEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_G4UrIBjLEeiwcpUehaEhrA" name="orderDiscontinueDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_G4UrIRjLEeiwcpUehaEhrA" annotatedElement="_G4UrIBjLEeiwcpUehaEhrA">
              <body>&quot;This is the date the order was discontinued.&quot; - HL7 CIMI, Promise.orderDiscontinueDate</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G4UrIxjLEeiwcpUehaEhrA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G4UrIhjLEeiwcpUehaEhrA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_mpWzkB5MEeizW5HiKXPAjA" name="StatementTopic">
          <ownedComment xmi:id="_6ae0sB5MEeizW5HiKXPAjA" annotatedElement="_mpWzkB5MEeizW5HiKXPAjA">
            <body>&quot;Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of the statement. StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).&quot; - HL7 CIMI, StatementTopic</body>
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          <ownedAttribute xmi:id="__Z7KMB5MEeizW5HiKXPAjA" name="topicCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UnVjIB5NEeizW5HiKXPAjA" annotatedElement="__Z7KMB5MEeizW5HiKXPAjA">
              <body>&quot;The concept representing the finding or action that is the topic of the statement. For actions, the key represents the action being described. For findings, the key represents the &quot;question&quot; or property being investigated. For evaluation result findings, the key contains a concept for an observable entity, such as systolic blood pressure. For assertion findings (which by nature lack an explicit question), the key contains a default concept signifying that an assertion is being made. In all cases, the key describes the topic independent of the context of the action or the finding.&quot; - HL7 CIMI, StatementTopic.topicCode</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Z7xQR5MEeizW5HiKXPAjA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Z7xQB5MEeizW5HiKXPAjA" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_hKFSAB5NEeizW5HiKXPAjA" client="_vRMTwBgEEeiwcpUehaEhrA" supplier="_mpWzkB5MEeizW5HiKXPAjA"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_rWy9oB5NEeizW5HiKXPAjA" name="EventTopic">
          <ownedComment xmi:id="_tNvRIB5NEeizW5HiKXPAjA" annotatedElement="_rWy9oB5NEeizW5HiKXPAjA">
            <body>&quot;An non-clinical event such as a natural disaster. Topic allows the capture of information related to such events when they pertain to the clinical context associated with a given patient.&quot; - HL7 CIMI, EventTopic</body>
          </ownedComment>
          <generalization xmi:id="_HjC0IB5SEeizW5HiKXPAjA" general="_mpWzkB5MEeizW5HiKXPAjA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_fQ1xEB5QEeizW5HiKXPAjA" name="ProcedureTopic">
          <ownedComment xmi:id="_gSgCYB5QEeizW5HiKXPAjA" annotatedElement="_fQ1xEB5QEeizW5HiKXPAjA">
            <body>&quot;Description of a healthcare action, independent of action context.&quot; - HL7 CIMI, ProcedureTopic</body>
          </ownedComment>
          <generalization xmi:id="_Ib8yEB5SEeizW5HiKXPAjA" general="_mpWzkB5MEeizW5HiKXPAjA"/>
          <ownedAttribute xmi:id="_hdPhwB5REeizW5HiKXPAjA" name="description" visibility="public">
            <ownedComment xmi:id="_hdPhwR5REeizW5HiKXPAjA" annotatedElement="_hdPhwB5REeizW5HiKXPAjA">
              <body>&quot;An account of the procedure in narrative form.&quot; - HL7 CIMI, ProcedureTopic.description</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hdPhwx5REeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hdPhwh5REeizW5HiKXPAjA" value="1"/>
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          <ownedAttribute xmi:id="_hdPhxB5REeizW5HiKXPAjA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_hdPhxR5REeizW5HiKXPAjA" annotatedElement="_hdPhxB5REeizW5HiKXPAjA">
              <body>&quot;The reason for performing this act.&quot; - HL7 CIMI, ProcedureTopic.reason</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hdPhxx5REeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hdPhxh5REeizW5HiKXPAjA" value="1"/>
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          <ownedAttribute xmi:id="_hdQI0B5REeizW5HiKXPAjA" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_hdQI0R5REeizW5HiKXPAjA" annotatedElement="_hdQI0B5REeizW5HiKXPAjA">
              <body>&quot;Technique or way of accomplishing the act, e.g., endoscopic, arthroscopic, etc.&quot; - HL7 CIMI, ProcedureTopic.method</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hdQI0x5REeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hdQI0h5REeizW5HiKXPAjA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hdQI1B5REeizW5HiKXPAjA" name="precondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_hdQI1R5REeizW5HiKXPAjA" annotatedElement="_hdQI1B5REeizW5HiKXPAjA">
              <body>&quot;Patient state or condition that must be true prior to the performance of the procedure such as 'at rest', 'supine', 'fasting', etc.&quot; - HL7 CIMI, ProcedureTopic.precondition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hdQI1x5REeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hdQI1h5REeizW5HiKXPAjA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_uQFpkC6hEeiK-Nu2QYEazg" name="inputFinding" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_uQFpkS6hEeiK-Nu2QYEazg" annotatedElement="_uQFpkC6hEeiK-Nu2QYEazg">
              <body>&quot;Patient findings expected for the performance of the specified procedure. For instance, an x-ray of a fracture prior to a surgical procedure for a bone fracture.&quot; - HL7 CIMI, ProcedureTopic.inputFinding</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uQFpky6hEeiK-Nu2QYEazg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uQFpki6hEeiK-Nu2QYEazg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_u52YQC6hEeiK-Nu2QYEazg" name="outputFinding" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_u52YQS6hEeiK-Nu2QYEazg" annotatedElement="_u52YQC6hEeiK-Nu2QYEazg">
              <body>&quot;Patient findings documented during the performance of the procedure.&quot; - HL7 CIMI, ProcedureTopic.outputFinding</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u52YQy6hEeiK-Nu2QYEazg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u52YQi6hEeiK-Nu2QYEazg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_u9bQsC6hEeiK-Nu2QYEazg" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_u9bQsS6hEeiK-Nu2QYEazg" annotatedElement="_u9bQsC6hEeiK-Nu2QYEazg">
              <body>&quot;Conditions or situations where the procedure is recommended.&quot; - HL7 CIMI, ProcedureTopic.indication</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u9bQsy6hEeiK-Nu2QYEazg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u9bQsi6hEeiK-Nu2QYEazg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_vAeksC6hEeiK-Nu2QYEazg" name="usingDevice" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA">
            <ownedComment xmi:id="_vAeksS6hEeiK-Nu2QYEazg" annotatedElement="_vAeksC6hEeiK-Nu2QYEazg">
              <body>&quot;The instrument or equipment utilized to execute an action&quot; - HL7 CIMI, ProcedureTopic.usingDevice</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vAeksy6hEeiK-Nu2QYEazg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vAeksi6hEeiK-Nu2QYEazg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jxRa4H_uEeiS6r7wjFpp8Q" name="location" visibility="public" type="_420A62FD03B64242CAB30303">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nmvQkH_uEeiS6r7wjFpp8Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nmvQkX_uEeiS6r7wjFpp8Q" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_LsnRkB5SEeizW5HiKXPAjA" name="FindingTopic">
          <ownedComment xmi:id="_ULilsB5SEeizW5HiKXPAjA" annotatedElement="_LsnRkB5SEeizW5HiKXPAjA">
            <body>&quot;The base topic class for assertions and evaluation results that result from medical investigations or diagnostics, independent of the context of the result being present, absent, or hypothetical (as in the case of a goal).&quot; - HL7 CIMI, FindingTopic</body>
          </ownedComment>
          <generalization xmi:id="_sVJNgB5TEeizW5HiKXPAjA" general="_mpWzkB5MEeizW5HiKXPAjA"/>
          <ownedAttribute xmi:id="_l3ueIB5TEeizW5HiKXPAjA" name="description" visibility="public">
            <ownedComment xmi:id="_l3ueIR5TEeizW5HiKXPAjA" annotatedElement="_l3ueIB5TEeizW5HiKXPAjA">
              <body>&quot;An optional description of the finding in human narrative form.&quot; - HL7 CIMI, FindingTopic.description</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l3ueIx5TEeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l3ueIh5TEeizW5HiKXPAjA" value="1"/>
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          <ownedAttribute xmi:id="_l3vFMB5TEeizW5HiKXPAjA" name="multimedia" visibility="public" type="_420A62FD03B64586C73900D7">
            <ownedComment xmi:id="_l3vFMR5TEeizW5HiKXPAjA" annotatedElement="_l3vFMB5TEeizW5HiKXPAjA">
              <body>&quot;Audio, visual, or other binary content produced during the evaluation, such as an X-ray.&quot; - HL7 CIMI, FindingTopic.multimedia</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l3vFMx5TEeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l3vFMh5TEeizW5HiKXPAjA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_l3vsQB5TEeizW5HiKXPAjA" name="interpretation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_l3vsQR5TEeizW5HiKXPAjA" annotatedElement="_l3vsQB5TEeizW5HiKXPAjA">
              <body>&quot;A clinical judgment concerning the significance or impact of the finding with respect to its subject (e.g., the patient).&quot; - HL7 CIMI, FindingTopic.interpretation</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l3vsQx5TEeizW5HiKXPAjA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l3vsQh5TEeizW5HiKXPAjA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_l1JT8DQ7EeiTMPysKlR2iA" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_l1JT8TQ7EeiTMPysKlR2iA" annotatedElement="_l1JT8DQ7EeiTMPysKlR2iA">
              <body>&quot;The means by which a clinical finding is determined.&quot; - HL7 CIMI, FindingTopic.method</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l1JT8zQ7EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l1JT8jQ7EeiTMPysKlR2iA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_zxWdsCu3EeiPA_4ODyGYTQ" name="AssertionContext">
          <ownedComment xmi:id="_mGbeAC6lEeiK-Nu2QYEazg" annotatedElement="_zxWdsCu3EeiPA_4ODyGYTQ">
            <body>&quot;Statement context pertaining to clinical assertions.&quot; - HL7 CIMI, AssertionContext</body>
          </ownedComment>
          <generalization xmi:id="_UuSY0Cu4EeiPA_4ODyGYTQ" general="_gI2HsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_PB0tIDQ7EeiTMPysKlR2iA" name="dateAsserted" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_PB0tITQ7EeiTMPysKlR2iA" annotatedElement="_PB0tIDQ7EeiTMPysKlR2iA">
              <body>&quot;Date and time the assertion was made.&quot; - HL7 CIMI, AssertionContext.dateAsserted</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PB0tIzQ7EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PB0tIjQ7EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_b59dMDQ7EeiTMPysKlR2iA" name="verificationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_b59dMTQ7EeiTMPysKlR2iA" annotatedElement="_b59dMDQ7EeiTMPysKlR2iA">
              <body>&quot;The state of knowledge concerning the assertion; e.g., confirmed, refuted, provisional, suspected.&quot; - HL7 CIMI, AssertionContext.verificationStatus</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b59dMzQ7EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b59dMjQ7EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3qwBoC6rEeiK-Nu2QYEazg" name="RecordedContext">
          <ownedComment xmi:id="_2ahYgDkiEeixFNP12VuNaA" annotatedElement="_3qwBoC6rEeiK-Nu2QYEazg">
            <body>&quot;Statement context pertaining to evaluation results.&quot; - HL7 CIMI, RecordedContext</body>
          </ownedComment>
          <generalization xmi:id="_6Ho60C6rEeiK-Nu2QYEazg" general="_gI2HsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_oQKvcDQ8EeiTMPysKlR2iA" name="issued" visibility="public" type="_420A62FD03B64244824602F5">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oQKvczQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQKvcjQ8EeiTMPysKlR2iA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_qmyK0E_CEeicO4zK57V_lA" name="comment" visibility="public">
            <ownedComment xmi:id="_5qrn0E_CEeicO4zK57V_lA" annotatedElement="_qmyK0E_CEeicO4zK57V_lA">
              <body>&quot;Comments about result. May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.&quot; - HL7 CIMI, RecordedContext.comment</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vCBnEE_CEeicO4zK57V_lA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vCBnEU_CEeicO4zK57V_lA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dRmxAIFoEeiFweA6NKJQOg" name="observed" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
            <ownedComment xmi:id="_dRmxAYFoEeiFweA6NKJQOg" annotatedElement="_dRmxAIFoEeiFweA6NKJQOg">
              <body>&quot;Information about who observed the characteristic, when did they make the observation, etc...&quot; - HL7 CIMI, RecordedContext.observed</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dRmxA4FoEeiFweA6NKJQOg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dRmxAoFoEeiFweA6NKJQOg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_r_T2oDK7EeidlpJU2TuLzA" name="Attribution">
          <ownedComment xmi:id="_z6WakDK7EeidlpJU2TuLzA" annotatedElement="_r_T2oDK7EeidlpJU2TuLzA">
            <body>&quot;Attribution provides a formal pattern and reusable structure for attributes of a record that describes an activity in a process involved in producing, delivering or otherwise influencing the entry in a record. Attribution provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies. Attribution provides a common reference model pattern that may be included directly within a clinical statement (e.g., the metadata associated with the recording of a clinical statement in a system) or within the Provenance pattern when it is preferrable to have such information external to but referencing the clinical statement (see Provenance). Note that, when included directly within a clinical statement, updates made to attribution attribute values will result in a versioning change in the instance. When part of the Provenance class, updates to provenance do not result in an update of the clinical statement referenced by the Provenance class (see Provenance.target).&quot; - HL7 CIMI, Attribution</body>
          </ownedComment>
          <ownedAttribute xmi:id="_yCr44DK8EeidlpJU2TuLzA" name="recordedOn" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_yCr44TK8EeidlpJU2TuLzA" annotatedElement="_yCr44DK8EeidlpJU2TuLzA">
              <body>&quot;The time at which the activity was recorded.&quot; - HL7 CIMI, Attribution.recordedOn</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yCr44zK8EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yCr44jK8EeidlpJU2TuLzA" value="1"/>
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          <ownedAttribute xmi:id="_ko6l8DK9EeidlpJU2TuLzA" name="recordedBy" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_QSJasDN5Eei4WMuUY0e-jQ" annotatedElement="_ko6l8DK9EeidlpJU2TuLzA">
              <body>&quot;The person or entity capturing the attribution information.&quot; - HL7 CIMI, Attribution.recordedBy</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ko6l8zK9EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ko6l8jK9EeidlpJU2TuLzA" value="1"/>
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          <ownedAttribute xmi:id="_i5rc8DK9EeidlpJU2TuLzA" name="activityTime" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_i5rc8TK9EeidlpJU2TuLzA" annotatedElement="_i5rc8DK9EeidlpJU2TuLzA">
              <body>&quot;The period during which the activity occurred.&quot; - HL7 CIMI, Attribution.activityTimeRange</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i5rc8zK9EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i5rc8jK9EeidlpJU2TuLzA" value="1"/>
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          <ownedAttribute xmi:id="__QGf8DK9EeidlpJU2TuLzA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="__QGf8TK9EeidlpJU2TuLzA" annotatedElement="__QGf8DK9EeidlpJU2TuLzA">
              <body>&quot;The reason that the activity was taking place.&quot; - HL7 CIMI, Attribution.reason</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__QGf8zK9EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__QGf8jK9EeidlpJU2TuLzA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_NRZQcDK-EeidlpJU2TuLzA" name="location" visibility="public" type="_420A62FD03B64242CAB30303">
            <ownedComment xmi:id="_NRZQcTK-EeidlpJU2TuLzA" annotatedElement="_NRZQcDK-EeidlpJU2TuLzA">
              <body>&quot;Where the activity occurred, if relevant.&quot; - HL7 CIMI, Attribution.location</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NRZQczK-EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NRZQcjK-EeidlpJU2TuLzA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fRoGQDK_EeidlpJU2TuLzA" name="participant" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_kxu40DK_EeidlpJU2TuLzA" annotatedElement="_fRoGQDK_EeidlpJU2TuLzA">
              <body>&quot;A person, entity, or other party responsible for execution of some facet of the activity.&quot; - HL7 CIMI, Attribution.participant</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fRoGQjK_EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fRoGQTK_EeidlpJU2TuLzA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_2MffgDK_EeidlpJU2TuLzA" name="signature" visibility="public" type="_FdABsOQyEeaH9t35G2snaA">
            <ownedComment xmi:id="_2MffgTK_EeidlpJU2TuLzA" annotatedElement="_2MffgDK_EeidlpJU2TuLzA">
              <body>&quot;A digital signature on the target Reference(s). The signer should match a Attribution.participant. The purpose of the signature is indicated.&quot; - HL7 CIMI, Attribution.signature</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4W790DK_EeidlpJU2TuLzA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4W790TK_EeidlpJU2TuLzA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_-wt_kDzIEeeL0ORQgjzliA" name="GoalContext">
          <ownedComment xmi:id="_YN3XQDN9Eei4WMuUY0e-jQ" annotatedElement="_-wt_kDzIEeeL0ORQgjzliA">
            <body>&quot;Clinical statement context for a goal.&quot; - HL7 CIMI, GoalContext</body>
          </ownedComment>
          <generalization xmi:id="_GOeHkDN_Eei4WMuUY0e-jQ" general="_gI2HsBgcEeiwcpUehaEhrA"/>
          <ownedAttribute xmi:id="_MAuD8GGSEeeNCem-9yFTpQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_MAuD8WGSEeeNCem-9yFTpQ" annotatedElement="_MAuD8GGSEeeNCem-9yFTpQ">
              <body>&quot;Indicates the preference order to use for care planning purposes. The goal supports multiple priorities in order to support multiple care team perspectives and eventual harmonization.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.&quot; - HL7 CIMI, GoalContext.priority&#xD;
&quot;Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.&quot; - HL7 FHIR, Goal.priority</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MAuD82GSEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MAuD8mGSEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MAuD9GGSEeeNCem-9yFTpQ" name="start" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_MAuD9WGSEeeNCem-9yFTpQ" annotatedElement="_MAuD9GGSEeeNCem-9yFTpQ">
              <body>The date upon which the activities towards accomplishing the Goal commenced or is expected to commence. Note that FHIR allows either a date or an event (a code) here. For now, the FHIM only has the date.&#xD;
&quot;The date or event after which the goal should begin being pursued.&quot; - HL7 CIMI, GoalContext.start&#xD;
&quot;The date or event after which the goal should begin being pursued.&quot; - HL7 FHIR, Goal.start[x]</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MAuD92GSEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MAuD9mGSEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_I45h8GGTEeeNCem-9yFTpQ" name="expressedBy" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_I45h8WGTEeeNCem-9yFTpQ" annotatedElement="_I45h8GGTEeeNCem-9yFTpQ">
              <body>Identifies who determined the Goal. FHIR allows a reference to Patient, Practitioner, or RelatedPerson, so FHIM uses the Participation construct. The FHIM PatientParticipation, PractitionerParticipation, UnAffilliatedParticipation classes correspond to the FHIR ones. The FHIM Participation construct has other participation constructs (such as DeviceParticipation) which would not be used.&#xD;
&quot;Indicates who established the goal (rather than the subject who is to pursue the goal).&quot; - HL7 CIMI, GoalContext.expressedBy&#xD;
&quot;Indicates whose goal this is - patient goal, practitioner goal, etc.&quot; - HL7 FHIR, Goal.expressedBy</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I45h82GTEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I45h8mGTEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Ra2U4GGTEeeNCem-9yFTpQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Ra2U4WGTEeeNCem-9yFTpQ" annotatedElement="_Ra2U4GGTEeeNCem-9yFTpQ">
              <body>&quot;Names or describes the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates a category the goal falls within, for example, dietary, safety, behavioral, nursing, physiotherapy.&quot; - HL7 CIMI, GoalContext.category&#xD;
&quot;Indicates a category the goal falls within.&quot; - HL7 FHIR, Goal.category</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ra2U42GTEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ra2U4mGTEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UGPlIDN-Eei4WMuUY0e-jQ" name="objectiveOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_a9UxsDN-Eei4WMuUY0e-jQ" annotatedElement="_UGPlIDN-Eei4WMuUY0e-jQ">
              <body>&quot;Human-readable and optionally coded description of a specific desired objective of care, such as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance with child at wedding&quot;.&quot; - HL7 CIMI, GoalContext.objectiveOfCare</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UGPlIzN-Eei4WMuUY0e-jQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UGPlIjN-Eei4WMuUY0e-jQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MAuEBWGSEeeNCem-9yFTpQ" name="targetDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_MAuEBmGSEeeNCem-9yFTpQ" annotatedElement="_MAuEBWGSEeeNCem-9yFTpQ">
              <body>The date upon which the goal should be met. Note that FHIR allows either a Date or a Duration, but FHIM only models a date at this time.&#xD;
&quot;Desired target date for meeting the goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates when goal should be reached.&quot; - HL7 CIMI, GoalContext.targetDate&#xD;
&quot;Indicates either the date or the duration after start by which the goal should be met.&quot; - HL7 FHIR, Goal.target.due[x]</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MAuECGGSEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MAuEB2GSEeeNCem-9yFTpQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_J-dmYGGUEeeNCem-9yFTpQ" name="addresses" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_J-dmYWGUEeeNCem-9yFTpQ" annotatedElement="_J-dmYGGUEeeNCem-9yFTpQ">
              <body>Pointer to the Health Concern(s) (aka Problem(s), or Condition(s)) which the Goal is intended to improve. Note that the FHIR Goal.addresses property can point to multiple resource types, including Condition, Observation, MedicationStatement, NutritionOrder, ProcedureRequest, or RiskAssessment, wherease FHIM currently only points to HealthConcern.&#xD;
&quot;The identified conditions and other health record elements that are intended to be addressed by the goal.&quot; - HL7 FHIR, Goal.addresses&#xD;
&quot;The identified conditions and other health record elements that are intended to be addressed by the goal&quot; - HL7 CIMI, GoalContext.addresses&#xD;
</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-dmY2GUEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-dmYmGUEeeNCem-9yFTpQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_--JosGGVEeeNCem-9yFTpQ" name="outcomeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_aHplkGGWEeeNCem-9yFTpQ" annotatedElement="_--JosGGVEeeNCem-9yFTpQ">
              <body>&quot;Identifies the change (or lack of change) at the point when the status of the goal is assessed.&quot; - HL7 CIMI, GoalContext.outcomeCode</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_--Jos2GVEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_--JosmGVEeeNCem-9yFTpQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_a5bn0GGWEeeNCem-9yFTpQ" name="outcomeReference" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_a5bn0WGWEeeNCem-9yFTpQ" annotatedElement="_a5bn0GGWEeeNCem-9yFTpQ">
              <body>&quot;Details of what's changed (or not changed).&quot; - HL7 CIMI, GoalContext.outcomeReference</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a5bn02GWEeeNCem-9yFTpQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a5bn0mGWEeeNCem-9yFTpQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_euj5gDkiEeixFNP12VuNaA" name="targetValue" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
            <ownedComment xmi:id="_euj5gTkiEeixFNP12VuNaA" annotatedElement="_euj5gDkiEeixFNP12VuNaA">
              <body>&quot;The value of the finding, typically a quantity for measurements and a concept code for qualitative evaluations and assertions. In general, any data type can be the value of a finding.&quot; - HL7 CIMI, GoalContext.resultValue&#xD;
</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euj5gzkiEeixFNP12VuNaA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euj5gjkiEeixFNP12VuNaA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_z8HEEDQ6EeiTMPysKlR2iA" name="AssertionTopic">
          <ownedComment xmi:id="_81yagDQ6EeiTMPysKlR2iA" annotatedElement="_z8HEEDQ6EeiTMPysKlR2iA">
            <body>&quot;An assertion is a finding that takes the form of a single coded concept, without an explicit measureable property. An assertion is used to express findings such as 'patient has diabetes' or 'patient has high blood pressure'. An assertion is not expressed as a {measureable property, measured value} pair; if the finding takes that form, EvaluationResult should be used. Note that EvaluationResults {eye color, blue} can sometimes be expressed as assertions and vice versa (blue eye color).&quot; - HL7 CIMI, AssertionTopic</body>
          </ownedComment>
          <generalization xmi:id="_F3i6UD0MEeiNfZlJ_JyOeQ" general="_LsnRkB5SEeizW5HiKXPAjA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_yzR-UDQ7EeiTMPysKlR2iA" name="ConditionTopic">
          <ownedComment xmi:id="_55ek8DQ7EeiTMPysKlR2iA" annotatedElement="_yzR-UDQ7EeiTMPysKlR2iA">
            <body>&quot;An assertion that represents a health condition of a patient that runs a clinical course over a period of time, and may be tracked during that time period.&quot; - HL7 CIMI, ConditionTopic</body>
          </ownedComment>
          <generalization xmi:id="_6UwLsDQ7EeiTMPysKlR2iA" general="_z8HEEDQ6EeiTMPysKlR2iA"/>
          <ownedAttribute xmi:id="_AGuKUDQ8EeiTMPysKlR2iA" name="15Properties" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AGuKUzQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AGuKUjQ8EeiTMPysKlR2iA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_JqltQDQ8EeiTMPysKlR2iA" name="FindingSiteAssertionTopic">
          <ownedComment xmi:id="_PmSPoDQ8EeiTMPysKlR2iA" annotatedElement="_JqltQDQ8EeiTMPysKlR2iA">
            <body>&quot;An assertion about a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept located on a specific body location that has risen to a level of concern.&quot; - HL7 CIMI, FindingSiteAssertionTopic</body>
          </ownedComment>
          <generalization xmi:id="_QxPm4DQ8EeiTMPysKlR2iA" general="_yzR-UDQ7EeiTMPysKlR2iA"/>
          <ownedAttribute xmi:id="_USp4IDQ8EeiTMPysKlR2iA" name="findingSite" visibility="public" type="_yhbPoIFmEeiFweA6NKJQOg">
            <ownedComment xmi:id="_hcIioIFmEeiFweA6NKJQOg" annotatedElement="_USp4IDQ8EeiTMPysKlR2iA">
              <body>&quot;The body site affected by a condition.&quot; - HL7 CIMI, FindingSiteAssertionTopic.findingSite</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_USp4IjQ8EeiTMPysKlR2iA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_USp4ITQ8EeiTMPysKlR2iA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_8poi8DkeEeixFNP12VuNaA" name="EvaluationResultTopic">
          <ownedComment xmi:id="_E-iYYDkfEeixFNP12VuNaA" annotatedElement="_8poi8DkeEeixFNP12VuNaA">
            <body>&quot;The outcome of an evaluation of a characteristic. This model holds a &quot;question&quot; in the key and holds a value in the result. This value is further qualified through the model's properties.&quot; - HL7 CIMI, EvaluationResultTopic</body>
          </ownedComment>
          <generalization xmi:id="_x7jvUDkhEeixFNP12VuNaA" general="_LsnRkB5SEeizW5HiKXPAjA"/>
          <ownedAttribute xmi:id="_ZQlf0DkgEeixFNP12VuNaA" name="device" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA">
            <ownedComment xmi:id="_ZQlf0TkgEeixFNP12VuNaA" annotatedElement="_ZQlf0DkgEeixFNP12VuNaA">
              <body>&quot;The device used to evaluate the characteristic such as the type of blood pressure cuff used on a patient.&quot; - HL7 CIMI, EvaluationResultTopic.device</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZQlf0zkgEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZQlf0jkgEeixFNP12VuNaA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ZUTiMDkgEeixFNP12VuNaA" name="referenceRange" visibility="public" type="_3XW7MGH_EeCHAoM78Lf2xA">
            <ownedComment xmi:id="_ZUTiMTkgEeixFNP12VuNaA" annotatedElement="_ZUTiMDkgEeixFNP12VuNaA">
              <body>&quot;The range for the measurement.&quot; - HL7 CIMI, EvaluationResultTopic.referenceRange</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZUTiMzkgEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZUTiMjkgEeixFNP12VuNaA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HkPkcDkhEeixFNP12VuNaA" name="evaluationProcedure" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_MM2HQDkhEeixFNP12VuNaA" annotatedElement="_HkPkcDkhEeixFNP12VuNaA">
              <body>&quot;The evaluation procedure that is the source of the evaluation result.&quot; - HL7 CIMI, EvaluationResultTopic.evaluationProcedure</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LMFN0DkhEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LMFN0TkhEeixFNP12VuNaA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ZXvQsDkgEeixFNP12VuNaA" name="precondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_ZXvQsTkgEeixFNP12VuNaA" annotatedElement="_ZXvQsDkgEeixFNP12VuNaA">
              <body>&quot;Describes the previously existing conditions or states that could affect a measurement or assessment, for example, a patient's weight taken while clothed, height with or without shoes, blood pressure taken while standing or lying down. Precondition aligns with the SNOMED CT Observable model attribute 704326004 |Precondition (attribute)|&quot; - HL7 CIMI, EvaluationResultTopic.precondition</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZXvQszkgEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZXvQsjkgEeixFNP12VuNaA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Ksf_sGD-EeiDicftMBkUFQ" name="partOf" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_TQCuEGD-EeiDicftMBkUFQ" annotatedElement="_Ksf_sGD-EeiDicftMBkUFQ">
              <body>&quot;A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure. Do not use this attribute to link this observation to the encounter where it originates. Use the 'encounter' attribute of ClinicalStatement instead.&quot; - HL7 CIMI, EvaluationResultTopic.partOf</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ksf_s2D-EeiDicftMBkUFQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ksf_smD-EeiDicftMBkUFQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QSLOwGD-EeiDicftMBkUFQ" name="basedOn" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_fT2eMGD-EeiDicftMBkUFQ" annotatedElement="_QSLOwGD-EeiDicftMBkUFQ">
              <body>&quot;A plan, proposal or order that is fulfilled in whole or in part by this event.&quot; - HL7 CIMI, EvaluationResultTopic.basedOn</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QSLOwmD-EeiDicftMBkUFQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QSLOwWD-EeiDicftMBkUFQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QWMzIGD-EeiDicftMBkUFQ" name="derivedFrom" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
            <ownedComment xmi:id="_qEMbUGD-EeiDicftMBkUFQ" annotatedElement="_QWMzIGD-EeiDicftMBkUFQ">
              <body>&quot;The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.&quot; - HL7 CIMI, EvaluationResultTopic.derivedFrom</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QWMzImD-EeiDicftMBkUFQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QWMzIWD-EeiDicftMBkUFQ" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_YLavwH72EeiqneFp1k9mGg" name="Component">
          <ownedComment xmi:id="_YLavwX72EeiqneFp1k9mGg" annotatedElement="_YLavwH72EeiqneFp1k9mGg">
            <body>&quot;The component abstract class is used to represent dependent observations, findings, or procedures associated with the parent clinical statement. A dependent component is a component that does not have an independent existence outside of its parent. For instance, the description of a wound bed must exist in the context of a wound assertion. However, a systolic blood pressure measurement can exist independently of a blood pressure panel. This distinction is important. Collections of independent statements should be represented using the composition structure offered by the CompoundClinicalStatement class. Collections of dependent structures should be modeled using the Component pattern.&quot; - HL7 CIMI, Component</body>
          </ownedComment>
          <ownedAttribute xmi:id="_YLavw372EeiqneFp1k9mGg" name="topic" visibility="public">
            <ownedComment xmi:id="_YLavxH72EeiqneFp1k9mGg" annotatedElement="_YLavw372EeiqneFp1k9mGg">
              <body>&quot;What the statement is about, e.g., the kind of finding or action. The range of this attribute is a structure (StatementTopic) rather than a value set. For instance, if the 'topic' attribute's meaning is bound to 'ProcedureTopic, then the topic must be a specialization of ProcedureTopic. This attribute aligns with the SNOMED CT 'Associated finding (attribute)' (SCTID: 246090004) and 'Associated procedure (attribute)' (SCTID: 363589002).&quot; - HL7 CIMI, ClinicalStatement.topic</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YLavxn72EeiqneFp1k9mGg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YLavxX72EeiqneFp1k9mGg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YLavx372EeiqneFp1k9mGg" name="context" visibility="public">
            <ownedComment xmi:id="_YLavyH72EeiqneFp1k9mGg" annotatedElement="_YLavx372EeiqneFp1k9mGg">
              <body>&quot;The ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range of this attribute is a structure (StatementContext) rather than a value set. The context of the clinical statement must align with the range specified by the SWEC Concept Model. For instance, if the 'context' attribute's meaning is bound to 'Finding context', then the context may not be a specialization of the ActionContext statement context. Instead, it should be a specialization of the FindingContext statement context.&quot; - HL7 CIMI, ClinicalStatement.context</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YLavyn72EeiqneFp1k9mGg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YLavyX72EeiqneFp1k9mGg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_yhbPoIFmEeiFweA6NKJQOg" name="AnatomicalLocation">
          <ownedComment xmi:id="_372Q8IFmEeiFweA6NKJQOg" annotatedElement="_yhbPoIFmEeiFweA6NKJQOg">
            <body>&quot;A part of the body.&quot; - HL7 CIMI, AnatomicalLocation</body>
          </ownedComment>
          <ownedAttribute xmi:id="_5SdekIFmEeiFweA6NKJQOg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_5SdekYFmEeiFweA6NKJQOg" annotatedElement="_5SdekIFmEeiFweA6NKJQOg">
              <body>&quot;The anatomical location code&quot; - HL7 CIMI, AnatomicalLocation.code</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sdek4FmEeiFweA6NKJQOg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SdekoFmEeiFweA6NKJQOg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_G_0mcIFnEeiFweA6NKJQOg" name="laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_N1bMUIFnEeiFweA6NKJQOg" annotatedElement="_G_0mcIFnEeiFweA6NKJQOg">
              <body>&quot;The side of a bilaterally duplicated structure.&quot; - HL7 CIMI, AnatomicalLocation.laterality</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G_0mc4FnEeiFweA6NKJQOg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G_0mcoFnEeiFweA6NKJQOg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JYAl0IFnEeiFweA6NKJQOg" name="anatomicalDirection" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UAb9EIFnEeiFweA6NKJQOg" annotatedElement="_JYAl0IFnEeiFweA6NKJQOg">
              <body>&quot;A direction on with respect to planes of the body, for example, proximal, distal, lateral, medial.&quot; - HL7 CIMI, AnatomicalLocation.anatomicalDirection</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JYAl0oFnEeiFweA6NKJQOg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JYAl0YFnEeiFweA6NKJQOg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_0P-xQIFoEeiFweA6NKJQOg" name="EvaluationResultRecordedContext">
          <ownedComment xmi:id="_9JcsUIFoEeiFweA6NKJQOg" annotatedElement="_0P-xQIFoEeiFweA6NKJQOg">
            <body>&quot;&quot; - HL7 CIMI, EvaluationResultRecordedContext</body>
          </ownedComment>
          <generalization xmi:id="_CKOekIFpEeiFweA6NKJQOg" general="_3qwBoC6rEeiK-Nu2QYEazg"/>
          <ownedAttribute xmi:id="_Nt6jUDkfEeixFNP12VuNaA" name="exceptionValue" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Wzhc8DkfEeixFNP12VuNaA" annotatedElement="_Nt6jUDkfEeixFNP12VuNaA">
              <body>&quot;If the result value is missing, a code explaining the reason the result cannot be provided.&quot; - HL7 CIMI, RecordedContext.exceptionValue</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nt6jUjkfEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nt6jUTkfEeixFNP12VuNaA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CeIJwDkiEeixFNP12VuNaA" name="deltaFlag" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_CeIJwTkiEeixFNP12VuNaA" annotatedElement="_CeIJwDkiEeixFNP12VuNaA">
              <body>&quot;Flag indicating whether there was a significant change from previous results.&quot; - HL7 CIMI, RecordedContext.deltaFlag</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CeIJwzkiEeixFNP12VuNaA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CeIJwjkiEeixFNP12VuNaA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_l3tQAB5TEeizW5HiKXPAjA" name="resultValue" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
            <ownedComment xmi:id="_l3tQAR5TEeizW5HiKXPAjA" annotatedElement="_l3tQAB5TEeizW5HiKXPAjA">
              <body>&quot;The value of the finding, typically a quantity for measurements and a concept code for qualitative evaluations and assertions. In general, any data type can be the value of a finding.&quot; - HL7 CIMI, RecordedContext.resultValue</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l3tQAx5TEeizW5HiKXPAjA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l3tQAh5TEeizW5HiKXPAjA" value="1"/>
          </ownedAttribute>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_8lvuIDKfEeidlpJU2TuLzA" name="InformationEntry" isAbstract="true">
        <ownedComment xmi:id="_Ci-hkDKgEeidlpJU2TuLzA" annotatedElement="_8lvuIDKfEeidlpJU2TuLzA">
          <body>&quot;An entry in a patient record or in a report, generally used for the documentation of clinical information about a subject of information such as a patient or a relative of the patient, asserted by a particular source, recorded, and potentially verified.&quot; - HL7 CIMI, InformationEntry</body>
        </ownedComment>
        <ownedAttribute xmi:id="_OeQTIAXZEeebQs_lQM5n6g" name="comment" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_jAOiYAXZEeebQs_lQM5n6g" annotatedElement="_OeQTIAXZEeebQs_lQM5n6g">
            <body>Pointer to any remarks concerning the ClinicalInformation. This contstruct allows multiple (i.e., zero to many) clinicians to comment upon the clinical information, perhaps over time. For example, the data enterer may provide some comments and later the verifier may also record some additional comments. In addition, it allows the same clinician to provide multiple comments, likely over time.&#xD;
&#xD;
&quot;May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.&quot; - HL7 FHIR, Observation.comment&#xD;
&quot;Unstructured notes appended to a clinical statement.&quot; - HL7 CIMI, InformationEntry.additionalText</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OeQ6MAXZEeebQs_lQM5n6g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OeQ6MQXZEeebQs_lQM5n6g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XOlpcOQxEeaH9t35G2snaA" name="contentVersion" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XOlpcuQxEeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XOlpceQxEeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1P1aeEd6rJ7jpZ7LBFg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_3F9DoHycEeOHq5zPTCjDoQ" annotatedElement="_nbH1P1aeEd6rJ7jpZ7LBFg">
            <body>Uniquely identifies the Clinical Information/Record.  This property is akin to a record number.  While the record number by itself may not be unique outside of the organization that created it, the Id datatype allows for an assigning authority, which when combined with the local identifier should make the Id unique.  Among other purposes, the id property enables other records to be linked together.  This is particularly needful for Condiions (a sub type of Observations), where on-going Observations made on the same initial Health Concern (aka Problem) or Intolerance Condition can be tracked.&#xD;
&#xD;
&quot;Contains a value that uniquely identifies a single allergy for a person&quot; - HL7 Version 2.8, IAM-7&#xD;
&quot;Contains a unique identifier for the observation....  In most systems the identifier will point to a master observation table that will provide other attributes of the observation that may be used by the receiving system to process the observations it receives.&quot; - HL7 Version 2.8, OBX-3&#xD;
&quot;Contains the identifier assigned by an initiating system to an instance of a problem.&quot; - HL7 Version 2.8, PRB-4&#xD;
&quot;A unique identifier assigned to this observation.&quot; - HL7 FHIR, Observation.identifier&#xD;
&quot;This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).&quot; - HL7 FHIR, Condition.identifier&#xD;
&quot;The unique identifier(s) of this clinical statement. It must be entered if user wants it returned as part of any output (e.g., a wound number), otherwise it will be auto-generated, if needed, by the system serving the record. An identifier does not need to be the actual identifier of the source system. &quot; - HL7 CIMI, InformationEntry.identifier&#xD;
&quot;This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).&quot; - HL7 FHIR, Procedure.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1QVaeEd6rJ7jpZ7LBFg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1QFaeEd6rJ7jpZ7LBFg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1TVaeEd6rJ7jpZ7LBFg" name="recordStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PkyNUBcAEeOL3Nw-k5HkNw" annotatedElement="_nbH1TVaeEd6rJ7jpZ7LBFg">
            <body>The state of the Clinical Information record, as defined in the state-transition model in the HL7 RIM. Possible values include: Aborted, Active, Cancelled, Completed, Held, New, Nullified, Obsolete. Note that this property represents the state of the clinical record, not the state of the thing being recorded (which is an especially important distinction when dealing with Observations). When the state of the thing being observed is needed (e.g., in remission), a separate property, such as clinicalStatus, will be used. Note also that VistA and RPMS have the concept of being &quot;Entered in Error&quot; which is equivalent to a status of Nullified. For the Condition subtype of Observation, this property summarizes the current state of the Condition (or subtype such as Health Concern (aka Problem) or Intolerance Condition), as indicated by the last observation made on the Condition.&#xD;
&#xD;
&quot;Indicates the verification status for the allergy.&quot; - HL7 Version 2.8, IAM-17.  HL7 Version 2 has the following suggested values (table 438): Unconfirmed; Pending; Suspect; Confirmed or verified; Confirmed but inactive; Erroneous; Doubt raised.&#xD;
&quot;Contains the observation result status.... This field reflects the current completion status of the results for one Observation Identifier....&quot; - HL7 Version 2.8, OBX-11.&#xD;
&quot;Contains the current status of the problem at this particular date/time (e.g., active, active-improving, active-stable, active-worsening, inactive, resolved, etc.).&quot; - HL7 Version 2.8, PRB-14&#xD;
&quot;Concept indicating the state of this record. E.g., entered in error.&quot; - HL7 CIMI InformationEntry.recordStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1T1aeEd6rJ7jpZ7LBFg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1TlaeEd6rJ7jpZ7LBFg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Maw2MOd_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ActInstanceStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lYI78KMyEeSjK-UNpoDZuQ" name="sourceRecordType" visibility="public">
          <ownedComment xmi:id="_FGT94KMzEeSjK-UNpoDZuQ" annotatedElement="_lYI78KMyEeSjK-UNpoDZuQ">
            <body>This optional property may be used to categorize the medical record, especially in terms of (or from the point of view of) the originating computer system. It is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record; therefore information about the source and type of information will be helpful. This property is modeled as a string because we do not anticipate a commonly-agreed-upon controlled vocabulary to be available, however implementers may choose to implement this as a code using a locally-defined vocabulary. Added 1/23/2015.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bPkekKM0EeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bPkekaM0EeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VuEk4KM0EeSjK-UNpoDZuQ" name="sourceSystem" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_VuEk4aM0EeSjK-UNpoDZuQ" annotatedElement="_VuEk4KM0EeSjK-UNpoDZuQ">
            <body>Identifies the computer system that created the medical record. This optional field may also be used to indicate that the medical record was originally created by a different organization from the one that is currently storing or utilizing the record in that the assigning authority of the Id could be set to that originating organization. This property is optional, as some systems will assume that all records that it contains originated in that system, however it is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record. Added 1/23/2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZKoyYKM0EeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZKoyYaM0EeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NgU0YOQxEeaH9t35G2snaA" name="recorded" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <ownedComment xmi:id="_RmTlYBTQEeeSDZ571EKARw" annotatedElement="_NgU0YOQxEeaH9t35G2snaA">
            <body>&quot;Provenance information specific to the recording of the clinical statement (e.g., when recorded, where recorded, etc...).&quot; - HL7 CIMI, InformationEntry.recorded&#xD;
&quot;The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.&quot; - HL7 FHIR, MedicationRequest.recorder&#xD;
&quot;Individual who recorded the record and takes responsibility for its content.&quot; - HL7 FHIR, Procedure.recorder</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgU0YuQxEeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgU0YeQxEeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1o-BYOpJEeaWrIJdHo1TMw" name="subjectOfInformation" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_1o5I4OpJEeaWrIJdHo1TMw">
          <ownedComment xmi:id="_QTUacO43EeaUvKSLywOgEw" annotatedElement="_1o-BYOpJEeaWrIJdHo1TMw">
            <body>Pointer to the entity which is the subject of the Clinical Information. In the majority of cases the subject of the clinical information is the same as the patient in whose record the clinical information is stored. But in a few cases, the subject of the clinical information may be different than the patient. For example, the blood type of a fetus is stored in the mother's medical record. In this case the &quot;subject of record&quot; is the mother, while the &quot;subject of information&quot; is the fetus. In addition, this association can be used when an observation is made where there is no patient. For example, environmental samples, or a foodstuff sample for food safety testing. Note that this property will only be used when the patient is not the subject of the clinical activity. When the patient is the subject of the clinical information, which again is the majority of the cases, this property will not be used.&#xD;
&#xD;
&quot;The entity being described by this statement. The entity may be animate (a patient, a relative of the patient, a veterinary patient, a cohort) or inanimate (a well, a geographical location). The subject of information is constrained in archetypes. This attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) and is bound to the SNOMED attribute: |408732007|Subject relationship context (attribute).&quot; - HL7 CIMI InformationEntry.subjectOfInformation&#xD;
&quot;The actual focus of an observation when it is not the patient of record. The focus is point of attention when the observation representing something or someone associated with the patient. It could be a spouse or parent, a fetus or donor. The focus of an observation could be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.&quot; - HL7 FHIR, Observation.focus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1o-ocOpJEeaWrIJdHo1TMw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1o_PgOpJEeaWrIJdHo1TMw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4xFhkOSmEeaMP8OhjVeyrg" name="subjectOfRecord" visibility="public" type="_420A62FD03B6418A4E500034" association="_4xDsYOSmEeaMP8OhjVeyrg">
          <ownedComment xmi:id="_9amoAO42EeaUvKSLywOgEw" annotatedElement="_4xFhkOSmEeaMP8OhjVeyrg">
            <body>Pointer to the (Person or Animal in the Role of) Patient which is the &quot;record target&quot; for the Clinical Information. In the majority of cases the subject of the clinical information is the same as the patient in whose record the clinical information is stored. But in a few cases, the subject of the clinical information may be different than the patient. For example, the blood type of a fetus is stored in the mother's medical record. In this case the &quot;subject of record&quot; is the mother, while the &quot;subject of information&quot; is the fetus.&#xD;
&#xD;
&quot;The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject.&quot; - HL7 FHIR, Observation.subject&#xD;
&quot;Indicates the patient or group who the condition record is associated with.&quot; - HL7 FHIR, Condition.subject&#xD;
&quot;The person, animal or group on which the procedure was performed.&quot; - HL7 FHIR, Procedure.subject</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4xGIoOSmEeaMP8OhjVeyrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4xGIoeSmEeaMP8OhjVeyrg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ry6mAEpMEeiyfctrd2Hs6w" name="AssertionAbsenceGoal">
        <generalization xmi:id="_y9P_IE_FEeicO4zK57V_lA" general="_NF5YcE_FEeicO4zK57V_lA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t1ED8EpMEeiyfctrd2Hs6w" name="AssertionPresenceGoal">
        <generalization xmi:id="_ziNGUE_FEeicO4zK57V_lA" general="_NF5YcE_FEeicO4zK57V_lA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Da36EE_EEeicO4zK57V_lA" name="ActionStatement" isAbstract="true">
        <generalization xmi:id="_f5IN8E_FEeicO4zK57V_lA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_c3Ff0Dn5EeiefcoRQJXpFA" name="description" visibility="public">
          <ownedComment xmi:id="_c3Ff0Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff0Dn5EeiefcoRQJXpFA">
            <body>&quot;An account of the procedure in narrative form.&quot; - HL7 CIMI, ProcedureTopic.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff0zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff0jn5EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff1Dn5EeiefcoRQJXpFA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_c3Ff1Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff1Dn5EeiefcoRQJXpFA">
            <body>&quot;The reason for performing this act.&quot; - HL7 CIMI, ProcedureTopic.reason&#xD;
&quot;The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.&quot; - HL7 FHIR, Procedure.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff1zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff1jn5EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff2Dn5EeiefcoRQJXpFA" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_c3Ff2Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff2Dn5EeiefcoRQJXpFA">
            <body>&quot;Technique or way of accomplishing the act, e.g., endoscopic, arthroscopic, etc.&quot; - HL7 CIMI, ProcedureTopic.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff2zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff2jn5EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff3Dn5EeiefcoRQJXpFA" name="precondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_c3Ff3Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff3Dn5EeiefcoRQJXpFA">
            <body>&quot;Patient state or condition that must be true prior to the performance of the procedure such as 'at rest', 'supine', 'fasting', etc.&quot; - HL7 CIMI, ProcedureTopic.precondition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff3zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff3jn5EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff4Dn5EeiefcoRQJXpFA" name="inputFinding" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
          <ownedComment xmi:id="_c3Ff4Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff4Dn5EeiefcoRQJXpFA">
            <body>&quot;Patient findings expected for the performance of the specified procedure. For instance, an x-ray of a fracture prior to a surgical procedure for a bone fracture.&quot; - HL7 CIMI, ProcedureTopic.inputFinding</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff4zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff4jn5EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff5Dn5EeiefcoRQJXpFA" name="outputFinding" visibility="public" type="_vRMTwBgEEeiwcpUehaEhrA">
          <ownedComment xmi:id="_c3Ff5Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff5Dn5EeiefcoRQJXpFA">
            <body>&quot;Patient findings documented during the performance of the procedure.&quot; - HL7 CIMI, ProcedureTopic.outputFinding</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff5zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff5jn5EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff6Dn5EeiefcoRQJXpFA" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_c3Ff6Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff6Dn5EeiefcoRQJXpFA">
            <body>&quot;Conditions or situations where the procedure is recommended.&quot; - HL7 CIMI, ProcedureTopic.indication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff6zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff6jn5EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c3Ff7Dn5EeiefcoRQJXpFA" name="usingDevice" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA">
          <ownedComment xmi:id="_c3Ff7Tn5EeiefcoRQJXpFA" annotatedElement="_c3Ff7Dn5EeiefcoRQJXpFA">
            <body>&quot;The instrument or equipment utilized to execute an action&quot; - HL7 CIMI, ProcedureTopic.usingDevice</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3Ff7zn5EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3Ff7jn5EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BtOakE_GEeicO4zK57V_lA" name="location" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_OHjNQE_GEeicO4zK57V_lA" annotatedElement="_BtOakE_GEeicO4zK57V_lA">
            <body>The location at which the procedure or action was perfored or is planned to be performed. Note that the FHIM ServiceDeliveryLocation can refer to a medical facility or to a general location identified by mailing address or by geospatial coordinates. For example, actions performed at an automobile accident scene might reference geospatial coordinates.&#xD;
&quot;Location where procedure was performed or is to be performed.&quot; - HL7 CIMI, ProcedureTopic.location&#xD;
&quot;The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.&quot; - HL7 FHIR, Procedure.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FCKWEE_GEeicO4zK57V_lA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FCKWEU_GEeicO4zK57V_lA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PSI_ADn3EeiefcoRQJXpFA" name="currentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSI_ATn3EeiefcoRQJXpFA" annotatedElement="_PSI_ADn3EeiefcoRQJXpFA">
            <body>&quot;The latest recorded status of an action within the specified context. An action may be interpretable within a specific context such as whether it is planned, ordered, or performed. Moreover, within each of these contexts, an action may have a set of allowable states in which it can exist. For instance, a proposal may be rejected or an order may be signed, canceled or superceded by another order.&quot; - HL7 CIMI, ActionContext.currentStatus&#xD;
&quot;A code specifying the state of the procedure. Generally this will be in-progress or completed state.&quot; - HL7 FHIR, Procedure.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PSI_Azn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PSI_Ajn3EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PSI_BDn3EeiefcoRQJXpFA" name="justification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSI_BTn3EeiefcoRQJXpFA" annotatedElement="_PSI_BDn3EeiefcoRQJXpFA">
            <body>&quot;Reason the action was done or justification for the action. Reasons may also be specified for not performing an action.&quot; - HL7 CIMI, ActionContext.justification</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PSI_Bzn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PSI_Bjn3EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PSI_CDn3EeiefcoRQJXpFA" name="scope" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSI_CTn3EeiefcoRQJXpFA" annotatedElement="_PSI_CDn3EeiefcoRQJXpFA">
            <body>&quot;Indicates the scope or clinical setting where the context applies, e.g., Inpatient, outpatient, community.&quot; - HL7 CIMI, ActionContext.scope</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PSI_Czn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PSI_Cjn3EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PSI_DDn3EeiefcoRQJXpFA" name="supportingInformation" visibility="public" type="_29nUQBgBEeiwcpUehaEhrA">
          <ownedComment xmi:id="_PSI_DTn3EeiefcoRQJXpFA" annotatedElement="_PSI_DDn3EeiefcoRQJXpFA">
            <body>&quot;Additional information that supports the performance, non-performance, ordering, or proposing of the clinical action, for example, the patient height and weight, or documentation of heart rate before administering the medication (in case medication needs to be held if heart rate falls in a specific range).&quot; - HL7 CIMI, ActionContext.supportingInformation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PSI_Dzn3EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PSI_Djn3EeiefcoRQJXpFA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BKvtcGtCEeiYVvtnLEaW4w" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BKvtcWtCEeiYVvtnLEaW4w" annotatedElement="_BKvtcGtCEeiYVvtnLEaW4w">
            <body>&quot;A code that classifies the procedure for searching, sorting and display purposes (e.g., Surgical Procedure).&quot; - HL7 FHIR, Procedure.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BKvtc2tCEeiYVvtnLEaW4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BKvtcmtCEeiYVvtnLEaW4w" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NF5YcE_FEeicO4zK57V_lA" name="GoalStatement" isAbstract="true">
        <generalization xmi:id="_etbP0E_FEeicO4zK57V_lA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_iphKkE_IEeicO4zK57V_lA" memberEnd="_iphKkU_IEeicO4zK57V_lA _ipqUgk_IEeicO4zK57V_lA">
        <ownedEnd xmi:id="_ipqUgk_IEeicO4zK57V_lA" name="" visibility="private" type="_3jr4YDnEEeily54_XzrISg" association="_iphKkE_IEeicO4zK57V_lA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_znSTQE_IEeicO4zK57V_lA" memberEnd="_znSTQU_IEeicO4zK57V_lA _znSTRE_IEeicO4zK57V_lA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_BF08AE_JEeicO4zK57V_lA" memberEnd="_BF08AU_JEeicO4zK57V_lA _BF08BE_JEeicO4zK57V_lA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_gmV6AGs0EeiYVvtnLEaW4w" memberEnd="_gmo08Gs0EeiYVvtnLEaW4w _gmo082s0EeiYVvtnLEaW4w">
        <ownedEnd xmi:id="_gmo082s0EeiYVvtnLEaW4w" name="" visibility="private" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_gmV6AGs0EeiYVvtnLEaW4w"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_arDbwGs-EeiYVvtnLEaW4w" memberEnd="_arJiYGs-EeiYVvtnLEaW4w _arJiY2s-EeiYVvtnLEaW4w">
        <ownedEnd xmi:id="_arJiY2s-EeiYVvtnLEaW4w" name="" visibility="private" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_arDbwGs-EeiYVvtnLEaW4w"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_R5KS4Gs_EeiYVvtnLEaW4w" memberEnd="_R5KS4Ws_EeiYVvtnLEaW4w _R5QZgWs_EeiYVvtnLEaW4w">
        <ownedEnd xmi:id="_R5QZgWs_EeiYVvtnLEaW4w" name="" visibility="private" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_R5KS4Gs_EeiYVvtnLEaW4w"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_VJ84wGtAEeiYVvtnLEaW4w" name="actionPerformed_partOf" memberEnd="_VJ84wWtAEeiYVvtnLEaW4w _VJ84xGtAEeiYVvtnLEaW4w">
        <ownedEnd xmi:id="_VJ84xGtAEeiYVvtnLEaW4w" name="" visibility="private" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_VJ84wGtAEeiYVvtnLEaW4w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2k-88IFsEeiFweA6NKJQOg" name="AssertionStatement">
        <generalization xmi:id="_EYxyEIFvEeiFweA6NKJQOg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_2suaYDn0EeiefcoRQJXpFA" name="dateAsserted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_2suaYTn0EeiefcoRQJXpFA" annotatedElement="_2suaYDn0EeiefcoRQJXpFA">
            <body>&quot;Date and time the assertion was made.&quot; - HL7 CIMI, AssertionTopic.dateAsserted</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2suaYzn0EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2suaYjn0EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2suaZDn0EeiefcoRQJXpFA" name="verificationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2suaZTn0EeiefcoRQJXpFA" annotatedElement="_2suaZDn0EeiefcoRQJXpFA">
            <body>&quot;The state of knowledge concerning the assertion; e.g., confirmed, refuted, provisional, suspected.&quot; - HL7 CIMI, AssertionTopic.verificationStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2suaZzn0EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2suaZjn0EeiefcoRQJXpFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2suaaDn0EeiefcoRQJXpFA" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2suaaTn0EeiefcoRQJXpFA" annotatedElement="_2suaaDn0EeiefcoRQJXpFA">
            <body>&quot;The means by which a clinical finding is determined.&quot; - HL7 CIMI, FindingTopic.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2suaazn0EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2suaajn0EeiefcoRQJXpFA" value="*"/>
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        <ownedAttribute xmi:id="_eM7YwDn2EeiefcoRQJXpFA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eM7YwTn2EeiefcoRQJXpFA" annotatedElement="_eM7YwDn2EeiefcoRQJXpFA">
            <body>&quot;The last recorded state of the finding, indicating whether the finding is preliminary, amended, final, to be attained, etc.&quot; - HL7 CIMI, FindingContext.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eM7Ywzn2EeiefcoRQJXpFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eM7Ywjn2EeiefcoRQJXpFA" value="1"/>
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      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64294DBF90337" name="Consultation">
      <eAnnotations xmi:id="_MJKShOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MJUDguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_XF_bwOStEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B64294DBF90337">
        <body>The Consultation Request Tracking domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_YfgMYOStEeaMP8OhjVeyrg">
        <body>The Consultation Request Tracking domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642B0A9910240" name="ConsultPromise">
        <eAnnotations xmi:id="_MHOY1-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MG7d6-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910240">
          <body>The act of accepting the role of fulfiller. It is the act of accepting  a consult or procedure request. The receiving service will perform update tracking activities.</body>
        </ownedComment>
        <generalization xmi:id="_1hjCcMz7EeGLer7-nLPRGA" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_420A62FD03B642B0A9910248" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHOY0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910248">
            <body>value which indicates whether the request is a consult or procedure request.(C:Consult P:Procedure) (VISTA)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MqhXIOGnEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MqhXIeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B0A9910242" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MHFO5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910242">
            <body>Date/time of actual entry of consultation or procedure request into data repository</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OLlhQOGnEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OLlhQeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B0A9910249" name="serviceSetting" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHOY1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910249">
            <body>value which allows the ordering person to indicate if the service is to be rendered on an outpatient or inpatient basis.  This is to alleviate the confusion if patient is currently an inpatient/outpatient but is just about to be discharged/admitted and become a outpatient/inpatient. (Data Type = Set of Codes I:inpatient,O:outpatient)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QK_NMOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QK_NMeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B309770396" name="activity" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642B309750090">
          <ownedComment xmi:id="_MIRhsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B309770396">
            <body>action activities for consultProcedurePromise,  it is used for tracking/auditing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIRhtOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIRhteLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE93E03E4" name="associatedResult" visibility="public" type="_420A62FD03B642DBE529011A" isUnique="false" association="_420A62FD03B642DBE93D00F3">
          <ownedComment xmi:id="_MIarpeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE93E03E4">
            <body>One or more results (from Medicine package) to be associated  with a instance of ConsultProcedurePromise.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIarp-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIarqOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B1091D0049" name="responsibleService" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642B1091B03C1">
          <ownedComment xmi:id="_MIHwtuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B1091D0049">
            <body>An organizational unit defined by the type of service that it provides to patients.  Examples include Surgery, Dentistry, Mental Health.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIHwuOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIHwueLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yZM5EPhLEeGTrozbqWjuyg" name="resultingEncounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_yZJOsPhLEeGTrozbqWjuyg">
          <ownedComment xmi:id="_J5bCIPhMEeGTrozbqWjuyg" annotatedElement="_yZM5EPhLEeGTrozbqWjuyg">
            <body>Points to those encounters that occured as a result of the consultation request/promise.  For example, if Doctor A request a consultation from Doctor B, this property contains the encounter(s) of Doctor B with the patient.  Note that this property points to AbstractEncounter, rather than Encounter, as the patient may not actually be present, as in the case where a radiologist is asked to interpret a radiograph.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yZOHMPhLEeGTrozbqWjuyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yZOuQPhLEeGTrozbqWjuyg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642B3094903E0" name="ProcessActivities">
        <eAnnotations xmi:id="_MHh60-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MHOY2uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B3094903E0">
          <body>action activities for consultProcedurePromise,  it is used for tracking/auditing  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642B30A4F0347" name="activity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHYJ1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B30A4F0347">
            <body>The activity being taken and updated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z0xK4OGnEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z0xK4eGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DE8BC6019C" name="comment" visibility="public">
          <eAnnotations xmi:id="_MHh60eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MHYJ2-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DE8BC6019C">
            <body>comment about the activity</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HXeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HXuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B30D190249" name="time" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MHYJ2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B30D190249">
            <body> The actual date and time the activity tracking update was added to the process activities multiple.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bO8C0OGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bO8C0eGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D6876E03AB" name="lastActivity" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642D6876C00E1">
          <ownedComment xmi:id="_MIRhueLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6876E03AB">
            <body>the prior  action activity for consultProcedurePromise.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIRhu-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIRhvOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DFB2A0038B" name="forwardedFrom" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642DFB29A02D8">
          <ownedComment xmi:id="_MIkcsOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB2A0038B">
            <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; (HL7)  Service location which forwarded the Consult to the new service location.(VISTA)   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIuNoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIuNouLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DFB280012C" name="priorService" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642DFB27A00DD">
          <ownedComment xmi:id="_MIkcqeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB280012C">
            <body>An organizational unit defined by the type of service that it provides to patients.  Examples include Surgery, Dentistry, Mental Health. the name of the service that the inter-facility consult was directed to at the remote site prior to being forwarded.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIkcq-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIkcrOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DBE529011A" name="ConsultResult">
        <eAnnotations xmi:id="_MHh62-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedAttribute xmi:id="_kBj0AAqaEd-426xscrxYmQ" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WZ_tIOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WZ_tIeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oHZoAAqaEd-426xscrxYmQ" name="resultCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XaVIwOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XaVIweGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s6FT4AqaEd-426xscrxYmQ" name="resultText" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YST5oOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YST5oeGnEeaHnLXha23s2A" value="1"/>
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        <ownedAttribute xmi:id="_Kx18EH7lEeOYQJZKXKAJnw" name="recommendedCarePlan" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_Kx0G4H7lEeOYQJZKXKAJnw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kx3KMH7lEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kx3KMX7lEeOYQJZKXKAJnw" value="*"/>
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        <ownedAttribute xmi:id="_56cjUOGmEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_-YbKgOGmEeaHnLXha23s2A" annotatedElement="_56cjUOGmEeaHnLXha23s2A">
            <body>Pointer to the Individual Provider (in the Role of Author) who provided the assessment or recommended a Care Plan for the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_56cjUuGmEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_56cjUeGmEeaHnLXha23s2A" value="1"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642B1F78C0027" name="ConsultRequest">
        <eAnnotations xmi:id="_MHrEyOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MHh63uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B1F78C0027">
          <body>A record of a consultation or procedure request.  A ConsultRequest is a type of Act.  The definition of Act is:  &quot;A record of something that is being done, has been done, can be done, or is intended or requested to be done.&quot; (HL7 3.0)</body>
        </ownedComment>
        <generalization xmi:id="_wPKY8IlEEd-pqcFAwb-XNw" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B642DD0AEE015A" name="requestReason" visibility="public">
          <ownedComment xmi:id="_MHrEw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD0AEE015A">
            <body>reasons for consultprocedure request</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TbnQcOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TbnQceGnEeaHnLXha23s2A" value="1"/>
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        <ownedAttribute xmi:id="_420A62FD03B642DD0A8403E3" name="serviceRenderedSetting" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHrExuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD0A8403E3">
            <body>value to indicate if the service is to be rendered on an outpatient or inpatient basis.  This is to alleviate the confusion if patient is currently an inpatient/outpatient but is just about to be discharged/admitted and become a outpatient/inpatient. (Data Type = Set of Codes I:inpatient,O:outpatient)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U09pAOGnEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U09pAeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-s2dcIk3Ed-pqcFAwb-XNw" name="provisionalDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_-ssscIk3Ed-pqcFAwb-XNw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-s2dcYk3Ed-pqcFAwb-XNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-s2dcok3Ed-pqcFAwb-XNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431EE3320119" name="orderedProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NJGFkeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431EE3320119">
            <body>Identifies a kind of procedure that can be, is, or has been requested as part of an order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RiQiIOGnEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RiQiIeGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642B1091B03C1" name="consultPromise_responsibleService" memberEnd="_420A62FD03B642B1091D0049 _420A62FD03B642B1091D005D">
        <ownedEnd xmi:id="_420A62FD03B642B1091D005D" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642B1091B03C1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642B309750090" name="consultPromise_activity" memberEnd="_420A62FD03B642B309770396 _420A62FD03B642B3097703A1">
        <ownedEnd xmi:id="_420A62FD03B642B3097703A1" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642B309750090"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642D6876C00E1" name="processActivities_lastActivity" memberEnd="_420A62FD03B642D6876E03AB _420A62FD03B642D6876E03B5">
        <ownedEnd xmi:id="_420A62FD03B642D6876E03B5" name="" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642D6876C00E1">
          <ownedComment xmi:id="_MIRhvuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6876E03B5">
            <body>most current action activity for consultProcedurePromise.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIaroeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIarouLiEduGJrQyRGTO1A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DBE93D00F3" name="consultRequest_associatedResult" memberEnd="_420A62FD03B642DBE93E03E4 _420A62FD03B642DBE93F0006">
        <ownedEnd xmi:id="_420A62FD03B642DBE93F0006" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642DBE93D00F3"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DFB27A00DD" name="processActivities_priorService" memberEnd="_420A62FD03B642DFB280012C _420A62FD03B642DFB2800136">
        <ownedEnd xmi:id="_420A62FD03B642DFB2800136" name="" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642DFB27A00DD"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DFB29A02D8" name="processActivities_forwardedFrom" memberEnd="_420A62FD03B642DFB2A0038B _420A62FD03B642DFB2A003A9">
        <ownedEnd xmi:id="_420A62FD03B642DFB2A003A9" name="" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642DFB29A02D8"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-ssscIk3Ed-pqcFAwb-XNw" name="consultRequest_provisionalDiagnosis" memberEnd="_-s2dcIk3Ed-pqcFAwb-XNw _-s2dc4k3Ed-pqcFAwb-XNw">
        <ownedEnd xmi:id="_-s2dc4k3Ed-pqcFAwb-XNw" name="" visibility="public" type="_420A62FD03B642B1F78C0027" association="_-ssscIk3Ed-pqcFAwb-XNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yZJOsPhLEeGTrozbqWjuyg" name="consultPromise_resultingEncounter" memberEnd="_yZM5EPhLEeGTrozbqWjuyg _yZRxkPhLEeGTrozbqWjuyg">
        <ownedEnd xmi:id="_yZRxkPhLEeGTrozbqWjuyg" name="" visibility="public" type="_420A62FD03B642B0A9910240" association="_yZJOsPhLEeGTrozbqWjuyg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Kx0G4H7lEeOYQJZKXKAJnw" memberEnd="_Kx18EH7lEeOYQJZKXKAJnw _Kx4YUH7lEeOYQJZKXKAJnw">
        <ownedEnd xmi:id="_Kx4YUH7lEeOYQJZKXKAJnw" name="" visibility="public" type="_420A62FD03B642DBE529011A" association="_Kx0G4H7lEeOYQJZKXKAJnw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_KqYgwM3ZEdyMrbJiuKueSQ" name="Datatypes">
      <eAnnotations xmi:id="_KqYgwc3ZEdyMrbJiuKueSQ" source="uml2.diagrams"/>
      <ownedComment xmi:id="_4tkeoLa1Ed-Y0_knsxZjWg" annotatedElement="_KqYgwM3ZEdyMrbJiuKueSQ">
        <body>This package contains classes that serve as “data types” for FHIM attributes.  The FHIM data types are common, reusable structures that are often needed in healthcare applications.  For example, healthcare observations often need both a numerical value and a unit of measure, such as a weight of 150 pounds.  Rather than modeling the value and units of measure separately in the main model (i.e., weightValue=150, weightUnits=pounds), we have chosen to create a Physical Quantity data type which can hold both the value and the units so the main model would only have weight:PhysicalQuantity=150 pounds.&#xD;
&#xD;
The FHIM data types are based on the HL7 Version 3 data types, but are simplified so that they might be more easily resolved into implementable specifications.  Where possible, we have removed recursion from the data types, and where there are generalization relationships, the subtypes only add to the super types.&#xD;
&#xD;
Besides the data types in this package, the FHIM only uses the basic data types defined in UML, and the properties of the data types in this package eventually all resolve to the basic UML data types.  The FHIM modeling style requires that all FHIM attributes must be either a UML data type or a class contained in this Datatypes package.  If a property requires any other kind of type, it is modeled as an association, not as an attribute.  For example, a lab test references a Patient and a lab test code.  In UML both the patient and lab test code properties could be modeled as either an attribute or an association of the lab test.  Since Patient is not a FHIM Datatype, it is modeled as an association, but since the lab test is a code, which is a data type, it is modeled as an attribute.  This style results in models similar in structure to HL7 models.&#xD;
&#xD;
Note that every package in the FHIM is dependent on the FHIM Datatypes package.  The FHIM Datatypes package must not be dependent on any other package.  Indeed, the FHIM data types must all resolve to UML Primitives.</body>
      </ownedComment>
      <ownedComment xmi:id="_5toiQOqrEeS5D9mZzS_77A" annotatedElement="_420A62FD03B641886F630160 _420A62FD03B64239FAA800D9">
        <body>The MonetaryAmount and TimeQuantity are the same as Quantity, but they &quot;re-define&quot; the unit property to be bound to a particular set of valid units.  For example:&#xD;
Quantity may have inches, kilograms, millilters, etc.&#xD;
TimeQuantity would have minutes, seconds, days, etc.&#xD;
MonetaryAmount would have dollars, euros, rupees, etc.</body>
      </ownedComment>
      <ownedComment xmi:id="_J0iN4AANEeapUr0Xy0Y4Kw" annotatedElement="_r_1eEBvxEd-afqIGzWhetA">
        <body>Note that all datatypes (except Any) are subtypes of Any. This is not shown on the diagram to reduce diagram clutter.&#xD;
Modeling every data type as a subtype of Any enables the substitution of any child data type in a property that uses the Any data type.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_FdABsOQyEeaH9t35G2snaA" name="Signature">
        <eAnnotations xmi:id="_Y3tAEOSkEeaMP8OhjVeyrg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Y3tAEeSkEeaMP8OhjVeyrg" key="datatype"/>
        </eAnnotations>
        <ownedComment xmi:id="_zf99kDvXEeeAVuPecg5-Hg" annotatedElement="_FdABsOQyEeaH9t35G2snaA">
          <body>&quot;A digital signature along with supporting context. The signature may be electronic/cryptographic in nature, or a graphical image representing a hand-written signature, or a signature process. Different signature approaches have different utilities.&quot; - HL7 FHIR, Signature</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rPa7MF9CEeadZ8QwYgX1hQ" name="contentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_rPa7MV9CEeadZ8QwYgX1hQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_No-GwDvYEeeAVuPecg5-Hg" annotatedElement="_rPa7MF9CEeadZ8QwYgX1hQ">
            <body>&quot;A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jwt for JWT, and image/* for a graphical image of a signature, etc.&quot; - HL7 FHIR, Signature.contentType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rPa7NF9CEeadZ8QwYgX1hQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rPa7M19CEeadZ8QwYgX1hQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lujXYFZMEeCNYNwvTI8hbQ" name="blob" visibility="public">
          <eAnnotations xmi:id="_lujXYVZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_lujXYlZMEeCNYNwvTI8hbQ" annotatedElement="_lujXYFZMEeCNYNwvTI8hbQ">
            <body>&quot;A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode.&quot; - HL7 V3&#xD;
&quot;The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.&quot; - HL7 FHIR, Signature.blob</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lujXZFZMEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lujXY1ZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4PWfMOQyEeaH9t35G2snaA" name="wasValidated" visibility="public">
          <ownedComment xmi:id="_hdXeUDvYEeeAVuPecg5-Hg" annotatedElement="_4PWfMOQyEeaH9t35G2snaA">
            <body>Indicates whether the signature was confirmed to be authentic and correctly applied to the electronic record.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4PWfM-QyEeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4PWfMuQyEeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C044DB02ED" name="Annotation">
        <eAnnotations xmi:id="_MEGMUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_EP6hYBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642C044DB02ED">
          <body>This class is used to capture remarks about an Activity which might be made by various Practitioners or Persons during the course of that Activity.&#xD;
&#xD;
Note that this class used to be called CommentEvent. It was renamed to Annotation in May 2017, as the FHIR Annotation datatype is identical in structure and in use.&#xD;
Note that this class used to contain an optional property called commentCategory, which was intended to provide an categorization of the comment for grouping purposes or to identify the situation in which the comment occured. The FHIM terminology team decided to remove this property in January 2013 as no universally standardized values could be identified for the comment category. This property may be reinstated in the future should a desired set of categories be identified.&#xD;
&#xD;
&quot;A text note which also contains information about who made the statement and when.&quot; - HL7 FHIR, Annotation</body>
        </ownedComment>
        <ownedAttribute xmi:id="_e3I3kOGyEeaHnLXha23s2A" name="author" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_ncBCsOGyEeaHnLXha23s2A" annotatedElement="_e3I3kOGyEeaHnLXha23s2A">
            <body>Indicates the Person who created the comment. Note that the Person may be a Practitioner, the Patient, or a Patient's representative, which is why the datatype for this property is Participation, not PractitionerParticipation.&#xD;
&quot;The individual responsible for making the annotation.&quot; - HL7 FHIR, Annotation.author[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lBPpYOGyEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lBQQcOGyEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C044F30323" name="comment" visibility="public">
          <ownedComment xmi:id="_HYT1sBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642C044F30323">
            <body>This property contains the comment text.&#xD;
&quot;Contains the comment contained in the segment.&quot; - HL7 Version 2.8, NTE-3.&#xD;
&quot;The text of the annotation.&quot; - HL7 FHIR, Annotation.text&#xD;
&quot;May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.&quot; - HL7 FHIR, Observation.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a7ka0PTqEdy4NNd432ztnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a7ka0fTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FBA95D02D0" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Osyv8BHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642FBA95D02D0">
            <body>The date and time the comment was entered.&#xD;
&quot;Indicates when this particular annotation was made.&quot; - HL7 FHIR, Annotation.time</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZCY1sLyaEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZCY1sbyaEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586C73900D7" name="Image">
        <eAnnotations xmi:id="_MB3Xu-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_avU4QBHFEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B64586C73900D7">
          <body>This class represents an Image, particularly but not limited to, diagnostic images. The class may also be used for scanned documents and incoming facsimiles.&#xD;
Note that this class is equivalent to a the FHIR Attachment data type.</body>
        </ownedComment>
        <generalization xmi:id="_k5NxoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_TnwcgAY4EeWwo6SB9Lnb3w" name="contentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_a1kcIAY6EeWwo6SB9Lnb3w" annotatedElement="_TnwcgAY4EeWwo6SB9Lnb3w">
            <body>&quot;Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.&quot; - HL7 FHIR, Attachment.contentType.&#xD;
The FHIM will likely use the system at OID: 2.16.840.1.113883.5.79.  See the IANA site at: http://www.iana.org/assignments/media-types/media-types.xhtml</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nHB4oAY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nHCfsAY4EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O6GLAL7vEeKtWYfISwMY5w" name="data" visibility="public">
          <ownedComment xmi:id="_h_6lUL7vEeKtWYfISwMY5w" annotatedElement="_O6GLAL7vEeKtWYfISwMY5w">
            <body>Contains the image itself.  Note that while this property is modeled as a string, this will usually be implemented using a binary representation such as base64.&#xD;
&quot;The actual data of the attachment - a sequence of bytes. In XML, represented using base64.&quot; - HL7 FHIR, Attachment.data.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__NoVcPslEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__No8gPslEeSc9M34gwVpgg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8eAAwAY5EeWwo6SB9Lnb3w" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NJTLIB59EeWS1-JMuZSk0g" annotatedElement="_8eAAwAY5EeWwo6SB9Lnb3w">
            <body>&quot;The date that the attachment was first created.&quot; - HL7 FHIR, Attachment.creation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8eAAwgY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8eAAwQY5EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ouRjQAY4EeWwo6SB9Lnb3w" name="hash" visibility="public">
          <ownedComment xmi:id="_ouRjQQY4EeWwo6SB9Lnb3w" annotatedElement="_ouRjQAY4EeWwo6SB9Lnb3w">
            <body>A hash function is any function that can be used to map data of arbitrary size to data of fixed size.  Note that while this property is modeled as a string, this will usually be implemented using a binary representation such as base64.&#xD;
&quot;The calculated hash of the data using SHA-1. Represented using base64.&quot; - HL7 FHIR, Attachment.hash.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ouRjQwY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ouRjQgY4EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kI2QQAY4EeWwo6SB9Lnb3w" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rTkm0B58EeWS1-JMuZSk0g" annotatedElement="_kI2QQAY4EeWwo6SB9Lnb3w">
            <body>&quot;The human language of the content. The value can be any valid value according to BCP 47.&quot; - HL7 FHIR, Attachment.language.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mNJqUAY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mNKRYAY4EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xsuPgAY5EeWwo6SB9Lnb3w" name="size" visibility="public">
          <ownedComment xmi:id="_-Js_UB58EeWS1-JMuZSk0g" annotatedElement="_xsuPgAY5EeWwo6SB9Lnb3w">
            <body>&quot;The number of bytes of data that make up this attachment.&quot; - HL7 FHIR, Attachment.size.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xsuPggY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xsuPgQY5EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3vN9cAY5EeWwo6SB9Lnb3w" name="title" visibility="public">
          <ownedComment xmi:id="_HupgUB59EeWS1-JMuZSk0g" annotatedElement="_3vN9cAY5EeWwo6SB9Lnb3w">
            <body>&quot;A label or set of text to display in place of the data.&quot; - HL7 FHIR, Attachment.title.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3vN9cgY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3vN9cQY5EeWwo6SB9Lnb3w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6pzk8PslEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_57M-kB58EeWS1-JMuZSk0g" annotatedElement="_6pzk8PslEeSc9M34gwVpgg">
            <body>&quot;An alternative location where the data can be accessed.&quot; - HL7 FHIR, Attachment.url.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__yWMEPslEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__yWzIPslEeSc9M34gwVpgg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fImbAAEYEd-ZUM5xZsXWyw" name="ContactPoint">
        <eAnnotations xmi:id="_aHrcYO55Ed-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_aHrcYe55Ed-crcWiXVDZrQ" key="TEL"/>
        </eAnnotations>
        <ownedComment xmi:id="_O3O_IAE1Ed-ZUM5xZsXWyw" annotatedElement="_fImbAAEYEd-ZUM5xZsXWyw">
          <body>A collection of electronic addresses at which the person or organization may be reached. This includes telephones, email addresses, etc.&#xD;
&quot;Details for all kinds of technology-mediated contact points for a person or organization, including telephone, email, etc. &quot; - HL7 FHIR, ContactPoint.</body>
        </ownedComment>
        <generalization xmi:id="_ujJgUAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_o6XQAQEYEd-ZUM5xZsXWyw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6DnAIAHtEd-VSqNkiZ4fOA" annotatedElement="_o6XQAQEYEd-ZUM5xZsXWyw">
            <body>The time period during which the phone number or communications address is valid for the person or organization. The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period when the contact point was/is in use.&quot; - HL7 FHIR, ContactPoint.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a8ylIK2tEeaTV_0rLvgAyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a8zMMK2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f5Kh0H7qEeOYQJZKXKAJnw" name="isTextMessageEnabled" visibility="public">
          <ownedComment xmi:id="_s-4a4H7qEeOYQJZKXKAJnw" annotatedElement="_f5Kh0H7qEeOYQJZKXKAJnw">
            <body>Indicates whether the endpoint can receive text messages.  Used for phone numbers only.  Added for ONC S&amp;I Clinical Element Data Dictionary (CEDD).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mmHiAH7qEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mmIJEH7qEeOYQJZKXKAJnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QyCd4LHKEeaLhL0dBWV_ew" name="rank" visibility="public">
          <ownedComment xmi:id="_QyCd4bHKEeaLhL0dBWV_ew" annotatedElement="_QyCd4LHKEeaLhL0dBWV_ew">
            <body>This optional property is included for compatibility with FHIR. It allows for the ordering of contact points within a list or collection of contact points.&#xD;
&quot;Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values.&quot; - HL7 FHIR, ContactPoint.rank</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QyCd47HKEeaLhL0dBWV_ew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QyCd4rHKEeaLhL0dBWV_ew" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gUSLAOXiEeSM-JoX4jOe4g" name="system" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oazmMOXiEeSM-JoX4jOe4g" annotatedElement="_gUSLAOXiEeSM-JoX4jOe4g">
            <body>&quot;Telecommunications form for contact point - what communications system is required to make use of the contact.&quot; - HL7 FHIR, ContactPoint.system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eDR08K2tEeaTV_0rLvgAyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eDScAK2tEeaTV_0rLvgAyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_UOqDsOXnEeSpA6gSNDKUhw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ContactPointSystem)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6XQAgEYEd-ZUM5xZsXWyw" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ig9voAHwEd-VSqNkiZ4fOA" annotatedElement="_o6XQAgEYEd-ZUM5xZsXWyw">
            <body>Indicates the kind of communications address that is contained within this class.  Examples include primaryHome, Work, etc.  This facilitates the selection of a particular communications address from a list of contact points that may apply to the person or organization.&#xD;
&quot;Identifies the purpose for the contact point.&quot; - HL7 FHIR, ContactPoint.use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fuXdwK2tEeaTV_0rLvgAyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fuYE0K2tEeaTV_0rLvgAyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_5UvCoOXgEeSM-JoX4jOe4g" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ContactPointUse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6XQAAEYEd-ZUM5xZsXWyw" name="value" visibility="public">
          <ownedComment xmi:id="_aXba4AHwEd-VSqNkiZ4fOA" annotatedElement="_o6XQAAEYEd-ZUM5xZsXWyw">
            <body>Represents a telecommunications address at which the person or organization may be reached.  Note that this property is a simply a string, the formatting of which will depend on the type of communications address employed.&#xD;
&quot;The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).&quot; - HL7 FHIR, ContactPoint.value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hwyogK2tEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hwyoga2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mZFS8ERREdyvWauSJSvkeQ" name="Id">
        <eAnnotations xmi:id="_r_mPgERREdyvWauSJSvkeQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Zc44sNYTEd62cosTNS-_lw" key="II"/>
        </eAnnotations>
        <ownedComment xmi:id="_usiO8PwLEd-3ndaGus2qMA" annotatedElement="_mZFS8ERREdyvWauSJSvkeQ">
          <body>An label that uniquely identifies a thing or object.  This *abstract* data type represents a &quot;identifier&quot; - some series of letters or numbers which uniquely identifies something.  In practice, this data type will be substituted with specific &quot;flavors&quot; of the Id data type for use in particular standards-based payloads.&#xD;
&quot;A technical identifier - identifies some entity uniquely and unambiguously.&quot; - HL7 FHIR, Identifier.</body>
        </ownedComment>
        <generalization xmi:id="_p2-FEAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_LwWEUOqtEeS5D9mZzS_77A" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_LwWEUeqtEeS5D9mZzS_77A" annotatedElement="_LwWEUOqtEeS5D9mZzS_77A">
            <body>The time period during which the id is known to be valid.  The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period during which identifier is/was valid for use.&quot; - HL7 FHIR, Identifier.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R5OHEOqtEeS5D9mZzS_77A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R5OuIOqtEeS5D9mZzS_77A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OyHbIFldEeCyw5g2lQh-Ug" name="idType" visibility="public">
          <ownedComment xmi:id="_H12GYFl6EeCH--YpPiEryw" annotatedElement="_OyHbIFldEeCyw5g2lQh-Ug">
            <body>Indicates what kind of identifier is being represented.  For example, the idType might be represent a Driver's License, in which case the assigning Authority might be the Virginia Department of Motor Vehicles.&#xD;
Note that: a) this information can (and probably should) be also be made clear by the name and definition of the property whose data type is an Id; and b) this property might be an enumeration in the future.&#xD;
&quot;A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.&quot; - HL7 FHIR, Identifier.type.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tgq08FldEeCyw5g2lQh-Ug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tgq08VldEeCyw5g2lQh-Ug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9cNIZPwLEd-3ndaGus2qMA" name="system">
          <ownedComment xmi:id="_9cNIZfwLEd-3ndaGus2qMA" annotatedElement="_9cNIZPwLEd-3ndaGus2qMA">
            <body>A unique identifier of the system (or organization or agency or department) that created the data and/or issued or manages the identifier.&#xD;
Note that this property may be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;Establishes the namespace in which set of possible id values is unique.&quot; - HL7 FHIR, Identifier.assigner.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9cNIZ_wLEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9cNIZvwLEd-3ndaGus2qMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9cNIYPwLEd-3ndaGus2qMA" name="value">
          <ownedComment xmi:id="_9cNIYfwLEd-3ndaGus2qMA" annotatedElement="_9cNIYPwLEd-3ndaGus2qMA">
            <body>A unique label that identifies an individual entity within a group of entities.  The identifier must be unique within the system that defined it (i.e., the assigningAuthority).&#xD;
Note that this property may be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The portion of the identifier typically displayed to the user and which is unique within the context of the system.&quot; - HL7 FHIR, Identifier.value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9cNIY_wLEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9cNIYvwLEd-3ndaGus2qMA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A8DCD02C2" name="Address">
        <eAnnotations xmi:id="_O1bEc-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O1bEdOLiEduGJrQyRGTO1A" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_PSftQBAnEd-2E9qx-lgHBg" annotatedElement="_420A62FD03B6418A8DCD02C2">
          <body>A label for the place or location at which a person or organization may be reached. This class is used primarily for mailing addresses, but includes an optional County property which is often needed for statistical reporting or pricing purposes.  Note that it doesn’t include a State code, as this code is added in a US-specific subtype.  This is done because states or provinces for other countries will be identified in using different value-sets, if at all.  The state code in the US Mailing Address sub-type is bound to a particular value set, the province code in the Canadian Mailing Address sub-type is bound to a different value set, while the Other Country Mailing Address simply contain as string for the jurisdiction.&#xD;
&quot;A postal address. There is a variety of postal address formats defined around the world. Postal addresses are often also used to record a location that can be visited to find a patient or person.&quot; - HL7 FHIR, Address.</body>
        </ownedComment>
        <generalization xmi:id="_t28hoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_FoSrEPyaEd6COP7rUDIHOg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_bhWtIPwDEd-3ndaGus2qMA" annotatedElement="_FoSrEPyaEd6COP7rUDIHOg">
            <body>The time period during which the address is a valid location for the person or organization.  The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period when address was/is in use.&quot; - HL7 FHIR, Address.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OXbbUOqtEeS5D9mZzS_77A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OXcpcOqtEeS5D9mZzS_77A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NrTfQPyaEd6COP7rUDIHOg" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-XSJ4AHvEd-VSqNkiZ4fOA" annotatedElement="_NrTfQPyaEd6COP7rUDIHOg">
            <body>Indicates the kind of address that is contained within this class. Examples include primary home, work, etc.  This facilitates the selection of a particular address from a list of addresses that may apply to the person or organization.&#xD;
&quot;The purpose of this address.&quot; - HL7 FHIR, Address.use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S0Q-0K2tEeaTV_0rLvgAyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S0YTkK2tEeaTV_0rLvgAyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_y0nkkOXgEeSM-JoX4jOe4g" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AddressUse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203C9" name="line1" visibility="public">
          <eAnnotations xmi:id="_O1IJheLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203C9">
            <body>The first line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_l1mkIPwDEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203C9">
            <body>The first line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  Note that this property is optional because in some cases (such as birth address) it may not be known or collected.&#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSxeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSxuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CD" name="line2" visibility="public">
          <eAnnotations xmi:id="_O1IJiuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CD">
            <body>The second line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_UI8VwO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CD">
            <body>The second line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  &#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSx-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSyOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CE" name="line3" visibility="public">
          <eAnnotations xmi:id="_O1IJj-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CE">
            <body>The third line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_XuZZgO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CE">
            <body>The third line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  &#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSyeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSyuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CF" name="city" visibility="public">
          <eAnnotations xmi:id="_O1RTceLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CF">
            <body>An Address Part (ADXP) that contains the name of the city, town, village, or other community or delivery center.</body>
          </ownedComment>
          <ownedComment xmi:id="_p6UM0O0HEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CF">
            <body>&quot;The name of the city, town, village, or other community or delivery center.&quot; - HL7 V3&#xD;
&quot;The name of the city, town, village or other community or delivery center.&quot; - HL7 FHIR, Address.city</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSy-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSzOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ABqyEBAoEd-2E9qx-lgHBg" name="county" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XrbkcPwDEd-3ndaGus2qMA" annotatedElement="_ABqyEBAoEd-2E9qx-lgHBg">
            <body>A region created by territorial division for the purpose of local government.  In the United States, a county (or parish in Louisiana) is the largest administrative district within a state.  This optional property is used primarily for statistical and pricing information (i.e., the same service may be more expensive in an affluent section of the country than in a less-affluent portion).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VxP9cPwIEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VxP9cfwIEd-3ndaGus2qMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D7" name="country" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O1RTe-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1RTeeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203D7">
            <body>An Address Part (ADXP) that contains the Country of the address.</body>
          </ownedComment>
          <ownedComment xmi:id="_F4XzIO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203D7">
            <body>The state or nation having jurisdiction over the location specified in the address.  This information is needed to properly route correspondence across national boundaries.&#xD;
&quot;Country - a nation as commonly understood or generally accepted.&quot; - HL7 FHIR, Address.postalCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSz-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyyDkOLjEdutr_MT9HkPyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1z7PAP2KEeW9OZr1ADZXqg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Country)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D2" name="postalCode" visibility="public">
          <eAnnotations xmi:id="_O1RTduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1RTdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203D2">
            <body>An Address Part (ADXP) that contains a postal code designating a region defined by the postal service.</body>
          </ownedComment>
          <ownedComment xmi:id="_iMKY4O0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203D2">
            <body>A string of digits (and in some countries, letters) used as part of a postal address to aid the sorting of mail.  This code is defined by the postal system of the country in which location is contained.&#xD;
&quot;A postal code designating a region defined by the postal service.&quot; - HL7 FHIR, Address.postalCode</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSzeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSzuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F630160" name="MonetaryAmount">
        <eAnnotations xmi:id="_ObWXkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ObWXkuLiEduGJrQyRGTO1A" key="MO"/>
        </eAnnotations>
        <ownedComment xmi:id="_ObMmm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F630160">
          <body>Indicates the monetary amount to be transferred from the debit to the credit account.</body>
        </ownedComment>
        <ownedComment xmi:id="_Qbj-cO2fEd-YWc6j70EPjw" annotatedElement="_420A62FD03B641886F630160">
          <body>&quot;A quantity expressing an amount of money in some currency. While the monetary amount is a single kind of quantity (money)  the exchange rates between the different units are variable. This is the principle difference between PQ and MO, and the  reason why currency units are not physical units.&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_9GSMAOqeEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_420A62FD03B643D93D1000CD" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ObMmnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D93D1000CD">
            <body>Currencies are the units in which monetary amounts are denominated in different economic regions.</body>
          </ownedComment>
          <ownedComment xmi:id="_YcFfUO2fEd-YWc6j70EPjw" annotatedElement="_420A62FD03B643D93D1000CD">
            <body>&quot;The currency unit as defined in ISO 4217&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UOEXsDbiEdy47dq8gWemow" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UOEXsTbiEdy47dq8gWemow" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3lzSEFVyEdyaooytdRFnxQ" name="PersonName">
        <eAnnotations xmi:id="_3lzSEVVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_3lzSElVyEdyaooytdRFnxQ" key="PN"/>
        </eAnnotations>
        <ownedComment xmi:id="_3lzSE1VyEdyaooytdRFnxQ" annotatedElement="_3lzSEFVyEdyaooytdRFnxQ">
          <body>The name of the person.  Uses the VHIM-constrained Person Name data type.</body>
        </ownedComment>
        <ownedComment xmi:id="_ry9SYPwOEd-3ndaGus2qMA" annotatedElement="_3lzSEFVyEdyaooytdRFnxQ">
          <body>&quot;A word or term by which a person or thing is commonly and distinctively known.&quot; - Collins English Dictionary.   This data type represents a person's name.&#xD;
&quot;A human's name with the ability to identify parts and usage.&quot; - HL7 FHIR, HumanName.</body>
        </ownedComment>
        <generalization xmi:id="_rksLIAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_FALAgPAdEeS1qetF27ECmQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_ayW5cPAoEeS1qetF27ECmQ" annotatedElement="_FALAgPAdEeS1qetF27ECmQ">
            <body>&quot;Indicates the period of time when this name was valid for the named person.&quot; - HL7 FHIR, HumanName.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bUVlIPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bUVlIfAoEeS1qetF27ECmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSFFVyEdyaooytdRFnxQ" name="prefix" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSFVVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSFlVyEdyaooytdRFnxQ" annotatedElement="_3lzSFFVyEdyaooytdRFnxQ">
            <body>'A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted' (HL7) A Person Name Prefix is usually an academic or nobility title. An Academic title includes a prefix like 'Dr.' There are still people with nobility titles (aristocrats). German 'von' is generally a nobility title, not a mere voorvoegsel. Others are 'Earl of' or 'His Majesty King of...' etc. Rarely used nowadays, but some systems do keep track of this. </body>
          </ownedComment>
          <ownedComment xmi:id="_XO-sAAEbEd-ZUM5xZsXWyw" annotatedElement="_3lzSFFVyEdyaooytdRFnxQ">
            <body>&quot;Contains a set of honorific terms that typically appear before a person's name, for example Mr., Mrs., Dr., etc. Prefixes have a strong association to the immediately following name part.&quot; -  HL7 V3&#xD;
&quot;Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.&quot; - HL7 FHIR, HumanName.prefix.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSGFVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSF1VyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSGVVyEdyaooytdRFnxQ" name="given" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSGlVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSG1VyEdyaooytdRFnxQ" annotatedElement="_3lzSGVVyEdyaooytdRFnxQ">
            <body>'Given name (don't call it 'first name' since this given names do not always come first)' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_AVrIgPwPEd-3ndaGus2qMA" annotatedElement="_3lzSGVVyEdyaooytdRFnxQ">
            <body>&quot;A set of names given to a person at birth, but not including the family name.  In western cultures, this property would contain the 'first' and 'middle' names.  Note that in some cultures, the given name is placed after the family name.  Note also that this property contains multiple elements, so it can handle those situations where a person has more than one 'middle' name.&quot; - HL7 V3&#xD;
&quot;Given name.&quot; - HL7 FHIR, HumanName.given.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSHVVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSHFVyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSI1VyEdyaooytdRFnxQ" name="family" visibility="public">
          <ownedComment xmi:id="_3lzSJFVyEdyaooytdRFnxQ" annotatedElement="_3lzSI1VyEdyaooytdRFnxQ">
            <body>'Family name, this is the name that links to the genealogy' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_RIU-UBprEd-j8JC21F3W2A" annotatedElement="_3lzSI1VyEdyaooytdRFnxQ">
            <body>&quot;The portion of a person's name that reflects the genealogy of the person.  In western cultures, this is the 'last' name.  In eastern cultures, the family name appears before the person's given name(s).  In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.&quot; - HL7 V3&#xD;
&quot;The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.&quot; - HL7 FHIR, HumanName.family.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hp-RgPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hp-RgfAoEeS1qetF27ECmQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSJVVyEdyaooytdRFnxQ" name="suffix" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSJlVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSJ1VyEdyaooytdRFnxQ" annotatedElement="_3lzSJVVyEdyaooytdRFnxQ">
            <body>'A suffix has a strong association to the immediately preceding name part. A prefix has no implicit leading white space (it has implicit trailing white space though). Suffices can not be inverted' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_b_6L4BprEd-j8JC21F3W2A" annotatedElement="_3lzSJVVyEdyaooytdRFnxQ">
            <body>&quot;Contains a list of honorific terms that typically appear after a person's name, for example Jr., Sr., MD, RN, etc. Prefixes have a strong association to the immediately following name part.&quot; - HL7 V3&#xD;
&quot;Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.&quot; - HL7 FHIR, HumanName.suffix.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSKVVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSKFVyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KU2sAAEoEd-ZUM5xZsXWyw" name="initials" visibility="public">
          <ownedComment xmi:id="_p9QoQO5pEd-crcWiXVDZrQ" annotatedElement="_KU2sAAEoEd-ZUM5xZsXWyw">
            <body>The first letter of each part of a proper name. This property stores the initials of a person's name, which is used  in research studies to identify the patient without divulging the person's entire name.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OhhgwAEoEd-ZUM5xZsXWyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OhhgwQEoEd-ZUM5xZsXWyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__w_l4PAcEeS1qetF27ECmQ" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_477VEPAoEeS1qetF27ECmQ" annotatedElement="__w_l4PAcEeS1qetF27ECmQ">
            <body>&quot;Identifies the purpose for this name.&quot; - HL7 FHIR, HumanName.use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5lDxoPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5lDxofAoEeS1qetF27ECmQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_-BQ3MPAoEeS1qetF27ECmQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(NameUse)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F630221" name="Quantity">
        <eAnnotations xmi:id="_Oy4t4OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Oy4t4eLiEduGJrQyRGTO1A" key="PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_Oy4t1uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F630221">
          <body>The amount that was or is to be supplied</body>
        </ownedComment>
        <ownedComment xmi:id="_0QY6cO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B641886F630221">
          <body>&quot;A dimensioned quantity expressing the result of measuring&quot; - HL7 V3&#xD;
&quot;A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies.&quot; - HL7 FHIR, Quantity.</body>
        </ownedComment>
        <generalization xmi:id="_w2QycAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B6424AC40901DE" name="value" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Oy4t2eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424AC40901DE">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_3suecO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B6424AC40901DE">
            <body>&quot;The magnitude of the quantity measured in terms of the unit&quot; - HL7 V3&#xD;
&quot;The magnitude of the Monetary Amount in terms of currency&quot; - HL7 V3&#xD;
&quot;The value of the measured amount. The value includes an implicit precision in the presentation of the value.&quot; - HL7 FHIR, Quantity.value.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4PBRkPRMEdyLkN7_Anv_Ag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4PBRkfRMEdyLkN7_Anv_Ag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64303793A0385" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Oy4t3uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Oy4t3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64303793A0385">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="__NtjoO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B64303793A0385">
            <body>&quot;The unit of measure specified in the Unified Code for Units of Measure (UCUM). The default unit is 1.&quot; - HL7 V3&#xD;
&quot;A computer processable form of the units in some unit representation system.&quot; - HL7 FHIR, Quantity.code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSneLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSnuLjEdutr_MT9HkPyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_CaQ-UHQsEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F63021A" name="PhysicalQuantityInterval">
        <eAnnotations xmi:id="_OZ2ix-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_OZ2iyOLiEduGJrQyRGTO1A" key="IVL_PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_OZtY4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F63021A">
          <body>The amount of the therapeutic agent or other substance given at one administration event.</body>
        </ownedComment>
        <ownedComment xmi:id="_y8ce4O5rEd-crcWiXVDZrQ" annotatedElement="_420A62FD03B641886F63021A">
          <body>This data type represents an Interval, where the Low and High Limits are Physical Quantities.  An Interval is a &quot;set of consecutive values of an ordered base data type.&quot; - HL7 V3  A Physical Quantity is &quot;a dimensioned quantity expressing the result of measuring&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_mTsyoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_gaSH0EzZEdyZ7YHHi9KCRg" name="lowValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_gaSH0UzZEdyZ7YHHi9KCRg" annotatedElement="_gaSH0EzZEdyZ7YHHi9KCRg">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_ayHyIPwPEd-3ndaGus2qMA" annotatedElement="_gaSH0EzZEdyZ7YHHi9KCRg">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3  This property contains the numeric portion (i.e., not including any units of measure) of the low limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9uj1cMzJEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9uj1cczJEeCMF_3VBil7Gw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gaSH0kzZEdyZ7YHHi9KCRg" name="lowUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_gaSH00zZEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gaSH1EzZEdyZ7YHHi9KCRg" annotatedElement="_gaSH0kzZEdyZ7YHHi9KCRg">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="_MOb6IO0EEd-KQpEfY1umCw" annotatedElement="_gaSH0kzZEdyZ7YHHi9KCRg">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3.  This property containsthe Unit of Measure of the low limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gaSH1kzZEdyZ7YHHi9KCRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gaSH1UzZEdyZ7YHHi9KCRg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1oFsUHQrEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gab40EzZEdyZ7YHHi9KCRg" name="highValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_gab40UzZEdyZ7YHHi9KCRg" annotatedElement="_gab40EzZEdyZ7YHHi9KCRg">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_TM9-oPwPEd-3ndaGus2qMA" annotatedElement="_gab40EzZEdyZ7YHHi9KCRg">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3.  This property contains the numeric portion (i.e., not including any units of measure) of the high limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__VGVcMzJEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__VGVcczJEeCMF_3VBil7Gw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gab40kzZEdyZ7YHHi9KCRg" name="highUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_gab400zZEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gab41EzZEdyZ7YHHi9KCRg" annotatedElement="_gab40kzZEdyZ7YHHi9KCRg">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="_f2wvIO0FEd-KQpEfY1umCw" annotatedElement="_gab40kzZEdyZ7YHHi9KCRg">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3.  This property contains the Unit of Measure of the high limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gab41kzZEdyZ7YHHi9KCRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gab41UzZEdyZ7YHHi9KCRg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_2TSlcHQrEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64244824602F5" name="PointInTime">
        <eAnnotations xmi:id="_O5vjyeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O5vjyuLiEduGJrQyRGTO1A" key="TS"/>
        </eAnnotations>
        <ownedComment xmi:id="_O5vjxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64244824602F5">
          <body>A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.  Semantically, however, time is independent from calendars and best described by its relationship to elapsed time (measured as a physical quantity in the dimension of time.) A point in time plus an elapsed time yields another point in time. Inversely, a point in time minus another point in time yields an elapsed time.  As nobody knows when time began, a point in time is conceptualized as the amount of time that has elapsed from some arbitrary zero-point, called an epoch. Because there is no absolute zero-point on the time axis natural time is a difference-scale quantity, where only differences are defined but no ratios. (For example, no point in time is - absolutely speaking - 'twice as late' as another point in time.)  Given some arbitrary zero-point, one can express any point in time as an elapsed time measured from that offset. Such an arbitrary zero-point is called an epoch. This epoch-offset form is used as a semantic representation here, without implying that any system would have to implement the TS data type in that way. Systems that do not need to compute distances between points in time will not need any other representation than a calendar expression literal </body>
        </ownedComment>
        <ownedComment xmi:id="_nJTKMPwPEd-3ndaGus2qMA" annotatedElement="_420A62FD03B64244824602F5">
          <body>A data type containing date and/or time information. This data type is a placeholder, as various platforms have differing built-in date-time data types. This data type is intended to handle both precise dates and imprecise dates (e.g., just a year), which would likely be implemented using different data types. Therefore, it is anticipated that this data type will be replaced by a different data type when transforming to a particular implementation platform.&#xD;
Note that the FHIM has one data type that can be used to hold a date, a date-and-time, or just a time. In contrast FHIR has four data types: date, dateTime, time, and instant. The FHIM currently does not distinguish among the levels of precision that might be used in actual implementations, but leaves the datatype broad to handle all possible use cases. The FHIM PointInTime data type is most closely aligned with the FHIR dateTime data type.&#xD;
&quot;A date, or partial date (e.g. just year or year + month) as used in human communication. There is no time zone. Dates SHALL be valid dates&quot; - HL7 FHIR, date&#xD;
&quot;A date, date-time or partial date (e.g. just year or year + month) as used in human communication. If hours and minutes are specified, a time zone SHALL be populated. ... Dates SHALL be valid dates….&quot; - HL7 FHIR, dateTime&#xD;
&quot;A time during the day, with no date specified (can be converted to a Duration since midnight). … A time zone [is not allowed].&quot; - HL7 FHIR, time&#xD;
&quot;An instant in time - known at least to the second and always includes a time zone. Note: This is intended for precisely observed times (typically system logs etc.), and not human-reported times - for them, use date and dateTime. instant is a more constrained dateTime&quot; - HL7 FHIR, instant</body>
        </ownedComment>
        <generalization xmi:id="_nDAvsAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B643D930510248" name="literal" visibility="public">
          <ownedComment xmi:id="_O5vjx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D930510248">
            <body>For the default Gregorian calendar the calendar expression literals of this specification conform to the constrained ISO 8601 that is defined in ISO 8824 (ASN.1) under clause 32 (generalized time) and to the HL7 version 2 TS data format.</body>
          </ownedComment>
          <ownedComment xmi:id="_rsclQPwPEd-3ndaGus2qMA" annotatedElement="_420A62FD03B643D930510248">
            <body>&quot;TS literals are simple calendar expressions ... [which] conform to the constrained ISO 8601... Western calendar expressions begin with the 4-digit year; followed by the 2-digit month of the year; followed by the 2-digit day of the month; followed by the 2-digit hour of the day (beginning with zero); and so forth. For example, '200004010315' is a valid expression for April 1, 2000, 3:15 AM. A calendar expression can be of variable precision, omitting parts from the right. For example, '20000401' is precise only to the day of the month. The least defined calendar period (i.e. the second) may be written as a REAL, with the number of integer digits specified, followed by the decimal point and any number of fractional digits. For example, '20000401031520.34' means April 1, 2000, 3:15 and 20.34 seconds. When other calendars are used in the future, a prefix 'GREG:' can be placed before the western (Gregorian) calendar expression to disambiguate from other calendars. Each calendar shall have its own prefix. However, the western calendar is the default if no prefix is present. In the modern Gregorian calendar (and all calendars where time of day is based on UTC), the calendar expression may contain a time zone suffix. The time zone suffix begins with a plus (+) or minus (-) followed by digits for the hour and, for non UTC times, minute cycles. UTC is designated as offset '+00' or '-00'; the ISO 8601 and ISO 8824 suffix 'Z' for UTC is not permitted.&quot; - HL7 V3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8f20oPRMEdyLkN7_Anv_Ag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8f20ofRMEdyLkN7_Anv_Ag" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F63021C" name="RateQuantity">
        <eAnnotations xmi:id="_OaATyuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_K1avEO6AEd-crcWiXVDZrQ" key="RTO"/>
        </eAnnotations>
        <ownedComment xmi:id="_OZ2iyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F63021C">
          <body>Identifies the speed with which the substance is introduced into the subject. Expressed as a physical (extensive) quantity over elapsed time (e.g., examples are 100 mL/h, 1 g/d, 40 mmol/h, etc.)</body>
        </ownedComment>
        <ownedComment xmi:id="_7HQ0IO5_Ed-crcWiXVDZrQ" annotatedElement="_420A62FD03B641886F63021C">
          <body>Rate: &quot;A certain quantity or amount of one thing considered in relation to a unit of another thing and used as a standard  or measure: at the rate of 60 miles an hour.&quot; - Dictionary.com  This class represents a ratio of some Physical Quantity over a period of time.  This class is structurally similar to  other Ratio classes (e.g., IntegerRatio), except the denominator is by definition a TimeQuantity.</body>
        </ownedComment>
        <generalization xmi:id="_npRecAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_wFoSsO5_Ed-crcWiXVDZrQ" name="numerator" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_JeFvwO6AEd-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_wFoSse5_Ed-crcWiXVDZrQ" annotatedElement="_wFoSsO5_Ed-crcWiXVDZrQ">
            <body>The quantity that is being divided in the ratio. The default is the integer number 1</body>
          </ownedComment>
          <ownedComment xmi:id="_wFoSsu5_Ed-crcWiXVDZrQ" annotatedElement="_wFoSsO5_Ed-crcWiXVDZrQ">
            <body>&quot;The quantity that is being divided in the ratio. The default is the integer number 1 (one).&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FleM0K2uEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Flez4K2uEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tQIFM-5_Ed-crcWiXVDZrQ" name="denominator" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_tQIFNO5_Ed-crcWiXVDZrQ" annotatedElement="_tQIFM-5_Ed-crcWiXVDZrQ">
            <body>The quantity that divides the numerator in the ratio. The default is the integer number 1 (one.) The denominator must not be zero.</body>
          </ownedComment>
          <ownedComment xmi:id="_xz32gPwPEd-3ndaGus2qMA" annotatedElement="_tQIFM-5_Ed-crcWiXVDZrQ">
            <body>&quot;The quantity that divides the numerator in the ratio. The denominator SHALL not be zero.&quot; - HL7 V3  This property is by definition a period of time, with the unit almost always one.  For example, one hour, one minute, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ey3EIK2uEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ey3rMK2uEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642387187004E" name="Period">
        <eAnnotations xmi:id="_O55U0OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O55U0eLiEduGJrQyRGTO1A" key="IVL_TS"/>
        </eAnnotations>
        <ownedComment xmi:id="_O5vjzOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642387187004E">
          <body>An interval of time specified as an interval of points in time - TS.</body>
        </ownedComment>
        <ownedComment xmi:id="_jZ7r4O5uEd-crcWiXVDZrQ" annotatedElement="_420A62FD03B642387187004E">
          <body>This data type represents an Interval, where the Low and High Limits are Points In Time.  An Interval is a &quot;set of consecutive values of an ordered base data type.&quot; - HL7 V3  A PointInTime is &quot;a quantity specifying a point on the axis of natural time. A point in time is most often represented as a  calendar expression.&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_pagLgAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B6423871C20233" name="start" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_O55UxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55UwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423871C20233">
            <body>This is the low limit of the interval.</body>
          </ownedComment>
          <ownedComment xmi:id="_xq-NEO0EEd-KQpEfY1umCw" annotatedElement="_420A62FD03B6423871C20233">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NouLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7No-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423871C60030" name="end" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_O55UyeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55Ux-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423871C60030">
            <body>This is the high limit of the interval.</body>
          </ownedComment>
          <ownedComment xmi:id="_fIRRcO0FEd-KQpEfY1umCw" annotatedElement="_420A62FD03B6423871C60030">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NpOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7NpeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239FAA800D9" name="TimeQuantity">
        <eAnnotations xmi:id="_O6CeuuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O6Ceu-LiEduGJrQyRGTO1A" key="PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_O6CesOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239FAA800D9">
          <body>A length of time specified as a Physical Quantity, e.g., 5 minutes, 2.5 hours.</body>
        </ownedComment>
        <ownedComment xmi:id="_j-QVEPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B64239FAA800D9">
          <body>This class represents an amount of time, such as 10 minutes, 3.2 seconds, etc. This class is structurally identical to a Physical Quantity, although the units of measure are by definition time units (e.g., hours), rather than physical units (e.g., kilograms).</body>
        </ownedComment>
        <generalization xmi:id="_3-RdcOqrEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_420A62FD03B643037E010077" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O6CeuOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O6CetuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643037E010077">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM).</body>
          </ownedComment>
          <ownedComment xmi:id="_navDAPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B643037E010077">
            <body>&quot;The unit of measure specified in the Unified Code for Units of Measure (UCUM).&quot; - HL7 V3  The units of measure used by this class are limited to those measuring time (e.g., minutes, hours, years, etc.)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NqOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7NqeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F6203C7" name="UsMailingAddress">
        <eAnnotations xmi:id="_KPgZgCTeEdy0d_IHH17lcA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_KPgZgSTeEdy0d_IHH17lcA" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_2QnoQPwHEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203C7">
          <body>A specialization of Address that is used for addresses in the United Sates.  Note that the stateOrTerritory property may only contain a code for a U.S. State, territory, or military postal region (APO).  The purpose of this sub-type is to provide a mechanism to add the stateOrTerritory property and to bind it to the valueset of codes valid for United States mail.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6418A8DDF0368" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D1" name="stateOrTerritory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O2nXQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_zJkXwPwHEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203D1">
            <body>An Address Part (ADXP) that contains the state or province. A state or provinces is a sub-unit of a country with limited sovereignty in a federally organized country.&#xD;
The State code is defined in the USPS Publication 28.  Note that while technically, each state &quot;code&quot; should be an Id, the enumeration of states has historically treated as a code.&#xD;
&quot;Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyyDqeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyyDquLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GmKqYGAfEd6a0qoC8Dh7hA" name="Code">
        <eAnnotations xmi:id="_YUcKoLyKEeGK2djLWlLFew" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_u9IWgOZSEeGuIoEQ4Mvu0w" key="CS"/>
        </eAnnotations>
        <ownedComment xmi:id="_DcLDkPwIEd-3ndaGus2qMA" annotatedElement="_GmKqYGAfEd6a0qoC8Dh7hA">
          <body>&quot;A word, letter, number, or other symbol used in a code system to mark, represent, or identify something.&quot; - Dictionary.com.  This *abstract* data type represents a &quot;coded element&quot; - some label made up of a series of letters or numbers which can be referenced in a code system or value set.  A code must be unique within a given coding system, but may not be unique across coding systems.  For example, &quot;AU&quot; might mean &quot;Gold&quot; in a chemistry coding system, while it might mean &quot;Australia&quot; in a country coding system.  This is why this coded element class contains both the code and the coding system in which it is defined (one can think of a coding system as a namespace in some respects).&#xD;
This class is abstract because each standard (which we are treating as &quot;platforms&quot; in a model-driven architecture sense) represents coded concepts differently.  Some standards, like HL7 v2 have multiple &quot;flavors&quot; of coded concepts.  When generating artifacts based on a particular standard, this data type will be substituted with a specific structure particular to the target standard.&#xD;
Note that HL7 FHIR contains an additional element, &quot;primary&quot;, which is not in the FHIM.  Primary is used to signify which code in a collection of codes is the one that was chosen by the user (as opposed to translations of that code).</body>
        </ownedComment>
        <generalization xmi:id="_qa-KAAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_AmhAIAewEeCPOdVNW49Akw" name="code" visibility="public">
          <ownedComment xmi:id="_AmhAIQewEeCPOdVNW49Akw" annotatedElement="_AmhAIAewEeCPOdVNW49Akw">
            <body>This property is a unique identifier of or label for an entry in a coding system. &#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).&quot; - HL7 FHIR, Coding.code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AmhAIwewEeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AmhAIgewEeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q3PtwGO1EeWL1ov4GOhBTA" name="codeSystem" visibility="public" type="_nrpUcGO1EeWL1ov4GOhBTA" association="_q3LcUGO1EeWL1ov4GOhBTA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q3Q74GO1EeWL1ov4GOhBTA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q3Ri8GO1EeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AmiOQAewEeCPOdVNW49Akw" name="displayText">
          <ownedComment xmi:id="_Ami1UAewEeCPOdVNW49Akw" annotatedElement="_AmiOQAewEeCPOdVNW49Akw">
            <body>This property contains the &quot;display text&quot; or &quot;designation&quot;, which is the human-readable string representing the concept. &#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;A representation of the meaning of the code in the system, following the rules of the system.&quot; - HL7 FHIR, Coding.display.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ami1UgewEeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ami1UQewEeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6BKrsOZSEeGuIoEQ4Mvu0w" name="nullFlavor" visibility="public" type="_cJEi4AqcEd-426xscrxYmQ">
          <ownedComment xmi:id="_6BKrseZSEeGuIoEQ4Mvu0w" annotatedElement="_6BKrsOZSEeGuIoEQ4Mvu0w">
            <body>This property indicates why the value property is empty.  It uses the NullFlavor enumeration.  This property must be valued when the value property is empty, and must be empty when the value property is valued.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M87zMHQpEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M88aQHQpEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zl2OEOZSEeGuIoEQ4Mvu0w" name="originalText" visibility="public">
          <ownedComment xmi:id="_zl2OEeZSEeGuIoEQ4Mvu0w" annotatedElement="_zl2OEOZSEeGuIoEQ4Mvu0w">
            <body>&quot;The text as seen and/or selected by the user who entered the data which represents the intended meaning of the user.&quot; - HL7 V3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zl2OE-ZSEeGuIoEQ4Mvu0w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zl2OEuZSEeGuIoEQ4Mvu0w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N-BAoNYeEd62cosTNS-_lw" name="Real">
        <eAnnotations xmi:id="_ysrrAAqiEd-426xscrxYmQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ysrrAQqiEd-426xscrxYmQ" key="REAL"/>
        </eAnnotations>
        <ownedComment xmi:id="_4W9wEPwPEd-3ndaGus2qMA" annotatedElement="_N-BAoNYeEd62cosTNS-_lw">
          <body>This data type represents numbers that may include non-whole numbers. As a logical model, the FHIM does not dictate how numbers should be implemented. However, the FHIM does distinguish between whole numbers and numbers that may have a fractional component as it may be known at design time whether fractional numbers may be present. For example, a sequence number (e.g., 1, 2, 3) will always be a whole number. But a measurement may have a fractional component (e.g., 3.5). Note by contrast, the FHIM uses the built-in UML Integer data type to represent those numbers that should only contain whole numbers. This data type is a placeholder, as various platforms have differing built-in floating-point datatypes. It is anticipated that this data type will be replaced by a different data type when transforming to a particular implementation platform.&#xD;
&quot;A scalar magnitude. Typically used whenever quantities are measured, estimated, or computed from other real numbers. The typical representation is decimal, where the number of significant decimal digits is known as the precision.&quot; - HL7 V3&#xD;
&quot;Rational numbers that have a decimal representation.&quot; - HL7 FHIR, decimal.</body>
        </ownedComment>
        <generalization xmi:id="_oUha4AAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_aZHukAqkEd-426xscrxYmQ" name="literal" visibility="public">
          <ownedComment xmi:id="_lWlsQAqlEd-426xscrxYmQ" annotatedElement="_aZHukAqkEd-426xscrxYmQ">
            <body>This is a placeholder for an actual data type that will be substituted via transformation to a platform-specific datatype. Note that FHIR uses xs:decimal for xml representations, or json number for json representations.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#UnlimitedNatural"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HNCAgK2uEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HNCnkK2uEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_cJEi4AqcEd-426xscrxYmQ" name="NullFlavor">
        <ownedComment xmi:id="_ojb2AO2iEd-YWc6j70EPjw" annotatedElement="_cJEi4AqcEd-426xscrxYmQ">
          <body>This enumeration defines the set of possible &quot;null-flavors&quot;, which are used to communicate why a data type value is empty  when otherwise it should not be empty.  Null Flavor: &quot;If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is  missing.&quot; - HL7 V3</body>
        </ownedComment>
        <ownedLiteral xmi:id="_Ax7rQAqfEd-426xscrxYmQ" name="AskedButUnknown">
          <ownedComment xmi:id="_r2KAcO2hEd-YWc6j70EPjw" annotatedElement="_Ax7rQAqfEd-426xscrxYmQ">
            <body>&quot;Information was sought but not found (e.g., patient was asked but didn't know)&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_DAYf0AqfEd-426xscrxYmQ">
            <body>ASKU</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_6or1EAqeEd-426xscrxYmQ" name="Derived">
          <ownedComment xmi:id="_Tz3UoPwREd-3ndaGus2qMA" annotatedElement="_6or1EAqeEd-426xscrxYmQ">
            <body>&quot;An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expression&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_8cxB0AqeEd-426xscrxYmQ">
            <body>DER</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_bzBvgAqeEd-426xscrxYmQ" name="Invalid">
          <ownedComment xmi:id="_xSHIQO2gEd-YWc6j70EPjw" annotatedElement="_bzBvgAqeEd-426xscrxYmQ">
            <body>&quot;The value as represented in the instance is not a member of the set of permitted data values in the constrained value  domain of a variable.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_eTN0UAqeEd-426xscrxYmQ">
            <body>INV</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_WYwpwAqfEd-426xscrxYmQ" name="Masked">
          <ownedComment xmi:id="_Z1dbIO2hEd-YWc6j70EPjw" annotatedElement="_WYwpwAqfEd-426xscrxYmQ">
            <body>&quot;There is information on this item available but it has not been provided by the sender due to security, privacy or other  reasons. There may be an alternate mechanism for gaining access to this information.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_Yd040AqfEd-426xscrxYmQ">
            <body>MSK</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_oHACkAqeEd-426xscrxYmQ" name="NegativeInfinity">
          <ownedComment xmi:id="_JQGycO2hEd-YWc6j70EPjw" annotatedElement="_oHACkAqeEd-426xscrxYmQ">
            <body>&quot;Negative infinity of numbers.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_rKzx0AqeEd-426xscrxYmQ">
            <body>NINF</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_Xo5RYAqeEd-426xscrxYmQ" name="NoInformation">
          <ownedComment xmi:id="_Glfw4O2iEd-YWc6j70EPjw" annotatedElement="_Xo5RYAqeEd-426xscrxYmQ">
            <body>&quot;The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an  exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.&quot; - HL7  V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_akzB0AqeEd-426xscrxYmQ">
            <body>NI</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_Z8TB8AqfEd-426xscrxYmQ" name="NotApplicable">
          <ownedComment xmi:id="_gQ-GAO2hEd-YWc6j70EPjw" annotatedElement="_Z8TB8AqfEd-426xscrxYmQ">
            <body>&quot;Known to have no proper value (e.g., last menstrual period for a male).&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_c7CD8AqfEd-426xscrxYmQ">
            <body>NA</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_MMr3UAqfEd-426xscrxYmQ" name="NotAsked">
          <ownedComment xmi:id="_2UrNwO2hEd-YWc6j70EPjw" annotatedElement="_MMr3UAqfEd-426xscrxYmQ">
            <body>&quot;This information has not been sought (e.g., patient was not asked)&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_N5diMAqfEd-426xscrxYmQ">
            <body>NASK</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_tTANYAqeEd-426xscrxYmQ" name="PositiveInfinity">
          <ownedComment xmi:id="_PszwIO2hEd-YWc6j70EPjw" annotatedElement="_tTANYAqeEd-426xscrxYmQ">
            <body>&quot;Positive infinity of numbers.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_wHwM8AqeEd-426xscrxYmQ">
            <body>PINF</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_H1IoQAqfEd-426xscrxYmQ" name="SufficientQuantity">
          <ownedComment xmi:id="__BiQMO2hEd-YWc6j70EPjw" annotatedElement="_H1IoQAqfEd-426xscrxYmQ">
            <body>&quot;The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the  material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor  would be used to express the quantity of water.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_KEolsAqfEd-426xscrxYmQ">
            <body>QS</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_EIglgAqfEd-426xscrxYmQ" name="TemporarilyUnavailable">
          <ownedComment xmi:id="_xnHScO2hEd-YWc6j70EPjw" annotatedElement="_EIglgAqfEd-426xscrxYmQ">
            <body>&quot;Information is not available at this time but it is expected that it will be available later.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_GXaGAAqfEd-426xscrxYmQ">
            <body>NAV</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_RZIHAAqfEd-426xscrxYmQ" name="Trace">
          <ownedComment xmi:id="_8nG1IO2hEd-YWc6j70EPjw" annotatedElement="_RZIHAAqfEd-426xscrxYmQ">
            <body>&quot;The content is greater than zero, but too small to be quantified.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_TJVgYAqfEd-426xscrxYmQ">
            <body>TRC</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_xgapAAqeEd-426xscrxYmQ" name="Unencoded">
          <ownedComment xmi:id="_To05wO2hEd-YWc6j70EPjw" annotatedElement="_xgapAAqeEd-426xscrxYmQ">
            <body>&quot;The actual value has not yet been encoded within the approved valueset for the domain.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_zEjVQAqeEd-426xscrxYmQ">
            <body>UNC</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_9aToIAqeEd-426xscrxYmQ" name="Unknown">
          <ownedComment xmi:id="_nnF_AO2hEd-YWc6j70EPjw" annotatedElement="_9aToIAqeEd-426xscrxYmQ">
            <body>&quot;A proper value is applicable, but not known.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="__NWTEAqeEd-426xscrxYmQ">
            <body>UNK</body>
          </specification>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_f-71oAqmEd-426xscrxYmQ" name="OtherCountryMailingAddress">
        <eAnnotations xmi:id="_nzJ_4AqmEd-426xscrxYmQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_nzJ_4QqmEd-426xscrxYmQ" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_3aWHQO2fEd-YWc6j70EPjw" annotatedElement="_f-71oAqmEd-426xscrxYmQ">
          <body>A specialization of Address that is used for addresses in countries other than the United States or Canada.  The purpose of this sub-type is to provide a mechanism to add a jurisdiction property which is not bound to any valueset (in fact it is merely a string, not a code), so as to be able to record the state or province as needed by that country's postal designation conventions without having to know or maintain a closed list of possible jurisdictions beforehand.</body>
        </ownedComment>
        <generalization xmi:id="_iQ9ioAqmEd-426xscrxYmQ" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_mK9QUIrJEd-W_sKBWcwIbA" name="jurisdiction" visibility="public">
          <ownedComment xmi:id="_HPCvEO2gEd-YWc6j70EPjw" annotatedElement="_mK9QUIrJEd-W_sKBWcwIbA">
            <body>This property is a string for the &quot;jurisdiction&quot;, which would have the state or province as needed by the country's postal  designation conventions. In some cases, this property will be blank, and the jurisdiction would be part of one of the  street address lines.&#xD;
&quot;Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xEy-EK2tEeaTV_0rLvgAyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xEy-Ea2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_r_1eEBvxEd-afqIGzWhetA" name="Any">
        <eAnnotations xmi:id="_uBoCUO55Ed-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_uBoCUe55Ed-crcWiXVDZrQ" key="ANY"/>
        </eAnnotations>
        <ownedComment xmi:id="_lgHfgPwHEd-3ndaGus2qMA" annotatedElement="_r_1eEBvxEd-afqIGzWhetA">
          <body>This *abstract* class is used to represent a data type that is not known at the logical model level, but rather will be substituted with a (set of) real data type(s) when transformed to a given platform.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2xsJQM_6Ed-YeMSrwW6svA" name="QuantityRatio">
        <eAnnotations xmi:id="_2xsJQc_6Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_AZLA4M_7Ed-YeMSrwW6svA" key="RTO_PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_2xsJQ8_6Ed-YeMSrwW6svA" annotatedElement="_2xsJQM_6Ed-YeMSrwW6svA">
          <body>A ratio (numerator : denominator) specifying the relative quantities of the Entity playing the Role in the Entity scoping the Role, used for Roles that represent composition relationships between the scoping and playing Entities.</body>
        </ownedComment>
        <ownedComment xmi:id="_Hmr5UO5sEd-crcWiXVDZrQ" annotatedElement="_2xsJQM_6Ed-YeMSrwW6svA">
          <body>This data type represents a Ratio, where the Low and High Limits are Physical Quantities.  A Ratio is &quot; A quantity constructed as the quotient of a numerator quantity divided by a denominator quantity.&quot; - HL7 V3  A Physical Quantity is &quot;a dimensioned quantity expressing the result of measuring&quot; - HL7 V3&#xD;
&quot;A relationship of two Quantity values - expressed as a numerator and a denominator.&quot; - HL7 FHIR, Ratio.</body>
        </ownedComment>
        <generalization xmi:id="_wJAD0AAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_2xsJRM_6Ed-YeMSrwW6svA" name="numerator" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_2xsJRc_6Ed-YeMSrwW6svA" annotatedElement="_2xsJRM_6Ed-YeMSrwW6svA">
            <body>The quantity that is being divided in the ratio. The default is the integer number 1</body>
          </ownedComment>
          <ownedComment xmi:id="_i04HoPwPEd-3ndaGus2qMA" annotatedElement="_2xsJRM_6Ed-YeMSrwW6svA">
            <body>&quot;The quantity that is being divided in the ratio. The default is the integer number 1 (one).&quot; - HL7 V3&#xD;
&quot;The value of the numerator.&quot; - HL7 FHIR, Ratio.numerator.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7mZ7oK2tEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7mbJwK2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2xsJRs_6Ed-YeMSrwW6svA" name="denominator" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_2xsJR8_6Ed-YeMSrwW6svA" annotatedElement="_2xsJRs_6Ed-YeMSrwW6svA">
            <body>The quantity that divides the numerator in the ratio. The default is the integer number 1 (one.) The denominator must not be zero.</body>
          </ownedComment>
          <ownedComment xmi:id="_gxNmwPwPEd-3ndaGus2qMA" annotatedElement="_2xsJRs_6Ed-YeMSrwW6svA">
            <body>&quot;The quantity that devides the numerator in the ratio. The default is the integer number 1 (one). The denominator SHALL not be zero.&quot; - HL7 V3&#xD;
&quot;The value of the denominator.&quot; - HL7 FHIR, Ratio.denominator.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6t7bgK2tEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6t8CkK2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZYu5cHUeEeGl_7Z-4li2AA" name="CodeWithValue">
        <eAnnotations xmi:id="_dcYVEHUeEeGl_7Z-4li2AA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_dcYVEXUeEeGl_7Z-4li2AA" key="CO"/>
        </eAnnotations>
        <ownedComment xmi:id="_d1WVAMlFEeKk-pg0LZnieg" annotatedElement="_ZYu5cHUeEeGl_7Z-4li2AA">
          <body>This subtype of Code adds a numerical value, which could be either a score for codes used to capture potential answers on an assessment instrument, or might be used to provide functionality for &quot;coded ordinals&quot;, which assigns a value to a concept.  In either case, this value is pre-defined in the coding system, and therefore could be looked up in the coding system.  Therefore, this datatype may be removed in the future, as it really isn't necessary, but may be useful in implementations which may wish to avoid a separate call to a terminology server.  (Note that this datatype was renamed from CodedOrdinal to CodeWithValue to combine the LoincAnswerCode and CodedOrdinal subtypes on 10/15/2015).&#xD;
&#xD;
&quot;Coded data, where the coding system from which the code comes defines a partial or complete order on some or all of the codes in the system.  Codes may be assigned a numerical value, but this is not required. [This datatype] adds semantics related to ordering and/or numerical values....&quot; - HL7 V3.</body>
        </ownedComment>
        <generalization xmi:id="_f78OEMlFEeKk-pg0LZnieg" general="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_oDjIEHUeEeGl_7Z-4li2AA" name="value" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_ioyO0MlFEeKk-pg0LZnieg" annotatedElement="_oDjIEHUeEeGl_7Z-4li2AA">
            <body>The value assigned to this code in the code System. - HL7 V3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZCmJUK2tEeaTV_0rLvgAyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZCmwYK2tEeaTV_0rLvgAyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yQqY4LyGEeGK2djLWlLFew" name="NullableBoolean">
        <eAnnotations xmi:id="_4RrgILyGEeGK2djLWlLFew" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_4RrgIbyGEeGK2djLWlLFew" key="BL"/>
        </eAnnotations>
        <ownedComment xmi:id="_RChjkLyHEeGK2djLWlLFew" annotatedElement="_yQqY4LyGEeGK2djLWlLFew">
          <body>This data type represents a boolean value which may be unknown.  In other words, this data type can represent Yes, No, and Unknown; unlike a traditional boolean which can only represent True and False.  For this logical model, this class has been modeled in the HL7 V3 style, which has the advantage of being able to account for different kinds of &quot;unknowns&quot;, but has the disadvantage of having two fields, one of which must always be populated while the other must always be empty.  Implementers may choose to implement this class using a single field instead.</body>
        </ownedComment>
        <generalization xmi:id="_ljA8kAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_5LbLkLyGEeGK2djLWlLFew" name="value" visibility="public">
          <ownedComment xmi:id="_6IRuALyJEeGK2djLWlLFew" annotatedElement="_5LbLkLyGEeGK2djLWlLFew">
            <body>This property contains either a True or a False (or Yes or No).  If &quot;unknown&quot; is needed, this property will be empty, and the nullFlavor property will be valued.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fEmtwHQqEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fEnU0HQqEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7uBrMLyGEeGK2djLWlLFew" name="nullFlavor" visibility="public" type="_cJEi4AqcEd-426xscrxYmQ">
          <ownedComment xmi:id="_FSGiILyKEeGK2djLWlLFew" annotatedElement="_7uBrMLyGEeGK2djLWlLFew">
            <body>This property indicates why the value property is empty.  It uses the NullFlavor enumeration.  This property must be valued when the value property is empty, and must be empty when the value property is valued.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fw6aIHQqEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fw6aIXQqEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pESrUOUiEeSggrPnnbyhMg" name="CanadianMailingAddress">
        <eAnnotations xmi:id="_pESrUeUiEeSggrPnnbyhMg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_pESrUuUiEeSggrPnnbyhMg" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_pESrU-UiEeSggrPnnbyhMg" annotatedElement="_pESrUOUiEeSggrPnnbyhMg">
          <body>A specialization of Address that is used for addresses in Canada.  The purpose of this sub-type is to provide a mechanism to add the provinceOrTerritory property and to bind it to the valueset of codes valid for Canadian mail.</body>
        </ownedComment>
        <generalization xmi:id="_pETSYOUiEeSggrPnnbyhMg" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_pETSYeUiEeSggrPnnbyhMg" name="provinceOrTerritory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_pETSYuUiEeSggrPnnbyhMg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_pETSY-UiEeSggrPnnbyhMg" annotatedElement="_pETSYeUiEeSggrPnnbyhMg">
            <body>An Address Part (ADXP) that contains the state or province. A state or provinces is a sub-unit of a country with limited sovereignty in a federally organized country.&#xD;
The State code is defined in the USPS Publication 28.  Note that while technically, each state &quot;code&quot; should be an Id, the enumeration of states has historically treated as a code.&#xD;
&quot;Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pETSZeUiEeSggrPnnbyhMg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pETSZOUiEeSggrPnnbyhMg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_codAMOXnEeSpA6gSNDKUhw" client="_fImbAAEYEd-ZUM5xZsXWyw">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_RhXikOXdEeSM-JoX4jOe4g?FHIM_Vocab/CommonAndDatatypesVocab/ContactPointUse?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_dFruwOXnEeSpA6gSNDKUhw" client="_fImbAAEYEd-ZUM5xZsXWyw">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_zXSh4OXiEeSM-JoX4jOe4g?FHIM_Vocab/CommonAndDatatypesVocab/ContactPointSystem?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_exskoOXnEeSpA6gSNDKUhw" client="_420A62FD03B6418A8DCD02C2">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_zuRTAOUoEeSggrPnnbyhMg?FHIM_Vocab/CommonAndDatatypesVocab/AddressUse?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oz0YYOqeEeS5D9mZzS_77A" name="QuantityWithComparator">
        <eAnnotations xmi:id="_JYm5QOqfEeS5D9mZzS_77A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_JYngUOqfEeS5D9mZzS_77A" key="PQ"/>
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        <generalization xmi:id="_3HJ7IOqeEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_r-XBwOqeEeS5D9mZzS_77A" name="comparator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1y8hQOqeEeS5D9mZzS_77A" annotatedElement="_r-XBwOqeEeS5D9mZzS_77A">
            <body>&quot;How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues. E.g. if the comparator is &quot;&lt;&quot; , then the real value is &lt; stated value.&quot; - HL7 FHIR, Quantity.comparator.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DHAmUK2uEeaTV_0rLvgAyQ" value="1"/>
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      <packagedElement xmi:type="uml:Dependency" xmi:id="_79-7YPApEeS1qetF27ECmQ" client="_3lzSEFVyEdyaooytdRFnxQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_EfrFEPApEeS1qetF27ECmQ?FHIM_Vocab/CommonAndDatatypesVocab/NameUse?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nrpUcGO1EeWL1ov4GOhBTA" name="CodeSystem">
        <generalization xmi:id="_s8z0oAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_Ami1UwewEeCPOdVNW49Akw" name="codeSystemId">
          <ownedComment xmi:id="_Ami1VAewEeCPOdVNW49Akw" annotatedElement="_Ami1UwewEeCPOdVNW49Akw">
            <body>This property identifies the coding scheme or coding system of which the code is a member.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The identification of the code system that defines the meaning of the symbol in the code.&quot; - HL7 FHIR, Coding.system</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ami1VgewEeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ami1VQewEeCPOdVNW49Akw" value="*"/>
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        <ownedAttribute xmi:id="_GEs9kGO2EeWL1ov4GOhBTA" name="codeSystemName">
          <ownedComment xmi:id="_GEtkoGO2EeWL1ov4GOhBTA" annotatedElement="_GEs9kGO2EeWL1ov4GOhBTA">
            <body>This property identifies the coding scheme or coding system of which the code is a member.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The identification of the code system that defines the meaning of the symbol in the code.&quot; - HL7 FHIR, Coding.system</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GEtkomO2EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GEtkoWO2EeWL1ov4GOhBTA" value="1"/>
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        <ownedAttribute xmi:id="_o-VSUFx8EeCsbYJDFyCu_A" name="codeSystemVersion">
          <ownedComment xmi:id="_o-VSUVx8EeCsbYJDFyCu_A" annotatedElement="_o-VSUFx8EeCsbYJDFyCu_A">
            <body>This property identifies the release name or version of the coding scheme or coding system of which the code is a member.  This version number identifies the possible members of a coding system as of a particular time.  If a coding system isn't formally versioned, such as NDC, the date on which the coding system was published could be used here.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.&quot; - HL7 FHIR, Coding.version.&#xD;
</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o-VSU1x8EeCsbYJDFyCu_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o-VSUlx8EeCsbYJDFyCu_A" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q3LcUGO1EeWL1ov4GOhBTA" name="code_codeSystem" memberEnd="_q3PtwGO1EeWL1ov4GOhBTA _q3SKAGO1EeWL1ov4GOhBTA">
        <ownedEnd xmi:id="_q3SKAGO1EeWL1ov4GOhBTA" name="" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" association="_q3LcUGO1EeWL1ov4GOhBTA">
          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_q3UmQGO1EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_q3VNUGO1EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </upperValue>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_BYTc8HQqEeWqG8oCdHVVOQ" client="_420A62FD03B6418A8DCD02C2">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_W1h4oKRMEeGZ6ueex_Me0w?FHIM_Vocab/CommonAndDatatypesVocab/Country%20(ISO%203166-1)?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_xAzYIHQrEeWTWNDLSSjefQ" client="_420A62FD03B641886F63021A">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_X8UhkKRMEeGZ6ueex_Me0w?FHIM_Vocab/CommonAndDatatypesVocab/Unified%20Code%20for%20Units%20of%20Measure?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VO5nkLHGEeaLhL0dBWV_ew" name="TimeInterval">
        <eAnnotations xmi:id="_w5b08LHGEeaLhL0dBWV_ew" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_w5b08bHGEeaLhL0dBWV_ew" key="IVL_TS"/>
        </eAnnotations>
        <generalization xmi:id="_s2j1YLHGEeaLhL0dBWV_ew" general="_420A62FD03B642387187004E"/>
        <ownedAttribute xmi:id="_420A62FD03B6424ACC670093" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <eAnnotations xmi:id="_O55UzuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55UzOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424ACC670093">
            <body>The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.</body>
          </ownedComment>
          <ownedComment xmi:id="_fe-GUPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B6424ACC670093">
            <body>&quot;The difference between HIGH and LOW boundary. The purpose of distinguishing width is to handle all cases of incomplete information symmetrically. In any IVL representation only two of the three properties HIGH, LOW, and width need to be stated: the third can be derived.  When both boundaries are known, width can be derived as HIGH minus LOW. When one boundary and width is known, the other boundary is also known. When no boundary is known, width may still be known. For example, one knows that an activity takes about 30 minutes, but one may not yet know when that activity is started.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NpuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7Np-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AllZ0BWVEeeKharB8T6q_A" name="Timing">
        <ownedComment xmi:id="_JnECEEoyEee6lNMNhkBtHQ" annotatedElement="_AllZ0BWVEeeKharB8T6q_A">
          <body>&quot;Specifies an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent a schedule that was followed for past events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.&quot; - HL7 FHIR, Timing</body>
        </ownedComment>
        <ownedAttribute xmi:id="_F9CmsBWVEeeKharB8T6q_A" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H4zv0BWVEeeKharB8T6q_A" annotatedElement="_F9CmsBWVEeeKharB8T6q_A">
            <body>&quot;A code for the timing schedule. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).&quot; - HL7 FHIR, Timing.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F9CmsxWVEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F9CmshWVEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EhvtYBWVEeeKharB8T6q_A" name="event" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_EhvtYRWVEeeKharB8T6q_A" annotatedElement="_EhvtYBWVEeeKharB8T6q_A">
            <body>&quot;Identifies specific times when the event occurs.&quot; - HL7 FHIR, Timing.event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EhvtYxWVEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EhvtYhWVEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nXEtgRWVEeeKharB8T6q_A" name="repeat" visibility="public" type="_RSjGYBWVEeeKharB8T6q_A" aggregation="composite" association="_nXEtgBWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_pD9tIBWVEeeKharB8T6q_A" annotatedElement="_nXEtgRWVEeeKharB8T6q_A">
            <body>&quot;A set of rules that describe when the event is scheduled.&quot; - HL7 FHIR, Timing.repeat</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pzg6wBWVEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pzg6wRWVEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_RSjGYBWVEeeKharB8T6q_A" name="Repeat">
        <ownedComment xmi:id="_m6TR8BWVEeeKharB8T6q_A" annotatedElement="_RSjGYBWVEeeKharB8T6q_A">
          <body>&quot;A set of rules that describe when the event is scheduled.&quot; - HL7 FHIR, Timing.repeat</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0XmkkBWVEeeKharB8T6q_A" name="bounds" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0XmkkRWVEeeKharB8T6q_A" annotatedElement="_0XmkkBWVEeeKharB8T6q_A">
            <body>&quot;Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.&quot; - HL7 FHIR, Timing.repeat.bounds[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0XmkkxWVEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0XmkkhWVEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Aqq4sBWWEeeKharB8T6q_A" name="count" visibility="public">
          <ownedComment xmi:id="_FsyuwBWWEeeKharB8T6q_A" annotatedElement="_Aqq4sBWWEeeKharB8T6q_A">
            <body>&quot;A total count of the desired number of repetitions.&quot; - HL7 FHIR, Timing.repeat.count</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Aqq4sxWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Aqq4shWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QZfiABWWEeeKharB8T6q_A" name="countMax" visibility="public">
          <ownedComment xmi:id="_QZfiARWWEeeKharB8T6q_A" annotatedElement="_QZfiABWWEeeKharB8T6q_A">
            <body>&quot;A maximum value for the count of the desired repetitions (e.g. do something 6-8 times).&quot; - HL7 FHIR, Timing.repeat.countMax</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QZfiAxWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QZfiAhWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W4-t8BWWEeeKharB8T6q_A" name="duration" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_W4-t8RWWEeeKharB8T6q_A" annotatedElement="_W4-t8BWWEeeKharB8T6q_A">
            <body>&quot;How long this thing happens for when it happens.&quot; - HL7 FHIR, Timing.repeat.duration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W4-t8xWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W4-t8hWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nlV9kBWWEeeKharB8T6q_A" name="durationMax" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_qTUmwBWWEeeKharB8T6q_A" annotatedElement="_nlV9kBWWEeeKharB8T6q_A">
            <body>&quot;The upper limit of how long this thing happens for when it happens.&quot; - HL7 FHIR, Timing.repeat.durationMax</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nlV9kxWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nlV9khWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vZ77QBWWEeeKharB8T6q_A" name="durationUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vZ77QRWWEeeKharB8T6q_A" annotatedElement="_vZ77QBWWEeeKharB8T6q_A">
            <body>&quot;The units of time for the duration, in UCUM units.&quot; - HL7 FHIR, Timing.repeat.durationUnit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vZ77QxWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vZ77QhWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4DKa4BWWEeeKharB8T6q_A" name="frequency" visibility="public">
          <ownedComment xmi:id="_4DKa4RWWEeeKharB8T6q_A" annotatedElement="_4DKa4BWWEeeKharB8T6q_A">
            <body>&quot;The number of times to repeat the action within the specified period / period range (i.e. both period and periodMax provided).&quot; - HL7 FHIR, Timing.repeat.frequency</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4DKa4xWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4DKa4hWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4HfhQBWWEeeKharB8T6q_A" name="frequencyMax" visibility="public">
          <ownedComment xmi:id="_ATZLsBWXEeeKharB8T6q_A" annotatedElement="_4HfhQBWWEeeKharB8T6q_A">
            <body>&quot;If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.&quot; - HL7 FHIR, Timing.repeat.frequencyMax</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4HfhQxWWEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4HfhQhWWEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_K2JYwBWXEeeKharB8T6q_A" name="period" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_K2JYwRWXEeeKharB8T6q_A" annotatedElement="_K2JYwBWXEeeKharB8T6q_A">
            <body>&quot;Indicates the duration of time over which repetitions are to occur; e.g. to express &quot;3 times per day&quot;, 3 would be the frequency and &quot;1 day&quot; would be the period.&quot; - HL7 FHIR, Timing.repeat.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K2JYwxWXEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K2JYwhWXEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_K5g10BWXEeeKharB8T6q_A" name="periodMax" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_S49YoBWXEeeKharB8T6q_A" annotatedElement="_K5g10BWXEeeKharB8T6q_A">
            <body>&quot;If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as &quot;do this once every 3-5 days.&quot; - HL7 FHIR, Timing.repeat.periodMax</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K5g10xWXEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K5g10hWXEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YpM48BWXEeeKharB8T6q_A" name="periodUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_YpM48RWXEeeKharB8T6q_A" annotatedElement="_YpM48BWXEeeKharB8T6q_A">
            <body>&quot;The units of time for the period in UCUM units.&quot; - HL7 FHIR, Timing.repeat.periodUnit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YpM48xWXEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YpM48hWXEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mQdY0BWXEeeKharB8T6q_A" name="dayOfWeek" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mQdY0RWXEeeKharB8T6q_A" annotatedElement="_mQdY0BWXEeeKharB8T6q_A">
            <body>&quot;If one or more days of week is provided, then the action happens only on the specified day(s).&quot; - HL7 FHIR, Timing.repeat.dayOfWeek</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mQdY0xWXEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mQdY0hWXEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J2grQBWYEeeKharB8T6q_A" name="timeOfDay" visibility="public">
          <ownedComment xmi:id="_J2grQRWYEeeKharB8T6q_A" annotatedElement="_J2grQBWYEeeKharB8T6q_A">
            <body>&quot;Specified time of day for action to take place.&quot; - HL7 FHIR, Timing.repeat.timeOfDay&#xD;
Note that FHIR uses a Time datatime, FHIM uses a string for now</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J2grQxWYEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J2grQhWYEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VRmOgBWYEeeKharB8T6q_A" name="when" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bZMe4BWYEeeKharB8T6q_A" annotatedElement="_VRmOgBWYEeeKharB8T6q_A">
            <body>&quot;Real world events that the occurrence of the event should be tied to.&quot; - HL7 FHIR, Timing.repeat.when</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VRmOgxWYEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VRmOghWYEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iSSoMBWZEeeKharB8T6q_A" name="offset" visibility="public">
          <ownedComment xmi:id="_iSSoMRWZEeeKharB8T6q_A" annotatedElement="_iSSoMBWZEeeKharB8T6q_A">
            <body>&quot;The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.&quot; - HL7 FHIR, Timing.repeat.offset</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iSSoMxWZEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iSSoMhWZEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nXEtgBWVEeeKharB8T6q_A" name="timing_repeat" memberEnd="_nXEtgRWVEeeKharB8T6q_A _nXEtghWVEeeKharB8T6q_A">
        <ownedEnd xmi:id="_nXEtghWVEeeKharB8T6q_A" name="" visibility="private" type="_AllZ0BWVEeeKharB8T6q_A" association="_nXEtgBWVEeeKharB8T6q_A"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436136E100D9" name="Dental">
      <eAnnotations xmi:id="_MQBId-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MQUDYOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_HP8ToOSuEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B6436136E100D9">
        <body>The Dental domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_IXZD4OSuEeaMP8OhjVeyrg">
        <body>The Dental domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_j0AHgDoTEdyLcoN1aB8eDw" name="dentalTreatmentPlan_division" memberEnd="_j0AHgToTEdyLcoN1aB8eDw _o4Z1gDoTEdyLcoN1aB8eDw">
        <ownedEnd xmi:id="_o4Z1gDoTEdyLcoN1aB8eDw" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_j0AHgDoTEdyLcoN1aB8eDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o4Z1gToTEdyLcoN1aB8eDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o4Z1gjoTEdyLcoN1aB8eDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qGrgIDoLEdyFQ9SR5y8kyA" name="dentalTreatmentPlan_bedSection" memberEnd="_qGrgIToLEdyFQ9SR5y8kyA _vbeakDoLEdyFQ9SR5y8kyA">
        <ownedEnd xmi:id="_vbeakDoLEdyFQ9SR5y8kyA" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_qGrgIDoLEdyFQ9SR5y8kyA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vbeakToLEdyFQ9SR5y8kyA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vbeakjoLEdyFQ9SR5y8kyA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438B2D2C001B" name="SoftTissueExam">
        <eAnnotations xmi:id="_MJm-euLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJUDiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B2D2C001B">
          <body>This class identifies observations outcome related to Soft Tissue (Head &amp;amp;amp; Neck) Exam.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7E74C0215" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MJUDi-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E74C0215">
            <body>This is the unique identifier of the dental encounter record.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ErCOgOQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ErCOgeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC92EF005E" name="comments" visibility="public">
          <ownedComment xmi:id="_MJd0guLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC92EF005E">
            <body>Remarks by the Provider on HeadNeck findings.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FSwV0OQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FSw84OQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f5f_cDEbEd-1kqugSPTNWQ" name="headNeckDescription" visibility="public">
          <ownedComment xmi:id="_f5f_cTEbEd-1kqugSPTNWQ" annotatedElement="_f5f_cDEbEd-1kqugSPTNWQ">
            <body>Remarks by the Provider on HeadNeck findings.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FpurYOQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FpvScOQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC972C0271" name="isResolved" visibility="public">
          <ownedComment xmi:id="_ML2aIOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC972C0271">
            <body>Indicates whether or not this head &amp;amp;amp; neck transaction has been resolved.  Possible values are TRUE; FALSE  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F79q4OQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F79q4eQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9908001D" name="markerColor" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_MJd0iOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9908001D">
            <body>The color of the marker used to indicate the lesion used in treatment planning  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQty4OQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQuZ8OQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DE185D001E" name="markerShape" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNVn6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DE185D001E">
            <body>The shape of the marker used to indicate the lesion used in treatment planning.   Possible values are rectangle; square; oval; circle; rounded rectangle; rounded square.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gecs4OQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GedT8OQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC990F0153" name="markerSize" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJm-cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC990F0153">
            <body>The size of the marker used to indicate the lesion used in treatment planning  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G7hqcOQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G7iRgOQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9A2C0031" name="xCoordinate" visibility="public">
          <ownedComment xmi:id="_MJm-deLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9A2C0031">
            <body>This is the X coordinate for the lesion.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HIlPAOQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HIlPAeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9A4303AF" name="yCoordinate" visibility="public">
          <ownedComment xmi:id="_MJm-eOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9A4303AF">
            <body>This is the Y coordinate for the lesion.   DRM Plus Program Specific.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HcjT4OQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hcj68OQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B31F000DD" name="dentalProcedure" visibility="public" type="_420A62FD03B6438B31AC0144" isUnique="false" association="_420A62FD03B6438B31EC01BE">
          <ownedComment xmi:id="_MOFOyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B31F000DD">
            <body>Dental Procedure provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOFOzOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOFOzeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7jzjUTEbEd-1kqugSPTNWQ" name="masterLesionRecord" visibility="public" type="_420A62FD03B6438B2D2C001B" association="_7jzjUDEbEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7jzjUjEbEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7jzjUzEbEd-1kqugSPTNWQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438B31AC0144" name="DentalProcedure">
        <eAnnotations xmi:id="_MJwvduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJwvceLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B31AC0144">
          <body>Dental Procedures provided and or performed for the patient during the Encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CC8F7B0035" name="dentalProcedureCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJwvdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8F7B0035">
            <body>ADA/CPT Code associated with this exam.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Kq9QOQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Kq9QeQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438F06A603BA" name="TreatmentPlanService">
        <eAnnotations xmi:id="_MKgWUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJwveeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438F06A603BA">
          <body>Includes information related to the dental services provided for the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643BD764E0026" name="aspect" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6gdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD764E0026">
            <body>Identifies graphical representation of the tooth this treatment applies to.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yHvu8OQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yHw9EOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7E48A0292" name="canalNbr" visibility="public">
          <ownedComment xmi:id="_MKWlWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E48A0292">
            <body>Indicates the number of root canals that were involved.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zMcGIOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zMctMOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD77C7010E" name="createDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MKDqYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD77C7010E">
            <body>Date treatment was recorded.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z03_IOQKEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z04mMOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oZv_0N9NEeaqfsYBRmvQmQ" name="dataEnterer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oZv_099NEeaqfsYBRmvQmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oZv_0t9NEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hx9CkDEZEd-1kqugSPTNWQ" name="isJuvenile" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0QRhsOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0QRhseQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC98BD0228" name="isPlan" visibility="public">
          <ownedComment xmi:id="_MKNbZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC98BD0228">
            <body>Whether the planned treatment will be performed during the patient's next appointment.  Possible values are Yes, No etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0bG4sOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0bHfwOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NdY7YDEZEd-1kqugSPTNWQ" name="isVisible" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0qXcsOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0qYDwOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D6AE5D007F" name="oralRegion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6geOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6AE5D007F">
            <body>Identifies the area of the dental  treatment.  Possible Values are areNone;  areOneSurf; areTwoSurfs;  areThreeSurfs; areFourormoreSurfs;            areWholeTooth; areQuadrant; areSextant ; areArch; areHeader etc.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0_pwMOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0_qXQOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gQzikOQKEeak6NCuAd5Onw" name="practitioner" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQzikuQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQzikeQKEeak6NCuAd5Onw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D160290322" name="rvu" visibility="public">
          <ownedComment xmi:id="_MKWlUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D160290322">
            <body>Indicates whether or not a user can delete this record from treatment plan.  Possible values are Yes, No, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1MU6QOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1MVhUOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7E48A02BA" name="surfaceRoots" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKDqaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E48A02BA">
            <body>Text string that identifies the surfaces that were involved in the treatment.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1ZE80OQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1ZE80eQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D6AFDF0138" name="toothNumber" visibility="public">
          <ownedComment xmi:id="_MKDqZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6AFDF0138">
            <body>Tooth number which require a tooth related treatment.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1jrDQOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1jrqUOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD7904020E" name="treatmentCategory" visibility="public">
          <ownedComment xmi:id="_MKNbaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD7904020E">
            <body>Optional category that this item falls under in treatment planning and sequencing.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1twMUOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1twMUeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7DCC7035E" name="treatmentCondition" visibility="public" type="_420A62FD03B643D7DC7C00E9" isUnique="false" association="_420A62FD03B643D7DCC6035C">
          <ownedComment xmi:id="_MPkcj-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DCC7035E">
            <body>Treatment condition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPuNgeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPuNguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD5FA50010" name="treatmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MJ6gcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD5FA50010">
            <body>A unique identifier of a specific treatment.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_18GKUOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_18GKUeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCFEF202C6" name="treatmentPhase" visibility="public">
          <ownedComment xmi:id="_MKNbYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCFEF202C6">
            <body>Identifies the phase of this treatment.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2UMhQOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2UMhQeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD773901D2" name="treatmentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6ge-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD773901D2">
            <body>Identifies the status of the treatment.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2hkO4OQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2hkO4eQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCFF8101D1" name="treatmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKWlVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCFF8101D1">
            <body>Identifies type of treatment.  Possible values are Transaction; PerioExam; PSR; Head&amp;amp;amp;Neck etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2zIgAOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2zJHEOQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD60BB011E" name="dentalActivitySystem" visibility="public" type="_420A62FD03B643BD609502D2" isUnique="false" association="_420A62FD03B643BD60B903BB">
          <ownedComment xmi:id="_MOh6teLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD60BB011E">
            <body>This is an association to Dental Activity System (DAS)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOh6t-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOh6uOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438F06070217" name="dentalProcedure" visibility="public" type="_420A62FD03B6438B31AC0144" isUnique="false" association="_420A62FD03B6438F0606007B">
          <ownedComment xmi:id="_MOFO0eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438F06070217">
            <body>Dental Procedure Provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOO_weLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOO_wuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B2E5500E0" name="headAndNeck" visibility="public" type="_420A62FD03B6438B2D2C001B" isUnique="false" association="_420A62FD03B6438B2E5203D5">
          <ownedComment xmi:id="_MN7dxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B2E5500E0">
            <body>Head and Neck realted observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MN7dyOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MN7dyeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFFE301C7" name="materialUsed" visibility="public" type="_420A62FD03B643D7E26B01C9" isUnique="false" association="_420A62FD03B643CFFFE201DA">
          <ownedComment xmi:id="_MPHwnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFFE301C7">
            <body>Material Used in a treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPRhkeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPRhkuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_86jlwTEZEd-1kqugSPTNWQ" name="periodontalExamination" visibility="public" type="_420A62FD03B643CD1AA802E4" association="_86jlwDEZEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_86jlwjEZEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_86jlwzEZEd-1kqugSPTNWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TIJCQTEaEd-1kqugSPTNWQ" name="plaqueObservation" visibility="public" type="_420A62FD03B643D6B1D80170" association="_TIJCQDEaEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TIJCQjEaEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TIJCQzEaEd-1kqugSPTNWQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643BD609502D2" name="DentalActivitySystemReporting">
        <eAnnotations xmi:id="_MKzRQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MKgWXuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD609502D2">
          <body>This class includes the data elements that are related to Dental Activity System.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7D1E5034D" name="dasId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MKqHUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7D1E5034D">
            <body>This is the unique identifier of the dental encounter record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7eowYOQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7epXcOQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D15AFC0132" name="dasCategory" visibility="public">
          <ownedComment xmi:id="_MKqHVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D15AFC0132">
            <body>This is a pointer to DAS file.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7zOgUOQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7zOgUeQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD63F701D3" name="treatmentDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKqHWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD63F701D3">
            <body>This is the treatment disposition as filed to DAS.  Possible values are In progress; Completed; Terminated etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8v1SgOQLEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8v15kOQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CC04EE00D4" name="DentalTreatmentPlan">
        <eAnnotations xmi:id="_MLspJ-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MLZuO-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC04EE00D4">
          <body>Includes information related to the dental plan or chart for the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="__laqoN9MEeaqfsYBRmvQmQ" name="dataEnterer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__laqo99MEeaqfsYBRmvQmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__laqot9MEeaqfsYBRmvQmQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC8979021E" name="dentalAlert" visibility="public">
          <ownedComment xmi:id="_MLi4JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8979021E">
            <body>Lists the dental alerts for the patient - e.g. Antibiotic Premed, Sedation Premed, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6rZyEOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6rZyEeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HDd68OQLEeak6NCuAd5Onw" name="practitioner" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HDd68uQLEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HDd68eQLEeak6NCuAd5Onw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DBTGAOQLEeak6NCuAd5Onw" name="primaryProvider" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DBTGAuQLEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DBTGAeQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD6493028C" name="treatingSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643BD6491036F">
          <ownedComment xmi:id="_MOrrsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD6493028C">
            <body>Provides an indication of the medical specialty of the organization-location.  Examples include Medicine, Surgery, Psychiatry, etc.  Related to the &quot;CDR #&quot; in VHA.  (TreatingSpeciality is a role):</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOrrtOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOrrteLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D12A0903C9" name="treatmentFlag" visibility="public">
          <ownedComment xmi:id="_MLi4KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D12A0903C9">
            <body>Flags for treatment plan  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_694CIOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_694CIeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC05480227" name="treatmentPlanId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MLi4IuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC05480227">
            <body>This is the unique identifier of the dental encounter record.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6LFTQOQKEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6LFTQeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCE9A5027E" name="treatmentPlanType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MLspIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCE9A5027E">
            <body>Whether the treatment is planned or completed.  Possible values are Planned, Completed etc.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7xScEOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7xScEeQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D1607F0091" name="treatmentsInGroup" visibility="public">
          <ownedComment xmi:id="_MLspJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D1607F0091">
            <body>Number of treatments included in this group.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8DipsOQKEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8DipseQKEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qGrgIToLEdyFQ9SR5y8kyA" name="bedSection" visibility="public" type="_420A62FD03B64242CAB30303" association="_qGrgIDoLEdyFQ9SR5y8kyA">
          <ownedComment xmi:id="_5EOdgDoLEdyFQ9SR5y8kyA" annotatedElement="_qGrgIToLEdyFQ9SR5y8kyA">
            <body>&quot;A division in a hospital for the care of a particular group of patients&quot;  The American Heritage Stedman's Medical Dictionary. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qG1RIDoLEdyFQ9SR5y8kyA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qG1RIToLEdyFQ9SR5y8kyA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC8C5700A7" name="dentalPatientEncounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" association="_420A62FD03B643CC8C540111">
          <ownedComment xmi:id="_MOrrwOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8C5700A7">
            <body>Dental Patient Encounter - The patient who is the subject of this dental treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MO01oeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MO01ouLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j0AHgToTEdyLcoN1aB8eDw" name="division" visibility="public" type="_420A62FD03B64242CAB30303" association="_j0AHgDoTEdyLcoN1aB8eDw">
          <ownedComment xmi:id="_w8uRQDoTEdyLcoN1aB8eDw" annotatedElement="_j0AHgToTEdyLcoN1aB8eDw">
            <body>An identification of an organization at a location.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j0AHgjoTEdyLcoN1aB8eDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j0AHgzoTEdyLcoN1aB8eDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E8DC6703AE" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B643E8DC6603CA">
          <ownedComment xmi:id="_MQBIcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E8DC6703AE">
            <body>Diagnosis of of a disease or injury.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MQBIdOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MQBIdeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD9F01EB" name="lastClassification" visibility="public" type="_420A62FD03B643CFFD23032D" isUnique="false" association="_420A62FD03B643CFFD9E0031">
          <ownedComment xmi:id="_MPHwl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD9F01EB">
            <body>Last dental classification of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPHwmeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPHwmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mtb4wTEYEd-1kqugSPTNWQ" name="treatmentPlanService" visibility="public" type="_420A62FD03B6438F06A603BA" association="_mtb4wDEYEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mtb4wjEYEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mtb4wzEYEd-1kqugSPTNWQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CD1AA802E4" name="PeriodontalObservation">
        <eAnnotations xmi:id="_ML_kEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_ML2aJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD1AA802E4">
          <body>Prerio Perio Dental Obseravation during treatment planning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CD199800BC" name="periodontalInformation" visibility="public">
          <ownedComment xmi:id="_ML2aKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD199800BC">
            <body>Information for the periodontal examination used in by the Discus program.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BEF9AOQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BEGkEOQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CD1A300242" name="perioNullData" visibility="public">
          <ownedComment xmi:id="_ML2aK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD1A300242">
            <body>Represents the Discus dental hex code for perio nulls to differentiate between a '0'.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CAt9UOQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CAt9UeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CFFD23032D" name="DentalClassification">
        <eAnnotations xmi:id="_MMJVEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_ML_kFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD23032D">
          <body>Last the dental patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD4F031D" name="classification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ML_kF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD4F031D">
            <body>The last classification for this patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9h8E4OQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9h8r8OQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD78016D" name="classificationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ML_kGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD78016D">
            <body>Last classification Date  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9uxnAOQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9uyOEOQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D6B1D80170" name="PlaqueObservation">
        <eAnnotations xmi:id="_MMcQBOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MMTGF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6B1D80170">
          <body>Indicates drgree of plaque buildup during treatment planning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D6B23201AC" name="plaqueIndex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MMcQAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6B23201AC">
            <body>Indicates the degree of plaque buildup.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C3MSUOQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C3MSUeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA2D380372" name="psrScore" visibility="public" type="_420A62FD03B643DA2CD700BF" isUnique="false" association="_420A62FD03B643DA2D370262">
          <ownedComment xmi:id="_MP3-huLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2D380372">
            <body>PSR Score Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MP3-iOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MP3-ieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7DC7C00E9" name="TreatmentCondition">
        <eAnnotations xmi:id="_MM479OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MMvK_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DC7C00E9">
          <body>This class inlcudes data element that identifies the type of condition of this treatment.   DRM Plus Program Specific.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7DC9D0078" name="condition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MM478uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DC9D0078">
            <body>Identifies the type of condition of this treatment.   DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ItohQOQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ItohQeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7E26B01C9" name="DentalMaterial">
        <eAnnotations xmi:id="_MNCs-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MNCs9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E26B01C9">
          <body>The type of material used in this treatment.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7E2B30349" name="materialType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNCs9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E2B30349">
            <body>Identifies the type of material used in this treatment.  Possible values are matUnknown; matAmalgam; matGold; matMetallic; matPorcelain; matResin; matSedative; matPFM; matGuttaPercha; matPaste; matSilverPoint; matNone etc.    DRM Plus Program Specific.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-eiQAOQLEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-ei3EOQLEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643DA2CD700BF" name="PsrScoreObservation">
        <eAnnotations xmi:id="_MNL25OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MNCs_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2CD700BF">
          <body>This class includes the data element for PSR Score.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643DA2D030018" name="psrScore" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNL24uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2D030018">
            <body>This is score of each sextant (a sextant is one sixth of the teeth) concatenated into single string.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DyRagOQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DyRageQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B2E5203D5" name="treatmentPlanService_headAndNeck" memberEnd="_420A62FD03B6438B2E5500E0 _420A62FD03B6438B2E5500E2">
        <ownedEnd xmi:id="_420A62FD03B6438B2E5500E2" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B6438B2E5203D5"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B31EC01BE" name="softTissueExam_dentalProcedure" memberEnd="_420A62FD03B6438B31F000DD _420A62FD03B6438B31F000E7">
        <ownedEnd xmi:id="_420A62FD03B6438B31F000E7" name="" visibility="public" type="_420A62FD03B6438B2D2C001B" isUnique="false" association="_420A62FD03B6438B31EC01BE"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438F0606007B" name="treatmentPlanService_dentalProcedure" memberEnd="_420A62FD03B6438F06070217 _420A62FD03B6438F06070219">
        <ownedEnd xmi:id="_420A62FD03B6438F06070219" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B6438F0606007B"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BD60B903BB" name="treatmentPlanService_dentalActivitySystem" memberEnd="_420A62FD03B643BD60BB011E _420A62FD03B643BD60BB0129">
        <ownedEnd xmi:id="_420A62FD03B643BD60BB0129" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643BD60B903BB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BD6491036F" name="dentalTreatmentPlan_treatingSpecialty" memberEnd="_420A62FD03B643BD6493028C _420A62FD03B643BD64930304">
        <ownedEnd xmi:id="_420A62FD03B643BD64930304" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643BD6491036F"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CC8C540111" name="dentalTreatmentPlan_dentalPatientEncounter" memberEnd="_420A62FD03B643CC8C5700A7 _420A62FD03B643CC8C5700D9">
        <ownedEnd xmi:id="_420A62FD03B643CC8C5700D9" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643CC8C540111"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CFFD9E0031" name="dentalTreatmentPlan_lastClassification" memberEnd="_420A62FD03B643CFFD9F01EB _420A62FD03B643CFFD9F01FF">
        <ownedEnd xmi:id="_420A62FD03B643CFFD9F01FF" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643CFFD9E0031"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CFFFE201DA" name="treatmentPlanService_materialUsed" memberEnd="_420A62FD03B643CFFFE301C7 _420A62FD03B643CFFFE30217">
        <ownedEnd xmi:id="_420A62FD03B643CFFFE30217" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643CFFFE201DA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D7DCC6035C" name="treatmentPlanService_treatmentCondition" memberEnd="_420A62FD03B643D7DCC7035E _420A62FD03B643D7DCC7037D">
        <ownedEnd xmi:id="_420A62FD03B643D7DCC7037D" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643D7DCC6035C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643DA2D370262" name="plaqueObservation_psrScore" memberEnd="_420A62FD03B643DA2D380372 _420A62FD03B643DA2D38037C">
        <ownedEnd xmi:id="_420A62FD03B643DA2D38037C" name="" visibility="public" type="_420A62FD03B643D6B1D80170" isUnique="false" association="_420A62FD03B643DA2D370262"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643E8DC6603CA" name="dentalTreatmentPlan_diagnosis" memberEnd="_420A62FD03B643E8DC6703AE _420A62FD03B643E8DC6703D6">
        <ownedEnd xmi:id="_420A62FD03B643E8DC6703D6" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643E8DC6603CA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mtb4wDEYEd-1kqugSPTNWQ" name="dentalTreatmentPlan_treatmentPlanService" memberEnd="_mtb4wTEYEd-1kqugSPTNWQ _mtb4xDEYEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_mtb4xDEYEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_mtb4wDEYEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_86jlwDEZEd-1kqugSPTNWQ" name="treatmentPlanService_periodontalExamination" memberEnd="_86jlwTEZEd-1kqugSPTNWQ _86jlxDEZEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_86jlxDEZEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_86jlwDEZEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TIJCQDEaEd-1kqugSPTNWQ" name="treatmentPlanService_plaqueObservation" memberEnd="_TIJCQTEaEd-1kqugSPTNWQ _TISzQDEaEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_TISzQDEaEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_TIJCQDEaEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7jzjUDEbEd-1kqugSPTNWQ" name="softTissueExam_masterLesionRecord" memberEnd="_7jzjUTEbEd-1kqugSPTNWQ _7jzjVDEbEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_7jzjVDEbEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438B2D2C001B" association="_7jzjUDEbEd-1kqugSPTNWQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64368DF45015B" name="Dietetics">
      <eAnnotations xmi:id="_MWlDcuLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MW3-YuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_0deo8GKKEee2PY0OGMs0Sw">
        <body>The Dietetics domain is currently separated into two topic areas:&#xD;
   Nutrition Assessment, and &#xD;
   Nutrition Order&#xD;
Please click on one of the two diagrams below</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643971F960186" name="NutritionTopic" isAbstract="true">
        <eAnnotations xmi:id="_MQ6gV-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MQnlZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643971F960186">
          <body>A record of a dietetics request for a patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_l56UkH7wEeOYQJZKXKAJnw" name="dietDescription" visibility="public">
          <ownedComment xmi:id="_PYfgoH7xEeOYQJZKXKAJnw" annotatedElement="_l56UkH7wEeOYQJZKXKAJnw">
            <body>&quot;Narrative of the recommended diet or daily nutrient intake.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Examples include: General Healthful Diet; 80 gm protein + Consistent Carbohydrate + 2g sodium + 2g potassium + 800-1000mg Phosphorus + 1500 mL Fluid Restricted.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s2j9oH7wEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s2kksH7wEeOYQJZKXKAJnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ir_OQFpeEealceNkT9nzrg" name="excludeFoodModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ir_OQVpeEealceNkT9nzrg" annotatedElement="_Ir_OQFpeEealceNkT9nzrg">
            <body>&quot;This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.&quot; - HL7 FHIR, NutritionOrder.excludeFoodModifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ir_OQ1peEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ir_OQlpeEealceNkT9nzrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3cHo8FpdEealceNkT9nzrg" name="foodPreferenceModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DCDxUFpeEealceNkT9nzrg" annotatedElement="_3cHo8FpdEealceNkT9nzrg">
            <body>&quot;This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.&quot; - HL7 FHIR, NutritionOrder.foodPreferenceModifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9YJigFpdEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9YJigVpdEealceNkT9nzrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3rFDQFpjEealceNkT9nzrg" name="instruction" visibility="public">
          <ownedComment xmi:id="_3rFDQVpjEealceNkT9nzrg" annotatedElement="_3rFDQFpjEealceNkT9nzrg">
            <body>&quot;Free text or additional instructions or information pertaining to the oral diet.&quot; - HL7 FHIR, NutritionOrder.oralDiet.instruction&#xD;
&quot;Free text or additional instructions or information pertaining to the oral supplement.&quot; - HL7 FHIR, NutritionOrder.supplement.instruction&#xD;
&quot;Free text formula administration, feeding instructions or additional instructions or information.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.administrationInstruction</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3rFDQ1pjEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3rFDQlpjEealceNkT9nzrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BE929301CB" name="isNPO" visibility="public">
          <ownedComment xmi:id="_MQ6gUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BE929301CB">
            <body>A flag indicating whether or not an order was given for the patient to receive nothing by mouth. NPO: nil per os (Latin, meaning nothing by mouth).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kS77ELfzEeaN8pnTZH8VBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kS9wQLfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a9Fy8H72EeOYQJZKXKAJnw" name="isNutrientModificationRequired" visibility="public" aggregation="shared">
          <ownedComment xmi:id="_a9Fy8X72EeOYQJZKXKAJnw" annotatedElement="_a9Fy8H72EeOYQJZKXKAJnw">
            <body>&quot;Indicator specifying whether the patient/client requires  a therapeutic or modified diet to eliminate, decrease, or increase certain substances in the diet (e.g., sodium, potassium)&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  For example, a diabetic patient requires controlled intake of carbohydrates.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lJyDgLfzEeaN8pnTZH8VBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lJyqkLfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NI9jUFEIEeeA1-ElC-Gy9g" name="schedule" visibility="public">
          <ownedComment xmi:id="_QD0x8FEIEeeA1-ElC-Gy9g" annotatedElement="_NI9jUFEIEeeA1-ElC-Gy9g">
            <body>&quot;The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present.&quot; - HL7 FHIR, NutritionOrder.oralDiet.schedule&#xD;
&quot;The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.&quot; - HL7 FHIR, NutritionOrder.supplement.schedule</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SCUe8FEIEeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SCUe8VEIEeeA1-ElC-Gy9g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D714E802C5" name="DietSupplement">
        <eAnnotations xmi:id="_MRgWOuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRgWNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D714E802C5">
          <body>&quot;Oral nutritional products given in order to add further nutritional value to the patient's diet.&quot; - HL7 FHIR, NutritionOrder.supplement</body>
        </ownedComment>
        <generalization xmi:id="_YTVkwBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D7156901DA" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MRgWOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7156901DA">
            <body>&quot;The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.&quot; - HL7 FHIR, NutritionOrder.supplement.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rXXAELfzEeaN8pnTZH8VBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rXYOMLfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WatsQHMaEeeRrc6SOEd2wQ" name="supplementItem" visibility="public" type="_E1zEAHMaEeeRrc6SOEd2wQ" association="_Waqo8HMaEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WauTUHMaEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WauTUXMaEeeRrc6SOEd2wQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D722E60095" name="EnteralDietItem">
        <eAnnotations xmi:id="_MSQkIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MR9CJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D722E60095">
          <body>A record of a tubefeeding requested for a patient.&#xD;
&quot;Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.&quot; - HL7 FHIR, NutritionOrder.enteralFormula</body>
        </ownedComment>
        <ownedAttribute xmi:id="_YPKPUVFCEeeA1-ElC-Gy9g" name="additiveProduct" visibility="public" type="__6daUFp1Eea8uN_zi5afyA" association="_YPKPUFFCEeeA1-ElC-Gy9g">
          <ownedComment xmi:id="_zhO5YFFCEeeA1-ElC-Gy9g" annotatedElement="_YPKPUVFCEeeA1-ElC-Gy9g">
            <body>&quot;The product or brand name of the type of modular component to be added to the formula.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.additiveProductName</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YPKPUlFCEeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YPKPU1FCEeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Fbx0FFBEeeA1-ElC-Gy9g" name="additiveType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__Fbx0VFBEeeA1-ElC-Gy9g" annotatedElement="__Fbx0FFBEeeA1-ElC-Gy9g">
            <body>&quot;Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.additiveType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Fbx01FBEeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Fbx0lFBEeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fppgYFFBEeeA1-ElC-Gy9g" name="baseFormulaProduct" visibility="public" type="__6daUFp1Eea8uN_zi5afyA" association="_fpgWcFFBEeeA1-ElC-Gy9g">
          <ownedComment xmi:id="_oV43wFFBEeeA1-ElC-Gy9g" annotatedElement="_fppgYFFBEeeA1-ElC-Gy9g">
            <body>&quot;The product or brand name of the enteral or infant formula product such as &quot;ACME Adult Standard Formula&quot;.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.baseFormulaProductName</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fppgYVFBEeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fppgYlFBEeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hv5dAFFBEeeA1-ElC-Gy9g" name="baseFormulaType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Hv5dAVFBEeeA1-ElC-Gy9g" annotatedElement="_Hv5dAFFBEeeA1-ElC-Gy9g">
            <body>&quot;The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.baseFormulaType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hv5dA1FBEeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hv5dAlFBEeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z_NYAFE_EeeA1-ElC-Gy9g" name="caloricDensity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_cO3tgFE_EeeA1-ElC-Gy9g" annotatedElement="_Z_NYAFE_EeeA1-ElC-Gy9g">
            <body>&quot;The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.caloricDensity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k-H8oFE_EeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k-H8oVE_EeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72BD302D5" name="productDailyKilocalories" visibility="public">
          <ownedComment xmi:id="_MSGzIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72BD302D5">
            <body>The number of kilocalories contained in this product as prepared.&#xD;
&quot;This field stores the kcals per day of this tubefeeding product for the recurring meal.&quot; - VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vaQNwLfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vaQ00LfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72B4C023B" name="productDailyVolume" visibility="public">
          <ownedComment xmi:id="_MR9CKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72B4C023B">
            <body>The volume (in cubic centimeters) of the product contained in the order for a day.&#xD;
&quot;This field stores the product ml's per day of this tubefeeding product for the recurring meal.&quot; - VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v3HI4LfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v3Hv8LfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1txC0HL2EeeRrc6SOEd2wQ" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_1txC0XL2EeeRrc6SOEd2wQ" annotatedElement="_1txC0HL2EeeRrc6SOEd2wQ">
            <body>&quot;This field stores the quantity of the tubefeeding for the recurring meal.&quot; - VistA  Note that this is a string in VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1txC03L2EeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1txC0nL2EeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pPI-8HL2EeeRrc6SOEd2wQ" name="strength" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pPI-8XL2EeeRrc6SOEd2wQ" annotatedElement="_pPI-8HL2EeeRrc6SOEd2wQ">
            <body>&quot;This field stores the strength of the tubefeeding for the recurring meal.&quot; Possible values include: 1/4, 1/2, 3/4, Full. - VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pPI-83L2EeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pPI-8nL2EeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72B9401DA" name="waterDailyVolume" visibility="public">
          <ownedComment xmi:id="_MR9CK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72B9401DA">
            <body>The volume (in cubic centimeters) of water with which to dilute the product if indicated.&#xD;
&quot;This field stores the water ml's per day of this tubefeeding product for the recurring meal.&quot; - VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zXI6ELfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zXJhILfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D730120260" name="DieteticsConsultTopic">
        <eAnnotations xmi:id="_MSspAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MSjfFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D730120260">
          <body>A record of a request for a dietetics consult for this patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7306100B5" name="dieteticsConsult" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSjfF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7306100B5">
            <body>A code representing the type of dietetics consult requested for this patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_owz0kLfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ow0boLfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7324F0174" name="initialFollowUp" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSjfGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7324F0174">
            <body>A code indicating whether the consult is an initial or a follow up.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qWqYELfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qWq_ILfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E6A22903C7" name="OralDiet">
        <ownedComment xmi:id="_MT471eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A22903C7">
          <body>A record of a regular diet order that is requested for a patient.&#xD;
&quot;Diet given orally in contrast to enteral (tube) feeding.&quot; - HL7 FHIR, NutritionRequest.oralDiet</body>
        </ownedComment>
        <generalization xmi:id="_Tub2MBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_n-pcEFpiEealceNkT9nzrg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_n-pcEVpiEealceNkT9nzrg" annotatedElement="_n-pcEFpiEealceNkT9nzrg">
            <body>&quot;Set of codes that controls the type of diet modification that a patient should receive or follow.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Examples include: DASH (Dietary Approaches to Stop Hypertension), Kosher, or  Vegan.&#xD;
&quot;A code that controls the type of diet that a patient should receive, eg. Cultural Preference, Portion Size, Timing.&quot; - HL7 Diet and Nutrition Orders DAM R2.&#xD;
&quot;The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.&quot; - HL7 FHIR, NutritionOrder.oralDiet.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n-pcE1piEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n-pcElpiEealceNkT9nzrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5vSzMFpiEealceNkT9nzrg" name="fluidConsistencyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5vSzMVpiEealceNkT9nzrg" annotatedElement="_5vSzMFpiEealceNkT9nzrg">
            <body>&quot;The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.&quot; - HL7 FHIR, NutritionOrder.oralDiet.fluidConsistencyType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5vSzM1piEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5vSzMlpiEealceNkT9nzrg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vxnVUH73EeOYQJZKXKAJnw" name="nutrientModification" visibility="public" type="_iz_oUH73EeOYQJZKXKAJnw" aggregation="composite" association="_vxmHMH73EeOYQJZKXKAJnw">
          <ownedComment xmi:id="_SDS10H74EeOYQJZKXKAJnw" annotatedElement="_vxnVUH73EeOYQJZKXKAJnw">
            <body>Pointer to a nutrient, or diet component such as fat, which is to be provided in quantities differing from a standard diet.&#xD;
&quot;Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.&quot; - HL7 FHIR, NutritionOrder.oralDiet.nutrient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vxn8YH73EeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vxojcH73EeOYQJZKXKAJnw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NpaaYVs2EeaxDokgI-Y3eA" name="textureModification" visibility="public" type="_BRejgFppEealceNkT9nzrg" aggregation="composite" association="_NpaaYFs2EeaxDokgI-Y3eA">
          <ownedComment xmi:id="_amf68FESEeeA1-ElC-Gy9g" annotatedElement="_NpaaYVs2EeaxDokgI-Y3eA">
            <body>Pointer to a requirement for physical characteristics of the food to be given that differs from the standard diet. For example, soft foods only.&#xD;
&quot;Class that describes any texture modifications required for the patient to safely consume various types of solid foods.&quot; - HL7 FHIR, NutritionOrder.oralDiet.texture</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NpaaYls2EeaxDokgI-Y3eA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NpaaY1s2EeaxDokgI-Y3eA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D782110250" name="foodItem" visibility="public" type="_420A62FD03B643E6A3CB009D" isUnique="false" association="_420A62FD03B643D782100294">
          <ownedComment xmi:id="_MWRhc-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D782110250">
            <body>A food item that is part of the requested food preference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MWRhdeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MWRhduLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E6A3CB009D" name="FoodItem">
        <eAnnotations xmi:id="_MUVnweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MUMd1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A3CB009D">
          <body>A record of a food item and the quantity in which it is ordered.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E6A4E00181" name="foodItem" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MUMd1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A4E00181">
            <body>An item that is requested as part of a Dietetics order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rc3-kLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rc3-kbf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E6A4E00195" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MUMd2uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A4E00195">
            <body>The ordered quantity of the requested food item.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SBZA4Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SBZn8Lf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ky6isHMaEeeRrc6SOEd2wQ" name="foodProduct" visibility="public" type="__6daUFp1Eea8uN_zi5afyA" association="_Ky5UkHMaEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ky7JwHMaEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ky7JwXMaEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D782100294" name="oralDiet_foodItem" memberEnd="_420A62FD03B643D782110250 _420A62FD03B643D782110252">
        <ownedEnd xmi:id="_420A62FD03B643D782110252" name="" visibility="public" type="_420A62FD03B643E6A22903C7" isUnique="false" association="_420A62FD03B643D782100294"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_omJqkE13Ed-edbevC5ymeQ" name="NutritionAssessmentTopic">
        <generalization xmi:id="_8moZEHLrEeeRrc6SOEd2wQ" general="_eGjKkAgyEee_toNtDpbL8w"/>
        <ownedAttribute xmi:id="_kReA8E2FEd-N7JZGCuVoQQ" name="age" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_TBftQGJ9Eee2PY0OGMs0Sw" annotatedElement="_kReA8E2FEd-N7JZGCuVoQQ">
            <body>The age of the Patient undergoing the Nutrition Assessment. Note that this property may be calculated based on the Patient's birth date retreived from the Patient's demographics rather than entered by hand, therefore this property is marked as derived. Note also that while VistA maintains this data in terms of years, FHIM uses a TimeQuantity which could potentially describe the Patient's age in terms of days or months.&#xD;
&quot;This field contains the age, in years, of the subject at the time of the assessment.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zq_PgLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zq_2kLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h5iq0E2GEd-N7JZGCuVoQQ" name="appearance" visibility="public">
          <ownedComment xmi:id="_b2lrcHLgEeeRrc6SOEd2wQ" annotatedElement="_h5iq0E2GEd-N7JZGCuVoQQ">
            <body>&quot;This field is used to store the a free-text description of the appearance of the patient when such notation may be of importance in understanding or treating the patient.&quot; VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aaCt4Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aaCt4bf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HkIn4E2HEd-N7JZGCuVoQQ" name="armCircumference" visibility="public" type="_6Bf-yF3AEeercrca8w8cRw">
          <ownedComment xmi:id="_TbIv0HLlEeeRrc6SOEd2wQ" annotatedElement="_HkIn4E2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the arm circumference in cm.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bHkiQLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bHlJULf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HkIn4U2HEd-N7JZGCuVoQQ" name="armCircumferencePercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_WgIx4HLlEeeRrc6SOEd2wQ" annotatedElement="_HkIn4U2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentile rank of the arm circumference.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cFT84Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cFUj8Lf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oNZ1kE2GEd-N7JZGCuVoQQ" name="bodyMassIndex" visibility="public" type="_hGI1PmJvEee2PY0OGMs0Sw">
          <ownedComment xmi:id="_gGpLYHLgEeeRrc6SOEd2wQ" annotatedElement="_oNZ1kE2GEd-N7JZGCuVoQQ">
            <body>&quot;This field contains the Body Mass Index calculated from the height and weight.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cvVxULf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cvWYYLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rgpvAE2GEd-N7JZGCuVoQQ" name="bodyMassIndexPercentile" visibility="public" type="_wBK7cWJ4Eee2PY0OGMs0Sw">
          <ownedComment xmi:id="_nVpIsHLgEeeRrc6SOEd2wQ" annotatedElement="_rgpvAE2GEd-N7JZGCuVoQQ">
            <body>&quot;This field contains the percentile rank of the Body Mass Index value.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dpLjYLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dpMKcLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ryq4cE2HEd-N7JZGCuVoQQ" name="boneFreeArmMuscleArea" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_jMz40HLlEeeRrc6SOEd2wQ" annotatedElement="_Ryq4cE2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the calculated bone-free arm muscle area in sq. cm.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f4Pb8Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f4QDALf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ryq4cU2HEd-N7JZGCuVoQQ" name="boneFreeArmMuscleAreaPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_mByh4HLlEeeRrc6SOEd2wQ" annotatedElement="_Ryq4cU2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentile rank of the bone-free AMA.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gsLaULf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gsMBYLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LdjwgE2HEd-N7JZGCuVoQQ" name="calfCircumference" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_avWkUHLlEeeRrc6SOEd2wQ" annotatedElement="_LdjwgE2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the calf circumference in cm.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_haVg0Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_haWH4Lf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LdjwgU2HEd-N7JZGCuVoQQ" name="calfCircumferencePercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_ePwI8HLlEeeRrc6SOEd2wQ" annotatedElement="_LdjwgU2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentile rank of the calf circumference.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iG32sLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iG4dwLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7l1RIHLwEeeRrc6SOEd2wQ" name="currentDiet" visibility="public">
          <ownedComment xmi:id="_BvAO0HLxEeeRrc6SOEd2wQ" annotatedElement="_7l1RIHLwEeeRrc6SOEd2wQ">
            <body>&quot;Patient diet at the time the Nutrition Assessment was created.&quot; VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7l1RI3LwEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7l1RInLwEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2I0dAE2FEd-N7JZGCuVoQQ" name="dateWeightTaken" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_ICThQHLjEeeRrc6SOEd2wQ" annotatedElement="_2I0dAE2FEd-N7JZGCuVoQQ">
            <body>The date (and optionally, time) that the Patient's weight was measured. Note that this property is marked as derived because it is known from the Weight Observation Detailed Clnical Model, and would not be recorded separately.&#xD;
&quot;This is the date the weight was determined.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jDJRsLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jDJ4wLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AI3M4HLwEeeRrc6SOEd2wQ" name="dieteticsDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209">
          <ownedComment xmi:id="_AI3M4XLwEeeRrc6SOEd2wQ" annotatedElement="_AI3M4HLwEeeRrc6SOEd2wQ">
            <body>&quot;This is a diagnosis entered by Nutrition and Food Services personnel.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AI3M43LwEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AI3M4nLwEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LqRlIHLxEeeRrc6SOEd2wQ" name="enteralDiet" visibility="public" type="__tGdYFBSEee9wJcBCMsgjw" association="_LqPv8HLxEeeRrc6SOEd2wQ">
          <ownedComment xmi:id="_VyRI0HLxEeeRrc6SOEd2wQ" annotatedElement="_LqRlIHLxEeeRrc6SOEd2wQ">
            <body>Pointer to information regarding the tube-feeding diet which the patient is receiving at the time of the Nutrition Assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LqSMMHLxEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LqSMMXLxEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b4FbEHLyEeeRrc6SOEd2wQ" name="enteralDietComments" visibility="public">
          <ownedComment xmi:id="_jKTEcHLyEeeRrc6SOEd2wQ" annotatedElement="_b4FbEHLyEeeRrc6SOEd2wQ">
            <body>&quot;Patient's Tubefeeding Comment at the time the Nutrition Assessment was created.&quot; VistA</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b4FbE3LyEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b4FbEnLyEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W7S0kE2GEd-N7JZGCuVoQQ" name="fluidsRequired" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_JgoAwHLgEeeRrc6SOEd2wQ" annotatedElement="_W7S0kE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the fluid requirements, in ml/day, of the person.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kdRtYLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kdSUcLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T_4aoHLwEeeRrc6SOEd2wQ" name="followupDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_d5DfMHLwEeeRrc6SOEd2wQ" annotatedElement="_T_4aoHLwEeeRrc6SOEd2wQ">
            <body>&quot;This is a date that a patient's assessment needs to be checked by a dietitian or other provider.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fBo34HLwEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fBpe8HLwEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B27p8E2GEd-N7JZGCuVoQQ" name="frameSize" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3q-N0HLfEeeRrc6SOEd2wQ" annotatedElement="_B27p8E2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the frame size of the individual, expressed as Small, Medium or Large.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wxpCALf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wxppELf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rN9R8E2FEd-N7JZGCuVoQQ" name="height" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_fTzuUHLiEeeRrc6SOEd2wQ" annotatedElement="_rN9R8E2FEd-N7JZGCuVoQQ">
            <body>&quot;This field contains the height, in inches, of the subject.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xVq8ILf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xVrjMLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uCHboE2FEd-N7JZGCuVoQQ" name="heightQualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0kp1wHLiEeeRrc6SOEd2wQ" annotatedElement="_uCHboE2FEd-N7JZGCuVoQQ">
            <body>Additional information about the Patient's height observation that may affect the interpretation of the height value. VistA allows &quot;Stated&quot; and &quot;Knee Height&quot;&#xD;
&quot;This field contains parameters relating to height; in particular, an S would mean stated rather than measured.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x2uawLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x2vB0Lf0EeaN8pnTZH8VBg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7-YiME2FEd-N7JZGCuVoQQ" name="idealWeight" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_jZcRgHLjEeeRrc6SOEd2wQ" annotatedElement="_7-YiME2FEd-N7JZGCuVoQQ">
            <body>&quot;This is the ideal body weight, in pounds, of the subject.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ygnFQLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ygnsULf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HbSqYE2GEd-N7JZGCuVoQQ" name="kCalRequired" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_A6kw8HLgEeeRrc6SOEd2wQ" annotatedElement="_HbSqYE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the protein requirements of the person.&quot; VistA. Expressed in grams.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zAyaILf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zAzBMLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uo3dIE2GEd-N7JZGCuVoQQ" name="nitrogenBalance" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_VqFwIHLkEeeRrc6SOEd2wQ" annotatedElement="_uo3dIE2GEd-N7JZGCuVoQQ">
            <body>&quot;This field contains the value of the Nitrogen Balance calculated during the assessment.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zc9YwLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zc9_0Lf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bPfNoE2GEd-N7JZGCuVoQQ" name="nuitritionalProblem" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0DIn8Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0DIn8bf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EygqQE2GEd-N7JZGCuVoQQ" name="percentAputated" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_8nwQ4HLfEeeRrc6SOEd2wQ" annotatedElement="_EygqQE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentage of total body weight missing due to amputations.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1OPJILf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1OPwMLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v3B9IHLvEeeRrc6SOEd2wQ" name="problemListDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209">
          <ownedComment xmi:id="_-dUREHLvEeeRrc6SOEd2wQ" annotatedElement="_v3B9IHLvEeeRrc6SOEd2wQ">
            <body>&quot;This is a diagnosis selected from the Problem List package for a patient.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0fFGUHLvEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0fFtYHLvEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OCOiIE2GEd-N7JZGCuVoQQ" name="protienRequired" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_uf96AHLjEeeRrc6SOEd2wQ" annotatedElement="_OCOiIE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the protein requirements [in grams] of the person.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1r5VgLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1r58kLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bN2O4E2GEd-N7JZGCuVoQQ" name="riskCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2JQm8Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2JQm8bf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f3PRUE2FEd-N7JZGCuVoQQ" name="sex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_5J8bUHLhEeeRrc6SOEd2wQ" annotatedElement="_f3PRUE2FEd-N7JZGCuVoQQ">
            <body>The sex of the Patient undergoing the Nutrition Assessment. Note that this property may be retreived from the Patient's demographics rather than entered by hand, therefore this property is marked as derived.&#xD;
&quot;This field contains a M or F corresponding to the sex of the subject.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3HH9YLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3HJLgLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BUsDEU2HEd-N7JZGCuVoQQ" name="subscapularSkinFold" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_g_p6MHLkEeeRrc6SOEd2wQ" annotatedElement="_BUsDEU2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the subscapular skin fold measurement in mm.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3vaFYLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3vaFYbf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BUsDEE2HEd-N7JZGCuVoQQ" name="subscapularSkinFoldPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PzZNEHLlEeeRrc6SOEd2wQ" annotatedElement="_BUsDEE2HEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentile rank of the subscapular skin fold measurement.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4LQ68Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4LRiALf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0gxEoE2GEd-N7JZGCuVoQQ" name="tricepsSkinFold" visibility="public" type="_kEOUMWJrEee2PY0OGMs0Sw">
          <ownedComment xmi:id="_bJRVoHLkEeeRrc6SOEd2wQ" annotatedElement="_0gxEoE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the triceps skin fold measurement in mm.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_408xILf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_409YMLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-jFeIE2GEd-N7JZGCuVoQQ" name="tricepsSkinFoldPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_djsJoHLkEeeRrc6SOEd2wQ" annotatedElement="_-jFeIE2GEd-N7JZGCuVoQQ">
            <body>&quot;This is the percentile rank of the triceps skin fold measurement.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UnIoLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UnvsLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7oxekE2FEd-N7JZGCuVoQQ" name="usualWeight" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_f_kLoHLjEeeRrc6SOEd2wQ" annotatedElement="_7oxekE2FEd-N7JZGCuVoQQ">
            <body>&quot;This is the usual weight, in pounds, of the subject.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_52jYELf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_52jYEbf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wPhuYE2FEd-N7JZGCuVoQQ" name="weight" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Co8P4HLjEeeRrc6SOEd2wQ" annotatedElement="_wPhuYE2FEd-N7JZGCuVoQQ">
            <body>&quot;This field contains the weight, in pounds, of the subject.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6TGxMLf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6THYQLf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wPhuYU2FEd-N7JZGCuVoQQ" name="weightQualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__pwh8HLiEeeRrc6SOEd2wQ" annotatedElement="_wPhuYU2FEd-N7JZGCuVoQQ">
            <body>Additional information about the Patient's weight observation that may affect the interpretation of the weight value. VistA allows &quot;Stated&quot; and &quot;Anthropometric&quot;&#xD;
&quot;This field contains parameters relating to weight; in particular, an S would mean stated rather than measured.&quot; VistA</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_61r50Lf0EeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_61sg4Lf0EeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iz_oUH73EeOYQJZKXKAJnw" name="NutrientModification">
        <ownedComment xmi:id="_OfxrwH74EeOYQJZKXKAJnw" annotatedElement="_iz_oUH73EeOYQJZKXKAJnw">
          <body>&quot;Identifies the nutrient which is to be modified&quot; (e.g., sodium, potassium) - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
&quot;Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.&quot; - HL7 FHIR, NutritionOrder.oralDiet.nutrient</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fEYWIFpqEealceNkT9nzrg" name="amount" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_-YQowFpqEealceNkT9nzrg" annotatedElement="_fEYWIFpqEealceNkT9nzrg">
            <body>&quot;The quantity of the specified nutrient to include in diet.&quot; - HL7 FHIR, NutritionOrder.oralDiet.nutrient.amount&#xD;
Note that FHIR models this as a SimpleQuantity, whereas the FHIM allows an Interval (low and high) and a Frequency so that one can represent a range such as 2-3mg.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AGFcgFprEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AGFcgVprEealceNkT9nzrg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qb2KgH73EeOYQJZKXKAJnw" name="nutrient" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qb2KgX73EeOYQJZKXKAJnw" annotatedElement="_qb2KgH73EeOYQJZKXKAJnw">
            <body>&quot;Code which identifies the nutrient which is to be modified&quot; (e.g., sodium, potassium) - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
&quot;The nutrient that is being modified such as carbohydrate or sodium.&quot; - HL7 FHIR, NutritionOrder.oralDiet.nutrient.modifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HZxskFprEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HZxskVprEealceNkT9nzrg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_fwvAoFEREeeA1-ElC-Gy9g" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(NutrientValueSet)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vxmHMH73EeOYQJZKXKAJnw" name="oralDiet_nutrientModification" memberEnd="_vxnVUH73EeOYQJZKXKAJnw _vxpKgH73EeOYQJZKXKAJnw">
        <ownedEnd xmi:id="_vxpKgH73EeOYQJZKXKAJnw" name="" visibility="public" type="_420A62FD03B643E6A22903C7" association="_vxmHMH73EeOYQJZKXKAJnw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_A2PlUE6-EeaHXqqZDgyDmw" name="nutritionOrderStatement_intoleranceCondition" memberEnd="_A2Vr8E6-EeaHXqqZDgyDmw _A2ZWUE6-EeaHXqqZDgyDmw">
        <ownedEnd xmi:id="_A2ZWUE6-EeaHXqqZDgyDmw" name="" visibility="private" type="__tGdYFBSEee9wJcBCMsgjw" association="_A2PlUE6-EeaHXqqZDgyDmw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BRejgFppEealceNkT9nzrg" name="TextureModification">
        <ownedComment xmi:id="_beq5EFESEeeA1-ElC-Gy9g" annotatedElement="_BRejgFppEealceNkT9nzrg">
          <body>A requirement for physical characteristics of the food to be given that differs from the standard diet. For example, soft foods only.&#xD;
&quot;Class that describes any texture modifications required for the patient to safely consume various types of solid foods.&quot; - HL7 FHIR, NutritionOrder.oralDiet.texture</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Ic06cFpqEealceNkT9nzrg" name="foodType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ic06cVpqEealceNkT9nzrg" annotatedElement="_Ic06cFpqEealceNkT9nzrg">
            <body>&quot;Indicates what type of food, such as meats, or liquids, which require a texture modification&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012. As an example, a Patient undergoing treatment and rehabilitation following a stroke may require honey-thickened liquids, ground meats and chopped vegetables.&#xD;
&quot;The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.&quot; - HL7 FHIR, NutritionRequest.oralDiet.texture.foodType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ic06c1pqEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ic06clpqEealceNkT9nzrg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uFmvEFppEealceNkT9nzrg" name="texture" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_uFmvEVppEealceNkT9nzrg" annotatedElement="_uFmvEFppEealceNkT9nzrg">
            <body>&quot;Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.&quot; - HL7 FHIR, NutritionOrder.oralDiet.texture.modifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uFmvE1ppEealceNkT9nzrg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uFmvElppEealceNkT9nzrg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NpaaYFs2EeaxDokgI-Y3eA" name="oralDiet_textureModification" memberEnd="_NpaaYVs2EeaxDokgI-Y3eA _NpaaZFs2EeaxDokgI-Y3eA">
        <ownedEnd xmi:id="_NpaaZFs2EeaxDokgI-Y3eA" name="" visibility="private" type="_420A62FD03B643E6A22903C7" association="_NpaaYFs2EeaxDokgI-Y3eA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NpaaZVs2EeaxDokgI-Y3eA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NpaaZls2EeaxDokgI-Y3eA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__tGdYFBSEee9wJcBCMsgjw" name="NutritionOrderStatement">
        <generalization xmi:id="_TjJ7oFBwEee9wJcBCMsgjw" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_-nf2gFBuEee9wJcBCMsgjw" name="nutritionTopic" visibility="public" type="_420A62FD03B643971F960186" association="_-nWFgFBuEee9wJcBCMsgjw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-nf2gVBuEee9wJcBCMsgjw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-nf2glBuEee9wJcBCMsgjw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__lfv0FBuEee9wJcBCMsgjw" name="orderedContext" visibility="public" type="_420A62FD03B64589572B02E8" association="__lV-0FBuEee9wJcBCMsgjw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__lfv0VBuEee9wJcBCMsgjw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__lfv0lBuEee9wJcBCMsgjw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A2Vr8E6-EeaHXqqZDgyDmw" name="intoleranceCondition" visibility="public" type="_420A62FD03B6418BB10D01EB" association="_A2PlUE6-EeaHXqqZDgyDmw">
          <ownedComment xmi:id="_mSK0QE6-EeaHXqqZDgyDmw" annotatedElement="_A2Vr8E6-EeaHXqqZDgyDmw">
            <body>Pointer to a set of Allergies or Intolerances known to the Placer (i.e., the orderer) that the Filler (i.e., the person or department who will fulfill the order) should know about as the Allergies/Intolerances may affect the kinds of foods that the Patient may consume.&#xD;
&quot;A link to a record of allergies or intolerances which should be included in the nutrition order. Information on a patient's food allergies and intolerances, inform healthcare personnel about the type of foods that the patient should receive or consume.&quot; - HL7 FHIR, NutritionOrder.allergyIntolerance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A2XhIE6-EeaHXqqZDgyDmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A2XhIU6-EeaHXqqZDgyDmw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-nWFgFBuEee9wJcBCMsgjw" name="nutritionOrderStatement_nutritionTopic" memberEnd="_-nf2gFBuEee9wJcBCMsgjw _-nf2g1BuEee9wJcBCMsgjw">
        <ownedEnd xmi:id="_-nf2g1BuEee9wJcBCMsgjw" name="" visibility="private" type="__tGdYFBSEee9wJcBCMsgjw" association="_-nWFgFBuEee9wJcBCMsgjw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-nf2hFBuEee9wJcBCMsgjw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-nf2hVBuEee9wJcBCMsgjw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__lV-0FBuEee9wJcBCMsgjw" name="nutritionOrderStatement_orderedContext" memberEnd="__lfv0FBuEee9wJcBCMsgjw __lfv01BuEee9wJcBCMsgjw">
        <ownedEnd xmi:id="__lfv01BuEee9wJcBCMsgjw" name="" visibility="private" type="__tGdYFBSEee9wJcBCMsgjw" association="__lV-0FBuEee9wJcBCMsgjw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__lfv1FBuEee9wJcBCMsgjw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__lfv1VBuEee9wJcBCMsgjw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_whj2gFEyEeeA1-ElC-Gy9g" name="supplementItem_foodProduct" memberEnd="_whtngFEyEeeA1-ElC-Gy9g _whtng1EyEeeA1-ElC-Gy9g">
        <ownedEnd xmi:id="_whtng1EyEeeA1-ElC-Gy9g" name="" visibility="private" type="_E1zEAHMaEeeRrc6SOEd2wQ" association="_whj2gFEyEeeA1-ElC-Gy9g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wh3YgFEyEeeA1-ElC-Gy9g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wh3YgVEyEeeA1-ElC-Gy9g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fpgWcFFBEeeA1-ElC-Gy9g" name="enteralDietItem_baseFormulaProduct" memberEnd="_fppgYFFBEeeA1-ElC-Gy9g _fppgY1FBEeeA1-ElC-Gy9g">
        <ownedEnd xmi:id="_fppgY1FBEeeA1-ElC-Gy9g" name="" visibility="private" type="_420A62FD03B643D722E60095" association="_fpgWcFFBEeeA1-ElC-Gy9g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fppgZFFBEeeA1-ElC-Gy9g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fppgZVFBEeeA1-ElC-Gy9g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YPKPUFFCEeeA1-ElC-Gy9g" name="enteralDietItem_additiveProduct" memberEnd="_YPKPUVFCEeeA1-ElC-Gy9g _YPUAUFFCEeeA1-ElC-Gy9g">
        <ownedEnd xmi:id="_YPUAUFFCEeeA1-ElC-Gy9g" name="" visibility="private" type="_420A62FD03B643D722E60095" association="_YPKPUFFCEeeA1-ElC-Gy9g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YPUAUVFCEeeA1-ElC-Gy9g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YPUAUlFCEeeA1-ElC-Gy9g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0AijYGKMEee2PY0OGMs0Sw" name="nutritionAssessment_context" memberEnd="_0Ak_oGKMEee2PY0OGMs0Sw _0AoqAGKMEee2PY0OGMs0Sw">
        <ownedEnd xmi:id="_0AoqAGKMEee2PY0OGMs0Sw" name="" visibility="private" type="_Z-zUUHLpEeeRrc6SOEd2wQ" association="_0AijYGKMEee2PY0OGMs0Sw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0ApREGKMEee2PY0OGMs0Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0ApREWKMEee2PY0OGMs0Sw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Z-zUUHLpEeeRrc6SOEd2wQ" name="NutritionAssessment">
        <generalization xmi:id="_6oWugHLrEeeRrc6SOEd2wQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_0Ak_oGKMEee2PY0OGMs0Sw" name="context" visibility="public" type="_Wv-bwN2XEeaby7vXKhx5Xg" association="_0AijYGKMEee2PY0OGMs0Sw">
          <ownedComment xmi:id="_lX4P8HLqEeeRrc6SOEd2wQ" annotatedElement="_0Ak_oGKMEee2PY0OGMs0Sw">
            <body>Pointer to the &quot;context&quot; part of the Clinical Statement, which provides details of the circumstances in which the Clinical Statement's Topic is being referenced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0Am00GKMEee2PY0OGMs0Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0Am00WKMEee2PY0OGMs0Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ezgkAHLqEeeRrc6SOEd2wQ" name="topic" visibility="public" type="_omJqkE13Ed-edbevC5ymeQ" association="_ezcSkHLqEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezjnUHLqEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezjnUXLqEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ezcSkHLqEeeRrc6SOEd2wQ" name="nutritionAssessment_topic" memberEnd="_ezgkAHLqEeeRrc6SOEd2wQ _ezmDkHLqEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_ezmDkHLqEeeRrc6SOEd2wQ" name="" visibility="private" type="_Z-zUUHLpEeeRrc6SOEd2wQ" association="_ezcSkHLqEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eznRsHLqEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eznRsXLqEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YADdwHLrEeeRrc6SOEd2wQ" name="DieteticsConsultOrder">
        <generalization xmi:id="_530pcHLrEeeRrc6SOEd2wQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_IjE88XLsEeeRrc6SOEd2wQ" name="context" visibility="public" type="_420A62FD03B64589572B02E8" association="_IjE88HLsEeeRrc6SOEd2wQ">
          <ownedComment xmi:id="_XQksIHLsEeeRrc6SOEd2wQ" annotatedElement="_IjE88XLsEeeRrc6SOEd2wQ">
            <body>Pointer to the &quot;context&quot; part of the Clinical Statement, which provides details of the circumstances in which the Clinical Statement's Topic is being referenced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IjE88nLsEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IjE883LsEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MLEXUXLsEeeRrc6SOEd2wQ" name="topic" visibility="public" type="_420A62FD03B643D730120260" association="_MLEXUHLsEeeRrc6SOEd2wQ">
          <ownedComment xmi:id="_3HFKsHLsEeeRrc6SOEd2wQ" annotatedElement="_MLEXUXLsEeeRrc6SOEd2wQ">
            <body>Pointer to the &quot;topic&quot; part of the Clinical Statement, which is a set of clinical attributes that are independent of the context in which they are used. The topic corresponds to a terminology or knowledge base, and is aligned with the SNOMED Concept Model where possible.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MLEXUnLsEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MLEXU3LsEeeRrc6SOEd2wQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IjE88HLsEeeRrc6SOEd2wQ" name="dieteticsConsultOrder_context" memberEnd="_IjE88XLsEeeRrc6SOEd2wQ _IjOt8HLsEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_IjOt8HLsEeeRrc6SOEd2wQ" name="" visibility="private" type="_YADdwHLrEeeRrc6SOEd2wQ" association="_IjE88HLsEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IjOt8XLsEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IjOt8nLsEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MLEXUHLsEeeRrc6SOEd2wQ" name="dieteticsConsultOrder_topic" memberEnd="_MLEXUXLsEeeRrc6SOEd2wQ _MLEXVHLsEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_MLEXVHLsEeeRrc6SOEd2wQ" name="" visibility="private" type="_YADdwHLrEeeRrc6SOEd2wQ" association="_MLEXUHLsEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MLEXVXLsEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MLEXVnLsEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LqPv8HLxEeeRrc6SOEd2wQ" name="nutritionAssessmentTopic_enteralDiet" memberEnd="_LqRlIHLxEeeRrc6SOEd2wQ _LqTaUHLxEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_LqTaUHLxEeeRrc6SOEd2wQ" name="" visibility="private" type="_omJqkE13Ed-edbevC5ymeQ" association="_LqPv8HLxEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LqUBYHLxEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LqUBYXLxEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CNA9gHMSEeeRrc6SOEd2wQ" name="EnteralDiet">
        <generalization xmi:id="_KaxpIHMSEeeRrc6SOEd2wQ" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_pbcdIHMYEeeRrc6SOEd2wQ" name="enteralDietItem" visibility="public" type="_420A62FD03B643D722E60095" association="_pbbPAHMYEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pbdEMHMYEeeRrc6SOEd2wQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pbdEMXMYEeeRrc6SOEd2wQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l0ZdUFE_EeeA1-ElC-Gy9g" name="routeOfAdministration" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_l0ZdUVE_EeeA1-ElC-Gy9g" annotatedElement="_l0ZdUFE_EeeA1-ElC-Gy9g">
            <body>&quot;The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube.&quot; - HL7 FHIR, NutritionOrder.enteralFormula.routeofAdministration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l0ZdU1E_EeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l0ZdUlE_EeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72A2400FF" name="totalDailyKilocalories" visibility="public">
          <ownedComment xmi:id="_MSGzKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72A2400FF">
            <body>The total kilocalories per day requested to be provided by the tubefeeding.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wo5yMLfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wo6ZQLfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D727190195" name="totalDailyVolume" visibility="public">
          <ownedComment xmi:id="_MSGzJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D727190195">
            <body>The total daily cc's requested to be administered of the prepared (diluted) product.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yJuEsLfzEeaN8pnTZH8VBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yJuEsbfzEeaN8pnTZH8VBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pbbPAHMYEeeRrc6SOEd2wQ" name="enteralDiet_enteralDietItem" memberEnd="_pbcdIHMYEeeRrc6SOEd2wQ _pbeSUHMYEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_pbeSUHMYEeeRrc6SOEd2wQ" name="" visibility="private" type="_CNA9gHMSEeeRrc6SOEd2wQ" association="_pbbPAHMYEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pbe5YHMYEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pbe5YXMYEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_E1zEAHMaEeeRrc6SOEd2wQ" name="SupplementItem">
        <ownedAttribute xmi:id="_rtOoAFE2EeeA1-ElC-Gy9g" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_4fJbUFE2EeeA1-ElC-Gy9g" annotatedElement="_rtOoAFE2EeeA1-ElC-Gy9g">
            <body>&quot;The amount of the nutritional supplement to be given.&quot; - HL7 FHIR, NutritionOrder.supplement.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3WS84FE2EeeA1-ElC-Gy9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3WS84VE2EeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_whtngFEyEeeA1-ElC-Gy9g" name="foodProduct" visibility="public" type="__6daUFp1Eea8uN_zi5afyA" association="_whj2gFEyEeeA1-ElC-Gy9g">
          <ownedComment xmi:id="_CQn5QFEzEeeA1-ElC-Gy9g" annotatedElement="_whtngFEyEeeA1-ElC-Gy9g">
            <body>Pointer to the FoodProduct that is/was/can be used as a nutritional supplement.&#xD;
&quot;The product or brand name of the nutritional supplement such as &quot;Acme Protein Shake&quot;.&quot; - HL7 FHIR, NutritionOrder.supplement.productName</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_whtngVEyEeeA1-ElC-Gy9g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_whtnglEyEeeA1-ElC-Gy9g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ky5UkHMaEeeRrc6SOEd2wQ" name="foodItem_foodProduct" memberEnd="_Ky6isHMaEeeRrc6SOEd2wQ _Ky8X4HMaEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_Ky8X4HMaEeeRrc6SOEd2wQ" name="" visibility="private" type="_420A62FD03B643E6A3CB009D" association="_Ky5UkHMaEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ky8-8HMaEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ky8-8XMaEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Waqo8HMaEeeRrc6SOEd2wQ" name="dietSupplement_supplementItem" memberEnd="_WatsQHMaEeeRrc6SOEd2wQ _WawIgHMaEeeRrc6SOEd2wQ">
        <ownedEnd xmi:id="_WawIgHMaEeeRrc6SOEd2wQ" name="" visibility="private" type="_420A62FD03B643D714E802C5" association="_Waqo8HMaEeeRrc6SOEd2wQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WawvkHMaEeeRrc6SOEd2wQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WawvkXMaEeeRrc6SOEd2wQ" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57DF03CA" name="Encounter">
      <eAnnotations xmi:id="_MmE4A-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_Mmqt4OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_50pbcLa1Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B6420A57DF03CA">
        <body>Encounter Domain</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CC8C7E0310" name="abstractEncounter_patient" memberEnd="_420A62FD03B643CC8C8002F5 _420A62FD03B643CC8C800359">
        <eAnnotations xmi:id="_XQ8Y4POWEeGMQvy2b7FvNg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643CC8C800359" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" isUnique="false" association="_420A62FD03B643CC8C7E0310"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64213B28C01E9" name="InpatientEncounter">
        <eAnnotations xmi:id="_MXBvaOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MW3-beLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64213B28C01E9">
          <body>An encounter during which the Patient stays for one or more nights in a hospital. This class represents the period during which the Patient is admitted into a hospital for care.</body>
        </ownedComment>
        <generalization xmi:id="_iO71AGiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64213F5B40316" name="EncounterEvent">
        <eAnnotations xmi:id="_MYXMKeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ReD3QHekEeOK6dlxi14PNA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_MXBva-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64213F5B40316">
          <body>An interaction between a patient and a practitioner under the auspices of a given organization for the purpose of providing healthcare-related service(s).    It is important to understand that if the there is a change in provider or organization, by definition a new encounter will be generated.    For example, if a patient is moved from Surgery to Post-Op, a new encounter is generated.  Similarly, if a patient receives care from 2 nurses while in Post-Op, there will be 2 encounters.</body>
        </ownedComment>
        <generalization xmi:id="_KkBJwGiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
        <ownedAttribute xmi:id="_420A62FD03B64240706F01AB" name="accountId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZQkAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64240706F01AB">
            <body>&quot;Contains the patient account number assigned by accounting to which all charges, payments, etc., are recorded.  It is used to identify the patient's account.&quot; - HL7 Version 2.8, PID-18.&#xD;
&quot;The set of accounts that may be used for billing for this Encounter.&quot; - HL7 FHIR, Encounter.account</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T7sLMJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T7syQJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wJvnQGflEeGK0elVFnH6lw" name="accountStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_GiP6UGfmEeGK0elVFnH6lw" annotatedElement="_wJvnQGflEeGK0elVFnH6lw">
            <body>&quot;Contains the account status.&quot; - HL7 Version 2.8, PV1-41.  Note that HL7 does not suggest any values for this code (in User-defined Table 117).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ytrjoGflEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ytsKsGflEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0gZ9gOQMEeak6NCuAd5Onw" name="admitter" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_33CiIOQMEeak6NCuAd5Onw" annotatedElement="_0gZ9gOQMEeak6NCuAd5Onw">
            <body>&quot;Contains the admitting physician information&quot; - HL7 Version 2.8, PV1-17</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0gZ9guQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0gZ9geQMEeak6NCuAd5Onw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_slRB8ExgEdyVYrcEhQ5TbQ" name="alternateVisitId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_o8HWABHkEeCBuOUrBnIXmQ" annotatedElement="_slRB8ExgEdyVYrcEhQ5TbQ">
            <body>&quot;Contains the alternative, temporary, or pending optional visit ID number to be used if needed.  Multiple alternate identifiers may be sent.&quot; - HL7 Version 2.8, PV1-50&#xD;
Uniquely identifies this patient visit using an identification scheme other than the one used for the &quot;id&quot; property. This allows for different systems or organizations to assign different identifiers to the same visit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x8JnEExgEdyVYrcEhQ5TbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x8JnEUxgEdyVYrcEhQ5TbQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GwEIMUsEd2wc4B96SSc8g" name="ambulatoryStatus" visibility="public">
          <ownedComment xmi:id="_hwVIIGfZEeGK0elVFnH6lw" annotatedElement="_5GwEIMUsEd2wc4B96SSc8g">
            <body>&quot;Indicates any permanent or transient handicapped conditions.&quot; - HL7 Version 2.8, PV1-15.&#xD;
Possible values include (from HL7 V2 Table 9): No functional limitations; Ambulates with assistive device; Wheelchair/stretcher bound; Comatose - non-responsive; Disoriented; Vision impaired; Hearing impaired; Speech impaired; Non-English speaking; Functional level unknown; Oxygen therapy; Special equipment (tubes, IVs, catheters); Amputee; Mastectomy; Paraplegic; Pregnant.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jGV40GfZEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jGV40WfZEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1VhAkOQMEeak6NCuAd5Onw" name="attender" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_NeLpsOQNEeak6NCuAd5Onw" annotatedElement="_1VhAkOQMEeak6NCuAd5Onw">
            <body>&quot;Contains the attending physician information.&quot; - HL7 Version 2.8, PV1-7</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1VhAkuQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1VhAkeQMEeak6NCuAd5Onw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M4iDcFZxEdyiQOoaXOP6Kg" name="chargePriceIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__xlfwCqKEd6tfJk2wVTfYw" annotatedElement="_M4iDcFZxEdyiQOoaXOP6Kg">
            <body>&quot;Contains the code used to determine which price schedule is to be used for room and bed charges.&quot; - HL7 Version 2.8, PV1-21.  Note that HL7 does not suggest any values for this code (in User-defined Table 32).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9gF-0PTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9gF-0fTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PTxR0DioEeGL0aXuYVIKuA" name="chiefComplaint" visibility="public">
          <ownedComment xmi:id="_f4DZcPhIEeGaiclsGcUBSg" annotatedElement="_PTxR0DioEeGL0aXuYVIKuA">
            <body>Describes the primary reason, in the patient's words, for the encounter/visit.  This field contrasts with the reasonForVisit, which is the clinician's assessment of the reason for the encounter/visit.  Notice that this field is a string, while the reasonForVisit is a code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__QLS4PhIEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__QL58PhIEeGaiclsGcUBSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426D4E5101EF" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MaAK4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426D4E5101EF">
            <body>Date the visit was entered / modified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XOTygJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XOUZkJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424314CF0394" name="encounterBillingType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZaVBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424314CF0394">
            <body>Describes the encounter in terms of evaluation and management (e.g., diagnosis or procedure associated with the encounter).  For example, Maintenance visit, 5 minutes or less.  Uses CPT-4 codes 99200 - 99299.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TjFBcJC1EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TjFogJC1EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__vs0AGfbEeGK0elVFnH6lw" name="financialClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Eek98GfcEeGK0elVFnH6lw" annotatedElement="__vs0AGfbEeGK0elVFnH6lw">
            <body>&quot;Contains the financial class(es) assigned to the patient for the purpose of identifying sources of reimbursement.&quot; - HL7 Version 2.8, PV1-20    Note that HL7 does not suggest any values for this code (in User-defined Table 64).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DdhJkGfcEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DdhwoGfcEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2-YMgGfUEeGK0elVFnH6lw" name="hospitalService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fLKZgGfVEeGK0elVFnH6lw" annotatedElement="_2-YMgGfUEeGK0elVFnH6lw">
            <body>&quot;Contains the treatment or type of surgery that the patient is scheduled to receive.&quot; - HL7 Version 2.8, PV1-10.  Possible Values (from HL7 Table 69) include: Cardiac Service, Medical Service, Pulmonary Service, Surgical Service, Urology Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mcJ64GfVEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mcJ64WfVEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i684cGfqEeGK0elVFnH6lw" name="isEmploymentRelated" visibility="public">
          <ownedComment xmi:id="_vf3xkGfqEeGK0elVFnH6lw" annotatedElement="_i684cGfqEeGK0elVFnH6lw">
            <body>&quot;Specifies whether a patient's illness was job-related.&quot; - HL7 Version 2.8, PV2-15</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nlcRoGfqEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nlc4sGfqEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5f4ZEFPDEeO95rHo5Ki4qQ" name="modeOfArrival" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5f4ZEVPDEeO95rHo5Ki4qQ" annotatedElement="_5f4ZEFPDEeO95rHo5Ki4qQ">
            <body>&quot;Identifies how the patient was brought to the healthcare facility.&quot; - HL7 Version 2.8, PV2-38.  Possible values include (from HL7 Table 430): Ambulance; Car; On foot; Helicopter; Public Transport; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5f4ZE1PDEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5f4ZElPDEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rVt4kGfaEeGK0elVFnH6lw" name="patientType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SJsfkGfbEeGK0elVFnH6lw" annotatedElement="_rVt4kGfaEeGK0elVFnH6lw">
            <body>&quot;Contains site-specific values that identify the patient type.&quot; - HL7 Version 2.8, PV1-18    Note that HL7 does not suggest any values for this code (in User-defined Table 18).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qj7boGfbEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qj8CsGfbEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-EFWUFO-EeO95rHo5Ki4qQ" name="previousServiceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_-EFWUVO-EeO95rHo5Ki4qQ" annotatedElement="_-EFWUFO-EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date of previous service for the same recurring condition. This may be a required field for billing certain illnesses (e.g., accident related) to a third party.&quot; - HL7 Version 2.8, PV2-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WjZX0JC1EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WjZ-4JC1EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1xXPEOQMEeak6NCuAd5Onw" name="primaryCarePhysician" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1xXPEuQMEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1xXPEeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F8AjQKByEeKEjOzXDxf6EA" name="publicityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F8AjQaByEeKEjOzXDxf6EA" annotatedElement="_F8AjQKByEeKEjOzXDxf6EA">
            <body>&quot;Contains a user-defined code indicating what level of publicity is allowed for a specific visit.&quot; - HL7 Version 2.8, PV2-21.  Possible values include (from HL7 V2 Table 215): Family only; No Publicity; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F8AjQ6ByEeKEjOzXDxf6EA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F8AjQqByEeKEjOzXDxf6EA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jRbJAOQMEeak6NCuAd5Onw" name="referer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_eC6nUOQNEeak6NCuAd5Onw" annotatedElement="_jRbJAOQMEeak6NCuAd5Onw">
            <body>&quot;Contains the referring physician information.&quot; - HL7 Version 2.8, PV1-8</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jRbJAuQMEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jRbJAeQMEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D2D0CC0158" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MXUqUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D2D0CC0158">
            <body>&quot;A set of values specifying the non-medical reasons for this encounter. Examples are &quot;Medical Necessity&quot;, &quot;Patient's Request&quot; and &quot;Dependency&quot;. Note: medical reason(s) for the encounter are specified as associated diagnoses.&quot; (HL7) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V8kyUPhJEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V8lZYPhJEeGaiclsGcUBSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6lH5APhIEeGaiclsGcUBSg" name="reasonForVisit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_O07aMPhJEeGaiclsGcUBSg" annotatedElement="_6lH5APhIEeGaiclsGcUBSg">
            <body>The reason for the encounter/visit from the clinician's point of view. This field contrasts with the chiefComplaint, which is the patient's description of the reason for the encounter/visit. Notice that this field is a code, while the chiefComplaint is a string.&#xD;
&quot;Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.&quot; - HL7 FHIR, Encounter.reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YmxsPhIEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YnYwPhIEeGaiclsGcUBSg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64255705C0241" name="referralSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MXUqVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64255705C0241">
            <body>Identifies the source of the admission or encounter. In other words, identifies where the patient was before being sent for this encounter. Possible values include: Community, Other facility, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZqqqwJC1EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZqrR0JC1EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XytZYFZuEdyiQOoaXOP6Kg" name="servicingFacility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jSSNkCqKEd6tfJk2wVTfYw" annotatedElement="_XytZYFZuEdyiQOoaXOP6Kg">
            <body>&quot;This field is used in a multiple facility environment, e.g., multiple campuses or buildings, to indicate the healthcare facility with which this visit is associated.&quot; - HL7 Version 2.8, PV1-39.  Note that HL7 does not suggest any values for this code (in User-defined Table 115).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YHzAPTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YHzAfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431C49CF0151" name="specialArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZQkC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431C49CF0151">
            <body>A set of values representing the types of special arrangements provided or to be provided for this patient encounter (e.g., wheelchair, stretcher, interpreter, attendant, seeing eye dog)&#xD;
&quot;Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.&quot; - HL7 FHIR, Encounter.hospitalization.specialArrangement</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cqf48JC1EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cqggAJC1EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431C49F10060" name="specialCourtesy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZaVAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431C49F10060">
            <body>&quot;Indicates whether the patient will be extended certain special courtesies.&quot; - HL7 Version 2.8, PV1-22. Note that HL7 does not suggest any values for this code (in User-defined Table 45).&#xD;
&quot;Special courtesies (VIP, board member).&quot; - HL7 FHIR, Encounter.hospitalization.specialCourtesy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_doiOgJC1EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_doi1kJC1EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_aycOZXEeGuIoEQ4Mvu0w" name="triageNotes" visibility="public">
          <ownedComment xmi:id="_RInLkOZXEeGuIoEQ4Mvu0w" annotatedElement="_H_aycOZXEeGuIoEQ4Mvu0w">
            <body>Triage notes for the patient visit.  Added for Public Health Reporting Initiative.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_KlgOZXEeGuIoEQ4Mvu0w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_LMkOZXEeGuIoEQ4Mvu0w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9UrQEGisEeG3pKm-C5y0hA" name="appointment" visibility="public" type="_420A62FD03B64214277401EB" association="_9UnlsGisEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_Hnz5gGi9EeG3pKm-C5y0hA" annotatedElement="_9UrQEGisEeG3pKm-C5y0hA">
            <body>Pointer to the Appointment (a record of the agreement between the Patient and the Provider to meet at a scheduled time) that engendered this Encounter.&#xD;
&quot;The appointment that scheduled this encounter.&quot; - HL7 FHIR, Encounter.appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9UseMGisEeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9UtFQGisEeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uSItEZQwEd-GUpkbaCODYA" name="clinicalService" visibility="public" type="_420A62FD03B642142C63002F" association="_uSItEJQwEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uSItEpQwEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uSItE5QwEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426909FB02BE" name="patientTransfer" visibility="public" type="_420A62FD03B642690158012E" isUnique="false" association="_420A62FD03B6426909FA02BC">
          <ownedComment xmi:id="_MjF1e-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426909FB02BE">
            <body>The act of transferring a patient from one location or responsible organization to another.  Note that a transfer from organization to another will, by definition, trigger a new encounter.  Note that a transfer from one location to another may trigger a new encounter depending on whether the responsible organization has changed.  A movement from one bed within the same ward to another probably will not, but a movement from one ward to another probably would. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjF1feLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjF1fuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w0ArsNymEeGh5_jMwegn_g" name="pregnancyMenstrualStatus" visibility="public" type="_c8AmgNymEeGh5_jMwegn_g" association="_wz9oYNymEeGh5_jMwegn_g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w0B50NymEeGh5_jMwegn_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w0Cg4NymEeGh5_jMwegn_g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i6WkcHejEeOK6dlxi14PNA" name="healthConcernList" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" association="_i6MzcHejEeOK6dlxi14PNA">
          <ownedComment xmi:id="_xc62AHejEeOK6dlxi14PNA" annotatedElement="_i6WkcHejEeOK6dlxi14PNA">
            <body>Pointer to a list of HealthConcerns as extant at the time of an encounter.  Used when the Encounter is the entry point.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6WkcXejEeOK6dlxi14PNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6WkcnejEeOK6dlxi14PNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CaqEAB92EeWsloQr5xbziw" name="reportableCondition" visibility="public" type="_Ckm70I_BEeGMX5b1YJ6DNQ" association="_Cao14B92EeWsloQr5xbziw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CaqrEB92EeWsloQr5xbziw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CarSIB92EeWsloQr5xbziw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zF8wwEo2Eeiyfctrd2Hs6w" name="priorTemporaryLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_1m5qkEo2Eeiyfctrd2Hs6w" annotatedElement="_zF8wwEo2Eeiyfctrd2Hs6w">
            <body>&quot;This field is used to reflect the patient's temporary location (such as the operating room/theatre or x-ray) prior to a transfer from a temporary location to an actual location, or from a temporary location to another temporary location. The first component may be the nursing station for inpatient locations, or the clinic, department, or home for locations other than inpatient.&quot; - HL7 Version 2.8, PV1-43</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_95M38Eo2Eeiyfctrd2Hs6w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_95NfAEo2Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zKAxYEo2Eeiyfctrd2Hs6w" name="assignedPatientLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_B3TsQEo3Eeiyfctrd2Hs6w" annotatedElement="_zKAxYEo2Eeiyfctrd2Hs6w">
            <body>&quot;This field contains the patient's initial assigned location or the location to which the patient is being moved.  The first component may be the nursing station for inpatient locations, or clinic or department, for locations other than inpatient.  For canceling a transaction or discharging a patient, the current location (after the cancellation event or before the discharge event) should be in this field.&quot; - HL7 Version 2.8, PV1-3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__9AiwEo2Eeiyfctrd2Hs6w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__9AiwUo2Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GiAg0Eo3Eeiyfctrd2Hs6w" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_LDr8QEo3Eeiyfctrd2Hs6w" annotatedElement="_GiAg0Eo3Eeiyfctrd2Hs6w">
            <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; (HL7) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GiAg0ko3Eeiyfctrd2Hs6w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GiAg0Uo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Gm5n4Eo3Eeiyfctrd2Hs6w" name="temporaryLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_Uz88cEo3Eeiyfctrd2Hs6w" annotatedElement="_Gm5n4Eo3Eeiyfctrd2Hs6w">
            <body>&quot;Contains a location other than the assigned location required for a temporary period of time (e.g., OR, operating theatre, etc.).&quot; - HL7 Version 2.8, PV1-11</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gm5n4ko3Eeiyfctrd2Hs6w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gm5n4Uo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GrOHMEo3Eeiyfctrd2Hs6w" name="pendingLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_XnXfQEo3Eeiyfctrd2Hs6w" annotatedElement="_GrOHMEo3Eeiyfctrd2Hs6w">
            <body>&quot;Indicates the point of care, room, bed, healthcare facility ID, and bed status to which the patient may be moved.  The first component may be the nursing station for inpatient locations, or the clinic, department, or home for locations other than inpatient.&quot; - HL7 Version 2.8, PV1-42</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GrOHMko3Eeiyfctrd2Hs6w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GrOHMUo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64214277401EB" name="Appointment">
        <eAnnotations xmi:id="_MYg9LOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYg9JOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64214277401EB">
          <body>A record of the agreement between the Patient and the Provider to meet at a scheduled time. &quot;An arrangement to meet a person or be at a place at a certain time&quot; - Dictionary.com&#xD;
&quot;A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).&quot; - HL7 FHIR, Appointment</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6426643090271" name="appointmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MYg9KuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426643090271">
            <body>A categorization of the Appointment.&#xD;
&quot;The style of appointment or patient that has been booked in the slot (not service type).&quot; - HL7 FHIR, Appointment.appointmentType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_12kxwJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_12lY0JCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_z1E44A9LEeeWNeKQZ8tkag" name="comment" visibility="public">
          <ownedComment xmi:id="_AqtukA9MEeeWNeKQZ8tkag" annotatedElement="_z1E44A9LEeeWNeKQZ8tkag">
            <body>&quot;Additional comments about the appointment.&quot; - HL7 FHIR, Appointment.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z1E44g9LEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z1E44Q9LEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kKCjYA9LEeeWNeKQZ8tkag" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_kKCjYQ9LEeeWNeKQZ8tkag" annotatedElement="_kKCjYA9LEeeWNeKQZ8tkag">
            <body>&quot;The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.&quot; - HL7 FHIR, Appointment.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kKCjYw9LEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kKCjYg9LEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RDGZoA9JEeeWNeKQZ8tkag" name="description" visibility="public">
          <ownedComment xmi:id="_5FBIgA9LEeeWNeKQZ8tkag" annotatedElement="_RDGZoA9JEeeWNeKQZ8tkag">
            <body>&quot;The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.&quot; - HL7 FHIR, Appointment.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bkulUA9JEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bkulUQ9JEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nsnuwA9KEeeWNeKQZ8tkag" name="duration" visibility="public">
          <ownedComment xmi:id="_nsnuwQ9KEeeWNeKQZ8tkag" annotatedElement="_nsnuwA9KEeeWNeKQZ8tkag">
            <body>&quot;Number of minutes that the appointment is to take. This can be less than the duration between the start and end times (where actual time of appointment is only an estimate or is a planned appointment request).&quot; - HL7 FHIR, Appointment.minutesDuration</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nsnuww9KEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nsnuwg9KEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NtZMoA9KEeeWNeKQZ8tkag" name="endDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NtZMoQ9KEeeWNeKQZ8tkag" annotatedElement="_NtZMoA9KEeeWNeKQZ8tkag">
            <body>&quot;Date/Time that the appointment is to conclude.&quot; - HL7 FHIR, Appointment.end</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NtZMow9KEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NtZMog9KEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qfYdMA89EeeWNeKQZ8tkag" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_5S4twA89EeeWNeKQZ8tkag" annotatedElement="_qfYdMA89EeeWNeKQZ8tkag">
            <body>This property uniquely identifies the Appointment.&#xD;
&quot;This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).&quot; - HL7 FHIR, Appointment.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uUH6IA89EeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uUH6IQ89EeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sysioA9IEeeWNeKQZ8tkag" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw">
          <ownedComment xmi:id="_yS9GMA9IEeeWNeKQZ8tkag" annotatedElement="_sysioA9IEeeWNeKQZ8tkag">
            <body>&quot;Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.&quot; - HL7 FHIR, Appointment.indication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wD50sA9IEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wD50sQ9IEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mPhcYOQNEeak6NCuAd5Onw" name="referrer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_mPhcYeQNEeak6NCuAd5Onw" annotatedElement="_mPhcYOQNEeak6NCuAd5Onw">
            <body>&quot;Contains the referring physician information.&quot; - HL7 Version 2.8, PV1-8</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mPhcY-QNEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mPhcYuQNEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-kcF8A9IEeeWNeKQZ8tkag" name="priority" visibility="public">
          <ownedComment xmi:id="_EY6mAA9JEeeWNeKQZ8tkag" annotatedElement="_-kcF8A9IEeeWNeKQZ8tkag">
            <body>&quot;The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).&quot; - HL7 FHIR, Appointment.priority</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B6L5wA9JEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B6L5wQ9JEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TYMwIA9GEeeWNeKQZ8tkag" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TYMwIQ9GEeeWNeKQZ8tkag" annotatedElement="_TYMwIA9GEeeWNeKQZ8tkag">
            <body>&quot;The reason that this appointment is being scheduled. This is more clinical than administrative.&quot; - HL7 FHIR, Appointment.reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TYMwIw9GEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TYMwIg9GEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nRGKAA9CEeeWNeKQZ8tkag" name="serviceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nRGKAQ9CEeeWNeKQZ8tkag" annotatedElement="_nRGKAA9CEeeWNeKQZ8tkag">
            <body>&quot;A broad categorisation of the service that is to be performed during this appointment.&quot; - HL7 FHIR, Appointment.serviceCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nRGKAw9CEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nRGKAg9CEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R0608A9FEeeWNeKQZ8tkag" name="serviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_R0608Q9FEeeWNeKQZ8tkag" annotatedElement="_R0608A9FEeeWNeKQZ8tkag">
            <body>&quot;The specific service that is to be performed during this appointment.&quot; - HL7 FHIR, Appointment.serviceType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R0608w9FEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R0608g9FEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9FGzgMC4Eee8L6dSHLP3zQ" name="slot" visibility="public" type="__wabULNTEeejKsyqENIdXw">
          <ownedComment xmi:id="_Bw07wMC5Eee8L6dSHLP3zQ" annotatedElement="_9FGzgMC4Eee8L6dSHLP3zQ">
            <body>&quot;The slots from the participants schedules that will be filled by the appointment.&quot; - HL7 FHIR, Appointment.slot</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSYJoMC5Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CSYJocC5Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3ESOkA9FEeeWNeKQZ8tkag" name="specialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3ESOkQ9FEeeWNeKQZ8tkag" annotatedElement="_3ESOkA9FEeeWNeKQZ8tkag">
            <body>&quot;The specialty of a practitioner that would be required to perform the service requested in this appointment.&quot; - HL7 FHIR, Appointment.specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3ESOkw9FEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3ESOkg9FEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64243179F00B3" name="startDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MYg9J-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64243179F00B3">
            <body>&quot;Date/Time that the appointment is to take place.&quot; - HL7 FHIR, Appointment.start</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1H0OUJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1H0OUZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VHwGYA8_EeeWNeKQZ8tkag" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_VHwGYQ8_EeeWNeKQZ8tkag" annotatedElement="_VHwGYA8_EeeWNeKQZ8tkag">
            <body>&quot;The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.&quot; - HL7 FHIR, Appointment.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VHwGYw8_EeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VHwGYg8_EeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i-yVccC5Eee8L6dSHLP3zQ" name="participant" visibility="public" type="_cRv1sMC5Eee8L6dSHLP3zQ" association="_i-yVcMC5Eee8L6dSHLP3zQ">
          <ownedComment xmi:id="_jm_k8MC5Eee8L6dSHLP3zQ" annotatedElement="_i-yVccC5Eee8L6dSHLP3zQ">
            <body>&quot;List of participants involved in the appointment.&quot; - HL7 FHIR, Appointment.participant</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k59BoMC5Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k59BocC5Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642142C63002F" name="ClinicalService">
        <eAnnotations xmi:id="_MYz4EeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYg9L-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642142C63002F">
          <body>The provision of healthcare-related service(s) within the context of an encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A199250011" name="clinicalServceId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MYqHFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A199250011">
            <body>Unique Identifier for this Clinical service .</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GxmvgJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GxnWkJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64243070E0040" name="typeOfService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MYqHEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64243070E0040">
            <body>Clinical Speciality ID</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HfVYMJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HfV_QJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FCi34ZQzEd-GUpkbaCODYA" name="clinicalProcedureRecord" visibility="public" type="_420A62FD03B64239AEAD0005" association="_FCi34JQzEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FCi34pQzEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FCi345QzEd-GUpkbaCODYA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64234567802CD" name="EmergencyEncounter">
        <eAnnotations xmi:id="_MY9pGOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYz4FOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64234567802CD">
          <body>Emergency is an encounter without a scheduled appointment and urgent clinical services are required.</body>
        </ownedComment>
        <generalization xmi:id="_Zq_eAGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_420A62FD03B6423F48B30200" name="activityTime" visibility="public" type="_420A62FD03B64244824602F5" aggregation="shared">
          <ownedComment xmi:id="_MY9pE-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F48B30200">
            <body>&quot;The time interval starting with the administrative onset of the encounter (e.g. admission, registration, patient arrival) and ending with the patient's departure (e.g. discharge). (HL7). </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RHBrMJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RHCSQJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64241F5C30343" name="arrivedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MY9pFuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241F5C30343">
            <body>Identifies the mode of transportation.  ie. ambulance, car, walking etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SFXiwJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SFYJ0JC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64318ACDE0079" name="discharge" visibility="public" type="_420A62FD03B642CABAAE01BB" isUnique="false" association="_420A62FD03B64318ACDD0096">
          <ownedComment xmi:id="_Mk4lPeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64318ACDE0079">
            <body>The release of a patient from a course of care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mk4lP-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mk4lQOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6423457A501AD" name="HomedBasedPrimaryCare">
        <eAnnotations xmi:id="_MZGzAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MY9pG-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423457A501AD">
          <body>Some organizations, particularly the VA, have programs where Patients whose conditions are such that they do not need inpatient care can be treated and monitored at their home. These Patients are admitted into the program if they meet certain criteria (ability to take care of themselves) and discharged from the program if their condition worsens and they are admitted into an inpatient or long-term care setting. This class represents the period during which the Patient is admitted into such a program.</body>
        </ownedComment>
        <generalization xmi:id="_hgFK8GiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64234584B0170" name="VirtualEncounter">
        <eAnnotations xmi:id="_MZGzB-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZGzBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64234584B0170">
          <body>An encounter between a Patient and a Provider where the participants are not physically co-located. This is used for Telehealth, Web health etc.</body>
        </ownedComment>
        <generalization xmi:id="_67VzMBgDEd-hgZpk8HjFRw" general="_420A62FD03B64213F5B40316"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239451402E7" name="EpisodeOfCare">
        <eAnnotations xmi:id="_MZje8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZGzCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239451402E7">
          <body>A collection of encounters that can be aggregated based on a common clinically relevant factor such as the provider, diagnosis, health factor, or long-term problem.&#xD;
&quot;...a Service Episode is the context in which the treatment or management of an arbitrary subset of a Patient s medical conditions occurs. The definition of the start time, stop time, and included events of a Service Episode is entirely arbitrary; it may include a single outpatient visit or a hospitalization, or extend over significant period of time, e.g., the duration of a pregnancy, or an oncology treatment regimen, or a cardiac episode from infarction through rehabilitation. A Service Episode may involve one or more Healthcare Organizations.&quot; - HL7 Version 2.8, PV1-53</body>
        </ownedComment>
        <ownedAttribute xmi:id="_RfMMIGiuEeG3pKm-C5y0hA" name="abstractEncounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" aggregation="shared" association="_RfH6sGiuEeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfNaQGiuEeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfNaQWiuEeG3pKm-C5y0hA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P6y18A8WEeeWNeKQZ8tkag" name="accountId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_lVKFwA8WEeeWNeKQZ8tkag" annotatedElement="_P6y18A8WEeeWNeKQZ8tkag">
            <body>&quot;The set of accounts that may be used for billing for this EpisodeOfCare.&quot; - HL7 FHIR, EpisodeOfCare.account</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U2UUwA8WEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U2UUwQ8WEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bDMOEA8TEeeWNeKQZ8tkag" name="careManager" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_GmPMQA8UEeeWNeKQZ8tkag" annotatedElement="_bDMOEA8TEeeWNeKQZ8tkag">
            <body>&quot;The practitioner that is the care manager/care co-ordinator for this patient.&quot; - HL7 FHIR, EpisodeOfCare.careManager</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g2WfgA8TEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g2WfgQ8TEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64318BA4B0248" name="careProtocol" visibility="public" type="_420A62FD03B642E8E8270286" isUnique="false" association="_420A62FD03B64318BA4A025A">
          <ownedComment xmi:id="_MlBvJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64318BA4B0248">
            <body>TA proposed or tentative course of action for the maintenance and restoration of health by the treatment and prevention of disease by trained and licensed professionals.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MlBvKOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MlBvKeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eqmy8A8OEeeWNeKQZ8tkag" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eqmy8Q8OEeeWNeKQZ8tkag" annotatedElement="_eqmy8A8OEeeWNeKQZ8tkag">
            <body>&quot;A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.&quot; - HL7 FHIR, EpisodeOfCare.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqmy8w8OEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqmy8g8OEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Brjw0GfpEeGK0elVFnH6lw" name="description" visibility="public">
          <ownedComment xmi:id="_PxYcAGfpEeGK0elVFnH6lw" annotatedElement="_Brjw0GfpEeGK0elVFnH6lw">
            <body>&quot;A brief user-defined description of a Service Episode in or for which the visit occurs.  A Service Episode is the context in which the treatment or management of an arbitrary subset of a Patient s medical conditions occurs. The definition of the start time, stop time, and included events of a Service Episode is entirely arbitrary; it may include a single outpatient visit or a hospitalization, or extend over significant period of time, e.g., the duration of a pregnancy, or an oncology treatment regimen, or a cardiac episode from infarction through rehabilitation. A Service Episode may involve one or more Healthcare Organizations.&quot; - HL7 Version 2.8, PV1-53</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TABFwJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TABFwZC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CEF06E0118" name="diagnosisRelatedGroup" visibility="public" type="_420A62FD03B642CEE9490169" isUnique="false" association="_420A62FD03B642CEF06D0013">
          <ownedComment xmi:id="_MjsSZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEF06E0118">
            <body>Provides the diagnosis grouping for the diagnosis/s provide for the patients visit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjsSaeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjsSauLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MZuFUJQpEd-GUpkbaCODYA" name="duration" visibility="public" type="_420A62FD03B642387187004E" isDerived="true">
          <ownedComment xmi:id="_MZuFUZQpEd-GUpkbaCODYA" annotatedElement="_MZuFUJQpEd-GUpkbaCODYA">
            <body>This property contains the date/times that the EpisodeOfCare began and ended. If the episode of care is currently active, the end date/time may be blank. Note that this property could potentially be calculated based on the start and end date/times of the constituent Encounters, therefore this property has been marked as derived.&#xD;
&quot;The interval during which the managing organization assumes the defined responsibility.&quot; - HL7 FHIR, EpisodeOfCare.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UOPzcJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UOPzcZC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FSl-UGisEeG3pKm-C5y0hA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_FSl-UWisEeG3pKm-C5y0hA" annotatedElement="_FSl-UGisEeG3pKm-C5y0hA">
            <body>This property uniquely identifies an instance of this Episode of Care class.&#xD;
&quot;Contains the identifier of a Service Episode in or for which the visit occurs.&quot; - HL7 Version 2.8, PV1-54    &#xD;
&quot;The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.&quot; - HL7 FHIR, EpisodeOfCare.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VSpPsJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VSp2wJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FY76YA8OEeeWNeKQZ8tkag" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XRwWEA8OEeeWNeKQZ8tkag" annotatedElement="_FY76YA8OEeeWNeKQZ8tkag">
            <body>&quot;planned | waitlist | active | onhold | finished | cancelled.&quot; - HL7 FHIR, EpisodeOfCare.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JFg50A8OEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JFhg4A8OEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BostgA8PEeeWNeKQZ8tkag" name="managingOrganization" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_Boq4UA8PEeeWNeKQZ8tkag">
          <ownedComment xmi:id="_YdjI4A8QEeeWNeKQZ8tkag" annotatedElement="_BostgA8PEeeWNeKQZ8tkag">
            <body>Pointer to the HealthcareProvider organization that is managing the EpisodeOfCare.&#xD;
&quot;The organization that has assumed the specific responsibilities for the specified duration.&quot; - HL7 FHIR, EpisodeOfCare.managingOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BotUkA8PEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BotUkQ8PEeeWNeKQZ8tkag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WvVWwA8UEeeWNeKQZ8tkag" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_WvUIoA8UEeeWNeKQZ8tkag">
          <ownedComment xmi:id="_YkQ4EA8UEeeWNeKQZ8tkag" annotatedElement="_WvVWwA8UEeeWNeKQZ8tkag">
            <body>Pointer to Practitioner(s) who make up a team comprising multiple disciplines in order to provide holistic care for the patient.&#xD;
&quot;The list of practitioners that may be facilitating this episode of care for specific purposes.&quot; - HL7 FHIR, EpisodeOfCare.team</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WvWk4A8UEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WvWk4Q8UEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rpog4A8XEeeWNeKQZ8tkag" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_RpnSwA8XEeeWNeKQZ8tkag">
          <ownedComment xmi:id="_oICuAA8fEeeWNeKQZ8tkag" annotatedElement="_Rpog4A8XEeeWNeKQZ8tkag">
            <body>Pointer to a list of one or more diagnosis(es) for which the Patient is being treated during the Episode Of Care.&#xD;
&quot;The list of diagnosis relevant to this episode of care.&quot; - HL7 FHIR, EpisodeOfCare.diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RppH8A8XEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RppH8Q8XEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642394F9A0060" name="GroupEncounterEvent">
        <eAnnotations xmi:id="_MZje-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZje9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642394F9A0060">
          <body>A collection of like Encounters for multiple patients i.e. Group Therapy sessions.  Note that each patient has its own Episode of Care. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424317420163" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZje9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424317420163">
            <body>Uniquely identifies the group encounter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XnutMJC2EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xnv7UJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64239961E003B" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" aggregation="shared" association="_420A62FD03B64239961C0273">
          <ownedComment xmi:id="_MhmnuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239961E003B">
            <body>An interaction between a patient and a practitioner at a given location under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MhmnvOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MhmnveLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642394FAA0398" name="AdministrativeEncounterEvent">
        <eAnnotations xmi:id="_MZtP9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZje_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642394FAA0398">
          <body>A (perhaps artificial) grouping of encounters for administrative or financial purposes.  There is no specific requirement that the encounters have anything particular in common.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424316F60241" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZtP8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424316F60241">
            <body>The unique identifier for the administrative grouping encounters.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xmGbEJCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xmHCIJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64239A52501AB" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" aggregation="shared" association="_420A62FD03B64239A5240055">
          <ownedComment xmi:id="_Mh5iquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A52501AB">
            <body>An interaction between a patient and a practitioner at a given location under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mh5irOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mh5ireLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A33400D4" name="OutpatientVisit">
        <eAnnotations xmi:id="_MaAK5eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZtP9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A33400D4">
          <body>One or more encounters at one site within a specified length of time.</body>
        </ownedComment>
        <generalization xmi:id="_Xmi6AGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_420A62FD03B6426D4C03036D" name="serviceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZ2Z4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426D4C03036D">
            <body>A categorization of the outpatient visit, based on the services provided and/or the circumstances under which the visit occurred.  Possible values include: Ambulatory, In-Hospital (i.e., an patient made an &quot;outpatient&quot; visit while concurrently being an inpatient), Day Surgery, Observation, Nursing Home, Day Hospitalization, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-WkVgJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Wk8kJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A345018C" name="AncillaryServiceEvent">
        <eAnnotations xmi:id="_MaTF0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MaAK6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A345018C">
          <body>An interaction between a patient and a practitioner in which the practitioner does not exercise independent judgement. For example, a lab test. The lab technician may generate results, but the physician issues the diagnosis.</body>
        </ownedComment>
        <generalization xmi:id="_c18B8GiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A40603D9" name="PractitionerOnlyEvent">
        <eAnnotations xmi:id="_Mac21-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MaTF1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A40603D9">
          <body>An action taken by a practitioner on the patient's behalf in which the patient is not present. For example, a radiologist reading an x-ray.</body>
        </ownedComment>
        <generalization xmi:id="_dgNG8GiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239AEAD0005" name="ClinicalProcedureRecord">
        <eAnnotations xmi:id="_MavxxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mac22uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239AEAD0005">
          <body>Clinical Procedures provided and or performed for the patient during the Encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qcfEoIIhEeOJAM9SGJ4xug" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qcfEoYIhEeOJAM9SGJ4xug" annotatedElement="_qcfEoIIhEeOJAM9SGJ4xug">
            <body>&quot;Anatomical site where procedure is performed.&quot; For example, &quot;Skin biopsy of the left eyelid.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8kNucJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8kOVgJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642404CFE01CF" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Mamn1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642404CFE01CF">
            <body>The date (and optionaly the time) that the professional service was performed.&#xD;
&quot;Date and time of procedure, may include duration.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9uiMgJCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9uizkJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F8DE10035E" name="description" visibility="public">
          <ownedComment xmi:id="_Mamn0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F8DE10035E">
            <body>Textual description of the procedure.&#xD;
&quot;Narrative to further describe the procedure.&quot; For example, &quot;A 6 mm sessile polyp was found in the ascending colon and removed by snare, no cautery. Bleeding was controlled. Moderate diverticulosis and hemorrhoids were incidentally noted.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-ZVdAJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-ZWEEJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b7DOwIIREeO5ndfqpWQQKg" name="invasivenessOfProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NG1-IIISEeO5ndfqpWQQKg" annotatedElement="_b7DOwIIREeO5ndfqpWQQKg">
            <body>&quot;Describes invasiveness of the procedure.&quot; For example, Non-Invasive (ex: abdominal sonogram); Minimally Invasive (ex: endoscopy); Invasive (open surgery). - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__FQH0JCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__FQu4JCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1CFRwOQNEeak6NCuAd5Onw" name="performer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1CFRw-QNEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1CFRwuQNEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w8Q0MIIQEeO5ndfqpWQQKg" name="procedureFacility" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_w8Q0MYIQEeO5ndfqpWQQKg" annotatedElement="_w8Q0MIIQEeO5ndfqpWQQKg">
            <body>Pointer to the location (e.g., the Facility) at which the Procedure was performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w8Q0M4IQEeO5ndfqpWQQKg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w8Q0MoIQEeO5ndfqpWQQKg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eptX8IISEeO5ndfqpWQQKg" name="procedureFindings" visibility="public">
          <ownedComment xmi:id="_eptX8YISEeO5ndfqpWQQKg" annotatedElement="_eptX8IISEeO5ndfqpWQQKg">
            <body>&quot;Records clinically significant observations confirmed or discovered during the procedure or surgery.&quot; For example, &quot;Necrotic left ovarian cyst was discovered and removed.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AZ_tMJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AaAUQJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ouy98IITEeO5ndfqpWQQKg" name="procedureImplants" visibility="public">
          <ownedComment xmi:id="_Ouy98YITEeO5ndfqpWQQKg" annotatedElement="_Ouy98IITEeO5ndfqpWQQKg">
            <body>&quot;Records any materials placed during the procedure including stents, tubes, and drains.&quot; For example, &quot;A doohickey pacemaker, number 3975359 was placed.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BKxC0JC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BKxC0ZC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DrL-MIIhEeOJAM9SGJ4xug" name="specimensTaken" visibility="public">
          <ownedComment xmi:id="_DrL-MYIhEeOJAM9SGJ4xug" annotatedElement="_DrL-MIIhEeOJAM9SGJ4xug">
            <body>&quot;Records the tissues, objects, or samples taken from the patient during the procedure including biopsies, aspiration fluid, or other samples sent for pathological analysis.&quot; For example, &quot;a .01x .02 cm biopsy was taken from the left ventricle.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CyJQUJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CyJ3YJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F8E70800F3" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MavxwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F8E70800F3">
            <body>A value specifying the state of this patient encounter (based on the RIM Act class state machine), for example, active, aborted, completed  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYO_8JC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYPnAJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425C061F0210" name="complication" visibility="public" type="_420A62FD03B6425C0616011C" isUnique="false" association="_420A62FD03B6425C061E038B">
          <ownedComment xmi:id="_MipJieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C061F0210">
            <body>An undesirable event experienced by a patient whilst undergoing a clinical procedure, especially if the event was caused by the procedure itself.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MipJi-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MipJjOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4QL_sJQyEd-GUpkbaCODYA" name="procedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_4QC1wJQyEd-GUpkbaCODYA">
          <ownedComment xmi:id="_i86xMIIgEeOJAM9SGJ4xug" annotatedElement="_4QL_sJQyEd-GUpkbaCODYA">
            <body>Pointer to a list of Procedures (i.e., procedure codes) performed as part of the clinical procedure record.&#xD;
&quot;Contains a code indicating a procedure or a non-procedural event involving the patient.  This code could come from various coding systems; typically the Common Procedure Terminology (CPT)&quot;. - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4QL_sZQyEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4QL_spQyEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iQOIcJQyEd-GUpkbaCODYA" name="relatedProcedure" visibility="public" type="_Y5gQsJQyEd-GUpkbaCODYA" association="_iQEXcJQyEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iQOIcZQyEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iQOIcpQyEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6423F39840388" name="CensusEvent">
        <eAnnotations xmi:id="_Ma5iweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_B3tKQAsnEeeG4Ld6dMI9eQ" annotatedElement="_420A62FD03B6423F39840388">
          <body>A census is an official count or enumeration of persons. In the hospital setting, this is the total number of patients admitted to the facility, generally exclusive of newborns. This count is typically taken at the same time each day, usually taken just before midnight. Censuses may be recorded by unit, ward, service, or the entire hospital or health care facility. This information is used, among many other purposes, to calculate an Average Daily Census, which is the average number of Patients per day in a hospital over a given period of time.&#xD;
This class represents the result of the enumeration, which may be stored as a simple number, or may be comprised of pointers to the actual Encounters included in the count.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6423F3AAC0347" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MavxyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F3AAC0347">
            <body>The date and time at which the enumeration of Patients took place. The census is taken at regular intervals (often daily, but sometimes monthly or quarterly) at the same time of the day (usually 11:59 PM). Only those Encounters that are active (admitted) at the time the Census Event are included in the count.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6QSkAJCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6QTyIJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w6_VAAsnEeeG4Ld6dMI9eQ" name="count" visibility="public" isDerived="true">
          <ownedComment xmi:id="_apJOIAsoEeeG4Ld6dMI9eQ" annotatedElement="_w6_VAAsnEeeG4Ld6dMI9eQ">
            <body>This is the number of Patients that were admitted into the facility or program on the date/time upon which the Census Event took place. Note that this property is marked as derived because it might be calculated based on the number of Encounters that were active at the time of the census.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1nQ24AsnEeeG4Ld6dMI9eQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1nQ24QsnEeeG4Ld6dMI9eQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ja9pEQsoEeeG4Ld6dMI9eQ" name="includedEncounter" visibility="public" type="_nbMJYGiuEeG3pKm-C5y0hA" association="_ja9pEAsoEeeG4Ld6dMI9eQ">
          <ownedComment xmi:id="_MAzPQAspEeeG4Ld6dMI9eQ" annotatedElement="_ja9pEQsoEeeG4Ld6dMI9eQ">
            <body>A census is the number of Patients that were admitted into the facility or program on the date/time upon which the Census Event took place. This may be calculated by identifying the Encounters that were active at the time of the census. This optional property points to those Encounters included in the Census. Alternatively, the CensusEvent.count property may be used to simply record the count without storing the encounters enumerated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jbHaEAsoEeeG4Ld6dMI9eQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jbHaEQsoEeeG4Ld6dMI9eQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425437EC017A" name="ShortStay">
        <eAnnotations xmi:id="_MbMdtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MbCst-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425437EC017A">
          <body>An encounter during which the Patient is treated in a hospital but does not stay overnight. The patient may be assigned a bed during this time. A short stay is similar to an inpatient encounter except that inpatient encounters involve an overnight stay. A short stay differs from an outpatient encounter in that the patient is formally admitted and discharged, whereas an outpatient encounter does not involve an admission. An example of a short stay is a scheduled surgery where the patient arrives in the morning and leaves in the afternoon.</body>
        </ownedComment>
        <generalization xmi:id="_i9uNoGiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C0616011C" name="ComplicationEvent">
        <eAnnotations xmi:id="_MbWOseLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MbMdt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C0616011C">
          <body>An undesirable event experienced by a patient whilst undergoing a clinical procedure, especially if the event was caused by the procedure itself.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425C062900FC" name="description" visibility="public">
          <ownedComment xmi:id="_MbMduuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C062900FC">
            <body>Describes the complication that may have occurred during the exam procedure.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IyzLMJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IyzyQJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642690158012E" name="PatientTransfer">
        <eAnnotations xmi:id="_Mb8ElOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mby6peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642690158012E">
          <body>The act of transferring a patient from one location or responsible organization to another.  Note that a transfer from organization to another will, by definition, trigger a new encounter.  Note that a transfer from one location to another may trigger a new encounter depending on whether the responsible organization has changed.  A movement from one bed within the same ward to another probably will not, but a movement from one ward to another probably would. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425467AC01C5" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Mb8EkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425467AC01C5">
            <body>Categorizes the patient transfer.  Possible values include Admission, Transfer, Discharge, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IVIQYJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IVI3cJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64269122901F6" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Mby6qOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64269122901F6">
            <body>Uniquely identifies the patient transfer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I5AZgJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I5BAkJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642406F9300A2" name="movementDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Mby6q-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642406F9300A2">
            <body>Date of the movement of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KImZIJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KInAMJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642545C4F0241" name="transferReason" visibility="public">
          <ownedComment xmi:id="_MeBvReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642545C4F0241">
            <body>&quot;Contains the short description of the reason for a patient location change.&quot; - HL7 Version 2.8, PV2-4</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K_4mcJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K_5NgJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p95KoEo3Eeiyfctrd2Hs6w" name="transferFromLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_51lcEEo3Eeiyfctrd2Hs6w" annotatedElement="_p95KoEo3Eeiyfctrd2Hs6w">
            <body>&quot;Contains the prior patient location if the patient is being transferred. The old location is null if the patient is new.&quot; - HL7 Version 2.8, PV1-6</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p95Koko3Eeiyfctrd2Hs6w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p95KoUo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_z3wLsEo3Eeiyfctrd2Hs6w" name="transferToLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="__SWmwEo3Eeiyfctrd2Hs6w" annotatedElement="_z3wLsEo3Eeiyfctrd2Hs6w">
            <body>&quot;This field contains the patient's initial assigned location or the location to which the patient is being moved. The first component may be the nursing station for inpatient locations, or clinic or department, for locations other than inpatient. For canceling a transaction or discharging a patient, the current location (after the cancellation event or before the discharge event) should be in this field.&quot; - HL7 Version 2.8, PV1-3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z3wLsko3Eeiyfctrd2Hs6w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z3wLsUo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CABAAE01BB" name="Discharge">
        <eAnnotations xmi:id="_McihhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_McO_h-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CABAAE01BB">
          <body>The release of a patient from a course of care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9Uhg8NivEdyb35bKix456w" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zdw9sCqKEd6tfJk2wVTfYw" annotatedElement="_9Uhg8NivEdyb35bKix456w">
            <body>&quot;This field contains the discharge date/time.  It is to be used if the event date/time is different than the discharge date and time, that is, a retroactive update.  This field is also used to reflect the date/time of an outpatient/emergency patient discharge.&quot; - HL7 Version 2.8, PV1-45</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Leg6cNiwEdyb35bKix456w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Leg6cdiwEdyb35bKix456w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642397A330322" name="disposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_McihiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642397A330322">
            <body>&quot;Contains the disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.). ...use the Official Uniform Billing (UB) 04 2008 numeric codes found on form locator 17.&quot; - HL7 Version 2.8, PV1-36. Note that while the encounter is still &quot;active&quot; (i.e., the encounter does not have an end date yet) this attribute should be interpreted as the expected discharge disposition. When the encounter is &quot;completed&quot; this attribute contains the actual discharge disposition.&#xD;
&quot;Category or kind of location after discharge.&quot; - HL7 FHIR, Encounter.hospitalization.dischargeDisposition</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhWlAJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhXMEJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pEffIJQSEd-GUpkbaCODYA" name="needOutpatientFollowup" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OLxbAJC0EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OLyCEJC0EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aWKcUHiUEeODk9Eid2o3dQ" name="dischargeDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_aWJOMHiUEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_gNZqkHiWEeODk9Eid2o3dQ" annotatedElement="_aWKcUHiUEeODk9Eid2o3dQ">
            <body>The diagnosis(es) determined to be the reason for hospitalization at the time of discharge (this may be the same or different from the hospital admission diagnosis (added for Transition of Care).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aWLDYHiUEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aWLDYXiUEeODk9Eid2o3dQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_afDfIM5LEeSoLYfuQMb72Q" name="dischargeInstructions" visibility="public" type="_420A62FD03B6437B871C002E" association="_afAb0M5LEeSoLYfuQMb72Q">
          <ownedComment xmi:id="_isx5EM5MEeSoLYfuQMb72Q" annotatedElement="_afDfIM5LEeSoLYfuQMb72Q">
            <body>Pointer to a Patient Education record which documents the Act of the provision of instructions to the Patient upon the completion of an Encounter.  These instructions may be in the form of a pre-defined document that is specific to the Patient's condition or the Procedure which has undergone, or it may be in the form of free-form text, or both.  We point to the Patient Education class rather than simply having a discharge instructions string property so that data can be collected regarding who provided the instructions and when, as well as an indication of the patient's level of understanding.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afEGMM5LEeSoLYfuQMb72Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afEtQM5LEeSoLYfuQMb72Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n5-yIEo3Eeiyfctrd2Hs6w" name="dischargeFromLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_NVYcoEo4Eeiyfctrd2Hs6w" annotatedElement="_n5-yIEo3Eeiyfctrd2Hs6w">
            <body>&quot;This field contains the patient's initial assigned location or the location to which the patient is being moved. The first component may be the nursing station for inpatient locations, or clinic or department, for locations other than inpatient. For canceling a transaction or discharging a patient, the current location (after the cancellation event or before the discharge event) should be in this field.&quot; - HL7 Version 2.8, PV1-3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n5-yIko3Eeiyfctrd2Hs6w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n5-yIUo3Eeiyfctrd2Hs6w" value="1"/>
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        <ownedAttribute xmi:id="_FLVMUEo4Eeiyfctrd2Hs6w" name="dischargeToLocation" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_P4ddYEo4Eeiyfctrd2Hs6w" annotatedElement="_FLVMUEo4Eeiyfctrd2Hs6w">
            <body>&quot;Indicates the healthcare facility to which the patient was discharged and the date.&quot; - HL7 Version 2.8, PV1-37&#xD;
&quot;Location to which the patient is discharged.&quot; - HL7 FHIR, Encounter.hospitalization.destination</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FLVMUko4Eeiyfctrd2Hs6w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FLVMUUo4Eeiyfctrd2Hs6w" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CEE9490169" name="DiagnosisGroupingEvent">
        <eAnnotations xmi:id="_Mc1cd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_McrrcOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEE9490169">
          <body>The act or process of grouping diagnosis that determined the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CEE99502D0" name="diagnosisRelatedGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Contains the diagnosis grouping code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-gJUJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-gwYJC0EeaeVcv6mxF7oQ" value="1"/>
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        <ownedAttribute xmi:id="_420A62FD03B643089003024A" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_McrreeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643089003024A">
            <body>Unique Identifier for the Grouping type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KrqxUJC0EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KrrYYJC0EeaeVcv6mxF7oQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642E8E8270286" name="CareProtocol">
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        <ownedComment xmi:id="_MdbSYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E8E8270286">
          <body>A proposed or tentative course of action for the maintenance and restoration of health by the treatment and prevention of disease by trained and licensed professionals.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_VRwnkJQqEd-GUpkbaCODYA" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_Rs4LkJQqEd-GUpkbaCODYA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64239961C0273" name="groupEncounterEvent_encounter" memberEnd="_420A62FD03B64239961E003B _420A62FD03B64239961E0045">
        <ownedEnd xmi:id="_420A62FD03B64239961E0045" name="" visibility="public" type="_420A62FD03B642394F9A0060" isUnique="false" association="_420A62FD03B64239961C0273"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64239A5240055" name="administrativeEncounterEvent_encounter" memberEnd="_420A62FD03B64239A52501AB _420A62FD03B64239A52501B5">
        <ownedEnd xmi:id="_420A62FD03B64239A52501B5" name="" visibility="public" type="_420A62FD03B642394FAA0398" isUnique="false" association="_420A62FD03B64239A5240055">
          <ownedComment xmi:id="_MiDToOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A52501B5">
            <body>A (perhaps artificial) grouping of encounters for administrative or financial purposes.  There is no specific requirement that the encounters have anything particular in common.</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6425C061E038B" name="clinicalProcedureRecord_complication" memberEnd="_420A62FD03B6425C061F0210 _420A62FD03B6425C061F0212">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6426909FA02BC" name="encounterEvent_patientTransfer" memberEnd="_420A62FD03B6426909FB02BE _420A62FD03B6426909FB02C8">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642CEF06D0013" name="serviceEpisode_diagnosisRelatedGroup" memberEnd="_420A62FD03B642CEF06E0118 _420A62FD03B642CEF06E0122">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64318ACDD0096" name="emergencyEncounter_discharge" memberEnd="_420A62FD03B64318ACDE0079 _420A62FD03B64318ACDE0083">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64318BA4A025A" name="serviceEpisode_careProtocol" memberEnd="_420A62FD03B64318BA4B0248 _420A62FD03B64318BA4B0252">
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      <packagedElement xmi:type="uml:Association" xmi:id="_N7dkQBf7Ed-hgZpk8HjFRw" name="encounter_diagnosis" memberEnd="_N7dkQRf7Ed-hgZpk8HjFRw _N7dkRBf7Ed-hgZpk8HjFRw">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZzkrEJQYEd-GUpkbaCODYA" name="RelatedEncounter">
        <ownedAttribute xmi:id="_f7GC8JQYEd-GUpkbaCODYA" name="relatedEncounterCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Oxa-YJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OxblcJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q28mwGi2EeG3pKm-C5y0hA" name="encounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_Q24VUGi2EeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q29N0Gi2EeG3pKm-C5y0hA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uSItEJQwEd-GUpkbaCODYA" name="encounterEvent_clinicalService" memberEnd="_uSItEZQwEd-GUpkbaCODYA _uSItFJQwEd-GUpkbaCODYA">
        <ownedEnd xmi:id="_uSItFJQwEd-GUpkbaCODYA" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_uSItEJQwEd-GUpkbaCODYA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y5gQsJQyEd-GUpkbaCODYA" name="RelatedProcedure">
        <ownedAttribute xmi:id="_eWL70JQyEd-GUpkbaCODYA" name="relatedProcedureCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qv9usJC3EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qv9usZC3EeaeVcv6mxF7oQ" value="1"/>
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        <ownedAttribute xmi:id="_mdeMAZQyEd-GUpkbaCODYA" name="clinicalProcedure" visibility="public" type="_420A62FD03B64239AEAD0005" association="_mdeMAJQyEd-GUpkbaCODYA">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mdeMA5QyEd-GUpkbaCODYA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iQEXcJQyEd-GUpkbaCODYA" name="clinicalProcedureRecord_relatedProcedure" memberEnd="_iQOIcJQyEd-GUpkbaCODYA _iQOIc5QyEd-GUpkbaCODYA">
        <ownedEnd xmi:id="_iQOIc5QyEd-GUpkbaCODYA" name="" visibility="public" type="_420A62FD03B64239AEAD0005" association="_iQEXcJQyEd-GUpkbaCODYA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_mdeMAJQyEd-GUpkbaCODYA" name="relatedProcedure_clinicalProcedureRecord" memberEnd="_mdeMAZQyEd-GUpkbaCODYA _mdn9AJQyEd-GUpkbaCODYA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_4QC1wJQyEd-GUpkbaCODYA" name="clinicalProcedureRecord_procedureList" memberEnd="_4QL_sJQyEd-GUpkbaCODYA _4QL_s5QyEd-GUpkbaCODYA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_FCi34JQzEd-GUpkbaCODYA" name="clinicalService_clinicalProcedureRecord" memberEnd="_FCi34ZQzEd-GUpkbaCODYA _FCi35JQzEd-GUpkbaCODYA">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9UnlsGisEeG3pKm-C5y0hA" name="encounterEvent_appointment" memberEnd="_9UrQEGisEeG3pKm-C5y0hA _9Uu6cGisEeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_9Uu6cGisEeG3pKm-C5y0hA" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_9UnlsGisEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qS7A8GitEeG3pKm-C5y0hA" name="AbstractEncounter" isAbstract="true">
        <ownedComment xmi:id="_x7yL4MlSEeKk-pg0LZnieg" annotatedElement="_qS7A8GitEeG3pKm-C5y0hA">
          <body>Contains properties common to multiple kinds of Encounters. This class is abstract, meaning that it would never be instantiated on its own, but rather one of the concrete subtypes (e.g., InpatientEncounter) would be instantiated.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__XNqgIelEeOX_brmw15GsQ" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="__XMcYIelEeOX_brmw15GsQ">
          <ownedComment xmi:id="_WY6rkIemEeOX_brmw15GsQ" annotatedElement="__XNqgIelEeOX_brmw15GsQ">
            <body>Pointer to Practitioner(s) who make up a team comprising multiple disciplines in order to provide holistic care for the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__XORkIelEeOX_brmw15GsQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__XORkYelEeOX_brmw15GsQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426D52220172" name="comments" visibility="public">
          <ownedComment xmi:id="_MZtP-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426D52220172">
            <body>Any remarks concerning this encounter.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o8lAgJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o8lnkJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431C494F03C4" name="confidentiallyCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZGzDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431C494F03C4">
            <body>Contains a set of values that control the disclosure of information about this patient </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p3LAgJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p3LAgZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P3m3wFO-EeO95rHo5Ki4qQ" name="description" visibility="public">
          <ownedComment xmi:id="_P3m3wVO-EeO95rHo5Ki4qQ" annotatedElement="_P3m3wFO-EeO95rHo5Ki4qQ">
            <body>&quot;Contains a brief user-defined description of the visit.&quot; - HL7 Version 2.8, PV2-12.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qpywQJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qpywQZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N7dkQRf7Ed-hgZpk8HjFRw" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_N7dkQBf7Ed-hgZpk8HjFRw">
          <ownedComment xmi:id="_Nq2BAA8gEeeWNeKQZ8tkag" annotatedElement="_N7dkQRf7Ed-hgZpk8HjFRw">
            <body>Pointer to a list of one or more diagnosis(es) for which the Patient is being treated during the Encounter.&#xD;
&quot;The list of diagnosis relevant to this encounter.&quot; - HL7 FHIR, Encounter.diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N7dkQhf7Ed-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N7dkQxf7Ed-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SZ3dIJQZEd-GUpkbaCODYA" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_SZ3dIZQZEd-GUpkbaCODYA" annotatedElement="_SZ3dIJQZEd-GUpkbaCODYA">
            <body>This property contains the date/times that the Encounter began and ended. If the encounter is currently active, the end time may be blank. HL7 V3 suggests that for current encounters, the end date could be used to convey the anticipated end date/time, but FHIM discourages this usage and instead recommends leaving the end date/time blank.&#xD;
&quot;The time interval starting with the administrative onset of the encounter (e.g. admission, registration, patient arrival) and ending with the patient's departure (e.g. discharge). Note (1): for active encounters the end of the effectiveTime range is the anticipated end date-time. Note (2): all messages, except the &quot;nullify&quot; message, require at least a starting time.&quot; - HL7 V3&#xD;
&quot;The start and end time of the encounter.&quot; - HL7 FHIR, Encounter.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r1GFwJCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r1Gs0JCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KbFm0PkvEeaFsfhBEypeuw" name="encounterClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_KbFm0fkvEeaFsfhBEypeuw" annotatedElement="_KbFm0PkvEeaFsfhBEypeuw">
            <body>Indicates what kind (i.e., subtype) of Encounter that an encounter instance is. This property is included for compatibility with FHIR, and is therefore both optional and marked as derived. In FHIM, the kind of Encounter is known by the subtype of Encounter that the instance instantiates. In other words, FHIM has an EmergencyEncounter class and it is therefore known that an EmergencyEncounter is an EmergencyEncounter, whereas in FHIR an EmergencyEncounter is an Encounter with type EmergencyEncounter.&#xD;
&quot;This field is used by systems to categorize patients by site.  It does not have a consistent industry-wide definition.  It is subject to site specific variations.&quot; - HL7 Version 2.8, PV1-2.  HL7 Version 2 has the following suggested values (table 4): Emergency; Inpatient; Outpatient; Preadmit; Recurring patient; Obstetrics; Commercial Account; Not Applicable; Unknown.&#xD;
&quot;inpatient | outpatient | ambulatory | emergency +.&quot; - HL7 FHIR, Encounter.class</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KbFm0_kvEeaFsfhBEypeuw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KbFm0vkvEeaFsfhBEypeuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5R44wBIhEeK0rPN86AJEog" name="encounterType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hyi6gEcIEeKYw8d4t3T9cw" annotatedElement="_5R44wBIhEeK0rPN86AJEog">
            <body>A categorization of the Encounter. This optional property is included for compatibility to FHIR, but the kinds of categorizations that might be useful have not yet been identified.&#xD;
&quot;Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).&quot; - HL7 FHIR, Encounter.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sviUwJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sviUwZCzEeaeVcv6mxF7oQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rj12kPkSEeaFsfhBEypeuw" name="episodeOfCare" visibility="public" type="_420A62FD03B64239451402E7" association="_rjobMPkSEeaFsfhBEypeuw">
          <ownedComment xmi:id="_OeW4sPkTEeaFsfhBEypeuw" annotatedElement="_rj12kPkSEeaFsfhBEypeuw">
            <body>Pointer to a Service Episode (aka Episode Of Care) into which this Encounter can be aggregated. Note that ordinarily an Encounter will be aggregated into only one (if at all) Service Episode, this property is modeled as a zero-to-many relationship rather than zero-to-one for compatibility with FHIR.&#xD;
&quot;Contains the identifier of a Service Episode in or for which the visit occurs.&quot; - HL7 Version 2.8, PV1-54&#xD;
&quot;Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).&quot; - HL7 FHIR, Encounter.episodeOfCare</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rj12kfkSEeaFsfhBEypeuw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rj12kvkSEeaFsfhBEypeuw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423F4C5502C6" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MXK5WOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F4C5502C6">
            <body>This property uniquely identifies the Encounter. This property can be used, among other purposes, to associate the current Encounter with other Encounters, or with events that occurred during the Encounter.&#xD;
&quot;Contains the unique number assigned to each patient visit.&quot; - HL7 Version 2.8, PV1-19&#xD;
&quot;Identifier(s) by which this encounter is known.&quot; - HL7 FHIR, Encounter.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_taSh8JCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_taTJAJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642663D530341" name="lengthOfStay" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_MbCsu-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642663D530341">
            <body>Will contain the actual, calculated quantity (the actual days quantity cannot be simply calculated from the admission and discharge dates because of possible leaves of absence) instead of the expected length of stay.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_io4RAJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_io44EJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC8C8002F5" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B643CC8C7E0310">
          <ownedComment xmi:id="_MO01puLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8C8002F5">
            <body>The Person or Animal (playing the Role of Patient) who is the subject of the Encounter.&#xD;
&quot;The patient or group present at the encounter.&quot; - HL7 FHIR, Encounter.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MO01qOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MO01qeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i1KgAJQbEd-GUpkbaCODYA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i1KgAZQbEd-GUpkbaCODYA" annotatedElement="_i1KgAJQbEd-GUpkbaCODYA">
            <body>&quot;Contains the priority of the visit.&quot; - HL7 Version 2.8, PV2-25. Possible values include (from HL7 Table 217): Emergency; Urgent; Elective&#xD;
&quot;Indicates the urgency of the encounter.&quot; - HL7 FHIR, Encounter.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_umcMAJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_umcMAZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OvIlsGi2EeG3pKm-C5y0hA" name="relatedEncounter" visibility="public" type="_ZzkrEJQYEd-GUpkbaCODYA" association="_OvEUQGi2EeG3pKm-C5y0hA">
          <ownedComment xmi:id="_fUFxoA8KEeeWNeKQZ8tkag" annotatedElement="_OvIlsGi2EeG3pKm-C5y0hA">
            <body>Pointer to another Encounter to which this Encounter is somehow related. The nature of the relationship is defined by the relatedEncounterCategory code.&#xD;
&quot;Another Encounter of which this encounter is a part of (administratively or in time).&quot; - HL7 FHIR, Encounter.partOf</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OvJMwGi2EeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OvJz0Gi2EeG3pKm-C5y0hA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yibDAIedEeOX_brmw15GsQ" name="scopingProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_yiYmwIedEeOX_brmw15GsQ">
          <ownedComment xmi:id="_5-gaEIedEeOX_brmw15GsQ" annotatedElement="_yibDAIedEeOX_brmw15GsQ">
            <body>Pointer to the Healthcare Provider (organization) under whose auspices the Encounter occurred.&#xD;
&quot;An organization that is in charge of maintaining the information of this Encounter (e.g. who maintains the report or the master service catalog item, etc.). This MAY be the same as the organization on the Patient record, however it could be different. This MAY not be not the Service Delivery Location's Organization.&quot; - HL7 FHIR, Encounter.serviceProvider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yicRIIedEeOX_brmw15GsQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yicRIYedEeOX_brmw15GsQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i1KgApQbEd-GUpkbaCODYA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i1KgA5QbEd-GUpkbaCODYA" annotatedElement="_i1KgApQbEd-GUpkbaCODYA">
            <body>A value specifying the state of this patient encounter (based on the RIM Act class state machine), for example, active, aborted, completed &#xD;
&quot;planned | arrived | triaged | in-progress | onleave | finished | cancelled +.&quot; - HL7 FHIR, Encounter.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v_C9sJCzEeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v_DkwJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RfH6sGiuEeG3pKm-C5y0hA" name="serviceEpisode_abstractEncounter" memberEnd="_RfMMIGiuEeG3pKm-C5y0hA _RfREoGiuEeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_RfREoGiuEeG3pKm-C5y0hA" name="" visibility="public" type="_420A62FD03B64239451402E7" association="_RfH6sGiuEeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfSSwGiuEeG3pKm-C5y0hA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfS50GiuEeG3pKm-C5y0hA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nbMJYGiuEeG3pKm-C5y0hA" name="AbstractDurableEncounter" isAbstract="true">
        <ownedComment xmi:id="_JZlTEMlTEeKk-pg0LZnieg" annotatedElement="_nbMJYGiuEeG3pKm-C5y0hA">
          <body>This class contains those properties which are common to several kinds of Encounters which involve an admission and discharge process. All but one (the ShortStay) of these types of Encounters last more than one day. Note that this class would not be implemented directly, rather the subtypes of this class would be implemented.</body>
        </ownedComment>
        <generalization xmi:id="_atrqEGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_BuH5cGflEeGK0elVFnH6lw" name="dietType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OYc3AGflEeGK0elVFnH6lw" annotatedElement="_BuH5cGflEeGK0elVFnH6lw">
            <body>&quot;Indicates a special diet type for a patient.&quot; - HL7 Version 2.8, PV1-38. Note that HL7 does not suggest any values for this code (in User-defined Table 114).&#xD;
&quot;Diet preferences reported by the patient.&quot; - HL7 FHIR, Encounter.hospitalization.dietPreference. Note that FHIR has an example value-set containing: dairy-free, gluten-free, halal, kosher, nut-free, vegan, vegetarian.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_irJesJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_irKFwJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A60k0FO9EeO95rHo5Ki4qQ" name="expectedAdmissionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_A60k0VO9EeO95rHo5Ki4qQ" annotatedElement="_A60k0FO9EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date and time that the patient is expected to be admitted.  This field is also used to reflect the date/time of an outpatient/emergency patient registration.&quot; - HL7 Version 2.8, PV2-8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A60k01O9EeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A60k0lO9EeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FC8QwFO9EeO95rHo5Ki4qQ" name="expectedDischargeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FC8QwVO9EeO95rHo5Ki4qQ" annotatedElement="_FC8QwFO9EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date and time that the patient is expected to be discharged.  This is a non-event related date used by ancillaries to determine more accurately the projected workloads.  This field is also used to reflect the anticipated discharge date/time of an outpatient/emergency patient, or an inpatient.&quot; - HL7 Version 2.8, PV2-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FC8Qw1O9EeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FC8QwlO9EeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pgXzkGi2EeG3pKm-C5y0hA" name="discharge" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_pgTiIGi2EeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pgZBsGi2EeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pgZowGi2EeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NwXhIGfWEeGK0elVFnH6lw" name="needsPreAdmitTest" visibility="public">
          <ownedComment xmi:id="_Tfb8wGfWEeGK0elVFnH6lw" annotatedElement="_NwXhIGfWEeGK0elVFnH6lw">
            <body>&quot;Indicates whether the patient must have pre admission testing done in order to be admitted.&quot; - HL7 Version 2.8, PV1-12</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U4gogGfWEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U4hPkGfWEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_au4XwFPIEeO95rHo5Ki4qQ" name="patientCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_au4XwVPIEeO95rHo5Ki4qQ" annotatedElement="_au4XwFPIEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the patient's current medical condition for the purpose of communicating to non-medical outside parties, e.g., family, employer, religious minister, media, etc.&quot; - HL7 Version 2.8, PV2-42.  Possible values include (from HL7 Table 434): Satisfactory; Critical; Poor; Stable; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_au4Xw1PIEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_au4XwlPIEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I2qdMFPBEeO95rHo5Ki4qQ" name="patientStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I2qdMVPBEeO95rHo5Ki4qQ" annotatedElement="_I2qdMFPBEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the status of the episode of care.&quot; - HL7 Version 2.8, PV2-24.  Possible values include (from HL7 Table 216): Active Inpatient; Discharged Inpatient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I2qdM1PBEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I2qdMlPBEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fIb9AGfSEeGK0elVFnH6lw" name="preAdmitAccount" visibility="public">
          <ownedComment xmi:id="_oCfG4GfSEeGK0elVFnH6lw" annotatedElement="_fIb9AGfSEeGK0elVFnH6lw">
            <body>&quot;Uniquely identifies the patient's pre admit account. Some systems will continue to use the pre admit number as the billing number after the patient has been admitted.&quot; - HL7 Version 2.8, PV1-5&#xD;
&quot;Pre-admission identifier.&quot; - HL7 FHIR, Encounter.hospitalization.preAdmissionIdentifier</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lM1_YJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lM1_YZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XlkIUFPGEeO95rHo5Ki4qQ" name="precautionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XlkIUVPGEeO95rHo5Ki4qQ" annotatedElement="_XlkIUFPGEeO95rHo5Ki4qQ">
            <body>&quot;Indicates non-clinical precautions that need to be taken with the patient.&quot; - HL7 Version 2.8, PV2-41.  Possible values include (from HL7 Table 433): Aggressive; Blind; Confused; Deaf; On IV; &quot;No-code&quot; (i.e. Do not resuscitate); Paraplegic; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XlkIU1PGEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XlkIUlPGEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3yy0oMPtEeGriO8gBy203A" name="reAdmissionIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3yy0ocPtEeGriO8gBy203A" annotatedElement="_3yy0oMPtEeGriO8gBy203A">
            <body>&quot;Indicates that a patient is being re admitted to the healthcare facility and gives the circumstances.&quot; - HL7 Version 2.8, PV1-13.&#xD;
&quot;Whether this hospitalization is a readmission and why if known.&quot; - HL7 FHIR, Encounter.hospitalization.reAdmission</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mLVA4JCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mLVA4ZCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OvEUQGi2EeG3pKm-C5y0hA" name="abstractEncounter_relatedEncounter" memberEnd="_OvIlsGi2EeG3pKm-C5y0hA _OvM3IGi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_OvM3IGi2EeG3pKm-C5y0hA" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_OvEUQGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Q24VUGi2EeG3pKm-C5y0hA" name="relatedEncounter_encounter" memberEnd="_Q28mwGi2EeG3pKm-C5y0hA _Q3A4MGi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_Q3A4MGi2EeG3pKm-C5y0hA" name="" visibility="public" type="_ZzkrEJQYEd-GUpkbaCODYA" association="_Q24VUGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pgTiIGi2EeG3pKm-C5y0hA" name="abstractDurableEncounter_discharge" memberEnd="_pgXzkGi2EeG3pKm-C5y0hA _pgbd8Gi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_pgbd8Gi2EeG3pKm-C5y0hA" name="" visibility="public" type="_nbMJYGiuEeG3pKm-C5y0hA" association="_pgTiIGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_c8AmgNymEeGh5_jMwegn_g" name="PregnancyMenstrualStatus">
        <ownedComment xmi:id="_KOF_UPIVEeWI5dLNhw9XrQ" annotatedElement="_c8AmgNymEeGh5_jMwegn_g">
          <body>An Observation of whether the Patient is known to be expecting and/or when the Patient last experienced a menstrual cycle. This information is needed in multiple situations where a procedure or medication is being contemplated that could be harmful to a fetus. For example, a clinician may wish to avoid exposing the Patient to X-Rays if she is pregnant. Naturally, this information is only recorded for female patients of childbearing age.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lwD2ENymEeGh5_jMwegn_g" name="isPregnant" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_a3VpgPIVEeWI5dLNhw9XrQ" annotatedElement="_lwD2ENymEeGh5_jMwegn_g">
            <body>Indicates whether the Patient is known to be expecting.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MsaZsJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MsbAwJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qIB74NymEeGh5_jMwegn_g" name="lastMenstrualPeriodDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qI354PIVEeWI5dLNhw9XrQ" annotatedElement="_qIB74NymEeGh5_jMwegn_g">
            <body>The date when the Patient last experienced a menstrual cycle. This date may be imprecise (e.g., sometime in February of the current year).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NYfckJC3EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NYgDoJC3EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wz9oYNymEeGh5_jMwegn_g" name="encounterEvent_pregnancyMenstrualStatus" memberEnd="_w0ArsNymEeGh5_jMwegn_g _w0EWENymEeGh5_jMwegn_g">
        <ownedEnd xmi:id="_w0EWENymEeGh5_jMwegn_g" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_wz9oYNymEeGh5_jMwegn_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_i6MzcHejEeOK6dlxi14PNA" name="encounterEvent_healthConcernList" memberEnd="_i6WkcHejEeOK6dlxi14PNA _i6Wkc3ejEeOK6dlxi14PNA">
        <ownedEnd xmi:id="_i6Wkc3ejEeOK6dlxi14PNA" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_i6MzcHejEeOK6dlxi14PNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XshgkHiUEeODk9Eid2o3dQ" name="admission_diagnosis" memberEnd="_XsnAIHiUEeODk9Eid2o3dQ _XsrRkHiUEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_XsrRkHiUEeODk9Eid2o3dQ" name="" visibility="public" type="_Bd7gIAXIEeebQs_lQM5n6g" association="_XshgkHiUEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aWJOMHiUEeODk9Eid2o3dQ" name="discharge_diagnosis" memberEnd="_aWKcUHiUEeODk9Eid2o3dQ _aWMRgHiUEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_aWMRgHiUEeODk9Eid2o3dQ" name="" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_aWJOMHiUEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yiYmwIedEeOX_brmw15GsQ" name="abstractEncounter_scopingProvider" memberEnd="_yibDAIedEeOX_brmw15GsQ _yidfQIedEeOX_brmw15GsQ">
        <ownedEnd xmi:id="_yidfQIedEeOX_brmw15GsQ" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_yiYmwIedEeOX_brmw15GsQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__XMcYIelEeOX_brmw15GsQ" name="abstractEncounter_careTeamMember" memberEnd="__XNqgIelEeOX_brmw15GsQ __XPfsIelEeOX_brmw15GsQ">
        <ownedEnd xmi:id="__XPfsIelEeOX_brmw15GsQ" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="__XMcYIelEeOX_brmw15GsQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fL1F8KyOEeSUSIBAyhZNow" name="LongTermCare">
        <ownedComment xmi:id="_3DxN8AsjEeeG4Ld6dMI9eQ" annotatedElement="_fL1F8KyOEeSUSIBAyhZNow">
          <body>&quot;Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. It is common for long-term care to provide custodial and non-skilled care, such as assisting with normal daily tasks like dressing, feeding, using the bathroom. Increasingly, LTC involves providing a level of medical care that requires the expertise of skilled practitioners to address the multiple chronic conditions associated with older populations.&quot; - Wikipedia&#xD;
This class represents the period during which the Patient is admitted into a Long Term Care program.</body>
        </ownedComment>
        <generalization xmi:id="_hKqKIKyOEeSUSIBAyhZNow" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_l7k7cKyOEeSUSIBAyhZNow" name="Hospice">
        <ownedComment xmi:id="_EDTRYAsiEeeG4Ld6dMI9eQ" annotatedElement="_l7k7cKyOEeSUSIBAyhZNow">
          <body>&quot;Hospice care is a type of care and philosophy of care that focuses on the palliation of a chronically ill, terminally ill or seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs. … Within the United States the term is largely defined by the practices of the Medicare system and other health insurance providers, which make hospice care available, either in an inpatient facility or at the patient's home, to patients with a terminal prognosis who are medically certified at hospice onset to have less than six months to live.&quot; - Wikepedia&#xD;
This class represents the period during which the Patient is admitted into a hospice care program.</body>
        </ownedComment>
        <generalization xmi:id="_oleV4KyOEeSUSIBAyhZNow" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_afAb0M5LEeSoLYfuQMb72Q" name="dischargeEvent_dischargeInstructions" memberEnd="_afDfIM5LEeSoLYfuQMb72Q _afFUUM5LEeSoLYfuQMb72Q">
        <ownedEnd xmi:id="_afFUUM5LEeSoLYfuQMb72Q" name="" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_afAb0M5LEeSoLYfuQMb72Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Cao14B92EeWsloQr5xbziw" name="encounterEvent_reportableCondition" memberEnd="_CaqEAB92EeWsloQr5xbziw _Car5MB92EeWsloQr5xbziw">
        <ownedEnd xmi:id="_Car5MB92EeWsloQr5xbziw" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_Cao14B92EeWsloQr5xbziw">
          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_CasgQB92EeWsloQr5xbziw">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_CasgQR92EeWsloQr5xbziw">
            <language></language>
            <body>(none)</body>
          </upperValue>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rjobMPkSEeaFsfhBEypeuw" name="abstractEncounter_episodeOfCare" memberEnd="_rj12kPkSEeaFsfhBEypeuw _rj_nkPkSEeaFsfhBEypeuw">
        <ownedEnd xmi:id="_rj_nkPkSEeaFsfhBEypeuw" name="" visibility="private" type="_qS7A8GitEeG3pKm-C5y0hA" association="_rjobMPkSEeaFsfhBEypeuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rj_nkfkSEeaFsfhBEypeuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rj_nkvkSEeaFsfhBEypeuw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Bd7gIAXIEeebQs_lQM5n6g" name="Admission">
        <ownedComment xmi:id="_Fn7WoA8kEeeWNeKQZ8tkag" annotatedElement="_Bd7gIAXIEeebQs_lQM5n6g">
          <body>The act of admitting a Patient into a facility or program.&#xD;
Admission: &quot;A full stay. The formal acceptance by a hospital or other inpatient health care facility of a patient who is to be provided with room, board, and continuous nursing service in an area of the hospital or facility where patients generally reside at least overnight.&quot; - Mosby's Dental Dictionary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kvGW8ExgEdyVYrcEhQ5TbQ" name="admissionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TAidYCqKEd6tfJk2wVTfYw" annotatedElement="_kvGW8ExgEdyVYrcEhQ5TbQ">
            <body>&quot;This field contains the admit date/time.  It is to be used if the event date/time is different than the admit date and time, i.e., a retroactive update.  This field is also used to reflect the date/time of an outpatient/emergency patient registration.&quot; - HL7 Version 2.8, PV1-44</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rZH-8ExgEdyVYrcEhQ5TbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rZH-8UxgEdyVYrcEhQ5TbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XsnAIHiUEeODk9Eid2o3dQ" name="admissionDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_XshgkHiUEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_kKMiMHiUEeODk9Eid2o3dQ" annotatedElement="_XsnAIHiUEeODk9Eid2o3dQ">
            <body>The diagnosis(es) that was or were the reason for hospitalization at the time of hospitalization (added for Transition of Care).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XspcYHiUEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XsqDcHiUEeODk9Eid2o3dQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QX1LwFPFEeO95rHo5Ki4qQ" name="admissionLevelOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QX1LwVPFEeO95rHo5Ki4qQ" annotatedElement="_QX1LwFPFEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the acuity level assigned to the patient at the time of admission.&quot; - HL7 Version 2.8, PV2-40.  Possible values include (from HL7 Table 432): Acute; Chronic; Comatose; Critical; Improved; Moribund.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QX1Lw1PFEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QX1LwlPFEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yJHhMGfpEeGK0elVFnH6lw" name="admissionReason" visibility="public">
          <ownedComment xmi:id="_7iiHoGfpEeGK0elVFnH6lw" annotatedElement="_yJHhMGfpEeGK0elVFnH6lw">
            <body>&quot;Contains the short description of the reason for patient admission.&quot; - HL7 Version 2.8, PV2-3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fy4REJCzEeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fy5fMJCzEeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rDZUYMPuEeGriO8gBy203A" name="admissionSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rDZUYcPuEeGriO8gBy203A" annotatedElement="_rDZUYMPuEeGriO8gBy203A">
            <body>&quot;Indicates where the patient was admitted.... In the US, this field should use the Official Uniform Billing (UB) 04 2008 numeric codes found on form locator 15 [which is] the Point of Origin for Admission or Visit.&quot; - HL7 Version 2.8, PV1-14.&#xD;
&quot;From where patient was admitted (physician referral, transfer).&quot; - HL7 FHIR, Encounter.hospitalization.admitSource</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rDZUY8PuEeGriO8gBy203A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rDZUYsPuEeGriO8gBy203A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xQr-AGfhEeGK0elVFnH6lw" name="admissionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3mGA4GfhEeGK0elVFnH6lw" annotatedElement="_xQr-AGfhEeGK0elVFnH6lw">
            <body>&quot;Indicates the circumstances under which the patient was or will be admitted. ...use the official Universal Billing (UB) 04 2008 numeric codes found on form locator 14.&quot; - HL7 Version 2.8, PV1-4.  Possible values include (from HL7 Table 7: Accident; Emergency; &#xD;
Labor and Delivery; Routine; Newborn (Birth in healthcare facility); Urgent; Elective.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1qnLoGfhEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1qnysGfhEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_suvXEEo2Eeiyfctrd2Hs6w" name="origin" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_vw2nwEo3Eeiyfctrd2Hs6w" annotatedElement="_suvXEEo2Eeiyfctrd2Hs6w">
            <body>Pointer to the location where the patient was before the admission.&#xD;
&quot;The location from which the patient came before admission.&quot; - HL7 FHIR, Encounter.hospitalization.origin</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DpVqkEo3Eeiyfctrd2Hs6w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DpWRoEo3Eeiyfctrd2Hs6w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nP2-0AXJEeebQs_lQM5n6g" name="ChronicCareEncounter">
        <generalization xmi:id="_qoK-cAXJEeebQs_lQM5n6g" general="_420A62FD03B64213F5B40316"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ja9pEAsoEeeG4Ld6dMI9eQ" name="censusEvent_includedEncounter" memberEnd="_ja9pEQsoEeeG4Ld6dMI9eQ _jbHaEgsoEeeG4Ld6dMI9eQ">
        <ownedEnd xmi:id="_jbHaEgsoEeeG4Ld6dMI9eQ" name="" visibility="private" type="_420A62FD03B6423F39840388" association="_ja9pEAsoEeeG4Ld6dMI9eQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jbHaEwsoEeeG4Ld6dMI9eQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jbHaFAsoEeeG4Ld6dMI9eQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Boq4UA8PEeeWNeKQZ8tkag" name="episodeOfCare_managingOrganization" memberEnd="_BostgA8PEeeWNeKQZ8tkag _BouisA8PEeeWNeKQZ8tkag">
        <ownedEnd xmi:id="_BouisA8PEeeWNeKQZ8tkag" name="" visibility="private" type="_420A62FD03B64239451402E7" association="_Boq4UA8PEeeWNeKQZ8tkag">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BovJwA8PEeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BovJwQ8PEeeWNeKQZ8tkag" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WvUIoA8UEeeWNeKQZ8tkag" name="episodeOfCare_careTeamMember" memberEnd="_WvVWwA8UEeeWNeKQZ8tkag _WvXzAA8UEeeWNeKQZ8tkag">
        <ownedEnd xmi:id="_WvXzAA8UEeeWNeKQZ8tkag" name="" visibility="private" type="_420A62FD03B64239451402E7" association="_WvUIoA8UEeeWNeKQZ8tkag">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WvYaEA8UEeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WvYaEQ8UEeeWNeKQZ8tkag" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RpnSwA8XEeeWNeKQZ8tkag" name="episodeOfCare_diagnosisList" memberEnd="_Rpog4A8XEeeWNeKQZ8tkag _RpqWEA8XEeeWNeKQZ8tkag">
        <ownedEnd xmi:id="_RpqWEA8XEeeWNeKQZ8tkag" name="" visibility="private" type="_420A62FD03B64239451402E7" association="_RpnSwA8XEeeWNeKQZ8tkag">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rpq9IA8XEeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rpq9IQ8XEeeWNeKQZ8tkag" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cRv1sMC5Eee8L6dSHLP3zQ" name="AppointmentParticipant">
        <ownedComment xmi:id="_ilBxoMC5Eee8L6dSHLP3zQ" annotatedElement="_cRv1sMC5Eee8L6dSHLP3zQ">
          <body>&quot;List of participants involved in the appointment.&quot; - HL7 FHIR, Appointment.participant</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0Ju-gMC5Eee8L6dSHLP3zQ" name="actor" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="__jbaoMC5Eee8L6dSHLP3zQ" annotatedElement="_0Ju-gMC5Eee8L6dSHLP3zQ">
            <body>&quot;A Person, Location/HealthcareService or Device that is participating in the appointment.&quot; - HL7 FHIR, Appointment.participant.actor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0Ju-gsC5Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0Ju-gcC5Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0LIssMC5Eee8L6dSHLP3zQ" name="isRequired" visibility="public">
          <ownedComment xmi:id="_MrTP0MC6Eee8L6dSHLP3zQ" annotatedElement="_0LIssMC5Eee8L6dSHLP3zQ">
            <body>&quot;Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.&quot; - HL7 FHIR, Appointment.participant.required</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0LIsssC5Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0LIsscC5Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vBVhUMC5Eee8L6dSHLP3zQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2aXkYMC5Eee8L6dSHLP3zQ" annotatedElement="_vBVhUMC5Eee8L6dSHLP3zQ">
            <body>&quot;Role of participant in the appointment. The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.&quot; - HL7 FHIR, Appointment.participant.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ysoHUMC5Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ysoHUcC5Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQOp0MC6Eee8L6dSHLP3zQ" name="requestedPeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_ayyu8MC6Eee8L6dSHLP3zQ" annotatedElement="_GQOp0MC6Eee8L6dSHLP3zQ">
            <body>&quot;A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. When using these values, the minutes duration should be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time.&quot; - HL7 FHIR, Appointment.requestedPeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQOp0sC6Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQOp0cC6Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GK9IQMC6Eee8L6dSHLP3zQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_VmUDAMC6Eee8L6dSHLP3zQ" annotatedElement="_GK9IQMC6Eee8L6dSHLP3zQ">
            <body>&quot;Participation status of the actor.&quot; - HL7 FHIR, Appointment.participant.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GK9IQsC6Eee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GK9IQcC6Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_i-yVcMC5Eee8L6dSHLP3zQ" name="appointment_participant" memberEnd="_i-yVccC5Eee8L6dSHLP3zQ _i-yVdMC5Eee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_i-yVdMC5Eee8L6dSHLP3zQ" name="" visibility="private" type="_420A62FD03B64214277401EB" association="_i-yVcMC5Eee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_IKgvwMC7Eee8L6dSHLP3zQ" name="AppointmentResponse">
        <ownedComment xmi:id="_gg7rkMC8Eee8L6dSHLP3zQ" annotatedElement="_IKgvwMC7Eee8L6dSHLP3zQ">
          <body>&quot;A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection.&quot; - HL7 FHIR, AppointmentResponse</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XH0ckMC7Eee8L6dSHLP3zQ" name="actor" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_HuUtkMC8Eee8L6dSHLP3zQ" annotatedElement="_XH0ckMC7Eee8L6dSHLP3zQ">
            <body>&quot;A Person, Location/HealthcareService or Device that is participating in the appointment.&quot; - HL7 FHIR, AppointmentResponse.actor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XH0cksC7Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XH0ckcC7Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ghSGUcC7Eee8L6dSHLP3zQ" name="appointment" visibility="public" type="_420A62FD03B64214277401EB" association="_ghSGUMC7Eee8L6dSHLP3zQ">
          <ownedComment xmi:id="_hbpc0MC7Eee8L6dSHLP3zQ" annotatedElement="_ghSGUcC7Eee8L6dSHLP3zQ">
            <body>&quot;Appointment that this response is replying to.&quot; - HL7 FHIR, AppointmentResponse.appointment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ghSGUsC7Eee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ghSGU8C7Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LLzhEMC8Eee8L6dSHLP3zQ" name="comment">
          <ownedComment xmi:id="_a3k2YMC8Eee8L6dSHLP3zQ" annotatedElement="_LLzhEMC8Eee8L6dSHLP3zQ">
            <body>&quot;Additional comments about the appointment.&quot; - HL7 FHIR, AppointmentResponse.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LLzhEsC8Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LLzhEcC8Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pcvlcMC7Eee8L6dSHLP3zQ" name="dateTimeEnd" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_0cU4cMC7Eee8L6dSHLP3zQ" annotatedElement="_pcvlcMC7Eee8L6dSHLP3zQ">
            <body>&quot;This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the end time.&quot; - HL7 FHIR, AppointmentResponse.end</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pcvlcsC7Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pcvlccC7Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XE9V0MC7Eee8L6dSHLP3zQ" name="dateTimeStart" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ubTKIMC7Eee8L6dSHLP3zQ" annotatedElement="_XE9V0MC7Eee8L6dSHLP3zQ">
            <body>&quot;Date/Time that the appointment is to take place, or requested new start time.&quot; - HL7 FHIR, AppointmentResponse.start</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XE9V0sC7Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XE9V0cC7Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SvysYMC7Eee8L6dSHLP3zQ" name="identifier" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Z9YUcMC7Eee8L6dSHLP3zQ" annotatedElement="_SvysYMC7Eee8L6dSHLP3zQ">
            <body>&quot;This records identifiers associated with this appointment response concern that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate.&quot; - HL7 FHIR, AppointmentResponse.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V_T8YMC7Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V_T8YcC7Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XJEZwMC7Eee8L6dSHLP3zQ" name="participantStatus" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Q2E8QMC8Eee8L6dSHLP3zQ" annotatedElement="_XJEZwMC7Eee8L6dSHLP3zQ">
            <body>&quot;Participation status of the participant. When the status is declined or tentative if the start/end times are different to the appointment, then these times should be interpreted as a requested time change. When the status is accepted, the times can either be the time of the appointment (as a confirmation of the time) or can be empty.&quot; - HL7 FHIR, AppointmentResponse.participantStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XJEZwsC7Eee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XJEZwcC7Eee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XGauYMC7Eee8L6dSHLP3zQ" name="participantType" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__slEsMC7Eee8L6dSHLP3zQ" annotatedElement="_XGauYMC7Eee8L6dSHLP3zQ">
            <body>&quot;Role of participant in the appointment.&quot; - HL7 FHIR, AppointmentResponse.participantType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XGauYsC7Eee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XGauYcC7Eee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ghSGUMC7Eee8L6dSHLP3zQ" name="appointmentResponse_appointment" memberEnd="_ghSGUcC7Eee8L6dSHLP3zQ _ghSGVMC7Eee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_ghSGVMC7Eee8L6dSHLP3zQ" name="" visibility="private" type="_IKgvwMC7Eee8L6dSHLP3zQ" association="_ghSGUMC7Eee8L6dSHLP3zQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B645465F2F00A1" name="EnrollEligCOB">
      <eAnnotations xmi:id="_PlQl8eLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PlQl9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_-QEd4La1Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B645465F2F00A1">
        <body>Enrollment, Eligibility, and Coordination of Benefits&amp;amp;amp;nbsp;Domain</body>
      </ownedComment>
      <ownedComment xmi:id="_RNx4UFVXEeCN_KTl5VCkdg" annotatedElement="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
        <body>Entry Point for a Claim</body>
      </ownedComment>
      <ownedComment xmi:id="_XA34UFVXEeCN_KTl5VCkdg" annotatedElement="_-SSlgEsgEeCgDquuCdSxAg _420A62FD03B6418A4E500034">
        <body>Entry Point for Enrollment</body>
      </ownedComment>
      <ownedComment xmi:id="_pAqVMIVbEeCFWps2bBaH1A" annotatedElement="_347b4IVZEeCFWps2bBaH1A">
        <body>Note: this should link to either an Agent or the Provider (in an exclusive OR), but since we don't instantiate those, we'll just stop here.</body>
      </ownedComment>
      <ownedComment xmi:id="_IrF0QL3_EeC-ttaZwaDxZw">
        <body>Need to model Residence Type (US Citizen, Resident Alien, etc.)</body>
      </ownedComment>
      <ownedComment xmi:id="_n1ytcJq0EeWM5elFdwkMRQ">
        <body>Parking Lot:&#xD;
   - EligibilityInquiry&#xD;
   - EligibilityResponse&#xD;
   - EnrollmentInquiry&#xD;
   - EnrollmentResponse&#xD;
   - RxHistoryRequest&#xD;
   - RxHistoryResponse</body>
      </ownedComment>
      <ownedComment xmi:id="_JaTX4LBNEeesgss27DHDeg">
        <body>could be the employer</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_07EAwBd1EeC9Abp3tFVARg" name="PriorAuthorization">
        <ownedComment xmi:id="_vq8A8E79EeSJI4YBId-MmA" annotatedElement="_07EAwBd1EeC9Abp3tFVARg">
          <body>Prior authorization is a requirement that a prescribing physician obtain approval from the patient's health plan to prescribe a specific medication. Without this prior approval, the patient's health plan may not provide coverage, or pay for, the medication.  This class contains information concerning a prior authorization already issued by a payer so that (among other reasons) the pharmacy would be aware of the prior authorization and may cite the prior authorization details to the payer on a claim in order to ensure that the payer recognizes the claim as authorized and therefore improves the chances of payment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VoOxcCbuEeOyp-Ce3y08Wg" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_X3zAUCbuEeOyp-Ce3y08Wg" annotatedElement="_VoOxcCbuEeOyp-Ce3y08Wg">
            <body>&quot;Code clarifying the Prior Authorization Number Submitted or benefit/plan exemption.&quot; - NCPDP Telecommunication (Field 461-EU, Data Dictionary 201104).  Possible values include: Prior Authorization; Medical Certification; Early Periodic Screening Diagnosis Treatment; Exemption from Copay and/or Coinsurance; Exemption from RX; Family Planning Indicator; Temporary Assistance for Needy Families; Payer Defined Exemption; Emergency Preparedness; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YeDx4LygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YeDx4bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nhq78E8FEeSJI4YBId-MmA" name="dateProcessed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_lBs3wE8FEeSJI4YBId-MmA" annotatedElement="_Nhq78E8FEeSJI4YBId-MmA">
            <body>This is the date that the Processor issued or processed the prior authorization.  Provided by the Processor to the Pharmacy.&#xD;
&quot;Date the prior authorization was processed&quot; - NCPDP Telecommunication (Field 498-PR, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RwyLQE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RwyyUE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fDjsgBd2EeC9Abp3tFVARg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_CPZBUE8DEeSJI4YBId-MmA" annotatedElement="_fDjsgBd2EeC9Abp3tFVARg">
            <body>The time period during which medication which would ordinarily not be covered by the payer may be dispensed under the understanding that the payer will pay for the medication as per the pre-authorization.&#xD;
&quot;Date the prior authorization became effective&quot; and &quot;Date the prior authorization ends&quot; - NCPDP Telecommunication (Fields 498-PS and 498-PT, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TaabgE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TabCkE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4fABkBd1EeC9Abp3tFVARg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WBfdYE8EEeSJI4YBId-MmA" annotatedElement="_4fABkBd1EeC9Abp3tFVARg">
            <body>Identifies the pre-authorization.  This Id is assigned by the Processor.&#xD;
&quot;Unique number identifying the prior authorization asigned by the processor&quot; - NCPDP Telecommunication (Field 498-PY, Data Dictionary 201104).&#xD;
&quot;Number submitted by the provider to identify the prior authorization.&quot; - NCPDP Telecommunication (Field 462-EV, Data Dictionary 201104).&#xD;
&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.&#xD;
&quot;Contains the number assigned by the certification agency.&quot; - HL7 Version 2.8, IN3-2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZgkXwLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgkXwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oxGv4Bd2EeC9Abp3tFVARg" name="maximumQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_-jeTwE8DEeSJI4YBId-MmA" annotatedElement="_oxGv4Bd2EeC9Abp3tFVARg">
            <body>The quantity of medication which would ordinarily not be covered by the payer that may be dispensed under the understanding that the payer will pay for the medication as per the pre-authorization.&#xD;
&quot;Amount authorized expressed in decimal units.&quot; - NCPDP Telecommunication (Field 498-RA, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1rYkBd2EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1r_oBd2EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E1TMQE8GEeSJI4YBId-MmA" name="moneyAuthorized" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_W3XqkE8GEeSJI4YBId-MmA" annotatedElement="_E1TMQE8GEeSJI4YBId-MmA">
            <body>The dollar amount authorized for the dispensing of a medication that otherwise would not have been covered by the Payer.&#xD;
&quot;Amount authorized in the prior authorization.&quot; - NCPDP Telecommunication (Field 498-RB, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SqCugE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SqDVkE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d-DZYE8GEeSJI4YBId-MmA" name="nbrOfRefillsAuthorized" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_d-DZYU8GEeSJI4YBId-MmA" annotatedElement="_d-DZYE8GEeSJI4YBId-MmA">
            <body>&quot;Number of refills authorized by the prior authorization.&quot; - NCPDP Telecommunication (Field 498-PW, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d-DZY08GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d-DZYk8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_--NnoE8GEeSJI4YBId-MmA" name="quantityAccumulated" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_--NnoU8GEeSJI4YBId-MmA" annotatedElement="_--NnoE8GEeSJI4YBId-MmA">
            <body>The amount of medication previously dispensed and paid for under this authorization.  Used to determine the quantity remaining for billing under this authorization.&#xD;
&quot;Accumulated authorized amount expressed in metric decimal units.&quot; - NCPDP Telecommunication (Field 498-PX, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_--Nno08GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_--Nnok8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D_qoYBd2EeC9Abp3tFVARg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lJyPINUlEeGzd-o9XtejuA" annotatedElement="_D_qoYBd2EeC9Abp3tFVARg">
            <body>&quot;The status of the prescription’s prior authorization as known by the sender.&quot; - NCPDP Script (Field 7891, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UodjAE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UoeKEE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VEDnoCf3EeC-JKXSDMHR6A" name="orderablePharmacyItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_VECZgCf3EeC-JKXSDMHR6A">
          <ownedComment xmi:id="_Y9eH4EqGEeSqlerh7YvyAA" annotatedElement="_VEDnoCf3EeC-JKXSDMHR6A">
            <body>Pointer to the medicinal product that is the subject of the pre-authorization request.  Note that this property may seem redundant as the Pharmacy Order contains an ordered item and points to the Prior Authorization class that owns this property.  It is not redundant, however, as the pre-authorization may have occurred before the order occurs, and may be for a (slightly) different orderable medication, for example, the prior authorization may have been for a brand name drug, but a generic version is ordered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VEEOsCf3EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VEEOsSf3EeC-JKXSDMHR6A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645466193009E" name="GroupCoverage">
        <eAnnotations xmi:id="_Pkz6B-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_dgLWkMYlEd2ZAepatfUxXw" annotatedElement="_420A62FD03B645466193009E">
          <body>&quot;Group Health Insurance: A health insurance plan that provides benefits for employees of a business or members of an organization, as opposed to individual and family health insurance.&quot; - eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Hl0dILA6Eeesgss27DHDeg" name="classId" visibility="public">
          <ownedComment xmi:id="_S-PmkLA9Eeesgss27DHDeg" annotatedElement="_Hl0dILA6Eeesgss27DHDeg">
            <body>&quot;Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage such as a level of deductables or co-payment.&quot; - HL7 FHIR, Coverage.grouping.class</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hl0dIrA6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hl0dIbA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HoNCwLA6Eeesgss27DHDeg" name="className" visibility="public">
          <ownedComment xmi:id="_anxjwLA9Eeesgss27DHDeg" annotatedElement="_HoNCwLA6Eeesgss27DHDeg">
            <body>&quot;A short description for the class.&quot; - HL7 FHIR, Coverage.grouping.classDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HoNCwrA6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HoNCwbA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454662290146" name="groupId" visibility="public">
          <ownedComment xmi:id="_Pkz6AuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662290146">
            <body>A unique identifier that the payer or information source uses to identify a specific Group OR an Identifier assigned by the health plan to be used as a key to the group's contractual benefits.&#xD;
&quot;Contains the group number of the insured’s insurance.&quot; - HL7 Version 2.8, IN1-8.&#xD;
&quot;Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify an employer group. May also be referred to as a Policy or Group ID.&quot; - HL7 FHIR, Coverage.grouping.group&#xD;
&quot;ID assigned to the cardholder group or employer group.&quot; - NCPDP Telecommunication (Field 301-C1, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1I9FgLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1I9FgbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rPBx4Cu4Ed-mUrYY2zR9Jw" name="groupName" visibility="public">
          <ownedComment xmi:id="__PDfkAMfEeKTM4I4vlc5xg" annotatedElement="_rPBx4Cu4Ed-mUrYY2zR9Jw">
            <body>&quot;Contains the group name of the insured’s insurance.&quot; - HL7 Version 2.8, IN1-9.&#xD;
&quot;A short description for the group.&quot; - HL7 FHIR, Coverage.grouping.groupDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1xPNgLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1xPNgbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeF68EvmEeCrON7ycdFLuQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_SdqdIEvmEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_xnPBoCU7EeO_iaEYDPvTaA" annotatedElement="_SeF68EvmEeCrON7ycdFLuQ">
            <body>Pointer to the Plan (i.e., the the defined set of benefits promised by the Payer) to which the Group has subscribed, thereby defining the set of benefits available to members of the Group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeF68UvmEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeF68kvmEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-QUItB2aEd-4VI-lpu-JjQ" name="planSponsor" visibility="public" type="_xu5PgB2aEd-4VI-lpu-JjQ" association="_-QUIsB2aEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_3X-kYCcAEeOyp-Ce3y08Wg" annotatedElement="_-QUItB2aEd-4VI-lpu-JjQ">
            <body>Pointer to the company or organization that assumes financial responsibility for the Group Coverage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-QUItR2aEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-QUIth2aEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HqStcLA6Eeesgss27DHDeg" name="subClassId" visibility="public">
          <ownedComment xmi:id="_geb1ILA9Eeesgss27DHDeg" annotatedElement="_HqStcLA6Eeesgss27DHDeg">
            <body>&quot;Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a subclass of coverage such as a sub-level of deductables or co-payment.&quot; - HL7 FHIR, Coverage.grouping.subClass</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HqStcrA6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HqStcbA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hr7sMLA6Eeesgss27DHDeg" name="subClassName" visibility="public">
          <ownedComment xmi:id="_p4bDULA9Eeesgss27DHDeg" annotatedElement="_Hr7sMLA6Eeesgss27DHDeg">
            <body>&quot;A short description for the subclass.&quot; - HL7 FHIR, Coverage.grouping.subClassDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hr7sMrA6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hr7sMbA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DyLzcLA6Eeesgss27DHDeg" name="subGroupId" visibility="public">
          <ownedComment xmi:id="_knUdcLA6Eeesgss27DHDeg" annotatedElement="_DyLzcLA6Eeesgss27DHDeg">
            <body>&quot;Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a subset of an employer group.&quot; - HL7 FHIR, Coverage.grouping.subGroup</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DyLzc7A6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DyLzcrA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HiPksLA6Eeesgss27DHDeg" name="subGroupName" visibility="public">
          <ownedComment xmi:id="_tU21ULA6Eeesgss27DHDeg" annotatedElement="_HiPksLA6Eeesgss27DHDeg">
            <body>&quot;A short description for the subgroup.&quot; - HL7 FHIR, Coverage.grouping.subGroupDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HiPksrA6Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HiPksbA6Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pv3_9B2ZEd-4VI-lpu-JjQ" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_pv3_8B2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_lGXLACb8EeOyp-Ce3y08Wg" annotatedElement="_pv3_9B2ZEd-4VI-lpu-JjQ">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Group Coverage Health Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pv3_9R2ZEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pv3_9h2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6454662F10302" name="Payer" isAbstract="true">
        <eAnnotations xmi:id="_Pk9D9-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Pkz6CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662F10302">
          <body>The public or private organization that is responsible for payment for health care expenses. Payers may be insurance companies or self-insured employers. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6454663120296" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_Pkz6DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454663120296">
            <body>&quot;Contains the address of the insurance company.&quot; - HL7 Version 2.8, IN1-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QKLugAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QKMVkAMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645466360027B" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Pk9D8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645466360027B">
            <body>A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer.  ASC X12 270/271 p 343, 358 example &#xD;
&quot;Contains unique identifiers for the insurance company.&quot; - HL7 Version 2.8, IN1-3.&#xD;
&quot;Carrier code assigned in Worker’s Compensation Program.&quot; - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QH4KELygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QH4KEbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454663A3028F" name="name" visibility="public">
          <ownedComment xmi:id="_Pk9D9eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454663A3028F">
            <body>&quot;Contains the name of the insurance company.&quot; - HL7 Version 2.8, IN1-4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q-_YQLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q-_YQbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_roNVAEwdEeCc9OmUU3L5_A" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_roNVAUwdEeCc9OmUU3L5_A" annotatedElement="_roNVAEwdEeCc9OmUU3L5_A">
            <body>&quot;Contains the phone number of the insurance company.&quot; - HL7 Version 2.8, IN1-7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RURjEAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RUSKIAMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XApwoBs8Ed--ZY2-pbJ-Pw" name="pointOfContact" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_VhL6UAMfEeKTM4I4vlc5xg" annotatedElement="_XApwoBs8Ed--ZY2-pbJ-Pw">
            <body>&quot;Contains the name of the person who should be contacted at the insurance company.&quot; - HL7 Version 2.8, IN1-6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SRdkEAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SRdkEQMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1X544SijEd--DMAvlHV1Yg" name="planOrPolicy" visibility="public" type="_xRKHcLBpEeeaRp4uBVUfTA" association="_1X544CijEd--DMAvlHV1Yg">
          <ownedComment xmi:id="_ww7cICFTEeO3ioY7BiCZOQ" annotatedElement="_1X544SijEd--DMAvlHV1Yg">
            <body>Pointer to the Health Plan(s) and/or Healthcare Policies that the owning Payer offers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1X544iijEd--DMAvlHV1Yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1X544yijEd--DMAvlHV1Yg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zKZBcVSLEeCZIfOFML-ypw" name="payerOrAgent" visibility="public" type="_bj0YwFSLEeCZIfOFML-ypw" association="_zKZBcFSLEeCZIfOFML-ypw">
          <ownedComment xmi:id="_AaA7kCrxEeOKCrmlnw-Z_w" annotatedElement="_zKZBcVSLEeCZIfOFML-ypw">
            <body>Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zKZBclSLEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zKZBc1SLEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64546640100C0" name="HealthPlan">
        <eAnnotations xmi:id="_PlG0-uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_z5qHECu1Ed-mUrYY2zR9Jw" annotatedElement="_420A62FD03B64546640100C0">
          <body>A Health Plan is a contract between an benefits provider (e.g. an insurance company or a government agency) and an individual or his/her sponsor (e.g. an employer or union).  The type and amount of health care costs that will be covered by the health insurance provider are specified in writing, in a member contract or &quot;Evidence of Coverage&quot; booklet for private insurance, or in a national health policy for public insurance.  For example, the Department of Veterans Affairs (VA) annually publishes the &quot;Federal Benefits for Veterans and Dependents,&quot; describing the benefits available during that year.  An insurance company will often offer multiple Health Plans.&#xD;
&#xD;
This class represents the contract, or the defined set of benefits that are promised by the benefits provider.  It is noted that we had difficulty finding a single generic term for the concept defined by this class, as many commonly used terms have specific meanings in different settings.  In some settings, this might be called an Insurance Plan, but that term doesn't fit VA's benefit package, or Medicare.&#xD;
&#xD;
While the set of benefits may be very closely associated with the organization that offers it (e.g., &quot;Medicare&quot;), the organization is a separate concept (for which we have chosen the generic term, &quot;Payer&quot;).  The term Health Plan includes not only Private Insurance Plans, but also Public Health Plans, Military Health Programs, and State Health Insurance Programs.&#xD;
&#xD;
Note that Private Insurance Plan, Public Health Plan, Military Health Program, and State Health Insurance Program were once modeled as subclasses of Health Plan, but were removed as these might be better represented by a type code instead.</body>
        </ownedComment>
        <generalization xmi:id="_GDL4oLKeEeeKfvjx78dWlQ" general="_xRKHcLBpEeeaRp4uBVUfTA"/>
        <ownedAttribute xmi:id="_q7bw8R2VEd-4VI-lpu-JjQ" name="coveredBenefit" visibility="public" type="_rRgvoB2KEd-4VI-lpu-JjQ" aggregation="shared" association="_q7bw8B2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_wpA9gCVJEeO_iaEYDPvTaA" annotatedElement="_q7bw8R2VEd-4VI-lpu-JjQ">
            <body>Pointer to a set of healthcare-related procedures or services, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Health Plan on behalf of holders of Policies written against that Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q7bw8h2VEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q7bw8x2VEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2MRN0EwWEeCc9OmUU3L5_A" name="deductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Kq7TECYBEeOkPsd2JhLMLw" annotatedElement="_2MRN0EwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a periodic (usually annual) monetary limit.  For example, a plan may cover all doctor's visits after the first $200.  In this example, this property would contain $200.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_69AHwLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_69AHwbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546642F0075" name="effectivePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Pk9D_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546642F0075">
            <body>&quot;Contains the date that the insurance goes into effect.&quot; - HL7 Version 2.8, IN1-12.&#xD;
&quot;Indicates the last date of service that the insurance will cover or be responsible for.&quot; - HL7 Version 2.8, IN1-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7Z6GMLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7Z6GMbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q0DZ0Cu2Ed-mUrYY2zR9Jw" name="financialArrangement" visibility="public" type="_AON0QBs0Ed--ZY2-pbJ-Pw" association="_Qz5o0Cu2Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_RasCwCE3EeO3ioY7BiCZOQ" annotatedElement="_Q0DZ0Cu2Ed-mUrYY2zR9Jw">
            <body>Pointer to a predefined scheme(s) for payment or reimbursement to healthcare providers that are applicable to the owning Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q0DZ0Su2Ed-mUrYY2zR9Jw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q0DZ0iu2Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeI-QEvmEeCrON7ycdFLuQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_SdqdIEvmEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_VwL9ACrzEeOKCrmlnw-Z_w" annotatedElement="_SeI-QEvmEeCrON7ycdFLuQ">
            <body>Pointer to the Group Health Insurance Policies established for a particular Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeI-QUvmEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeMBkEvmEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tsC3ZB2VEd-4VI-lpu-JjQ" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_tsC3YB2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_MOuusCYuEeOkPsd2JhLMLw" annotatedElement="_tsC3ZB2VEd-4VI-lpu-JjQ">
            <body>Pointer to the Insurance Policies written against the Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tsC3ZR2VEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tsC3Zh2VEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s_HSUFSIEeCZIfOFML-ypw" name="homePlan" visibility="public">
          <ownedComment xmi:id="_Nfn6QCU7EeO_iaEYDPvTaA" annotatedElement="_s_HSUFSIEeCZIfOFML-ypw">
            <body>&quot;Code identifying the Blue Cross or Blue Shield plan ID which indicates where the member’s coverage has been designated. Usually where the member lives or purchased their coverage.  This field is used for interstate processing between Blue Cross and Blue Shield plans.&quot; - NCPDP Telecommunication (Field 314-CE, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-x7-QFSJEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-x7-QVSJEeCZIfOFML-ypw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546648F00D9" name="insuranceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PlG09eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546648F00D9">
            <body>Such as HMO, PPO, Medicare, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_98sMALyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_98sMAbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546644F024C" name="planId" visibility="public">
          <ownedComment xmi:id="_PlG08uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546644F024C">
            <body>A unique identifier that the payer or information source uses to identify the Health Plan.&#xD;
&quot;Contains a unique identifier for the insurance plan.&quot; - HL7 Version 2.8, IN1-2.&#xD;
&quot;Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a collection of benefits provided to employees. May be referred to as a Section or Division ID.&quot; - HL7 FHIR, Coverage.grouping.plan&#xD;
&quot;Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim.&quot; - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9IJwsLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9IThsLyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454664AA010A" name="planName" visibility="public">
          <ownedComment xmi:id="_PlG0-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454664AA010A">
            <body>The name of the Plan as assigned by the Payer.&#xD;
&quot;A short description for the plan.&quot; - HL7 FHIR, Coverage.grouping.planDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__EuLELyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__EuLEbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e7qPdB2ZEd-4VI-lpu-JjQ" name="providerPlanParticipation" visibility="public" type="_coTswB2ZEd-4VI-lpu-JjQ" association="_e7qPcB2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_wVVtQNLfEeaB48kcgQEvbA" annotatedElement="_e7qPdB2ZEd-4VI-lpu-JjQ">
            <body>Pointer to a collection of Healthcare Providers (both Individual and Organizational Providers) participating in a given Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7qPdR2ZEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e7qPdh2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wdc-YEC6EeO2aaQpQxRerg" name="planNetworkAffliliation" visibility="public" type="_0f65ACu5Ed-mUrYY2zR9Jw" association="_WdaiIEC6EeO2aaQpQxRerg">
          <ownedComment xmi:id="_nxau8NLgEeaB48kcgQEvbA" annotatedElement="_Wdc-YEC6EeO2aaQpQxRerg">
            <body>Pointer to the Network with which the Health Plan has some contractual relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WddlcEC6EeO2aaQpQxRerg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WddlcUC6EeO2aaQpQxRerg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5vK-8CFSEeO3ioY7BiCZOQ" name="requiresNoticeOfAdmission" visibility="public">
          <ownedComment xmi:id="_SviFECFTEeO3ioY7BiCZOQ" annotatedElement="_5vK-8CFSEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether the insurance company requires a written notice of admission from the healthcare provider.&quot; - HL7 Version 2.8, IN1-23.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AbrW8LygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AbrW8bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i1y-ACFTEeO3ioY7BiCZOQ" name="sendsReportOfEligibility" visibility="public">
          <ownedComment xmi:id="_i1y-ASFTEeO3ioY7BiCZOQ" annotatedElement="_i1y-ACFTEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether this insurance carrier sends a report that indicates that the patient is eligible for benefits and whether it identifies those benefits.&quot; - HL7 Version 2.8, IN1-25.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BPpxkLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BPpxkbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IJnRQLA7Eeesgss27DHDeg" name="subPlanId" visibility="public">
          <ownedComment xmi:id="_VkAZ0LA7Eeesgss27DHDeg" annotatedElement="_IJnRQLA7Eeesgss27DHDeg">
            <body>&quot;Identifies a sub-style or sub-collective of coverage issued by the underwriter, for example may be used to identify a subset of a collection of benefits provided to employees.&quot; - HL7 FHIR, Coverage.grouping.subPlan</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IJnRQrA7Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IJnRQbA7Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XMVCgLA7Eeesgss27DHDeg" name="subPlanName" visibility="public">
          <ownedComment xmi:id="_cXb1cLA7Eeesgss27DHDeg" annotatedElement="_XMVCgLA7Eeesgss27DHDeg">
            <body>&quot;A short description for the subplan.&quot; - HL7 FHIR, Coverage.grouping.subPlanDisplay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XMVCgrA7Eeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XMVCgbA7Eeesgss27DHDeg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ew1QBszEd--ZY2-pbJ-Pw" name="Subscriber">
        <ownedComment xmi:id="_OdeR0BtAEd--ZY2-pbJ-Pw" annotatedElement="_4ew1QBszEd--ZY2-pbJ-Pw">
          <body>This class represents a Person who is named as a beneficiary of a Health Policy.  Usually, this is the person who is paying for the premiums of the Health Policy, or the person on whose behalf an organization, such as their employer, is paying the premiums.  In the case of government programs, this person is the named beneficiary. &#xD;
&#xD;
The concept which we chose to name &quot;Subscriber&quot; is known by multiple terms, depending on the setting.  For all intents and purposes, Subscriber, Sponsor, Policy Holder, and Contract Holder are synonymous.&#xD;
&#xD;
Other terms which sometimes overlap and sometimes do not include: Insured-Or-Member, Member, Beneficiary, Enrollee, Cardholder, Recipient, and Covered Person.  For the most part, these terms relate closer to the person being treated (what we call the Covered Patient) than to the named Subscriber.  It is worth noting though that not all Insured-Or-Members are necessarily ever patients, only those that have actually been treated are patients.  The person referred to by many of these concepts, especially Insured-Or-Member, may be either a Dependent, or may be the Subscriber (i.e., &quot;self&quot;).&#xD;
&#xD;
The Subscriber may have dependents who may or may not be known by name to the Payer.  The Payer may or may not issue insurances cards to those dependents, so the term &quot;Cardholder&quot; does not distinguish between the Subscriber and their dependents.&#xD;
&#xD;
In the Department of Defense, active duty personnel are automatically enrolled into the &quot;direct care&quot; program as a Subscriber.  Retirees are eligible to enroll in several programs such as Tricare for Life.  In this case, person is still considered a Subscriber.&#xD;
&#xD;
The following definitions are from eHealthInsurance.org:&#xD;
Subscriber: &quot;This term may be used in two senses: First, it may refer to the person or organization that pays for health insurance premiums; secondly, it may refer to the person whose employment makes him or her eligible for group health insurance benefits.&quot;&#xD;
&#xD;
Enrollee: &quot;An eligible person or eligible employee who is enrolled in a health insurance plan. Dependents are not referred to as enrollees.&quot;&#xD;
&#xD;
Member: &quot;Anyone covered under a health insurance plan, an enrollee or eligible dependent.&quot;</body>
        </ownedComment>
        <generalization xmi:id="_BCZk4LBlEeeaRp4uBVUfTA" general="_-SSlgEsgEeCgDquuCdSxAg"/>
        <ownedAttribute xmi:id="_420A62FD03B6454661FF03E5" name="subscriberIdentifier" visibility="public">
          <ownedComment xmi:id="_PkqJBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454661FF03E5">
            <body>A unique identifier that the payer or information source can use to identify the person as a Policy Holder.&#xD;
&quot;Contains a healthcare institution’s identifiers for the insured.&quot; - HL7 Version 2.8, IN1-49.&#xD;
&quot;The insurer assigned ID for the Subscriber.&quot; - HL7 FHIR, Coverage.subscriberId&#xD;
&quot;Insurance ID assigned to the cardholder or identification number used by the plan.&quot; - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104).  Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qPiPcLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qPiPcbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wcxc8Rs7Ed--ZY2-pbJ-Pw" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_Wcxc8Bs7Ed--ZY2-pbJ-Pw">
          <ownedComment xmi:id="__K1mkAMiEeKTM4I4vlc5xg" annotatedElement="_Wcxc8Rs7Ed--ZY2-pbJ-Pw">
            <body>Pointer to the Person playing the Role of Subscriber.&#xD;
&quot;Contains the name of the insured person.  The insured is the person who has an agreement with the insurance company to provide healthcare services to persons covered by the insurance policy.&quot; - HL7 Version 2.8, IN1-16.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wcxc8hs7Ed--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wcxc8xs7Ed--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pv3_8R2ZEd-4VI-lpu-JjQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_pv3_8B2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_GOohgCb_EeOyp-Ce3y08Wg" annotatedElement="_pv3_8R2ZEd-4VI-lpu-JjQ">
            <body>Pointer to the Group Health Insurance Policy under which the Subscriber is entitled benefits.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pv3_8h2ZEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pv3_8x2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UeNRQUslEeCgDquuCdSxAg" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_UeNRQEslEeCgDquuCdSxAg">
          <ownedComment xmi:id="_ixol0CYsEeOkPsd2JhLMLw" annotatedElement="_UeNRQUslEeCgDquuCdSxAg">
            <body>Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) for which the Subscriber is a beneficiary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UeNRQkslEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UeNRQ0slEeCgDquuCdSxAg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iWlnsFlaEeCyw5g2lQh-Ug" name="otherPolicyInfo" visibility="public" type="_oeVegFlZEeCyw5g2lQh-Ug" association="_iWikYFlaEeCyw5g2lQh-Ug">
          <ownedComment xmi:id="_vZ8F0CVKEeO_iaEYDPvTaA" annotatedElement="_iWlnsFlaEeCyw5g2lQh-Ug">
            <body>Pointer to additional information needed by specific payers to properly identify either the subscriber or the health plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iWorAFlaEeCyw5g2lQh-Ug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iWorAVlaEeCyw5g2lQh-Ug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a0jhIPaAEeCbn6MPgQ_rxg" name="coverageTerm" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_-wY7sAMhEeKTM4I4vlc5xg" annotatedElement="_a0jhIPaAEeCbn6MPgQ_rxg">
            <body>&quot;Contains the date that the insurance goes into effect.&quot; - HL7 Version 2.8, IN1-12.&#xD;
&quot;Indicates the last date of service that the insurance will cover or be responsible for.&quot; - HL7 Version 2.8, IN1-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nrjPwLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nrjPwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_992mIPaAEeCbn6MPgQ_rxg" name="coverageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rncC8AMjEeKTM4I4vlc5xg" annotatedElement="_992mIPaAEeCbn6MPgQ_rxg">
            <body>&quot;Contains the coding structure that identifies the various plan types, for example, Medicare, Medicaid, Blue Cross, HMO, etc.&quot; - HL7 Version 2.8, IN1-15.  Note that HL7 links this field to User Defined Table 0086, which contains no suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_okPLQLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_okPLQbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AON0QBs0Ed--ZY2-pbJ-Pw" name="FinancialArrangement">
        <ownedComment xmi:id="_vqfnUDA8Ed-1aYBV65Lrnw" annotatedElement="_AON0QBs0Ed--ZY2-pbJ-Pw">
          <body>Describes the nature of the financial arrangement or contract between a healthcare provider and a health plan.  Financial Arrangements are commonly based on Fee Schedules, Capitation arrangements, or some kind of combination of the two.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_DQOTUCu0Ed-mUrYY2zR9Jw" name="contractId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="__w9L8CE2EeO3ioY7BiCZOQ" annotatedElement="_DQOTUCu0Ed-mUrYY2zR9Jw">
            <body>Identifies the legal agreement between a Health Plan and a (group of) provider(s) in which the method and value of payments are defined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vaHTYLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vaHTYbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Qz5o0Su2Ed-mUrYY2zR9Jw" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_Qz5o0Cu2Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_00vEECE4EeO3ioY7BiCZOQ" annotatedElement="_Qz5o0Su2Ed-mUrYY2zR9Jw">
            <body>Pointer to the healthcare-financing-related product offering which utilizes the Financial Arrangement for payment determination.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qz5o0iu2Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qz5o0yu2Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TE7sICE5EeO3ioY7BiCZOQ" name="effectivePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_TE7sISE5EeO3ioY7BiCZOQ" annotatedElement="_TE7sICE5EeO3ioY7BiCZOQ">
            <body>The time period for which the Financial Arrangement is valid.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wButALyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wButAbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EafncBs0Ed--ZY2-pbJ-Pw" name="CapitationArrangement">
        <ownedComment xmi:id="_NTPqMEyfEd-ir98gTBezYA" annotatedElement="_EafncBs0Ed--ZY2-pbJ-Pw">
          <body>&quot;A method of paying for medical services on a per-person rather than a per-procedure basis. Under capitation, an HMO pays a doctor a fixed amount each month to take care of HMO members, regardless of how much or how little care each member needs.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_HKH2cBs0Ed--ZY2-pbJ-Pw" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FLDhsBs0Ed--ZY2-pbJ-Pw" name="FeeForServiceArrangement">
        <ownedComment xmi:id="_v9UAEEygEd-ir98gTBezYA" annotatedElement="_FLDhsBs0Ed--ZY2-pbJ-Pw">
          <body>Fee Schedule: &quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot;  Fee-for-Service: &quot;A payment system for health care where the provider is paid for each service rendered rather than a pre-negotiated amount for each patient.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_HrVtIBs0Ed--ZY2-pbJ-Pw" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_C4ttQU4ZEd-2ltKWH2NjJw" name="feeSchedule" visibility="public" type="_D53CgEyrEd-ir98gTBezYA" association="_C4ttQE4ZEd-2ltKWH2NjJw">
          <ownedComment xmi:id="_Dpx3oCE3EeO3ioY7BiCZOQ" annotatedElement="_C4ttQU4ZEd-2ltKWH2NjJw">
            <body>&quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot; -eHealthInsurance.org</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C4ttQk4ZEd-2ltKWH2NjJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C4ttQ04ZEd-2ltKWH2NjJw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3IaXsUvvEeCrON7ycdFLuQ" name="diagnosisRelatedGroup" visibility="public" type="_75QqIEyfEd-ir98gTBezYA" association="_3IaXsEvvEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_Fbd3sCE3EeO3ioY7BiCZOQ" annotatedElement="_3IaXsUvvEeCrON7ycdFLuQ">
            <body>&quot;A method of classifying [medical] services. It is used as a method of determining financing to reimburse various providers for services performed.&quot; -eHealthInsurance.org</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3IdbAEvvEeCrON7ycdFLuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3IdbAUvvEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Kk8-kBs0Ed--ZY2-pbJ-Pw" name="BillableService">
        <eAnnotations xmi:id="_WKZ7ECijEd--DMAvlHV1Yg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_rzIogPj5EeCL4956HPvowQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_XuMS4CXyEeOkPsd2JhLMLw" annotatedElement="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
          <body>This class represents the provision of a healthcare-related product, procedure, or service that may be charged to the patient or to the patient's Health Plan.  This class serves to connect the clinical information that may be recorded in an EHR, such as a procedure or the dispensing of a drug, to the financial information detailing the billing and adjudication of charges for that clinical activity.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5BcLQCatEeOyp-Ce3y08Wg" name="associatedTransactionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_5BcLQSatEeOyp-Ce3y08Wg" annotatedElement="_5BcLQCatEeOyp-Ce3y08Wg">
            <body>Contains the Transaction Date of a related Billable Service.  Typically used to relate a completed fill to a partial fill for the same prescription.&#xD;
&quot;Date of the Associated Prescription/Service Reference Number.&quot; - NCPDP Telecommunication (Field 457-EP, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7aXEELydEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7aXEEbydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h9egYCatEeOyp-Ce3y08Wg" name="associatedTransactionId" visibility="public">
          <ownedComment xmi:id="_h9egYSatEeOyp-Ce3y08Wg" annotatedElement="_h9egYCatEeOyp-Ce3y08Wg">
            <body>Contains the Transaction Id of a related Billable Service.  Typically used to relate a completed fill to a partial fill for the same prescription.&#xD;
&quot;Related Prescription/Service Reference Number to which the service is associated.&quot; - NCPDP Telecommunication (Field 456-EN, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8P6zELydEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8P6zEbydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__qfu4CFHEeO3ioY7BiCZOQ" name="canBenefitsBeCoordinated" visibility="public">
          <ownedComment xmi:id="__qfu4SFHEeO3ioY7BiCZOQ" annotatedElement="__qfu4CFHEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether this insurance works in conjunction with other insurance plans, or if it provides independent coverage and payment of benefits regardless of other insurance that might be available to the patient.&quot; - HL7 Version 2.8, IN1-21.  Note that HL7 Version 2 models this as a code with possible values (Table 173) of: Coordination, Independent.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-U5ikLydEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-U5ikbydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fkIX0CVXEeO_iaEYDPvTaA" name="productServiceId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_r1teMCVXEeO_iaEYDPvTaA" annotatedElement="_fkIX0CVXEeO_iaEYDPvTaA">
            <body>&quot;ID of the product dispensed or service provided.&quot; - NCPDP Telecommunication (Field 407-D7, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate qualifier field (436-E1 ) to indicate what kind of data is in this field.  Possible values include: NDC, UPC, HRI, and 37 other codes.  This is not modeled as a separate property in the FHIM, rather this can be handled by the Code data type.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DqP2oLyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DqP2obyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HL2p0FlcEeCyw5g2lQh-Ug" name="doesPatientAssignBenefits" visibility="public">
          <ownedComment xmi:id="_AJQj8CFHEeO3ioY7BiCZOQ" annotatedElement="_HL2p0FlcEeCyw5g2lQh-Ug">
            <body>&quot;Indicates whether the insured agreed to assign the insurance benefits to the healthcare provider.  If so, the insurance will pay the provider directly.&quot; - HL7 Version 2.8, IN1-20.  Note that HL7 Version 2 models this as a code with possible values (Table 135) of: &quot;Yes&quot;, &quot;No&quot;, and &quot;Modified Assignment&quot;.&#xD;
&quot;Code to indicate a patient’s choice on assignment of benefits.&quot; - NCPDP Telecommunication (Field 391-MT, Data Dictionary 201104).  Note that while this is a code in the NCPDP Telecommunication structure, the valid values are Yes and No.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__rMAELydEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__rMnILydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1zp_gGuREeCZQ_Ui4wPHHw" name="doesProviderAcceptAssignment" visibility="public">
          <ownedComment xmi:id="_EOF0wCVMEeO_iaEYDPvTaA" annotatedElement="_1zp_gGuREeCZQ_Ui4wPHHw">
            <body>&quot;Code indicating whether the provider accepts assignment.&quot; - NCPDP Telecommunication (Field 361-2D, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AOe6YLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AOe6YbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ms7lwFSMEeCZIfOFML-ypw" name="eligibilityClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MVD5sCU9EeO_iaEYDPvTaA" annotatedElement="_ms7lwFSMEeCZIfOFML-ypw">
            <body>&quot;Code indicating that the pharmacy is clarifying eligibility for a patient.  Example: The patient has become a student but eligibility has not yet been updated. The pharmacy can indicate [Full Time Student] so that the carrier may override eligibility for this patient.&quot; - NCPDP Telecommunication (Field 309-C9, Data Dictionary 201104).  Possible values include: No Override; Override; Full Time Student; Disabled  Dependent; Dependent Parent; Significant Other; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W_1aUCU9EeO_iaEYDPvTaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W_2ocCU9EeO_iaEYDPvTaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XiMEMDVtEeeQAI9kLhpEGw" name="employmentImpacted" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_bakD8DVtEeeQAI9kLhpEGw" annotatedElement="_XiMEMDVtEeeQAI9kLhpEGw">
            <body>&quot;The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).&quot; - HL7 FHIR, Claim.employmentImpacted</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pcoc4DVuEeeQAI9kLhpEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PcyN4DVuEeeQAI9kLhpEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KwabYGuUEeCZQ_Ui4wPHHw" name="medicaidTransactionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ALJrACbREeOyp-Ce3y08Wg" annotatedElement="_KwabYGuUEeCZQ_Ui4wPHHw">
            <body>This is the Medicaid Subrogation Internal Control Number / Transaction Control Number (ICN/TCN).&#xD;
&quot;Claim number assigned by the Medicaid Agency.&quot; - NCPDP Telecommunication (Field 114-N4, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BXqwALyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BXqwAbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0fbQYGYTEeC_U5wVHbS9Yw" name="otherCoverageCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Bi0qkCa7EeOyp-Ce3y08Wg" annotatedElement="_0fbQYGYTEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating whether or not the patient has other insurance coverage.&quot; - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104).  Possible values include: Not Specified by patient; No other coverage; Other coverage exists-payment collected; Other Coverage Billed – claim not covered; Other coverage exists-payment not collected; Claim is billing for patient financial responsibility only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CCG0ILyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CCG0IbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kmNa4C4VEd-PMuDpZFGUxw" name="serviceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_KIOfYCrHEeO8Bco4fXbdUg" annotatedElement="_kmNa4C4VEd-PMuDpZFGUxw">
            <body>The date and/or time upon which the Billable Service was performed.&#xD;
&quot;Identifies date the prescription was filled or professional service rendered or subsequent payer began coverage following Part A expiration in a long-term care setting only.&quot; - NCPDP Telecommunication (Field 401-D1, Data Dictionary 201104).&#xD;
&quot;The time at which the service is performed as local time that will correspond with the actual date of service.&quot; - NCPDP Telecommunication (Field 678-Y6, Data Dictionary 201104).  Used primarily for controlled substance reporting.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EF9iQLyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EF9iQbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8HAiQGYSEeC_U5wVHbS9Yw" name="submissionClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xZaMcCa5EeOyp-Ce3y08Wg" annotatedElement="_8HAiQGYSEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating that the pharmacist is clarifying the submission.&quot; - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104).  Possible values include: No Override; Other Override; Vacation Supply; Lost Prescription; Therapy Change; Starter Dose; Medically Necessary; Process Compound For Approved Ingredients; Encounters; Meets Plan Limitations; Certification on File; DME Replacement Indicator; Payer-Recognized Emergency/Disaster Assistance Request; Long Term Care Leave of Absence; Long Term Care Replacement Medication; Long Term Care Emergency box (kit) or automated dispensing machine; Long Term Care Emergency supply remainder; Long Term Care Patient Admit/Readmit Indicator; Split Billing; Section 340B; LTC dispensing (NCPDP has 15 additional codes for Long Term Care dispensing mostly differentiating on the number of days supply); Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3YcWsCa5EeOyp-Ce3y08Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Yc9wCa5EeOyp-Ce3y08Wg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aQT_QGuREeCZQ_Ui4wPHHw" name="transactionId" visibility="public">
          <ownedComment xmi:id="__9syECVVEeO_iaEYDPvTaA" annotatedElement="_aQT_QGuREeCZQ_Ui4wPHHw">
            <body>&quot;Reference number assigned by the provider for the dispensed drug/product and/or service provided.&quot; - NCPDP Telecommunication (Field 402-D2, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate qualifier field (455-EM) to indicate what kind of data is in this field.  Possible values include: Rx Billing; Service Billing.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5gjgLyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5gjgbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NLxdQF7gEeCcBvMgXNMeOQ" name="billableProcedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_NLuZ8F7gEeCcBvMgXNMeOQ">
          <ownedComment xmi:id="_bccbYCX0EeOkPsd2JhLMLw" annotatedElement="_NLxdQF7gEeCcBvMgXNMeOQ">
            <body>Identifies a healthcare procedure which is being invoiced or which is associated with the service being invoiced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NLxdQV7gEeCcBvMgXNMeOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NLxdQl7gEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aS6ykG9bEeC7Xu_kGrVjuQ" name="billingSequence" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_aS3vQG9bEeC7Xu_kGrVjuQ">
          <ownedComment xmi:id="_yEjoMCFIEeO3ioY7BiCZOQ" annotatedElement="_aS6ykG9bEeC7Xu_kGrVjuQ">
            <body>Pointer to the Billing Event(s) in which the Health Plans are invoiced for the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aS6ykW9bEeC7Xu_kGrVjuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aS6ykm9bEeC7Xu_kGrVjuQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1R2_APj0EeCL4956HPvowQ" name="certificateOfMedicalNecessity" visibility="public" type="_N9_qQJXcEeCD7vwmJe8BlA" association="_1R1J0Pj0EeCL4956HPvowQ">
          <ownedComment xmi:id="_Vpt0gCYEEeOkPsd2JhLMLw" annotatedElement="_1R2_APj0EeCL4956HPvowQ">
            <body>Pointer to additional documentation, especially Certificate(s) of Medical Necessity which justify the eligibility of the Billable Service for payment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1R4NIPj0EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1R4NIfj0EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eF6oYFVXEeCN_KTl5VCkdg" name="patient" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_eF3lEFVXEeCN_KTl5VCkdg">
          <ownedComment xmi:id="___6TQCbvEeOyp-Ce3y08Wg" annotatedElement="_eF6oYFVXEeCN_KTl5VCkdg">
            <body>Identifies the Person who is the recipient of the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eF6oYVVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eF6oYlVXEeCN_KTl5VCkdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u34L4Pj5EeCL4956HPvowQ" name="patientCaseManagement" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_u31voPj5EeCL4956HPvowQ">
          <ownedComment xmi:id="_vlGbwCbxEeOyp-Ce3y08Wg" annotatedElement="_u34L4Pj5EeCL4956HPvowQ">
            <body>Pointer to the Case that is applicable to the Billable Event.  In other words, the Billable Event must cite the appropriate Case (if applicable) in order to be reimbursed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u35aAPj5EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u35aAfj5EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m12ocPj0EeCL4956HPvowQ" name="priorAuthorizationRequest" visibility="public" type="_Dbl4MHphEeCYy4DzyFpAzQ" association="_m10zQPj0EeCL4956HPvowQ">
          <ownedComment xmi:id="_pqPL4AMiEeKTM4I4vlc5xg" annotatedElement="_m12ocPj0EeCL4956HPvowQ">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m132kPj0EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m132kfj0EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3fUEsJBfEeCMBO4kb261_A" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_3fRBYJBfEeCMBO4kb261_A">
          <ownedComment xmi:id="_-HUjcCVOEeO_iaEYDPvTaA" annotatedElement="_3fUEsJBfEeCMBO4kb261_A">
            <body>Pointer to the location where the billable service took place.&#xD;
&quot;Code identifying the place where a drug or service is dispensed or administered.&quot; - NCPDP Telecommunication (Field 3Ø7-C7, Data Dictionary 201104).  Use CMS's Place of Service Codes for Professional Claims.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3fUEsZBfEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3fUEspBfEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BDJ14DVuEeeQAI9kLhpEGw" name="hospitalization" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_BDJ14TVuEeeQAI9kLhpEGw" annotatedElement="_BDJ14DVuEeeQAI9kLhpEGw">
            <body>&quot;The start and optional end dates of when the patient was confined to a treatment center.&quot; - HL7 FHIR, Claim.hospitalization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N984YDVuEeeQAI9kLhpEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N984YTVuEeeQAI9kLhpEGw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VVxqkBs5Ed--ZY2-pbJ-Pw" name="payer_organization" memberEnd="_VV60gBs5Ed--ZY2-pbJ-Pw _VV60gxs5Ed--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_VV60gxs5Ed--ZY2-pbJ-Pw" name="" visibility="public" type="_sCsLoMDJEee8L6dSHLP3zQ" association="_VVxqkBs5Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Wcxc8Bs7Ed--ZY2-pbJ-Pw" name="subscriber_asPerson" memberEnd="_Wcxc8Rs7Ed--ZY2-pbJ-Pw _Wcxc9Bs7Ed--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_Wcxc9Bs7Ed--ZY2-pbJ-Pw" name="" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_Wcxc8Bs7Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rRgvoB2KEd-4VI-lpu-JjQ" name="CoveredBenefit">
        <ownedComment xmi:id="_9losUCVGEeO_iaEYDPvTaA" annotatedElement="_rRgvoB2KEd-4VI-lpu-JjQ">
          <body>A healthcare-related procedure or service, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Healthcare Policy.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7wH38EwWEeCc9OmUU3L5_A" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tFaT4CVJEeO_iaEYDPvTaA" annotatedElement="_7wH38EwWEeCc9OmUU3L5_A">
            <body>Identifies a healthcare-related procedure or service, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Healthcare Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WygrgLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WyhSkLyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v2TxUEwWEeCc9OmUU3L5_A" name="coinsuranceAmount" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ds_tECYAEeOkPsd2JhLMLw" annotatedElement="_v2TxUEwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a percentage of its cost.  For example, if a plan pays 80% of the cost of non-formulary drugs, the patient is responsible for 20%, and this property would contain 0.20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XVh5ALyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XVh5AbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0IRVwEwWEeCc9OmUU3L5_A" name="copaymentAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_zkx24CYAEeOkPsd2JhLMLw" annotatedElement="_0IRVwEwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a flat monetary amount.  For example, if a plan pays all but $25 of the cost of on-formulary prescription drugs, the patient is responsible for the remaining $25.  In this example, this property would contain $25.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X7iwILyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X7iwIbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q7bw8B2VEd-4VI-lpu-JjQ" name="healthPlan_coveredBenefit" memberEnd="_q7bw8R2VEd-4VI-lpu-JjQ _q7bw9B2VEd-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_q7bw9B2VEd-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64546640100C0" association="_q7bw8B2VEd-4VI-lpu-JjQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q7bw9R2VEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q7bw9h2VEd-4VI-lpu-JjQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tsC3YB2VEd-4VI-lpu-JjQ" name="healthcarePolicy_healthPlan" memberEnd="_tsC3YR2VEd-4VI-lpu-JjQ _tsC3ZB2VEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_nwgwQB2ZEd-4VI-lpu-JjQ" name="HealthcarePolicy">
        <ownedComment xmi:id="_e6HisCYhEeOkPsd2JhLMLw" annotatedElement="_nwgwQB2ZEd-4VI-lpu-JjQ">
          <body>An Insurance Policy is a contract between an benefits provider (e.g. an insurance company or a government agency) and an individual or his/her sponsor (e.g. an employer or union).&#xD;
&#xD;
A Payer will generally offer one or more pre-defined sets of benefits, to which we assigned the generic term, &quot;Health Plan&quot;.  An Insurance Policy is an instance of a Health Plan.  For example, Payer A might offer a Gold Plan and a Silver Plan.  John Smith may have a Gold Plan Policy number 123, and Jane Doe may have Gold Plan Policy number 456.  ABC Motors may purchase the Silver Plan (Policy number 789) for their employees.&#xD;
&#xD;
Claims for reimbursement will cite the Insurance Policy number, and sometimes a Group Number, if applicable.  In the above example, ABC Motors' Insurance Policy is a Group Policy, so individual employees will cite the Group Number.</body>
        </ownedComment>
        <generalization xmi:id="_FhybwLKeEeeKfvjx78dWlQ" general="_xRKHcLBpEeeaRp4uBVUfTA"/>
        <ownedAttribute xmi:id="_420A62FD03B6454662960263" name="policyId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Pkz6BeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662960263">
            <body>A unique identifier that the payer or information source uses to identify the Policy Holder as belonging to a specific Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4fMokLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4fMokbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0aqDMEyiEd-ir98gTBezYA" name="policyTerm" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_WT3cYCr0EeOKCrmlnw-Z_w" annotatedElement="_0aqDMEyiEd-ir98gTBezYA">
            <body>The time period during which the Healthcare Policy is / will be in effect.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Dav8LyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Dav8byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tsC3YR2VEd-4VI-lpu-JjQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_tsC3YB2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_D5-20CYZEeOkPsd2JhLMLw" annotatedElement="_tsC3YR2VEd-4VI-lpu-JjQ">
            <body>Pointer to the Plan which defines the set of benefits available to the Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tsC3Yh2VEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tsC3Yx2VEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UeNRREslEeCgDquuCdSxAg" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_UeNRQEslEeCgDquuCdSxAg">
          <ownedComment xmi:id="_p_ljwCb8EeOyp-Ce3y08Wg" annotatedElement="_UeNRREslEeCgDquuCdSxAg">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Health Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UeQUkEslEeCgDquuCdSxAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UeQUkUslEeCgDquuCdSxAg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pv3_8B2ZEd-4VI-lpu-JjQ" name="subscriber_group" memberEnd="_pv3_8R2ZEd-4VI-lpu-JjQ _pv3_9B2ZEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_xu5PgB2aEd-4VI-lpu-JjQ" name="PlanSponsor">
        <ownedComment xmi:id="_621rcB2aEd-4VI-lpu-JjQ" annotatedElement="_xu5PgB2aEd-4VI-lpu-JjQ">
          <body>The company or organization that assumes financial responsibility for an insured group. Note that the Plan Sponsor could be a government agency in charge of an Entitlement Program, not just private groups such as Employers.&#xD;
&quot;An entity that sponsors a health plan. Employer, Union&quot; - Medicare.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-QUIsR2aEd-4VI-lpu-JjQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_-QUIsB2aEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_RMAYkCcAEeOyp-Ce3y08Wg" annotatedElement="_-QUIsR2aEd-4VI-lpu-JjQ">
            <body>Pointer to the Group Health Insurance Policy which the Plan Sponsor has funded for the benefit of a group of individuals.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-QUIsh2aEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-QUIsx2aEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-QUIsB2aEd-4VI-lpu-JjQ" name="planSponsor_group" memberEnd="_-QUIsR2aEd-4VI-lpu-JjQ _-QUItB2aEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_O8xe8B2bEd-4VI-lpu-JjQ" name="EntitlementProgramAdministrator">
        <ownedComment xmi:id="_RPhxMCcBEeOyp-Ce3y08Wg" annotatedElement="_O8xe8B2bEd-4VI-lpu-JjQ">
          <body>This class represents an government agency which has financial responsibility for a specific group of beneficiaries.  Examples include Medicare, State Medicaid agencies, and IHS.</body>
        </ownedComment>
        <generalization xmi:id="_QxdIoB2bEd-4VI-lpu-JjQ" general="_xu5PgB2aEd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1X544CijEd--DMAvlHV1Yg" name="payer_planOrPolicy" memberEnd="_1X544SijEd--DMAvlHV1Yg _1YDC0CijEd--DMAvlHV1Yg"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_wxWPICuxEd-mUrYY2zR9Jw" name="PatientCaseManagement">
        <ownedComment xmi:id="_ncxpwCbxEeOyp-Ce3y08Wg" annotatedElement="_wxWPICuxEd-mUrYY2zR9Jw">
          <body>Case Management, in the context of a health insurer or health plan, is defined as:  &quot;A method of managing the provision of health care to members with high-cost medical conditions. The goal is to coordinate the care so as to both improve continuity and quality of care and lower costs.&quot;  This class contains properties needed to identify a Case for the purposes of managing costs associated with that Case.  Therefore claims for Billable Services will cite the Case Id contained herein.  Note that a Workers' Compensation Claim is not a single claim as the name implies, but a Case, and is modeled as a sub-type of Case Management.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_y35r8CuxEd-mUrYY2zR9Jw" name="caseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_y35r8SuxEd-mUrYY2zR9Jw" annotatedElement="_y35r8CuxEd-mUrYY2zR9Jw">
            <body>A unique identifier assigned to the Patient's Case.&#xD;
&quot;Identifies the claim number assigned by Worker’s Compensation Program.&quot; - NCPDP Telecommunication (Field 435-DZ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IALqMLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IALqMbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MxXqYFSGEeCZIfOFML-ypw" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_MxUnEFSGEeCZIfOFML-ypw">
          <ownedComment xmi:id="_aeoi4CbyEeOyp-Ce3y08Wg" annotatedElement="_MxXqYFSGEeCZIfOFML-ypw">
            <body>Pointer to a set of Diagnoses of the Patient's condition that are the subject of the Managed Case.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxXqYVSGEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxXqYlSGEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gWtSQFSGEeCZIfOFML-ypw" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Mggr8Cr0EeOKCrmlnw-Z_w" annotatedElement="_gWtSQFSGEeCZIfOFML-ypw">
            <body>Represents the time period during which the Patient's case was actively being managed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I51PALygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I51PAbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lF4XIVSGEeCZIfOFML-ypw" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_lF4XIFSGEeCZIfOFML-ypw">
          <ownedComment xmi:id="_nLrewAMiEeKTM4I4vlc5xg" annotatedElement="_lF4XIVSGEeCZIfOFML-ypw">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lF7acFSGEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lF7acVSGEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jLCuAFlbEeCyw5g2lQh-Ug" name="isResidentOfCmsQualifiedFacility" visibility="public">
          <ownedComment xmi:id="_7dctQCVFEeO_iaEYDPvTaA" annotatedElement="_jLCuAFlbEeCyw5g2lQh-Ug">
            <body>&quot;Indicates that the patient resides in a facility that qualifies for the CMS Part D benefit.&quot; - NCPDP Telecommunication (Field 997-G2, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JndxELygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JndxEbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zutlEJBYEeCMBO4kb261_A" name="clinicalInformation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_zuqhwJBYEeCMBO4kb261_A">
          <ownedComment xmi:id="_SmfHoCcCEeOyp-Ce3y08Wg" annotatedElement="_zutlEJBYEeCMBO4kb261_A">
            <body>Pointer to a set of clinical observation that indicate the patient's current condition and justify the services needed to treat the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zutlEZBYEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zutlEpBYEeCMBO4kb261_A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Qz5o0Cu2Ed-mUrYY2zR9Jw" name="financialArrangement_healthPlan" memberEnd="_Qz5o0Su2Ed-mUrYY2zR9Jw _Q0DZ0Cu2Ed-mUrYY2zR9Jw"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_75QqIEyfEd-ir98gTBezYA" name="DiagnosisWeightedPayment">
        <ownedComment xmi:id="_CSmKwEygEd-ir98gTBezYA" annotatedElement="_75QqIEyfEd-ir98gTBezYA">
          <body>&quot;A method of classifying [medical] services. It is used as a method of determining financing to reimburse various providers for services performed.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wjwlIFSFEeCZIfOFML-ypw" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_QUp5sCE1EeO3ioY7BiCZOQ" annotatedElement="_wjwlIFSFEeCZIfOFML-ypw">
            <body>The amount of money that may be paid for the performance of a set of services related to the given diagnosis group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQkhYLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQlIcLyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SrOvgCE1EeO3ioY7BiCZOQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SrOvgSE1EeO3ioY7BiCZOQ" annotatedElement="_SrOvgCE1EeO3ioY7BiCZOQ">
            <body>Categorizes the medical services that may be performed in order to establish a reimbursement rate for those services.  Note that this could be a DRG, and APG, or one of their derivatives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hAe7YLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hAe7YbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EuwrMEygEd-ir98gTBezYA" name="DrugFormulary">
        <ownedComment xmi:id="_HUnTIEygEd-ir98gTBezYA" annotatedElement="_EuwrMEygEd-ir98gTBezYA">
          <body>&quot; A list of preferred pharmaceutical products to be used by a managed care plan's network physicians. Formularies are based on evaluations of the efficacy, safety, and cost-effectiveness of drugs.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_aiZ5YEwXEeCc9OmUU3L5_A" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_k0e7YEypEd-ir98gTBezYA" name="DmeProvision">
        <ownedComment xmi:id="_Xnw8sCagEeOyp-Ce3y08Wg" annotatedElement="_k0e7YEypEd-ir98gTBezYA">
          <body>This class represents the billable aspects of the provision of Durable Medical Equipment (DME).  This class will link the clinical data related to a DME dispense to the administrative data needed to bill for the dispense.</body>
        </ownedComment>
        <generalization xmi:id="_ewQSkF7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_D53CgEyrEd-ir98gTBezYA" name="FeeSchedule">
        <ownedComment xmi:id="_D53CgUyrEd-ir98gTBezYA" annotatedElement="_D53CgEyrEd-ir98gTBezYA">
          <body>&quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_sdyHkCE1EeO3ioY7BiCZOQ" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_sdyHkSE1EeO3ioY7BiCZOQ" annotatedElement="_sdyHkCE1EeO3ioY7BiCZOQ">
            <body>The amount of money that may be paid for the performance of a set of services related to the given diagnosis group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s9_PMLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s9_PMbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D53Cg0yrEd-ir98gTBezYA" name="billableAct" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_wTEhoCE2EeO3ioY7BiCZOQ" annotatedElement="_D53Cg0yrEd-ir98gTBezYA">
            <body>Identifies a service such as an office visit, test, procedure, or provision of medications which may be billed or reimbursed.  Payments are typically issued retrospectively, after the services are provided.  Billable services are typically identified by a procedure code such as a Current Procedural Terminology (CPT) code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D53ChUyrEd-ir98gTBezYA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D53ChEyrEd-ir98gTBezYA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="___1ngEyrEd-ir98gTBezYA" name="DrugProvision">
        <ownedComment xmi:id="_m28SECafEeOyp-Ce3y08Wg" annotatedElement="___1ngEyrEd-ir98gTBezYA">
          <body>This class represents the billable aspects of a pharmacy dispense.  It serves to link the clinical data related to a dispense to the administrative data needed to bill for the dispense.  As a sub-type of Billable Service, it inherits all of the data related to billing and Coodination Of Benefits, adds some data elements specifically needed to bill for the pharmacy dispense, and points to the Pharmacy Dispense clinical data for any remaining data needed for billing.  Note that this class also points to Professional Service Provision to handle any professional servies charges related to the dispense, such as patient counseling.  Note that this class contains some properties that are clearly billing oriented, which are modeled here rather than in Billable Service, because they're only needed for the billing of Drug Provision.</body>
        </ownedComment>
        <generalization xmi:id="_gafm0F7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_4zIakGnfEeCyXraDASYTcQ" name="benefitLimitationOverrideCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kMyfULyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kMyfUbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__bOwAGuMEeCZQ_Ui4wPHHw" name="benefitLimitationOverrideId" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k4ypsLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k4ypsbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Dkb90GncEeCyXraDASYTcQ" name="billingUnitOfMeasure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FXkcoCa9EeOyp-Ce3y08Wg" annotatedElement="_Dkb90GncEeCyXraDASYTcQ">
            <body>&quot;NCPDP standard product billing codes.&quot; - NCPDP Telecommunication (Field 600-28, Data Dictionary 201104).  Possible values include: Each; Grams; Milliliters.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lY3Q4LyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lY3Q4byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oYQm0GuQEeCZQ_Ui4wPHHw" name="claimDelayReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yVVxkCarEeOyp-Ce3y08Wg" annotatedElement="_oYQm0GuQEeCZQ_Ui4wPHHw">
            <body>&quot;Code to specify the reason that submission of the transactions has been delayed.&quot; - NCPDP Telecommunication (Field 357-NV, Data Dictionary 201104).  Possible values include: Proof of eligibility unknown or unavailable; Litigation; Authorization delays; Delay in certifying provider; Delay in supplying billing forms; Delay in delivery of custom-made appliances; Third party processing delay; Delay in eligibility determination; Original claims rejected or denied due to a reason unrelated to the billing limitation rules; Administration delay in the prior approval process; Received late with no exceptions; Substantial damage by fire, etc to provider records; Theft, sabotage/other willful acts by employee; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l4RJsLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l4RJsbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lCPYIGuOEeCZQ_Ui4wPHHw" name="intermediaryAuthorizationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-Fv44GuOEeCZQ_Ui4wPHHw" annotatedElement="_lCPYIGuOEeCZQ_Ui4wPHHw">
            <body>This property, in conjunction with intermediaryAuthorizationId, is used to inform an intermediary (i.e., a switch) to override edit(s) that they normally perform on the claim due to some special circumstance, which has been pre-arranged with the intermediary or the Payer.&#xD;
&quot;Value indicating that authorization occurred for intermediary processing.&quot; - NCPDP Telecommunication (Field 463-EW, Data Dictionary 201104).  Possible values include: Intermediary Authorization; Other Override; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mTqFMLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mTqFMbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tK7WgGuOEeCZQ_Ui4wPHHw" name="intermediaryAuthorizationId" visibility="public">
          <ownedComment xmi:id="_vjSbgCa9EeOyp-Ce3y08Wg" annotatedElement="_tK7WgGuOEeCZQ_Ui4wPHHw">
            <body>This property, in conjunction with intermediaryAuthorizationCategory, is used to inform an intermediary (i.e., a switch) to override edit(s) that they normally perform on the claim due to some special circumstance, which has been pre-arranged with the intermediary or the Payer.&#xD;
&quot;Value indicating intermediary authorization occurred.&quot; - NCPDP Telecommunication (Field 464-EX, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mtuyELyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mtuyEbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_40leAGndEeCyXraDASYTcQ" name="levelOfService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kPSXsCa9EeOyp-Ce3y08Wg" annotatedElement="_40leAGndEeCyXraDASYTcQ">
            <body>&quot;Coding indicating the type of service the provider rendered.&quot; - NCPDP Telecommunication (Field 418-DI, Data Dictionary 201104).  Possible values include: Patient consultation; Home delivery; Emergency; 24 hour service; Patient consultation regarding generic product selection; In-Home Service; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9-sDQJBcEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-sDQZBcEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_28o5cGuUEeCZQ_Ui4wPHHw" name="pharmacyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n4PdYLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n4PdYbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kcs4AF7eEeCcBvMgXNMeOQ" name="medicationDispense" visibility="public" type="_420A62FD03B641928F4302E4" association="_kcp0sF7eEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kcs4AV7eEeCcBvMgXNMeOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kcs4Al7eEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZQ6poGniEeCyXraDASYTcQ" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_ZQ3mUGniEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZQ9s8GniEeCyXraDASYTcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZQ9s8WniEeCyXraDASYTcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xr3vwGuVEeCZQ_Ui4wPHHw" name="serviceProvision" visibility="public" type="_UKz94F7eEeCcBvMgXNMeOQ" association="_Xr1TgGuVEeCZQ_Ui4wPHHw">
          <ownedComment xmi:id="_A4aZcCasEeOyp-Ce3y08Wg" annotatedElement="_Xr3vwGuVEeCZQ_Ui4wPHHw">
            <body>Pointer to the billable aspects of the provision of professional services.  This class will link the clinical data related to professional services to the administrative data needed to bill for the services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xr494GuVEeCZQ_Ui4wPHHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xr494WuVEeCZQ_Ui4wPHHw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_C4ttQE4ZEd-2ltKWH2NjJw" name="feeForServiceArrangement_feeSchedule" memberEnd="_C4ttQU4ZEd-2ltKWH2NjJw _C4ttRE4ZEd-2ltKWH2NjJw">
        <ownedEnd xmi:id="_C4ttRE4ZEd-2ltKWH2NjJw" name="" visibility="public" type="_FLDhsBs0Ed--ZY2-pbJ-Pw" association="_C4ttQE4ZEd-2ltKWH2NjJw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pxWL0FIsEd-y7__FceVOaw" name="Dependent">
        <ownedComment xmi:id="_c-hPQCb-EeOyp-Ce3y08Wg" annotatedElement="_pxWL0FIsEd-y7__FceVOaw">
          <body>This class represents the Role that a Person plays when he or she receives healthcare benefits as a Dependent of someone else who is the named beneficiary of a Health Policy.</body>
        </ownedComment>
        <generalization xmi:id="_4u42kLBkEeeaRp4uBVUfTA" general="_-SSlgEsgEeCgDquuCdSxAg"/>
        <ownedAttribute xmi:id="_bIqNkVPAEd-QprPKS8GTLg" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_bIqNkFPAEd-QprPKS8GTLg">
          <ownedComment xmi:id="_NBkVQCb8EeOyp-Ce3y08Wg" annotatedElement="_bIqNkVPAEd-QprPKS8GTLg">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Health Policy.  This is the Person of whom the Covered Patient is considered to be a Dependent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bIqNklPAEd-QprPKS8GTLg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bIqNk1PAEd-QprPKS8GTLg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EycAcCFFEeO3ioY7BiCZOQ" name="relationshipToSubscriber" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JBOfoCFGEeO3ioY7BiCZOQ" annotatedElement="_EycAcCFFEeO3ioY7BiCZOQ">
            <body>&quot;Indicates the insured’s relationship to the patient.&quot; - HL7 Version 2.8, IN1-17. Note that HL7 identifies a Code Table (Table 63) for this property, which currently contains 32 suggested values.&#xD;
&quot;The relationship of beneficiary (patient) to the subscriber.&quot; - HL7 FHIR, Coverage.relationship&#xD;
&quot;Code indicating relationship of patient to cardholder.&quot; - NCPDP Telecommunication (Field 306-C6, Data Dictionary 201104). Possible values include: Cardholder; Spouse; Child; Student; Disabled Dependent; Adult Dependent; Significant Other; Not Specified; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dWEfILyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dWEfIbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4nk40LKBEeeKfvjx78dWlQ" name="dependentIdentifier" visibility="public">
          <ownedComment xmi:id="_4nk40bKBEeeKfvjx78dWlQ" annotatedElement="_4nk40LKBEeeKfvjx78dWlQ">
            <body>&quot;A unique identifier for a dependent under the coverage. [For some coverage a single identifier is issued to the Subscriber and a dependent number issued to each beneficiary.]&quot; - HL7 FHIR, Coverage.dependent</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nk407KBEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nk40rKBEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bIqNkFPAEd-QprPKS8GTLg" name="dependent_subscriber" memberEnd="_bIqNkVPAEd-QprPKS8GTLg _bIqNlFPAEd-QprPKS8GTLg">
        <ownedEnd xmi:id="_bIqNlFPAEd-QprPKS8GTLg" name="" visibility="public" type="_pxWL0FIsEd-y7__FceVOaw" association="_bIqNkFPAEd-QprPKS8GTLg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-SSlgEsgEeCgDquuCdSxAg" name="CoveredPatient">
        <ownedComment xmi:id="_eqy74CoUEeOycdNGQCOAtw" annotatedElement="_-SSlgEsgEeCgDquuCdSxAg">
          <body>This class represents the Role of a Patient from a financial, rather than a clinical point of view.  This class contains information concerning who is going to pay for services / materials provided, and links to Health Plan information via relationships to Subscriber.  Covered Patient serves to link the financial aspects to the clinical Patient without encumbering clinical information with the financial or administrative considerations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Q-2MAPabEeCbn6MPgQ_rxg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WRX1kPabEeCbn6MPgQ_rxg" annotatedElement="_Q-2MAPabEeCbn6MPgQ_rxg">
            <body>Payer-assigned identifier for the Patient.&#xD;
&quot;Insurance ID assigned to the cardholder or identification number used by the plan.&quot; - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104).  Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.&#xD;
&quot;ID assigned to the patient.&quot; - NCPDP Telecommunication (Field 332-CY, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate field (331-CX) to describe what kind of patient id is found here (i.e., who issued the id).  This information is not modeled as a separate field in the FHIM as it is part of the ID data type.  Possible values for the id type include: Social Security Number; Facility ID Number; Driver's License Number; U.S. Military ID; Non-SSN-based patient identifier assigned by health plan; SSN-based patient identifier assigned by health plan; Medicaid ID; State Issued ID; Passport ID; Medicare HIC#; Employer Assigned ID; Payer/PBM Assigned ID; Alien Number (Government Permanent Residence Residence Number); Government Student VISA Number; Indian Tribal ID; Medical Record Identification Number; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZWlx0LyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZWlx0byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HCvGAPaMEeCbn6MPgQ_rxg" name="patientResidenceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SXDQcCYxEeOkPsd2JhLMLw" annotatedElement="_HCvGAPaMEeCbn6MPgQ_rxg">
            <body>&quot;Code identifying the patient’s place of residence.&quot; - NCPDP Telecommunication (Field 384-4X, Data Dictionary 201104).  Possible values include: Home; Skilled Nursing Facility; Nursing Facility; Assisted Living Facility; Custodial Care Facility; Group Home; Inpatient Psychiatric Facility; Psychiatric Facility – Partial Hospitalization; Intermediate Care Facility/Mentally Retarded; Residential Substance Abuse Treatment Facility; Hospice; Psychiatric Residential Treatment Facility; Comprehensive Inpatient Rehabilitation Facility; Homeless Shelter; Correctional Institution; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ahBkoLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ahBkobyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hnXksFSNEeCZIfOFML-ypw" name="personCode" visibility="public">
          <ownedComment xmi:id="_ow6aQFSNEeCZIfOFML-ypw" annotatedElement="_hnXksFSNEeCZIfOFML-ypw">
            <body>&quot;Code assigned to a specific person within a family.  Example: 001=Cardholder; 002=Spouse; 003-999=Dependents and Others (including second spouses, etc.).&quot; - NCPDP Telecommunication (Field 303-C3, Data Dictionary 201104).  Note that while the definition implies a Code datatype, NCPDP models this as a string.  In practice, this property acts like an identifier.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bpeacLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bpeacbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s1JjwEshEeCgDquuCdSxAg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_s1GgcEshEeCgDquuCdSxAg">
          <ownedComment xmi:id="_j37k0CcDEeOyp-Ce3y08Wg" annotatedElement="_s1JjwEshEeCgDquuCdSxAg">
            <body>Pointer to the Role that a Person plays when he or she is the recipient of healthcare services from a healthcare provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1JjwUshEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1JjwkshEeCgDquuCdSxAg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6EzkEPaYEeCbn6MPgQ_rxg" name="responsibleParty" visibility="public" type="_tYozcPaYEeCbn6MPgQ_rxg" association="_6Exu4PaYEeCbn6MPgQ_rxg">
          <ownedComment xmi:id="_Ri3RwCoTEeOycdNGQCOAtw" annotatedElement="_6EzkEPaYEeCbn6MPgQ_rxg">
            <body>Pointer to the (Role of the) Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6E0yMPaYEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6E0yMfaYEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcpGAbBnEeeaRp4uBVUfTA" name="coverage" visibility="public" type="_vPGWoLBJEeesgss27DHDeg" association="_dcpGALBnEeeaRp4uBVUfTA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dcpGArBnEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dcpGA7BnEeeaRp4uBVUfTA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_s1GgcEshEeCgDquuCdSxAg" name="coveredPatient_patient" memberEnd="_s1JjwEshEeCgDquuCdSxAg _s1MnEEshEeCgDquuCdSxAg">
        <ownedEnd xmi:id="_s1MnEEshEeCgDquuCdSxAg" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_s1GgcEshEeCgDquuCdSxAg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1MnEUshEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1MnEkshEeCgDquuCdSxAg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UeNRQEslEeCgDquuCdSxAg" name="subscriber_healthcarePolicy" memberEnd="_UeNRQUslEeCgDquuCdSxAg _UeNRREslEeCgDquuCdSxAg"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_SdqdIEvmEeCrON7ycdFLuQ" name="group_healthPlan" memberEnd="_SeF68EvmEeCrON7ycdFLuQ _SeI-QEvmEeCrON7ycdFLuQ"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_3IaXsEvvEeCrON7ycdFLuQ" name="feeForServiceArrangement_diagnosisRelatedGroup" memberEnd="_3IaXsUvvEeCrON7ycdFLuQ _3IdbAkvvEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_3IdbAkvvEeCrON7ycdFLuQ" name="" visibility="public" type="_FLDhsBs0Ed--ZY2-pbJ-Pw" association="_3IaXsEvvEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3IdbA0vvEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3IgeUEvvEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EMWvIEvwEeCrON7ycdFLuQ" name="DiagnosisRelatedGroup">
        <ownedComment xmi:id="_omRVYCEzEeO3ioY7BiCZOQ" annotatedElement="_EMWvIEvwEeCrON7ycdFLuQ">
          <body>Diagnosis-related group (DRG) is a system to classify the &quot;products&quot; that a hospital provides. One example of a &quot;product&quot; is an appendectomy. The system was developed to replace &quot;cost based&quot; reimbursement. DRGs are assigned by a &quot;grouper&quot; program based on ICD (International Classification of Diseases) diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities. DRGs have been used in the US since 1982 to determine how much Medicare pays the hospital for each &quot;product&quot;, since patients within each category are clinically similar and are expected to use the same level of hospital resources. – Adapted from Wikipedia.  Note that DRGs are primarily used for inpatient settings.</body>
        </ownedComment>
        <generalization xmi:id="_F5dKIEvwEeCrON7ycdFLuQ" general="_75QqIEyfEd-ir98gTBezYA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FAL_0EvwEeCrON7ycdFLuQ" name="AmbulatoryPatientGroup">
        <ownedComment xmi:id="_AMJpsPjyEeCL4956HPvowQ" annotatedElement="_FAL_0EvwEeCrON7ycdFLuQ">
          <body>Ambulatory Patient Group (APG) is a classification system for outpatient services reimbursement developed for Medicare by the Health Care Financing Administration. It classifies patients into nearly 300 pathology groups rather than the 14,000 of the International Classification of Diseases. The APG system is similar to the Diagnosis-related groups (DRG), which apply to urgent care. – Adapted from Wikipedia.</body>
        </ownedComment>
        <generalization xmi:id="_GS0sYEvwEeCrON7ycdFLuQ" general="_75QqIEyfEd-ir98gTBezYA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MxUnEFSGEeCZIfOFML-ypw" name="patientCaseManagement_diagnosisList" memberEnd="_MxXqYFSGEeCZIfOFML-ypw _MxatsFSGEeCZIfOFML-ypw">
        <ownedEnd xmi:id="_MxatsFSGEeCZIfOFML-ypw" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_MxUnEFSGEeCZIfOFML-ypw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxatsVSGEeCZIfOFML-ypw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxatslSGEeCZIfOFML-ypw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lF4XIFSGEeCZIfOFML-ypw" name="patientCaseManagement_priorAuthorization" memberEnd="_lF4XIVSGEeCZIfOFML-ypw _lF7aclSGEeCZIfOFML-ypw">
        <ownedEnd xmi:id="_lF7aclSGEeCZIfOFML-ypw" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_lF4XIFSGEeCZIfOFML-ypw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lF-dwFSGEeCZIfOFML-ypw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lF-dwVSGEeCZIfOFML-ypw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bj0YwFSLEeCZIfOFML-ypw" name="Processor">
        <ownedComment xmi:id="_GPjBcFVdEeCN_KTl5VCkdg" annotatedElement="_bj0YwFSLEeCZIfOFML-ypw">
          <body>A Processor is an organization that performs various tasks upon claim data in order to ensure that the Payer's systems can accept that data.  Some processors assist the Payer in certain adjudication tasks.  This organization is an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.  Note that a Processor might be a Third Party Administrator or a Pharmacy Benefits Manager.  For the purposes of claims processing, we do not need to distinguish these.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_iA5w8FSLEeCZIfOFML-ypw" name="bankIdNumber" visibility="public">
          <ownedComment xmi:id="_hOOAQCVFEeO_iaEYDPvTaA" annotatedElement="_iA5w8FSLEeCZIfOFML-ypw">
            <body>&quot;The secondary, tertiary, etc. card issuer or bank ID number used for network routing.&quot; - NCPDP Telecommunication (Field 990-MG, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hh80QLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hh80QbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rKRJMFSLEeCZIfOFML-ypw" name="planId" visibility="public">
          <ownedComment xmi:id="_cuqngCryEeOKCrmlnw-Z_w" annotatedElement="_rKRJMFSLEeCZIfOFML-ypw">
            <body>&quot;Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim.&quot; - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104).&#xD;
Note that this property may relate more to the Health Plan than to the Processor, in which case it would be a duplicate of HealthPlan.id.  In that case this property may need to be removed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i0-iYLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i0-iYbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nPf8wFSLEeCZIfOFML-ypw" name="processorControlNumber" visibility="public">
          <ownedComment xmi:id="_8BYR8CrxEeOKCrmlnw-Z_w" annotatedElement="_nPf8wFSLEeCZIfOFML-ypw">
            <body>&quot;Number assigned by the processor.&quot; - NCPDP Telecommunication (Field 104-A4, Data Dictionary 201104).&#xD;
Note that this property may relate more to the transaction than to the Processor, in which case it will need to move to the Billing Event.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j2seELygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j2seEbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zKcEwFSLEeCZIfOFML-ypw" name="payer" visibility="public" type="_420A62FD03B6454662F10302" association="_zKZBcFSLEeCZIfOFML-ypw">
          <ownedComment xmi:id="_K_rSsCrxEeOKCrmlnw-Z_w" annotatedElement="_zKcEwFSLEeCZIfOFML-ypw">
            <body>Pointer to the Payer for which the Processor is acting as an intermediary for claims processing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zKcEwVSLEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zKcEwlSLEeCZIfOFML-ypw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zKZBcFSLEeCZIfOFML-ypw" name="payer_payerOrAgent" memberEnd="_zKZBcVSLEeCZIfOFML-ypw _zKcEwFSLEeCZIfOFML-ypw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_eF3lEFVXEeCN_KTl5VCkdg" name="billableService_patient" memberEnd="_eF6oYFVXEeCN_KTl5VCkdg _eF6oY1VXEeCN_KTl5VCkdg">
        <ownedEnd xmi:id="_eF6oY1VXEeCN_KTl5VCkdg" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_eF3lEFVXEeCN_KTl5VCkdg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eF9rsFVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eF9rsVVXEeCN_KTl5VCkdg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_x68SEFVXEeCN_KTl5VCkdg" name="BillingEvent">
        <ownedComment xmi:id="_McvZgCYCEeOkPsd2JhLMLw" annotatedElement="_x68SEFVXEeCN_KTl5VCkdg">
          <body>This class represents an invoice or bill for a Billable Service. A single Billable Service may have multiple Billing Events due to the coordination of multiple payers (e.g.,, Health Plan A is billed for 70%, Health Plan B is billed for 20%, and the Patient is billed for the remaining 10%), and a single Payer may be billed multiple times as payment is negotiated electronically (e.g., the Payer might initially reject a bill, and may accept it upon submission of a second bill containing more information).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FHKmgG9bEeC7Xu_kGrVjuQ" name="amountPaid" visibility="public" type="_420A62FD03B641886F630160" isDerived="true">
          <ownedComment xmi:id="_q4FFQCR7EeOGsKsAZqPe7g" annotatedElement="_FHKmgG9bEeC7Xu_kGrVjuQ">
            <body>&quot;Total amount to be paid by the claims processor (i.e. pharmacy receivable).  Represents a sum of Ingredient Cost Paid, Dispensing Fee Paid, Flat Sales Tax Amount Paid, Percentage Sales Tax Amount Paid, Incentive Amount Paid, Professional Service Fee Paid, and Other Amount Paid, less Patient Pay Amount and Other Payer Amount Recognized.&quot; - NCPDP Telecommunication (Field 509-F9, Data Dictionary 201104).  Note that this field may be calculated and has therefore been modeled as a derived field.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KHow0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KHow0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ypkCwG9aEeC7Xu_kGrVjuQ" name="amountSubmitted" visibility="public" type="_420A62FD03B641886F630160" isDerived="true">
          <ownedComment xmi:id="_znbmkCRxEeOGsKsAZqPe7g" annotatedElement="_ypkCwG9aEeC7Xu_kGrVjuQ">
            <body>&quot;Total price claimed from all sources. For prescription claim requests, field represents a sum of Ingredient Cost Submitted, Dispensing Fee Submitted, Flat Sales Tax Amount Submitted, Percentage Sales Tax Amount Submitted, Incentive Amount Submitted, and Other Amount Claimed. For service claim requests, field represents a sum of Professional Services Fee Submitted, Flat Sales Tax Amount Submitted, Percentage Sales Tax Amount Submitted, and Other Amount&quot; - NCPDP Telecommunication (Field 430-DU, Data Dictionary 201104).  Note that this field may be calculated and has therefore been modeled as a derived field.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIEXgLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIEXgbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nEJJMHpaEeCYy4DzyFpAzQ" name="billingResponse" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_nEGF4HpaEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_Q9IvoCYPEeOkPsd2JhLMLw" annotatedElement="_nEJJMHpaEeCYy4DzyFpAzQ">
            <body>Pointer to a set of data sent by a Payer in response to a Billing Event detailing the components and reasons for any payments made or not made.&#xD;
Note: this may need to be 0..1, not 0..*.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nEJJMXpaEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nEJJMnpaEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSr1MHpbEeCYy4DzyFpAzQ" name="billingSubmission" visibility="public" type="_mNIzQHpbEeCYy4DzyFpAzQ" association="_sSox4HpbEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_QXrSICYPEeOkPsd2JhLMLw" annotatedElement="_sSr1MHpbEeCYy4DzyFpAzQ">
            <body>Pointer to set of data sent to a Payer as part of a Billing Event detailing the components and reasons for the charges being billed.&#xD;
Note: this may need to be 0..1, not 0..*.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSr1MXpbEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSr1MnpbEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7SXRUJtcEeClAtaO_zSM7g" name="coordinationOfBenefits" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_7SRKsJtcEeClAtaO_zSM7g">
          <ownedComment xmi:id="_HgHnICYFEeOkPsd2JhLMLw" annotatedElement="_7SXRUJtcEeClAtaO_zSM7g">
            <body>Pointer to a set of the results of prior Billing Events, including previous payments, which are used in part to determine the liability of the Payer and of the Patient for the current Billing Event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7SXRUZtcEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7SXRUptcEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0jpZsFVXEeCN_KTl5VCkdg" name="processor" visibility="public" type="_bj0YwFSLEeCZIfOFML-ypw" association="_0jmWYFVXEeCN_KTl5VCkdg">
          <ownedComment xmi:id="__lOBkCrwEeOKCrmlnw-Z_w" annotatedElement="_0jpZsFVXEeCN_KTl5VCkdg">
            <body>Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0jpZsVVXEeCN_KTl5VCkdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0jpZslVXEeCN_KTl5VCkdg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eOiPYYVbEeCFWps2bBaH1A" name="payee" visibility="public" type="_347b4IVZEeCFWps2bBaH1A" association="_eOiPYIVbEeCFWps2bBaH1A">
          <ownedComment xmi:id="_379wICRsEeOGsKsAZqPe7g" annotatedElement="_eOiPYYVbEeCFWps2bBaH1A">
            <body>Pointer to the entity to receive payment for the claim.  The entity might be the billing physician, an agent, or a third party.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eOlSsIVbEeCFWps2bBaH1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eOlSsYVbEeCFWps2bBaH1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0jmWYFVXEeCN_KTl5VCkdg" name="billingEvent_processor" memberEnd="_0jpZsFVXEeCN_KTl5VCkdg _0jsdAFVXEeCN_KTl5VCkdg">
        <ownedEnd xmi:id="_0jsdAFVXEeCN_KTl5VCkdg" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_0jmWYFVXEeCN_KTl5VCkdg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0jsdAVVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0jsdAlVXEeCN_KTl5VCkdg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oeVegFlZEeCyw5g2lQh-Ug" name="OtherPolicyInfo">
        <ownedComment xmi:id="_Z0Hz8CVKEeO_iaEYDPvTaA" annotatedElement="_oeVegFlZEeCyw5g2lQh-Ug">
          <body>This class contains additional information needed by specific payers to properly identify either the subscriber or the health plan.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_N4RT8FlbEeCyw5g2lQh-Ug" name="medicaidAgencyId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_N4RT8VlbEeCyw5g2lQh-Ug" annotatedElement="_N4RT8FlbEeCyw5g2lQh-Ug">
            <body>&quot;Number assigned by processor to identify the individual Medicaid Agency or representative.&quot; - NCPDP Telecommunication (Field 116-N6, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E-HnYLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E-HnYbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uRB14FlZEeCyw5g2lQh-Ug" name="medicaidId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_FICC0FlaEeCyw5g2lQh-Ug" annotatedElement="_uRB14FlZEeCyw5g2lQh-Ug">
            <body>&quot;A unique member identification number assigned by the Medicaid Agency.&quot; - NCPDP Telecommunication (Field 115-N5, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FaxuMLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FaxuMbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MH1NoCVLEeO_iaEYDPvTaA" name="medicaidState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hNIMYCVLEeO_iaEYDPvTaA" annotatedElement="_MH1NoCVLEeO_iaEYDPvTaA">
            <body>&quot;Two character State Postal Code indicating the state where Medicaid coverage exists.&quot; - NCPDP Telecommunication (Field 360-2B, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F1CoULygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F1CoUbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6RR7sFlZEeCyw5g2lQh-Ug" name="medigapId" visibility="public">
          <ownedComment xmi:id="_I-0qwCVKEeO_iaEYDPvTaA" annotatedElement="_6RR7sFlZEeCyw5g2lQh-Ug">
            <body>&quot;Patient’s ID assigned by the Medigap Insurer.&quot; - NCPDP Telecommunication (Field 359-2A, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gz-VwLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gz-VwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iWikYFlaEeCyw5g2lQh-Ug" name="subscriber_otherPolicyInfo" memberEnd="_iWlnsFlaEeCyw5g2lQh-Ug _iWorAllaEeCyw5g2lQh-Ug">
        <ownedEnd xmi:id="_iWorAllaEeCyw5g2lQh-Ug" name="" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_iWikYFlaEeCyw5g2lQh-Ug">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iWruUFlaEeCyw5g2lQh-Ug" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iWruUVlaEeCyw5g2lQh-Ug" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Wtz0cFlfEeCyw5g2lQh-Ug" name="WorkersCompClaim">
        <ownedComment xmi:id="_hx__cCRYEeOGsKsAZqPe7g" annotatedElement="_Wtz0cFlfEeCyw5g2lQh-Ug">
          <body>&quot;Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for the tort of negligence.&quot; - Wikipedia.  This class represents a Workers' Compensation Claim, which identifies a particular work-related injury and the employer, and which accumulates the costs for billable medical services related to treatment of the injury.  Claims for reimbursement must cite the case identifier in order to be processed.  Note that the FHIM treats Workers Compensation Claims as a type of Patient Case Management, in that they share a certain amount of active oversight by a case manager.</body>
        </ownedComment>
        <generalization xmi:id="_GxUeYIVYEeCFWps2bBaH1A" general="_wxWPICuxEd-mUrYY2zR9Jw"/>
        <ownedAttribute xmi:id="_PWW3AIVXEeCFWps2bBaH1A" name="dateOfInjury" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yjupgCRTEeOGsKsAZqPe7g" annotatedElement="_PWW3AIVXEeCFWps2bBaH1A">
            <body>&quot;Date on which the injury occurred.&quot; - NCPDP Telecommunication (Field 434-DY, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sBnRELygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sBnREbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NYCTsIVYEeCFWps2bBaH1A" name="employerAddress" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_Acu2ICRTEeOGsKsAZqPe7g" annotatedElement="_NYCTsIVYEeCFWps2bBaH1A">
            <body>Mailing address of the employer (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 316-CG, 317-CH, 318-CI, and 319-CJ).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tekXQLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tekXQbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MG-fwCVQEeO_iaEYDPvTaA" name="employerId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_km6ZYCVQEeO_iaEYDPvTaA" annotatedElement="_MG-fwCVQEeO_iaEYDPvTaA">
            <body>&quot;ID assigned to employer.  Required if required by law as defined in the HIPAA final Privacy regulations....  Required if needed for Workers’ Compensation billing.&quot; - NCPDP Telecommunication (Field 333-CZ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uHweMLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uHweMbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hYZqsIVYEeCFWps2bBaH1A" name="employerName" visibility="public">
          <ownedComment xmi:id="_xTOLQCRQEeOGsKsAZqPe7g" annotatedElement="_hYZqsIVYEeCFWps2bBaH1A">
            <body>&quot;Complete name of employer.&quot; - NCPDP Telecommunication (Field 315-CF, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ujmssLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ujmssbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mox_MIVYEeCFWps2bBaH1A" name="employerPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_ZJGCMCRTEeOGsKsAZqPe7g" annotatedElement="_mox_MIVYEeCFWps2bBaH1A">
            <body>&quot;Ten-digit phone number of employer.&quot; - NCPDP Telecommunication (Field 320-CK, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vAIQoLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vAIQobygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p9vI0IVYEeCFWps2bBaH1A" name="employerPointOfContact" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_iA8MoCRTEeOGsKsAZqPe7g" annotatedElement="_p9vI0IVYEeCFWps2bBaH1A">
            <body>&quot;Employer primary contact.&quot; - NCPDP Telecommunication (Field 321-CL, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_veDiwLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_veDiwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P4vc8CYbEeOkPsd2JhLMLw" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_P4u14CYbEeOkPsd2JhLMLw">
          <ownedComment xmi:id="_PCzDsCYsEeOkPsd2JhLMLw" annotatedElement="_P4vc8CYbEeOkPsd2JhLMLw">
            <body>Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) being cited by the Workmans' Compensation claim for payment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_P4wEACYbEeOkPsd2JhLMLw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_P4wEASYbEeOkPsd2JhLMLw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UKz94F7eEeCcBvMgXNMeOQ" name="ProfessionalServiceProvision">
        <ownedComment xmi:id="_87URwCarEeOyp-Ce3y08Wg" annotatedElement="_UKz94F7eEeCcBvMgXNMeOQ">
          <body>This class represents the billable aspects of the provision of professional services.  This class will link the clinical data related to professional services to the administrative data needed to bill for the services.</body>
        </ownedComment>
        <generalization xmi:id="_hUkpcF7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kcp0sF7eEeCcBvMgXNMeOQ" name="drugProvision_medicationDispense" memberEnd="_kcs4AF7eEeCcBvMgXNMeOQ _kcv7UF7eEeCcBvMgXNMeOQ">
        <ownedEnd xmi:id="_kcv7UF7eEeCcBvMgXNMeOQ" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_kcp0sF7eEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kcv7UV7eEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kcv7Ul7eEeCcBvMgXNMeOQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NLuZ8F7gEeCcBvMgXNMeOQ" name="billableService_procedure" memberEnd="_NLxdQF7gEeCcBvMgXNMeOQ _NL0gkF7gEeCcBvMgXNMeOQ">
        <ownedEnd xmi:id="_NL0gkF7gEeCcBvMgXNMeOQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_NLuZ8F7gEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NL0gkV7gEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NL0gkl7gEeCcBvMgXNMeOQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZQ3mUGniEeCyXraDASYTcQ" name="drugProvision_priorAuthorization" memberEnd="_ZQ6poGniEeCyXraDASYTcQ _ZQ9s8mniEeCyXraDASYTcQ">
        <ownedEnd xmi:id="_ZQ9s8mniEeCyXraDASYTcQ" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_ZQ3mUGniEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZRAwQGniEeCyXraDASYTcQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZRAwQWniEeCyXraDASYTcQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Xr1TgGuVEeCZQ_Ui4wPHHw" name="drugProvision_serviceProvision" memberEnd="_Xr3vwGuVEeCZQ_Ui4wPHHw _Xr7aIGuVEeCZQ_Ui4wPHHw">
        <ownedEnd xmi:id="_Xr7aIGuVEeCZQ_Ui4wPHHw" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_Xr1TgGuVEeCZQ_Ui4wPHHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xr8BMGuVEeCZQ_Ui4wPHHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xr8oQGuVEeCZQ_Ui4wPHHw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_e8sMUG9WEeC7Xu_kGrVjuQ" name="BillingSequence">
        <ownedComment xmi:id="_wZDIoCFIEeO3ioY7BiCZOQ" annotatedElement="_e8sMUG9WEeC7Xu_kGrVjuQ">
          <body>This class links the Billable Service with the Billing Events in which the Health Plans are invoiced for the service  There will typically be one or more Billing Events for a Billable Service: one if benefits are not coordinated among multiple payers (assuming no re-billing is needed); many if benefits coordination takes place (or if some kind of re-billing is needed for a single payer). This relationship is modeled as zero to many because a Billable Service may exist before a Billing Event is created for it, and it is possible that no Billing Event might occur in the case of cash payments or if the fee is written off.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dZYNMG9bEeC7Xu_kGrVjuQ" name="sequenceNbr" visibility="public">
          <ownedComment xmi:id="_v09kICFIEeO3ioY7BiCZOQ" annotatedElement="_dZYNMG9bEeC7Xu_kGrVjuQ">
            <body>&quot;If the insurance works in conjunction with other insurance plans, this field contains priority sequence.  Values are: 1, 2, 3, etc.&quot; - HL7 Version 2.8, IN1-22.&#xD;
&quot;Code identifying the type of Other Payer ID&quot; - NCPDP Telecommunication (Field 338-5C, Data Dictionary 201104).  Possible values are 1-9.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z9z9gLyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z9z9gbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f9koQG9bEeC7Xu_kGrVjuQ" name="billingEvent" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_f9hk8G9bEeC7Xu_kGrVjuQ">
          <ownedComment xmi:id="_SIjFwCYCEeOkPsd2JhLMLw" annotatedElement="_f9koQG9bEeC7Xu_kGrVjuQ">
            <body>Pointer to an instance of an invoice or bill for a Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f9koQW9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f9koQm9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aS3vQG9bEeC7Xu_kGrVjuQ" name="billableService_billingSequence" memberEnd="_aS6ykG9bEeC7Xu_kGrVjuQ _aS914G9bEeC7Xu_kGrVjuQ">
        <ownedEnd xmi:id="_aS914G9bEeC7Xu_kGrVjuQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_aS3vQG9bEeC7Xu_kGrVjuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aS914W9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aS914m9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_f9hk8G9bEeC7Xu_kGrVjuQ" name="billingSequence_billingEvent" memberEnd="_f9koQG9bEeC7Xu_kGrVjuQ _f9nrkG9bEeC7Xu_kGrVjuQ">
        <ownedEnd xmi:id="_f9nrkG9bEeC7Xu_kGrVjuQ" name="" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_f9hk8G9bEeC7Xu_kGrVjuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f9nrkW9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f9nrkm9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VlqyEHpYEeCYy4DzyFpAzQ" name="BillingResponse">
        <ownedComment xmi:id="_J2nY4CYPEeOkPsd2JhLMLw" annotatedElement="_VlqyEHpYEeCYy4DzyFpAzQ">
          <body>This class contains data sent by a Payer in response to a Billing Event detailing the components and reasons for any payments made or not made.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JWApgCSLEeOTgcVYMe3cWA" name="accumulatedDeductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Iz17ICSMEeOTgcVYMe3cWA" annotatedElement="_JWApgCSLEeOTgcVYMe3cWA">
            <body>&quot;Amount in dollars met by the patient/family in a deductible plan.&quot; - NCPDP Telecommunication (Field 512-FC, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OwyGMLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OwyGMbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_04F0kCUeEeO_iaEYDPvTaA" name="amountAppliedToDeductible" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_98d_ICUeEeO_iaEYDPvTaA" annotatedElement="_04F0kCUeEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from a patient that is included in Patient Pay Amount that is applied to a periodic deductible.&quot; - NCPDP Telecommunication (Field 517-FH, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QYecwLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QYecwbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lV_X4CSKEeOTgcVYMe3cWA" name="amountAttributableToSalesTax" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_quiJ4CSKEeOTgcVYMe3cWA" annotatedElement="_lV_X4CSKEeOTgcVYMe3cWA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to sales tax paid.&quot; - NCPDP Telecommunication (Field 523-FN, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RAL9ALyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RAL9AbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x69-UCUtEeO_iaEYDPvTaA" name="amountAttributedToBrandSelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_xPZKYCUwEeO_iaEYDPvTaA" annotatedElement="_x69-UCUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Brand product.&quot; - NCPDP Telecommunication (Field 134-UK, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R6heULyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R6heUbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pPMkMCUxEeO_iaEYDPvTaA" name="amountAttributedToBrandNonFormularySelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_ABq2cCUyEeO_iaEYDPvTaA" annotatedElement="_pPMkMCUxEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Brand Non-Preferred Formulary product.&quot; - NCPDP Telecommunication (Field 136-UN, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RdMpILyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RdMpIbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hGZboCUyEeO_iaEYDPvTaA" name="amountAttributedToCoverageGap" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_rowAECUyEeO_iaEYDPvTaA" annotatedElement="_hGZboCUyEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient being in the coverage gap (for example Medicare Part D Coverage Gap (donut hole)). A coverage gap is defined as the period or amount during which the previous coverage ends and before an additional coverage begins.&quot; - NCPDP Telecommunication (Field 137-UP, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SWXs0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SWXs0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x8pZUCUtEeO_iaEYDPvTaA" name="amountAttributedToNonFormularySelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_2_mZACUxEeO_iaEYDPvTaA" annotatedElement="_x8pZUCUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Non-Preferred Formulary product.&quot; - NCPDP Telecommunication (Field 135-UM, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S0YegLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S0YegbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x5GWECUtEeO_iaEYDPvTaA" name="amountAttributedToProviderNetworkSelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_-WX5oCUuEeO_iaEYDPvTaA" annotatedElement="_x5GWECUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s provider network selection.&quot; - NCPDP Telecommunication (Field 133-UJ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TRgfYLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TRgfYbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SoaCsCUfEeO_iaEYDPvTaA" name="amountExceedingBenefitMaximum" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_fMnKICUfEeO_iaEYDPvTaA" annotatedElement="_SoaCsCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient exceeding a periodic benefit maximum.&quot; - NCPDP Telecommunication (Field 520-FK, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TwdFMLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TwdFMbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-ymxYCUoEeO_iaEYDPvTaA" name="amountOfCoinsurance" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_GI5pgCUpEeO_iaEYDPvTaA" annotatedElement="_-ymxYCUoEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to a per prescription coinsurance.&quot; - NCPDP Telecommunication (Field 572-4U, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UJbl4LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UJbl4byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JoT7MCUfEeO_iaEYDPvTaA" name="amountOfCopay" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_NnSSMCUfEeO_iaEYDPvTaA" annotatedElement="_JoT7MCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to a per prescription copay.&quot; - NCPDP Telecommunication (Field 518-FI, Data Dictionary 201104).&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UldakLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UldakbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SuT2YCUfEeO_iaEYDPvTaA" name="amountOfProcessingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_0OcBUCUjEeO_iaEYDPvTaA" annotatedElement="_SuT2YCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the processing fee imposed by the processor.&quot; - NCPDP Telecommunication (Field 571-NZ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJ9OwLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJ9OwbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-5SFUCUhEeO_iaEYDPvTaA" name="basisOfCalculationCoInsurance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fOjfUCUpEeO_iaEYDPvTaA" annotatedElement="_-5SFUCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the Coinsurance reimbursement amount was calculated for Patient Pay Amount.&quot; - NCPDP Telecommunication (Field 573-4V, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VigRoLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Vig4sLyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i53NECUhEeO_iaEYDPvTaA" name="basisOfCalculationCopay" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3rNVECUhEeO_iaEYDPvTaA" annotatedElement="_i53NECUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the Copay reimbursement amount was calculated for Patient Pay Amount.&quot; - NCPDP Telecommunication (Field 347-HJ, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V9XosLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V9XosbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SrbhgCUfEeO_iaEYDPvTaA" name="basisOfCalculationDispensingFee" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wX1gACUfEeO_iaEYDPvTaA" annotatedElement="_SrbhgCUfEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Dispensing Fee Paid&quot; - NCPDP Telecommunication (Field 346-HH, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wc42QLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wc42QbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2IqsCUhEeO_iaEYDPvTaA" name="basisOfCalculationFlatSalesTax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QT5iECUiEeO_iaEYDPvTaA" annotatedElement="_-2IqsCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Flat Sales Tax Amount Paid&quot; - NCPDP Telecommunication (Field 348-HK, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W9lvkLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W9lvkbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-3xCYCUhEeO_iaEYDPvTaA" name="basisOfCalculationPercentageSalesTax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eTlTkCUjEeO_iaEYDPvTaA" annotatedElement="_-3xCYCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Percentage Sales Tax Amount Paid.&quot; - NCPDP Telecommunication (Field 349-HM, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XisnwLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XisnwbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WRj1cHpdEeCYy4DzyFpAzQ" name="basisOfReimbursementDetermination" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3H_PUCSJEeOTgcVYMe3cWA" annotatedElement="_WRj1cHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying how the reimbursement amount was calculated for &quot;Ingredient Cost Paid.&quot; - NCPDP Telecommunication (Field 522-FM, Data Dictionary 201104).  Possible values include: Default; AWP (Average Wholesale Price); Local Wholesaler; Direct; EAC (Estimated Acquisition Cost); Acquisition; MAC (Maximum Allowable Cost); Usual &amp; Customary; 340B /Disproportionate Share Pricing/Public Health Service; ASP (Average Sales Price); AMP (Average Manufacturer Price); WAC (Wholesale Acquisition Cost); Special Patient Pricing; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X8aIQLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X8aIQbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JsVXMCUtEeO_iaEYDPvTaA" name="benefitStage" visibility="public" type="_Sb7_gJteEeClAtaO_zSM7g" association="_JsRs0CUtEeO_iaEYDPvTaA">
          <ownedComment xmi:id="_Mk5fwCUtEeO_iaEYDPvTaA" annotatedElement="_JsVXMCUtEeO_iaEYDPvTaA">
            <body>Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JsWlUCUtEeO_iaEYDPvTaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JsWlUSUtEeO_iaEYDPvTaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qLXkkCYNEeOkPsd2JhLMLw" name="benefitStageCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_qLXkkSYNEeOkPsd2JhLMLw" annotatedElement="_qLXkkCYNEeOkPsd2JhLMLw">
            <body>&quot;Count of Benefit Stage Amount occurrences.&quot; - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZdvYILyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZdvYIbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D2ONcHpbEeCYy4DzyFpAzQ" name="dispensingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_uKNWoCR2EeOGsKsAZqPe7g" annotatedElement="_D2ONcHpbEeCYy4DzyFpAzQ">
            <body>&quot;Dispensing fee paid included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 507-F7, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aLAt0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aLAt0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g77nYCSKEeOTgcVYMe3cWA" name="dispensingFeeAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_bkYvICUzEeO_iaEYDPvTaA" annotatedElement="_g77nYCSKEeOTgcVYMe3cWA">
            <body>&quot;Informational field used when Other Payer-Patient Responsibility Amount or Patient Pay Amount is used for reimbursement. Amount is equal to contracted or reimbursable dispensing fee for product being dispensed.&quot; - NCPDP Telecommunication (Field 149-U9, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_am1HILyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_am1HIbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-0ZhICUoEeO_iaEYDPvTaA" name="estimatedGenericSavings" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_bRWtICUtEeO_iaEYDPvTaA" annotatedElement="_-0ZhICUoEeO_iaEYDPvTaA">
            <body>&quot;The amount, not included in the Total Amount Paid, that the patient would have saved if they had chosen the generic drug instead of the brand drug.&quot; - NCPDP Telecommunication (Field 577-G3, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bDf1ALyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bDf1AbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__IZW8HpbEeCYy4DzyFpAzQ" name="flatSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_1St_gCR4EeOGsKsAZqPe7g" annotatedElement="__IZW8HpbEeCYy4DzyFpAzQ">
            <body>&quot;Flat sales tax paid which is included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 558-AW, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bwVF0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bwVF0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x2iKQCUtEeO_iaEYDPvTaA" name="healthPlanFundedAssistanceAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_nHTK8CUuEeO_iaEYDPvTaA" annotatedElement="_x2iKQCUtEeO_iaEYDPvTaA">
            <body>&quot;The amount from the health plan-funded assistance account for the patient that was applied to reduce Patient Pay Amount. This amount is used in Healthcare Reimbursement Account (HRA) benefits only. This field is always a negative amount or zero. The Health Plan-funded Assistance Amount is part of the patient pay amount calculation and is used to report back to the provider and patient the portion of Patient Pay Amount that was reduced due to this plan-funded assistance. NOTE: There is no credit card transaction involved in this type of Patient Spending Assistance, as in a Flexible Spending Account (FSA).&quot; - NCPDP Telecommunication (Field 129-UD, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cWUu0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cWUu0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__ES6EHpbEeCYy4DzyFpAzQ" name="incentiveAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_mpJ4oCR5EeOGsKsAZqPe7g" annotatedElement="__ES6EHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount represents the contractually agreed upon incentive fee paid for specific services rendered. Amount is included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 521-FL, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c0htwLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c0htwbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0wrKoHpaEeCYy4DzyFpAzQ" name="ingredientCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_iHOs8CR2EeOGsKsAZqPe7g" annotatedElement="_0wrKoHpaEeCYy4DzyFpAzQ">
            <body>&quot;Drug ingredient cost paid included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 506-F6, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dOQcYLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dOQcYbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x-OtsCUtEeO_iaEYDPvTaA" name="ingredientCostAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Ac0r8CUzEeO_iaEYDPvTaA" annotatedElement="_x-OtsCUtEeO_iaEYDPvTaA">
            <body>&quot;Informational field used when Other Payer-Patient Responsibility Amount or Patient Pay Amount  is used for reimbursement. Amount is equal to contracted or reimbursable amount for product being dispensed.&quot; - NCPDP Telecommunication (Field 148-U8, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_do_3oLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_do_3obyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WIWICRuEeOGsKsAZqPe7g" name="otherAmountPaidCount" visibility="public" isDerived="true">
          <eAnnotations xmi:id="_PGHQoCRvEeOGsKsAZqPe7g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Ol9w8CRvEeOGsKsAZqPe7g" annotatedElement="_5WIWICRuEeOGsKsAZqPe7g">
            <body>&quot;Count of the other amount paid occurrences.&quot; - NCPDP Telecommunication (Field 563-J2, Data Dictionary 201104).  Note that this property could potentially be calculated based on the number of instances of the Other Amount class.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fXzi0LyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fXzi0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nzk0QCR7EeOGsKsAZqPe7g" name="otherPayerAmountRecognized" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Nzk0QSR7EeOGsKsAZqPe7g" annotatedElement="_Nzk0QCR7EeOGsKsAZqPe7g">
            <body>&quot;Total amount recognized by the processor of any payment from another source.&quot; - NCPDP Telecommunication (Field 566-J5, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gpemELyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gpemEbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Ch_gHpbEeCYy4DzyFpAzQ" name="patientPayAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_TcFHICR2EeOGsKsAZqPe7g" annotatedElement="__Ch_gHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount that is calculated by the processor and returned to the pharmacy as the TOTAL amount to be paid by the patient to the pharmacy; the patient’s total cost share, including copayments, amounts applied to deductible, over maximum amounts, penalties, etc.&quot; - NCPDP Telecommunication (Field 505-F5, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hFVboLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hFVbobyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SwoKkCUfEeO_iaEYDPvTaA" name="patientSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_TMkwoCUoEeO_iaEYDPvTaA" annotatedElement="_SwoKkCUfEeO_iaEYDPvTaA">
            <body>&quot;Patient sales tax responsibility. This field is not a component of the Patient Pay Amount formula.&quot; - NCPDP Telecommunication (Field 575-EQ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hb8k0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hb8k0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lFeLIHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_9kDjkCR4EeOGsKsAZqPe7g" annotatedElement="_lFeLIHpcEeCYy4DzyFpAzQ">
            <body>&quot;Amount of percentage sales tax paid which is included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 559-AX, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h3BXQLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h3BXQbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lIYVMHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZlktkCR5EeOGsKsAZqPe7g" annotatedElement="_lIYVMHpcEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the percentage sales tax paid basis.&quot; - NCPDP Telecommunication (Field 561-AZ, Data Dictionary 201104).  Possible values include: Ingredient Cost; Ingredient Cost plus Dispensing Fee; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iRK8oLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iRK8obyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lG5ugHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxRate" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_FUG_gCR5EeOGsKsAZqPe7g" annotatedElement="_lG5ugHpcEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax rate used to calculate Percentage Sales Tax Amount Paid&quot; - NCPDP Telecommunication (Field 560-AY, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i10h0LyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i10h0byeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SzYjoCUfEeO_iaEYDPvTaA" name="planSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_ie5EICUoEeO_iaEYDPvTaA" annotatedElement="_SzYjoCUfEeO_iaEYDPvTaA">
            <body>&quot;Plan sales tax responsibility. This field is not a component of the Patient Pay Amount formula.&quot; - NCPDP Telecommunication (Field 574-2Y, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jTU9MLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jTU9MbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JL3ccHpbEeCYy4DzyFpAzQ" name="professionalServiceFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_x1i4kCR5EeOGsKsAZqPe7g" annotatedElement="_JL3ccHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount representing the contractually agreed upon fee for professional services rendered.  This amount is included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 562-J1, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jvn3oLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jvxooLyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QNJOgCSNEeOTgcVYMe3cWA" name="remainingBenefitAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_SF2ckCSNEeOTgcVYMe3cWA" annotatedElement="_QNJOgCSNEeOTgcVYMe3cWA">
            <body>&quot;Amount remaining in a patient/family plan with a periodic maximum benefit.&quot; - NCPDP Telecommunication (Field 514-FE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kJZpkLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kJZpkbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2kLQQCSMEeOTgcVYMe3cWA" name="remainingDeductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_F-ykICSNEeOTgcVYMe3cWA" annotatedElement="_2kLQQCSMEeOTgcVYMe3cWA">
            <body>&quot;Amount not met by the patient/family in the deductible plan.&quot; - NCPDP Telecommunication (Field 513-FD, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kjLbgLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kjLbgbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2NfACUoEeO_iaEYDPvTaA" name="spendingAccountAmountRemaining" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_pY7r0CUtEeO_iaEYDPvTaA" annotatedElement="_-2NfACUoEeO_iaEYDPvTaA">
            <body>&quot;The balance from the patient’s spending account after this transaction was applied.&quot; - NCPDP Telecommunication (Field 128-UC, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lBB1ILyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lBB1IbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DnJZUCR3EeOGsKsAZqPe7g" name="taxExemptCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HIOTYCR3EeOGsKsAZqPe7g" annotatedElement="_DnJZUCR3EeOGsKsAZqPe7g">
            <body>&quot;Code indicating the payer and/or the patient is exempt from taxes.&quot; - NCPDP Telecommunication (Field 557-AV, Data Dictionary 201104).  Possible values include: Payer/Plan is Tax Exempt; Patient is Tax Exempt; Payer/Plan and Patient are Tax Exempt.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mRCEcLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mRL1cLyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fFeFoHpeEeCYy4DzyFpAzQ" name="otherAmount" visibility="public" type="_68JHAHpdEeCYy4DzyFpAzQ" association="_fFbCUHpeEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_Bgg0ICYQEeOkPsd2JhLMLw" annotatedElement="_fFeFoHpeEeCYy4DzyFpAzQ">
            <body>Pointer to a set of additional costs associated with a dispensed prescription or service that were reimbursed.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fFeFoXpeEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fFhI8HpeEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nEGF4HpaEeCYy4DzyFpAzQ" name="billingEvent_billingResponse" memberEnd="_nEJJMHpaEeCYy4DzyFpAzQ _nEJJM3paEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_nEJJM3paEeCYy4DzyFpAzQ" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_nEGF4HpaEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nEJJNHpaEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nEJJNXpaEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mNIzQHpbEeCYy4DzyFpAzQ" name="BillingSubmission">
        <ownedComment xmi:id="_DnxRACYPEeOkPsd2JhLMLw" annotatedElement="_mNIzQHpbEeCYy4DzyFpAzQ">
          <body>This class contains data sent to a Payer as part of a Billing Event detailing the components and reasons for the charges being billed.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wmQRQHpdEeCYy4DzyFpAzQ" name="basisOfCostDetermination" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f1wWYCRyEeOGsKsAZqPe7g" annotatedElement="_wmQRQHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the method by which Ingredient Cost Submitted was calculated.&quot; - NCPDP Telecommunication (Field 423-DN, Data Dictionary 201104).  Possible values include: Default; AWP (Average Wholesale Price); Local Wholesaler; Direct; EAC (Estimated Acquisition Cost); Acquisition; MAC (Maximum Allowable Cost); Usual &amp; Customary; 340B /Disproportionate Share Pricing/Public Health Service; ASP (Average Sales Price); AMP (Average Manufacturer Price); WAC (Wholesale Acquisition Cost); Special Patient Pricing; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3M36gLyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3M36gbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQXpdEeCYy4DzyFpAzQ" name="dispensingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_snbrYCRtEeOGsKsAZqPe7g" annotatedElement="_wmQRQXpdEeCYy4DzyFpAzQ">
            <body>&quot;Dispensing fee submitted by the pharmacy. This amount is included in the Gross Amount Due&quot; - NCPDP Telecommunication (Field 412-DC, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4CmooLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4CmoobyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQnpdEeCYy4DzyFpAzQ" name="flatSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_adXAQCRwEeOGsKsAZqPe7g" annotatedElement="_wmQRQnpdEeCYy4DzyFpAzQ">
            <body>&quot;Flat sales tax submitted for prescription. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 481-HA, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ec3ILyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ec3IbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQ3pdEeCYy4DzyFpAzQ" name="incentiveAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_j1vW0CRuEeOGsKsAZqPe7g" annotatedElement="_wmQRQ3pdEeCYy4DzyFpAzQ">
            <body>&quot;Amount represents a fee that is submitted by the pharmacy for contractually agreed upon services. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 438-E3, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_46lZgLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_46lZgbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRHpdEeCYy4DzyFpAzQ" name="ingredientCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_j-5IQCRtEeOGsKsAZqPe7g" annotatedElement="_wmQRRHpdEeCYy4DzyFpAzQ">
            <body>&quot;Submitted product component cost of the dispensed prescription. This amount is included in the Gross Amount Due&quot; - NCPDP Telecommunication (Field 409-D9, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UMMULyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UMMUbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRXpdEeCYy4DzyFpAzQ" name="medicaidPaidAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_wJSPQCRyEeOGsKsAZqPe7g" annotatedElement="_wmQRRXpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount paid by the Medicaid Agency.  Required if affects pricing in Medicaid Subrogation (contains the amount paid to the pharmacy). See Medicaid Subrogation Implementation Guide.&quot; - NCPDP Telecommunication (Field 113-N3, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5w1FALyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5w1FAbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TxnnQJBhEeCMBO4kb261_A" name="narrative" visibility="public">
          <ownedComment xmi:id="_TKVXMCRzEeOGsKsAZqPe7g" annotatedElement="_TxnnQJBhEeCMBO4kb261_A">
            <body>Contains any comments to describe the billable event or to provide justification for payment.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XGt60JBhEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XGt60ZBhEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRnpdEeCYy4DzyFpAzQ" name="patientPaidAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_WzxVUCRuEeOGsKsAZqPe7g" annotatedElement="_wmQRRnpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount the pharmacy received from the patient for the prescription dispensed.&quot; - NCPDP Telecommunication (Field 433-DX, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9s2OoLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9s2OobyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRR3pdEeCYy4DzyFpAzQ" name="percentageSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_mqpcgCRwEeOGsKsAZqPe7g" annotatedElement="_wmQRR3pdEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax submitted. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 482-GE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-GihALyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-GihAbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSHpdEeCYy4DzyFpAzQ" name="percentageSalesTaxBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_B0glwCRxEeOGsKsAZqPe7g" annotatedElement="_wmQRSHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the basis for percentage sales tax.&quot; - NCPDP Telecommunication (Field 483-HE, Data Dictionary 201104).  Possible values include: Ingredient Cost; Ingredient Cost plus Dispensing Fee; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-gM-MLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-gM-MbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSXpdEeCYy4DzyFpAzQ" name="percentageSalesTaxRate" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_vsuhACRwEeOGsKsAZqPe7g" annotatedElement="_wmQRSXpdEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax rate used to calculate Percentage Sales Tax Amount Submitted&quot; - NCPDP Telecommunication (Field 483-HE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__KiUoLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__KiUobyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSnpdEeCYy4DzyFpAzQ" name="professionalServiceFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_KZyg4CRuEeOGsKsAZqPe7g" annotatedElement="_wmQRSnpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount submitted by the provider for professional services rendered.&quot; - NCPDP Telecommunication (Field 477-BE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__m3EQLyeEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__m3EQbyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRS3pdEeCYy4DzyFpAzQ" name="usualAndCustomaryCharge" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_NFvpcCRxEeOGsKsAZqPe7g" annotatedElement="_wmQRS3pdEeCYy4DzyFpAzQ">
            <body>&quot;Amount charged cash customers for the prescription exclusive of sales tax or other amounts claimed.&quot; - NCPDP Telecommunication (Field 426-DQ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AKTIgLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AKTIgbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ep9OUXpeEeCYy4DzyFpAzQ" name="otherAmount" visibility="public" type="_68JHAHpdEeCYy4DzyFpAzQ" association="_ep9OUHpeEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_34ETMCYPEeOkPsd2JhLMLw" annotatedElement="_ep9OUXpeEeCYy4DzyFpAzQ">
            <body>Pointer to a set of additional costs incurred or claimed for a dispensed prescription or service.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqARoHpeEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqARoXpeEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PzNmMCR6EeOGsKsAZqPe7g" name="otherAmountSubmittedCount" visibility="public" isDerived="true">
          <eAnnotations xmi:id="_PzNmMSR6EeOGsKsAZqPe7g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PzNmMiR6EeOGsKsAZqPe7g" annotatedElement="_PzNmMCR6EeOGsKsAZqPe7g">
            <body>&quot;Count of other amount claimed submitted occurrences.&quot; - NCPDP Telecommunication (Field 478-H7, Data Dictionary 201104).  Note that this property could potentially be calculated based on the number of instances of the Other Amount class.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_78wKALyeEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7857ALyeEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sSox4HpbEeCYy4DzyFpAzQ" name="billingEvent_billingSubmission" memberEnd="_sSr1MHpbEeCYy4DzyFpAzQ _sSu4gHpbEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_sSu4gHpbEeCYy4DzyFpAzQ" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_sSox4HpbEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSu4gXpbEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSu4gnpbEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_68JHAHpdEeCYy4DzyFpAzQ" name="OtherAmount">
        <ownedComment xmi:id="_0Mq_gCYPEeOkPsd2JhLMLw" annotatedElement="_68JHAHpdEeCYy4DzyFpAzQ">
          <body>This class provides details concerning any additional costs incurred or claimed for a dispensed prescription or service.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Y-ijoHpeEeCYy4DzyFpAzQ" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_jT28UCRvEeOGsKsAZqPe7g" annotatedElement="_Y-ijoHpeEeCYy4DzyFpAzQ">
            <body>&quot;Amount representing the additional incurred costs for a dispensed prescription or service.&quot; - NCPDP Telecommunication (Field 480-H9, Data Dictionary 201104).&#xD;
&quot;Amount paid for additional costs claimed in Other Amount Claimed Submitted.&quot; - NCPDP Telecommunication (Field 565-J4, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CoSYcLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CoSYcbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ccPZkHpeEeCYy4DzyFpAzQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xku2YCRuEeOGsKsAZqPe7g" annotatedElement="_ccPZkHpeEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying the additional incurred cost claimed in Other Amount Claimed Submitted&quot; - NCPDP Telecommunication (Field 479-H8, Data Dictionary 201104).&#xD;
&quot;Code clarifying the value in the Other Amount Paid.&quot; - NCPDP Telecommunication (Field 564-J3, Data Dictionary 201104).&#xD;
Possible values include: Delivery Cost; Shipping Cost; Postage Cost; Administrative Cost; Incentive; Cognitive Service; Drug Benefit; Compound Preparation Cost Submitted; Sales Tax.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DIrIsLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DIrIsbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ep9OUHpeEeCYy4DzyFpAzQ" name="billingSubmission_otherAmount" memberEnd="_ep9OUXpeEeCYy4DzyFpAzQ _eqARonpeEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_eqARonpeEeCYy4DzyFpAzQ" name="" visibility="public" type="_mNIzQHpbEeCYy4DzyFpAzQ" association="_ep9OUHpeEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqARo3peEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqARpHpeEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fFbCUHpeEeCYy4DzyFpAzQ" name="billingResponse_otherAmount" memberEnd="_fFeFoHpeEeCYy4DzyFpAzQ _fFhI8XpeEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_fFhI8XpeEeCYy4DzyFpAzQ" name="" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_fFbCUHpeEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fFhI8npeEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fFhI83peEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_B95dEHpfEeCYy4DzyFpAzQ" name="CouponRedemption">
        <ownedComment xmi:id="_8id9QCPUEeOWt_Gp5Q0GJA" annotatedElement="_B95dEHpfEeCYy4DzyFpAzQ">
          <body>This class contains information about the patient's use of a manufacturers coupon to reduce the patient's out-of-pocket cost for the prescription.&#xD;
&quot;A coupon is used to reduce the patient out of pocket prescription cost – by either reducing the cost of a cash prescription or the patient financial responsibility from a Third Party payer who allows coupon usage. The coupon processor is the LAST payer.  (Note:  Some Federal and State programs do not allow the reduction of patient’s financial responsibility.)  When a customer has a coupon, the Usual And Customary Charge field is not reduced by the amount of the coupon.&quot; - NCPDP Telecommunication D.6, Coupon Segment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_r5NocXpfEeCYy4DzyFpAzQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TrYZkCPVEeOWt_Gp5Q0GJA" annotatedElement="_r5NocXpfEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the type of coupon being used.&quot; - NCPDP Telecommunication (Field 485-KE, Data Dictionary 201104).  Possible values include: Price Discount; Free Product; Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VTHVULyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VTHVUbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vg2dgHpfEeCYy4DzyFpAzQ" name="id" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bhUbECPVEeOWt_Gp5Q0GJA" annotatedElement="_vg2dgHpfEeCYy4DzyFpAzQ">
            <body>&quot;Unique serial number assigned to the prescription coupons.&quot; - NCPDP Telecommunication (Field 485-ME, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VqTGQLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VqTGQbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r5NocHpfEeCYy4DzyFpAzQ" name="value" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_nxMRQCPVEeOWt_Gp5Q0GJA" annotatedElement="_r5NocHpfEeCYy4DzyFpAzQ">
            <body>&quot;Value of the coupon.&quot; - NCPDP Telecommunication (Field 485-NE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WHEh0LyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WHEh0byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Dbl4MHphEeCYy4DzyFpAzQ" name="PriorAuthorizationRequest">
        <ownedComment xmi:id="_pDoe4AMiEeKTM4I4vlc5xg" annotatedElement="_Dbl4MHphEeCYy4DzyFpAzQ">
          <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_k_1ZAHpjEeCYy4DzyFpAzQ" name="authorizationId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_qWM6AAMiEeKTM4I4vlc5xg" annotatedElement="_k_1ZAHpjEeCYy4DzyFpAzQ">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.&#xD;
&quot;Number assigned by the processor to identify an authorized transaction.&quot; - NCPDP Telecommunication (Field 503-F3, Data Dictionary 201104).&#xD;
&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bxcOMLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bxcOMbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S7npIOGkEeaHnLXha23s2A" name="authorizedRepresentative" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_aspVcOGkEeaHnLXha23s2A" annotatedElement="_S7npIOGkEeaHnLXha23s2A">
            <body>Authorized Representative first name, last name, street address, city, state, and zipcode. - NCPDP Telecommunication (Fields 498-PE, 498-PF, 498-PG, 498-PH, 498-PJ, and 498-PK).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WipaMOGkEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WipaMeGkEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o1cqkHphEeCYy4DzyFpAzQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_wH3KcNUeEeGzd-o9XtejuA" annotatedElement="_o1cqkHphEeCYy4DzyFpAzQ">
            <body>&quot;Beginning date for a prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PB, Data Dictionary 201104).&#xD;
&quot;Ending date for a prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PC, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dhPX4LygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dhPX4bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ci4lYHpkEeCYy4DzyFpAzQ" name="previousAuthorizationId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_GO5ZwCF5EeOiKdy59Xpbgg" annotatedElement="_ci4lYHpkEeCYy4DzyFpAzQ">
            <body>&quot;Unique number identifying the prior authorization assigned by the processor.  Provided to the pharmacy by the processor to be used by the pharmacy for billing, and if applicable, reversal purposes.&quot; - NCPDP Telecommunication (Field 498-PY, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eDg-gLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eDg-gbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C-Kf4HpiEeCYy4DzyFpAzQ" name="requestBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5BiVsCF6EeOiKdy59Xpbgg" annotatedElement="_C-Kf4HpiEeCYy4DzyFpAzQ">
            <body>&quot;Code describing the reason for prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PD, Data Dictionary 201104).  Possible values include: Medical Exception; Plan Requirement; Increase Plan Limitation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_elXHULygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_elXHUbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LMg20HphEeCYy4DzyFpAzQ" name="requestType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RCfCsCF6EeOiKdy59Xpbgg" annotatedElement="_LMg20HphEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying type of prior authorization request.  Used by processor to distinguish reason for prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PA, Data Dictionary 201104).  Possible values include: Initial; Reauthorization; Deferred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fD0k8LygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fD0k8bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b8jaoHpjEeCYy4DzyFpAzQ" name="supportingDocumentation" visibility="public">
          <ownedComment xmi:id="_mjwoQCF5EeOiKdy59Xpbgg" annotatedElement="_b8jaoHpjEeCYy4DzyFpAzQ">
            <body>&quot;Could be used, if applicable, to supply information not already included in NCPDP data fields that may be required to process a prior authorization transaction.&quot; - NCPDP Telecommunication (Field 498-PP, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f7P8MLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f7P8MbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_347b4IVZEeCFWps2bBaH1A" name="Payee">
        <ownedComment xmi:id="_1CmWUCRsEeOGsKsAZqPe7g" annotatedElement="_347b4IVZEeCFWps2bBaH1A">
          <body>This class identifies the entity to receive payment for the claim. The entity might be the billing physician, an agent, or a third party.&#xD;
&quot;The party to be reimbursed for the services.&quot; - HL7 FHIR, Claim.payee</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-bZqYIVZEeCFWps2bBaH1A" name="address" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_ku7TgCRsEeOGsKsAZqPe7g" annotatedElement="_-bZqYIVZEeCFWps2bBaH1A">
            <body>Mailing address of the entity to receive payment for claim (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 121-TV, 122-TW, 123-TX, and 124-TY).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M4dnwLygEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M4dnwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VBsFUIVbEeCFWps2bBaH1A" name="billingType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tXMOACRlEeOGsKsAZqPe7g" annotatedElement="_VBsFUIVbEeCFWps2bBaH1A">
            <body>&quot;A code that identifies the entity submitting the billing transaction.&quot; - NCPDP Telecommunication (Field 117-TR, Data Dictionary 201104). Possible values include: Provider Submitted-Pay to Provider; Provider Submitted-Pay to Another Party; Agent Submitted-Pay to Agent; Agent Submitted-Pay to Another Party.&#xD;
&quot;Type of Party to be reimbursed: Subscriber, provider, other.&quot; - HL7 FHIR, Claim.payee.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVBA4LygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVBA4bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bWnEIVZEeCFWps2bBaH1A" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_B53LYCRnEeOGsKsAZqPe7g" annotatedElement="_-bWnEIVZEeCFWps2bBaH1A">
            <body>&quot;Identifying number of the entity to receive payment for claim.&quot; - NCPDP Telecommunication (Field 119-TT, Data Dictionary 201104).&#xD;
Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (118-TS) to identify what kind of id is being used here (i.e., who issued the id).  Possible values include: National Provider Identifier (NPI); Blue Cross; Blue Shield; Medicare; Medicaid; UPIN (Unique Physician/Practitioner Identification Number); NCPDP Provider Identification Number (deprecated); State License; CHAMPUS (Civilian Health and Medical Program of the Uniformed Services); Health Industry Number (HIN); Federal Tax ID; Drug Enforcement Administration (DEA) Number; State Issued; Plan Specific; HCID (HC IDea); Combat Methamphetamine Epidemic Act (CMEA) Certificate ID; Other.  The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NsfFsLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NsfFsbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bZqYYVZEeCFWps2bBaH1A" name="name" visibility="public" isDerived="true">
          <ownedComment xmi:id="_Hxgh8CRsEeOGsKsAZqPe7g" annotatedElement="_-bZqYYVZEeCFWps2bBaH1A">
            <body>&quot;Name of the entity to receive payment for claim.&quot; - NCPDP Telecommunication (Field 120-TU, Data Dictionary 201104).&#xD;
Note that this property may potentially be derived from the associated party to be paid.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OhuroLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OhurobygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gHzXQMrrEeeRmrVpDYXk5A" name="party" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_q4vxUMrrEeeRmrVpDYXk5A" annotatedElement="_gHzXQMrrEeeRmrVpDYXk5A">
            <body>&quot;Party to be reimbursed: Subscriber, provider, other.&quot; - HL7 FHIR, Claim.payee.party</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j723sMrrEeeRmrVpDYXk5A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j723scrrEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WT1GUMrsEeeRmrVpDYXk5A" name="partyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_WT1GUcrsEeeRmrVpDYXk5A" annotatedElement="_WT1GUMrsEeeRmrVpDYXk5A">
            <body>This property is included for backwards compatibility with FHIR. FHIR uses it to tell which kind of class (i.e., which subtype of Participation) is being referenced by the party attribute. In FHIM, this is known through the Participation class hierarchy. This property is therefore marked as derived, as it can be generated based on the subtype of Participation that was instantiated.&#xD;
&quot;organization | patient | practitioner | relatedperson.&quot; - HL7 FHIR, Claim.payee.resource</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WT1GU8rsEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WT1GUsrsEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eOiPYIVbEeCFWps2bBaH1A" name="billingEvent_payee" memberEnd="_eOiPYYVbEeCFWps2bBaH1A _eOlSsoVbEeCFWps2bBaH1A">
        <ownedEnd xmi:id="_eOlSsoVbEeCFWps2bBaH1A" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_eOiPYIVbEeCFWps2bBaH1A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eOoWAIVbEeCFWps2bBaH1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eOoWAYVbEeCFWps2bBaH1A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zuqhwJBYEeCMBO4kb261_A" name="patientCaseManagement_clinicalInformation" memberEnd="_zutlEJBYEeCMBO4kb261_A _zutlE5BYEeCMBO4kb261_A">
        <ownedEnd xmi:id="_zutlE5BYEeCMBO4kb261_A" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_zuqhwJBYEeCMBO4kb261_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zutlFJBYEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zutlFZBYEeCMBO4kb261_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3fRBYJBfEeCMBO4kb261_A" name="billableService_serviceDeliveryLocation" memberEnd="_3fUEsJBfEeCMBO4kb261_A _3fXIAJBfEeCMBO4kb261_A">
        <ownedEnd xmi:id="_3fXIAJBfEeCMBO4kb261_A" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_3fRBYJBfEeCMBO4kb261_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3fXIAZBfEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3fXIApBfEeCMBO4kb261_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N9_qQJXcEeCD7vwmJe8BlA" name="CertificateOfMedicalNecessity">
        <ownedComment xmi:id="_6KxCgCX3EeOkPsd2JhLMLw" annotatedElement="_N9_qQJXcEeCD7vwmJe8BlA">
          <body>A Certificate of Medical Necessity is a document required by Centers for Medicare and Medicaid Services to substantiate the medical necessity of an item (e.g., a durable medical equipment) or service furnished to a Medicare beneficiary.  Medical necessity is a legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care.  By statute, Medicare may only pay for items and services that are &quot;reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member&quot;, unless there is another statutory authorization for payment. - adapted from wikipedia.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_t4G2cJXcEeCD7vwmJe8BlA" name="dateBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_V6NscCX1EeOkPsd2JhLMLw" annotatedElement="_t4G2cJXcEeCD7vwmJe8BlA">
            <body>&quot;The beginning date of need.&quot; - NCPDP Telecommunication (Field 374-2V, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HIlJQLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HIlJQbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xeS6AJXcEeCD7vwmJe8BlA" name="dateRevisedOrRecertified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_daj4cCX1EeOkPsd2JhLMLw" annotatedElement="_xeS6AJXcEeCD7vwmJe8BlA">
            <body>&quot;The effective date of the revision or re-certification provided by the certifying physician.&quot; - NCPDP Telecommunication (Field 375-2W, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HrDkMLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HrNVMLyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a6cdIJXdEeCD7vwmJe8BlA" name="dateSigned" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_teWvYCX5EeOkPsd2JhLMLw" annotatedElement="_a6cdIJXdEeCD7vwmJe8BlA">
            <body>&quot;The date the form was completed and signed by the ordering physician.&quot; - NCPDP Telecommunication (Field 372-2T, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IMZWsLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IMZWsbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jNqF8JXcEeCD7vwmJe8BlA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WxegECX_EeOkPsd2JhLMLw" annotatedElement="_jNqF8JXcEeCD7vwmJe8BlA">
            <body>&quot;Unique identifier for the data being submitted.&quot; - NCPDP Telecommunication (Field 369-2Q, Data Dictionary 201104).  Possible values include: Hospital Beds; Support Surfaces; Motorized Wheel Chair; Manual Wheelchair; Continuous Positive Airway Pressure (CPAP); Lymphedema Pumps; Osteogenesis Stimulator; Transcutaneous Electrical Nerve Stimulator TENS); Seat Lift Mechanisms; Power Operated Vehicles (POV); Immunosuppressive Drugs; Infusion Pump; Parenteral Nutrition; Enteral Nutrition; Oxygen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GAopwLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GAopwbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nXELUJXcEeCD7vwmJe8BlA" name="lengthOfNeed" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_30DfQCX2EeOkPsd2JhLMLw" annotatedElement="_nXELUJXcEeCD7vwmJe8BlA">
            <body>&quot;Length of time the physician expects the patient to require use of the ordered item.&quot; - NCPDP Telecommunication (Field 370-2R, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (371-2S) to provide the units of measure for the time quantity represented in 370-2R.  Possible values include: Hours; Days; Weeks; Months; Years; Lifetime; Not Specified.  Note that each of these units, except for &quot;Lifetime&quot; are handled in the TimeQuantity datatype.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Iw7AELyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Iw7AEbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iyjo4JXdEeCD7vwmJe8BlA" name="narrative" visibility="public">
          <ownedComment xmi:id="_QpCpkCX8EeOkPsd2JhLMLw" annotatedElement="_iyjo4JXdEeCD7vwmJe8BlA">
            <body>&quot;Free text message&quot; - NCPDP Telecommunication (Field 376-2X, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iyjo4pXdEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iyjo4ZXdEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cS_vQCX8EeOkPsd2JhLMLw" name="questionCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_OnLDACX9EeOkPsd2JhLMLw" annotatedElement="_cS_vQCX8EeOkPsd2JhLMLw">
            <body>&quot;Count of Question Number/Letter occurrences.&quot; - NCPDP Telecommunication (Field 377-2Z, Data Dictionary 201104).  Note that this is modeled as a derived property as it may potentially be calculated based on the number of Assessment Instrument Response instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KIkIcLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KIkIcbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TX2D0JXcEeCD7vwmJe8BlA" name="requestStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-o2CQCX1EeOkPsd2JhLMLw" annotatedElement="_TX2D0JXcEeCD7vwmJe8BlA">
            <body>&quot;Code identifying type of request.&quot; - NCPDP Telecommunication (Field 373-2U, Data Dictionary 201104).  Possible values include: Initial; Revision; Recertification; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ko-t4LyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KpH30LyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DYLbACX9EeOkPsd2JhLMLw" name="assessmentResponse" visibility="public" type="_DqIjMHCOEeKknILXOCcS7w" association="_DYIXsCX9EeOkPsd2JhLMLw">
          <ownedComment xmi:id="_tCZZ4CX-EeOkPsd2JhLMLw" annotatedElement="_DYLbACX9EeOkPsd2JhLMLw">
            <body>Pointer to a set of questions and answers.  The FHIM reuses a structure built for this purpose from the Assessment domain.  This association to the assessment response/question corresponds to the following fields in the NCPDP Telecommunication standard: 378-4B, Question Number/Letter; 379-4D, Question Percent Response; 379-4D, Question Date Response; 381-4H, Question Dollar Amount Response; 382-4J, Question Numeric Response; 383-4K, Question Alphanumeric Response.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYMCECX9EeOkPsd2JhLMLw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYMpICX9EeOkPsd2JhLMLw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yxy-cJtcEeClAtaO_zSM7g" name="CoordinationOfBenefits">
        <ownedComment xmi:id="_tIDuQCYEEeOkPsd2JhLMLw" annotatedElement="_yxy-cJtcEeClAtaO_zSM7g">
          <body>This class represents the results of prior Billing Events, including previous payments, which are used in part to determine the liability of the Payer and of the Patient for the current Billing Event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NIK1QJtdEeClAtaO_zSM7g" name="dateAdjudicated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xMR00CYIEeOkPsd2JhLMLw" annotatedElement="_NIK1QJtdEeClAtaO_zSM7g">
            <body>&quot;Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits.&quot; - NCPDP Telecommunication (Field 443-E8, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6jzYLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6jzYbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TMH7wJtdEeClAtaO_zSM7g" name="internalControlId" visibility="public">
          <ownedComment xmi:id="_7cBmUCYIEeOkPsd2JhLMLw" annotatedElement="_TMH7wJtdEeClAtaO_zSM7g">
            <body>&quot;Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only.&quot; - NCPDP Telecommunication (Field 993-A7, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OlXD4LyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OlXD4byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DfGCMJtdEeClAtaO_zSM7g" name="otherPayerId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WYH10CYIEeOkPsd2JhLMLw" annotatedElement="_DfGCMJtdEeClAtaO_zSM7g">
            <body>&quot;ID assigned to the payer.&quot; - NCPDP Telecommunication (Field 340-7C, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (339-6C) to identify what kind of id is being used here (i.e., who issued the id).  Possible values include: National Provider Identifier (NPI); Medicare; Medicaid; Health Industry Number (HIN); Bank Information Number (BIN); National Association of Insurance Commissioners (NAIC); Medicare Carrier Number; Other.  The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PKoUILyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PKoUIbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZljwQCYKEeOkPsd2JhLMLw" name="previousPaymentCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_0ULvACYKEeOkPsd2JhLMLw" annotatedElement="_ZljwQCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of the payer amount paid occurrences.&quot; - NCPDP Telecommunication (Field 341-HB, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Payment class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RFxyMLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RFxyMbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YOudgZteEeClAtaO_zSM7g" name="benefitStage" visibility="public" type="_Sb7_gJteEeClAtaO_zSM7g" association="_YOudgJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_aGCxECF-EeOiKdy59Xpbgg" annotatedElement="_YOudgZteEeClAtaO_zSM7g">
            <body>Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YO0kIJteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YO0kIZteEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J5igoZteEeClAtaO_zSM7g" name="billingSequence" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_J5igoJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_wGs-8CFJEeO3ioY7BiCZOQ" annotatedElement="_J5igoZteEeClAtaO_zSM7g">
            <body>Pointer to the Billing Event(s) for which Health Plans have previously made payments for the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5igopteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5igo5teEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AnOnwZteEeClAtaO_zSM7g" name="previousPatientResponsibility" visibility="public" type="_3xZPgJtdEeClAtaO_zSM7g" association="_AnOnwJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_L6fKkCYOEeOkPsd2JhLMLw" annotatedElement="_AnOnwZteEeClAtaO_zSM7g">
            <body>Pointer to a set of amounts previously determined by other payers to be the responsibility of the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AnUuYJteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AnUuYZteEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dt87wZtdEeClAtaO_zSM7g" name="previousPayment" visibility="public" type="_Y_nkYJtdEeClAtaO_zSM7g" association="_dt87wJtdEeClAtaO_zSM7g">
          <ownedComment xmi:id="_Sjzn8CYOEeOkPsd2JhLMLw" annotatedElement="_dt87wZtdEeClAtaO_zSM7g">
            <body>Pointer to a set of amounts and categories of any payment(s) known by the pharmacy from other sources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dt87wptdEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dt87w5tdEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wBe9gZtdEeClAtaO_zSM7g" name="previousRejection" visibility="public" type="_t0TUQJtdEeClAtaO_zSM7g" association="_wBe9gJtdEeClAtaO_zSM7g">
          <ownedComment xmi:id="_dOpaACYOEeOkPsd2JhLMLw" annotatedElement="_wBe9gZtdEeClAtaO_zSM7g">
            <body>Pointer to a set of rejections previously made by other payers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wBe9gptdEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wBe9g5tdEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hqQmgCYKEeOkPsd2JhLMLw" name="previousRejectionCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_EtxzoCYLEeOkPsd2JhLMLw" annotatedElement="_hqQmgCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of Other Payer Reject Code occurrences.&quot; - NCPDP Telecommunication (Field 471-5E, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Rejection class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R2_zwLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R2_zwbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hryQgCYKEeOkPsd2JhLMLw" name="previousPatientResponsibilityCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AcBOECYMEeOkPsd2JhLMLw" annotatedElement="_hryQgCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of Other Payer-Patient Responsibility Amount and Other Payer-Patient Responsibility Amount Qualifier occurrences.&quot; - NCPDP Telecommunication (Field 353-NR, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Patient Responsibility class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QaBfcLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QaBfcbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AU01wCF-EeOiKdy59Xpbgg" name="benefitStageCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AU01wSF-EeOiKdy59Xpbgg" annotatedElement="_AU01wCF-EeOiKdy59Xpbgg">
            <body>&quot;Count of Benefit Stage Amount occurrences.&quot; - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOdd8LyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOdd8byfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7SRKsJtcEeClAtaO_zSM7g" name="billingEvent_coordinationOfBenefits" memberEnd="_7SXRUJtcEeClAtaO_zSM7g _7SXRU5tcEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_7SXRU5tcEeClAtaO_zSM7g" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_7SRKsJtcEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7SXRVJtcEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7SXRVZtcEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y_nkYJtdEeClAtaO_zSM7g" name="PreviousPayment">
        <ownedComment xmi:id="_RgHTICYKEeOkPsd2JhLMLw" annotatedElement="_Y_nkYJtdEeClAtaO_zSM7g">
          <body>This class contains the amounts and category of any payment(s) known by the pharmacy from other sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_eeNUAJtdEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_GHEzwCYJEeOkPsd2JhLMLw" annotatedElement="_eeNUAJtdEeClAtaO_zSM7g">
            <body>&quot;Amount of any payment known by the pharmacy from other sources.&quot; - NCPDP Telecommunication (Field 431-DV, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Vyu0ELygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Vyu0EbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hY7_wJtdEeClAtaO_zSM7g" name="paymentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HEOjECYKEeOkPsd2JhLMLw" annotatedElement="_hY7_wJtdEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Other Payer Amount Paid&quot; - NCPDP Telecommunication (Field 342-HC, Data Dictionary 201104).  Possible values include: Delivery Cost; Shipping Cost; Postage Cost; Administrative Cost; Incentive; Cognitive Service; Drug Benefit; Compound Preparation Cost Submitted; Sales Tax.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WRX34LygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WRX34bygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dt87wJtdEeClAtaO_zSM7g" name="coordinationOfBenefits_previousPayment" memberEnd="_dt87wZtdEeClAtaO_zSM7g _dt87xJtdEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_dt87xJtdEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_dt87wJtdEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_duDCYJtdEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_duDCYZtdEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t0TUQJtdEeClAtaO_zSM7g" name="PreviousRejection">
        <ownedComment xmi:id="_bS4Q4CYOEeOkPsd2JhLMLw" annotatedElement="_t0TUQJtdEeClAtaO_zSM7g">
          <body>This class represents any rejections previously made by other payers.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xQwNAJtdEeClAtaO_zSM7g" name="rejectCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_suIuMCYLEeOkPsd2JhLMLw" annotatedElement="_xQwNAJtdEeClAtaO_zSM7g">
            <body>&quot;The error encountered by the previous Other Payer in Reject Code (511-FB).&quot; - NCPDP Telecommunication (Field 472-6E, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XNKxwLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XNKxwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wBe9gJtdEeClAtaO_zSM7g" name="coordinationOfBenefits_previousRejection" memberEnd="_wBe9gZtdEeClAtaO_zSM7g _wBe9hJtdEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_wBe9hJtdEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_wBe9gJtdEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wBe9hZtdEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wBe9hptdEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3xZPgJtdEeClAtaO_zSM7g" name="PreviousPatientResponsibility">
        <ownedComment xmi:id="_I9P9YCYOEeOkPsd2JhLMLw" annotatedElement="_3xZPgJtdEeClAtaO_zSM7g">
          <body>This class represents the amounts previously determined by other payers to be the responsibility of the Patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3xZPgZtdEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_KNAnACYMEeOkPsd2JhLMLw" annotatedElement="_3xZPgZtdEeClAtaO_zSM7g">
            <body>&quot;The patient’s cost share from a previous payer.&quot; - NCPDP Telecommunication (Field 352-NQ, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UJPtwLygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UJPtwbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3xZPgptdEeClAtaO_zSM7g" name="patientResponsibilityType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3invACYMEeOkPsd2JhLMLw" annotatedElement="_3xZPgptdEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Other Payer-Patient Responsibility Amount.&quot; - NCPDP Telecommunication (Field 351-NP, Data Dictionary 201104).  Possible values include: Amount Applied to Periodic Deductible; Amount Attributed to Product Selection/Brand Drug; Amount Attributed to Sales Tax; Amount Exceeding Periodic Benefit Maximum; Amount of Copay; Patient Pay Amount; Amount of Coinsurance; Amount Attributed to Product Selection/Non-Preferred Formulary Selection; Amount Attributed to Health Plan Assistance Amount; Amount Attributed to Provider Network Selection; Amount Attributed to Product Selection/Brand Non-Preferred Formulary Selection; Amount Attributed to Coverage Gap; Amount Attributed to Processor Fee; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UphwULygEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UphwUbygEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AnOnwJteEeClAtaO_zSM7g" name="coordinationOfBenefits_previousPatientResponsibility" memberEnd="_AnOnwZteEeClAtaO_zSM7g _AnUuYpteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_AnUuYpteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_AnOnwJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AnUuY5teEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AnUuZJteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J5igoJteEeClAtaO_zSM7g" name="coordinationOfBenefits_billingSequence" memberEnd="_J5igoZteEeClAtaO_zSM7g _J5onQJteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_J5onQJteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_J5igoJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5onQZteEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5onQpteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Sb7_gJteEeClAtaO_zSM7g" name="BenefitStage">
        <ownedComment xmi:id="_V08vUCF-EeOiKdy59Xpbgg" annotatedElement="_Sb7_gJteEeClAtaO_zSM7g">
          <body>Medicare Part D provides prescription benefits in several &quot;stages&quot;, including an Initial Coverage Benefit Stage, the Coverage Gap or Out-of-Pocket Benefit Stage, and the Catastrophic Coverage Benefit Stage. This class identifies the number and dollar amount of payments made in each stage.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Sb7_gZteEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_8e4e8CF9EeOiKdy59Xpbgg" annotatedElement="_Sb7_gZteEeClAtaO_zSM7g">
            <body>&quot;The amount of claim allocated to the Medicare stage identified by the Benefit Stage Qualifier&quot; - NCPDP Telecommunication (Field 393-MW, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YS2HwLydEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YS2HwbydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sb7_gpteEeClAtaO_zSM7g" name="benefitStageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_v5BxsCF9EeOiKdy59Xpbgg" annotatedElement="_Sb7_gpteEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Benefit Stage Amount&quot; - NCPDP Telecommunication (Field 393-MV, Data Dictionary 201104).  Possible values include: Deductible; Initial Benefit; Coverage Gap (donut hole); Catastrophic Coverage; Not paid under Part D, paid under Part C benefit (for MA-PD plan); Not paid under Part D, paid as or under a supplemental benefit only; Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing; Non-Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZJ6SoLydEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZJ6SobydEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YOudgJteEeClAtaO_zSM7g" name="coordinationOfBenefits_benefitStage" memberEnd="_YOudgZteEeClAtaO_zSM7g _YO0kIpteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_YO0kIpteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_YOudgJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YO0kI5teEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YO0kJJteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tYozcPaYEeCbn6MPgQ_rxg" name="FinanciallyResponsibleParty">
        <ownedComment xmi:id="_L4Cc8CoTEeOycdNGQCOAtw" annotatedElement="_tYozcPaYEeCbn6MPgQ_rxg">
          <body>Identifies the (Role of the) Person who, or the Organization which, is responsible for the payment of services and/or materials provided. This concept is also commonly called Guarantor, but we use the broader name of Financially Responsible Party because it may also be used for a cash-paying patient in a retail pharmacy setting. The Financially Responsible Party will often be the same person or organization as the Subscriber, but this class is separate from the Subscriber in order to handle situations other than when the Patient is a Subscriber or a dependent of a Subscriber (again, a cash-paying Patient is the most common example).&#xD;
This class corresponds to information needed for NCPDP Script Census messages, particularly for Coordination of Benefits purposes.&#xD;
&quot;Parties financially responsible for the account.&quot; - HL7 FHIR, Account.guarantor</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0TOnAPaYEeCbn6MPgQ_rxg" name="address" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_dSQRECoTEeOycdNGQCOAtw" annotatedElement="_0TOnAPaYEeCbn6MPgQ_rxg">
            <body>Mailing address of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yNTMsLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yNTMsbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uJYEgLAkEeesgss27DHDeg" name="isOnHold" visibility="public">
          <ownedComment xmi:id="_uJYEgbAkEeesgss27DHDeg" annotatedElement="_uJYEgLAkEeesgss27DHDeg">
            <body>&quot;A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.&quot; - HL7 FHIR, Account.guarantor.onHold</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uJYEg7AkEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uJYEgrAkEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SGAHELApEeesgss27DHDeg" name="party" visibility="public" type="_A8mS8LAlEeesgss27DHDeg">
          <ownedComment xmi:id="_SGAHEbApEeesgss27DHDeg" annotatedElement="_SGAHELApEeesgss27DHDeg">
            <body>&quot;The entity who is responsible.&quot; - HL7 FHIR, Account.guarantor.party</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SGAHE7ApEeesgss27DHDeg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SGAHErApEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nVYBILAkEeesgss27DHDeg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_nVYBIbAkEeesgss27DHDeg" annotatedElement="_nVYBILAkEeesgss27DHDeg">
            <body>&quot;The timeframe during which the guarantor accepts responsibility for the account.&quot; - HL7 FHIR, Account.guarantor.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nVYBI7AkEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nVYBIrAkEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_24_IUPaYEeCbn6MPgQ_rxg" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_fjCn8CoTEeOycdNGQCOAtw" annotatedElement="_24_IUPaYEeCbn6MPgQ_rxg">
            <body>Name of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ynNhgLyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ynNhgbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kGfyUPabEeCbn6MPgQ_rxg" name="telephone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_hzK3gCoTEeOycdNGQCOAtw" annotatedElement="_kGfyUPabEeCbn6MPgQ_rxg">
            <body>Telephone number of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zFmtsLyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zFmtsbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6Exu4PaYEeCbn6MPgQ_rxg" name="coveredPatient_responsibleParty" memberEnd="_6EzkEPaYEeCbn6MPgQ_rxg _6E2AUPaYEeCbn6MPgQ_rxg">
        <ownedEnd xmi:id="_6E2AUPaYEeCbn6MPgQ_rxg" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_6Exu4PaYEeCbn6MPgQ_rxg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_m10zQPj0EeCL4956HPvowQ" name="billableService_priorAuthorizationRequest" memberEnd="_m12ocPj0EeCL4956HPvowQ _m15EsPj0EeCL4956HPvowQ">
        <ownedEnd xmi:id="_m15EsPj0EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_m10zQPj0EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1R1J0Pj0EeCL4956HPvowQ" name="billableService_certificateOfMedicalNecessity" memberEnd="_1R2_APj0EeCL4956HPvowQ _1R6CUPj0EeCL4956HPvowQ">
        <ownedEnd xmi:id="_1R6CUPj0EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_1R1J0Pj0EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_u31voPj5EeCL4956HPvowQ" name="billableService_patientCaseManagement" memberEnd="_u34L4Pj5EeCL4956HPvowQ _u37PMPj5EeCL4956HPvowQ">
        <ownedEnd xmi:id="_u37PMPj5EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_u31voPj5EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_deGREAMgEeKTM4I4vlc5xg" name="EmployerSponsor">
        <ownedComment xmi:id="__nEswCcAEeOyp-Ce3y08Wg" annotatedElement="_deGREAMgEeKTM4I4vlc5xg">
          <body>This class represents an Employer which has assumed financial responsibility for an insured group.  </body>
        </ownedComment>
        <generalization xmi:id="_gWgBkAMgEeKTM4I4vlc5xg" general="_xu5PgB2aEd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_mMvcMAMgEeKTM4I4vlc5xg" name="employerGroupId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_miDvcAMhEeKTM4I4vlc5xg" annotatedElement="_mMvcMAMgEeKTM4I4vlc5xg">
            <body>&quot;Holds the group employer ID for the insured’s insurance.&quot; - HL7 Version 2.8, IN1-10.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pmXzILyfEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pmXzIbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xjob8AMgEeKTM4I4vlc5xg" name="employerGroupName" visibility="public">
          <ownedComment xmi:id="_uhENYAMhEeKTM4I4vlc5xg" annotatedElement="_xjob8AMgEeKTM4I4vlc5xg">
            <body>&quot;Contains the name of the employer that provides the employee’s insurance.&quot; - HL7 Version 2.8, IN1-11.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qXr7ULyfEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qXr7UbyfEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JsRs0CUtEeO_iaEYDPvTaA" name="billingResponse_benefitStage" memberEnd="_JsVXMCUtEeO_iaEYDPvTaA _JsXzcCUtEeO_iaEYDPvTaA">
        <ownedEnd xmi:id="_JsXzcCUtEeO_iaEYDPvTaA" name="" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_JsRs0CUtEeO_iaEYDPvTaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DYIXsCX9EeOkPsd2JhLMLw" name="certificateOfMedicalNecessity_assessmentResponse" memberEnd="_DYLbACX9EeOkPsd2JhLMLw _DYNQMCX9EeOkPsd2JhLMLw">
        <ownedEnd xmi:id="_DYNQMCX9EeOkPsd2JhLMLw" name="" visibility="public" type="_N9_qQJXcEeCD7vwmJe8BlA" association="_DYIXsCX9EeOkPsd2JhLMLw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_P4u14CYbEeOkPsd2JhLMLw" name="workersCompClaim_healthcarePolicy" memberEnd="_P4vc8CYbEeOkPsd2JhLMLw _P4wrECYbEeOkPsd2JhLMLw">
        <ownedEnd xmi:id="_P4wrECYbEeOkPsd2JhLMLw" name="" visibility="public" type="_Wtz0cFlfEeCyw5g2lQh-Ug" association="_P4u14CYbEeOkPsd2JhLMLw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VECZgCf3EeC-JKXSDMHR6A" name="priorAuthorization_orderablePharmacyItem" memberEnd="_VEDnoCf3EeC-JKXSDMHR6A _VEFc0Cf3EeC-JKXSDMHR6A">
        <ownedEnd xmi:id="_VEFc0Cf3EeC-JKXSDMHR6A" name="" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_VECZgCf3EeC-JKXSDMHR6A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VEFc0Sf3EeC-JKXSDMHR6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VEGD4Cf3EeC-JKXSDMHR6A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_X7EmoDVfEeeQAI9kLhpEGw" name="Accident">
        <ownedComment xmi:id="_0C5M8DVfEeeQAI9kLhpEGw" annotatedElement="_X7EmoDVfEeeQAI9kLhpEGw">
          <body>&quot;An accident which resulted in the need for healthcare services.&quot; - HL7 FHIR, Claim.accident</body>
        </ownedComment>
        <ownedAttribute xmi:id="_CPZH4DVgEeeQAI9kLhpEGw" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_EZZhUDVgEeeQAI9kLhpEGw" annotatedElement="_CPZH4DVgEeeQAI9kLhpEGw">
            <body>&quot;Date of an accident which these services are addressing.&quot; - HL7 FHIR, Claim.accident.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ed4OgDVuEeeQAI9kLhpEGw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ed4OgTVuEeeQAI9kLhpEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XHKA8DVgEeeQAI9kLhpEGw" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dJnSoDVgEeeQAI9kLhpEGw" annotatedElement="_XHKA8DVgEeeQAI9kLhpEGw">
            <body>&quot;Type of accident: work, auto, etc.&quot; - HL7 FHIR, Claim.accident.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fybmoDVuEeeQAI9kLhpEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fybmoTVuEeeQAI9kLhpEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JMfncDVhEeeQAI9kLhpEGw" name="location" visibility="public" type="_Q4Q-QB16Ed-4VI-lpu-JjQ">
          <ownedComment xmi:id="_L9iLsDVhEeeQAI9kLhpEGw" annotatedElement="_JMfncDVhEeeQAI9kLhpEGw">
            <body>&quot;Accident Place.&quot; - HL7 FHIR, Claim.accident.location[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hOR5kDVuEeeQAI9kLhpEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hOR5kTVuEeeQAI9kLhpEGw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yIScQK-DEeeEi_Ln3rvPEg" name="Account">
        <ownedComment xmi:id="_0f-sYK-DEeeEi_Ln3rvPEg" annotatedElement="_yIScQK-DEeeEi_Ln3rvPEg">
          <body>&quot;A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc.&quot; - HL7 FHIR, Account</body>
        </ownedComment>
        <ownedAttribute xmi:id="_vtQyAK-IEeeEi_Ln3rvPEg" name="active" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_vtQyAa-IEeeEi_Ln3rvPEg" annotatedElement="_vtQyAK-IEeeEi_Ln3rvPEg">
            <body>&quot;Indicates the period of time over which the account is allowed to have transactions posted to it. This period may be different to the coveragePeriod which is the duration of time that services may occur.&quot; - HL7 FHIR, Account.active</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vtQyA6-IEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vtQyAq-IEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tZWZMK-JEeeEi_Ln3rvPEg" name="balance" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_tZWZMa-JEeeEi_Ln3rvPEg" annotatedElement="_tZWZMK-JEeeEi_Ln3rvPEg">
            <body>&quot;Represents the sum of all credits less all debits associated with the account. Might be positive, zero or negative.&quot; - HL7 FHIR, Account.balance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tZWZM6-JEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tZWZMq-JEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r5XGgLAgEeesgss27DHDeg" name="description" visibility="public">
          <ownedComment xmi:id="_r5XGgbAgEeesgss27DHDeg" annotatedElement="_r5XGgLAgEeesgss27DHDeg">
            <body>&quot;Provides additional information about what the account tracks and how it is used.&quot; - HL7 FHIR, Account.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r5XGg7AgEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r5XGgrAgEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fu4ysbAkEeesgss27DHDeg" name="guarantor" visibility="public" type="_tYozcPaYEeCbn6MPgQ_rxg" association="_Fu4ysLAkEeesgss27DHDeg">
          <ownedComment xmi:id="_heaNwLAkEeesgss27DHDeg" annotatedElement="_Fu4ysbAkEeesgss27DHDeg">
            <body>Pointer to a set of Persons or Organizations responsible for the payment of the services performed and/or materials provided under this Account.&#xD;
&quot;Parties financially responsible for the account.&quot; - HL7 FHIR, Account.guarantor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fu4ysrAkEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fu4ys7AkEeesgss27DHDeg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RJ9kkK-EEeeEi_Ln3rvPEg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_HfwToK-FEeeEi_Ln3rvPEg" annotatedElement="_RJ9kkK-EEeeEi_Ln3rvPEg">
            <body>&quot;Unique identifier used to reference the account. May or may not be intended for human use (e.g. credit card number).&quot; - HL7 FHIR, Account.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V-Ok0K-EEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V-PL4K-EEeeEi_Ln3rvPEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hUXhMK-FEeeEi_Ln3rvPEg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hUXhMa-FEeeEi_Ln3rvPEg" annotatedElement="_hUXhMK-FEeeEi_Ln3rvPEg">
            <body>&quot;Categorizes the account for reporting and searching purposes.&quot; - HL7 FHIR, Account.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hUXhM6-FEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hUXhMq-FEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uIxAwK-FEeeEi_Ln3rvPEg" name="name" visibility="public">
          <ownedComment xmi:id="_uIxAwa-FEeeEi_Ln3rvPEg" annotatedElement="_uIxAwK-FEeeEi_Ln3rvPEg">
            <body>&quot;Name used for the account when displaying it to humans in reports, etc.&quot; - HL7 FHIR, Account.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uIxAw6-FEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uIxAwq-FEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XGbqILAgEeesgss27DHDeg" name="owner" visibility="public" type="_420A62FD03B6418AA15801A9">
          <ownedComment xmi:id="_XGbqIbAgEeesgss27DHDeg" annotatedElement="_XGbqILAgEeesgss27DHDeg">
            <body>&quot;Indicates the organization, department, etc. with responsibility for the account.&quot; - HL7 FHIR, Account.owner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XGbqI7AgEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XGbqIrAgEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iPkBUK-JEeeEi_Ln3rvPEg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_iPkBUa-JEeeEi_Ln3rvPEg" annotatedElement="_iPkBUK-JEeeEi_Ln3rvPEg">
            <body>&quot;Identifies the period of time the account applies to; e.g. accounts created per fiscal year, quarter, etc.&quot; - HL7 FHIR, Account.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iPkBU6-JEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iPkBUq-JEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JZD-oK-FEeeEi_Ln3rvPEg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JZD-oa-FEeeEi_Ln3rvPEg" annotatedElement="_JZD-oK-FEeeEi_Ln3rvPEg">
            <body>&quot;Indicates whether the account is presently used/usable or not.&quot; - HL7 FHIR, Account.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JZD-o6-FEeeEi_Ln3rvPEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JZD-oq-FEeeEi_Ln3rvPEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YN-twbKhEeeKfvjx78dWlQ" name="accountCoverage" visibility="public" type="_XESh0LKhEeeKfvjx78dWlQ" association="_YN-twLKhEeeKfvjx78dWlQ">
          <ownedComment xmi:id="_fyYTULKhEeeKfvjx78dWlQ" annotatedElement="_YN-twbKhEeeKfvjx78dWlQ">
            <body>&quot;The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.&quot; - HL7 FHIR, Account.coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YN-twrKhEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YN-tw7KhEeeKfvjx78dWlQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fu4ysLAkEeesgss27DHDeg" name="account_guarantor" memberEnd="_Fu4ysbAkEeesgss27DHDeg _FvCjsLAkEeesgss27DHDeg">
        <ownedEnd xmi:id="_FvCjsLAkEeesgss27DHDeg" name="" visibility="private" type="_yIScQK-DEeeEi_Ln3rvPEg" association="_Fu4ysLAkEeesgss27DHDeg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vPGWoLBJEeesgss27DHDeg" name="Coverage">
        <ownedAttribute xmi:id="_T-YjMLBkEeeaRp4uBVUfTA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_fgLLYLBkEeeaRp4uBVUfTA" annotatedElement="_T-YjMLBkEeeaRp4uBVUfTA">
            <body>&quot;The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatination of the Coverage.SubscriberID and the Coverage.dependant.&quot; - HL7 FHIR, Coverage.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T-YjM7BkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T-YjMrBkEeeaRp4uBVUfTA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W9uCILBkEeeaRp4uBVUfTA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pRab8LBkEeeaRp4uBVUfTA" annotatedElement="_W9uCILBkEeeaRp4uBVUfTA">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, Coverage.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W9uCIrBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W9uCIbBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W_HwULBkEeeaRp4uBVUfTA" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vXKSMLBkEeeaRp4uBVUfTA" annotatedElement="_W_HwULBkEeeaRp4uBVUfTA">
            <body>&quot;The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.&quot; - HL7 FHIR, Coverage.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W_HwUrBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W_HwUbBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XAkh0LBkEeeaRp4uBVUfTA" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="__iS8sLBnEeeaRp4uBVUfTA" annotatedElement="_XAkh0LBkEeeaRp4uBVUfTA">
            <body>&quot;Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.&quot; - HL7 FHIR, Coverage.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XAkh0rBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XAkh0bBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XBxbsLBkEeeaRp4uBVUfTA" name="sequence" visibility="public">
          <ownedComment xmi:id="_M2ZjwLKcEeeKfvjx78dWlQ" annotatedElement="_XBxbsLBkEeeaRp4uBVUfTA">
            <body>&quot;An optional counter for a particular instance of the identified coverage which increments upon each renewal. [Some coverage, for example social plans, may be offered in short time increments, for example for a week or a month at a time, so while the rest of the plan details and identifiers may remain constant over time, the instance is incremented with each renewal and provided to the covered party on their card.]&quot; - HL7 FHIR, Coverage.sequence</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XBxbsrBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XBxbsbBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XDIGkLBkEeeaRp4uBVUfTA" name="order" visibility="public">
          <ownedComment xmi:id="_dI-aYLKcEeeKfvjx78dWlQ" annotatedElement="_XDIGkLBkEeeaRp4uBVUfTA">
            <body>&quot;The order of applicability of this coverage relative to other coverages which are currently inforce. Note, there may be gaps in the numbering and this does not imply primary, secondard etc. as the specific positioning of coverages depends upon the episode of care.&quot; - HL7 FHIR, Coverage.order</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XDIGkrBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XDIGkbBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IXcf0LBlEeeaRp4uBVUfTA" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_IXSu0LBlEeeaRp4uBVUfTA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IXcf0bBlEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IXcf0rBlEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mbKLEbBlEeeaRp4uBVUfTA" name="coveredPatient" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_mbKLELBlEeeaRp4uBVUfTA">
          <ownedComment xmi:id="_s8MkQLBnEeeaRp4uBVUfTA" annotatedElement="_mbKLEbBlEeeaRp4uBVUfTA">
            <body>&quot;The party who benefits from the insurance coverage, the patient when services are provided.&quot; - HL7 FHIR, Coverage.beneficiary</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mbKLErBlEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mbKLE7BlEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JvJ80bBpEeeaRp4uBVUfTA" name="groupCoverage" visibility="public" type="_420A62FD03B645466193009E" association="_JvJ80LBpEeeaRp4uBVUfTA">
          <ownedComment xmi:id="_TK0mALBpEeeaRp4uBVUfTA" annotatedElement="_JvJ80bBpEeeaRp4uBVUfTA">
            <body>&quot;A suite of underwrite specific classifiers, for example may be used to identify a class of coverage or employer group, Policy, Plan.&quot; - HL7 FHIR, Coverage.grouping</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JvJ80rBpEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JvJ807BpEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T5Q90LKBEeeKfvjx78dWlQ" name="dependent" visibility="public" type="_pxWL0FIsEd-y7__FceVOaw" association="_T5HM0LKBEeeKfvjx78dWlQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T5Q90bKBEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T5Q90rKBEeeKfvjx78dWlQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZYPlobKaEeeKfvjx78dWlQ" name="planOrPolicy" visibility="public" type="_xRKHcLBpEeeaRp4uBVUfTA" association="_ZYPloLKaEeeKfvjx78dWlQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZYPlorKaEeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZYPlo7KaEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4O3s0bKgEeeKfvjx78dWlQ" name="contract" visibility="public" type="_whgYgLKgEeeKfvjx78dWlQ" association="_4O3s0LKgEeeKfvjx78dWlQ">
          <ownedComment xmi:id="__raW4LKgEeeKfvjx78dWlQ" annotatedElement="_4O3s0bKgEeeKfvjx78dWlQ">
            <body>&quot;The policy(s) which constitute this insurance coverage.&quot; - HL7 FHIR, Coverage.contract</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4O3s0rKgEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4O3s07KgEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IXSu0LBlEeeaRp4uBVUfTA" name="coverage_subscriber" memberEnd="_IXcf0LBlEeeaRp4uBVUfTA _IXcf07BlEeeaRp4uBVUfTA">
        <ownedEnd xmi:id="_IXcf07BlEeeaRp4uBVUfTA" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_IXSu0LBlEeeaRp4uBVUfTA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mbKLELBlEeeaRp4uBVUfTA" name="coverage_coveredPatient" memberEnd="_mbKLEbBlEeeaRp4uBVUfTA _mbKLFLBlEeeaRp4uBVUfTA">
        <ownedEnd xmi:id="_mbKLFLBlEeeaRp4uBVUfTA" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_mbKLELBlEeeaRp4uBVUfTA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dcpGALBnEeeaRp4uBVUfTA" name="coveredPatient_coverage" memberEnd="_dcpGAbBnEeeaRp4uBVUfTA _dcpGBLBnEeeaRp4uBVUfTA">
        <ownedEnd xmi:id="_dcpGBLBnEeeaRp4uBVUfTA" name="" visibility="private" type="_-SSlgEsgEeCgDquuCdSxAg" association="_dcpGALBnEeeaRp4uBVUfTA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JvJ80LBpEeeaRp4uBVUfTA" name="coverage_groupCoverage" memberEnd="_JvJ80bBpEeeaRp4uBVUfTA _JvJ81LBpEeeaRp4uBVUfTA">
        <ownedEnd xmi:id="_JvJ81LBpEeeaRp4uBVUfTA" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_JvJ80LBpEeeaRp4uBVUfTA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xRKHcLBpEeeaRp4uBVUfTA" name="PlanOrPolicy">
        <ownedAttribute xmi:id="_ZAV7oLKdEeeKfvjx78dWlQ" name="network" visibility="public" type="_SYe5oCu5Ed-mUrYY2zR9Jw" association="_ZAMxsLKdEeeKfvjx78dWlQ">
          <ownedComment xmi:id="_g1RQgLKdEeeKfvjx78dWlQ" annotatedElement="_ZAV7oLKdEeeKfvjx78dWlQ">
            <body>&quot;The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the in-network rate, otherwise out-of-network terms and conditions apply.&quot; - HL7 FHIR, Coverage.network</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZAV7obKdEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZAV7orKdEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1YDC0CijEd--DMAvlHV1Yg" name="payer" visibility="public" type="_420A62FD03B6454662F10302" association="_1X544CijEd--DMAvlHV1Yg">
          <ownedComment xmi:id="_0JYlsCFTEeO3ioY7BiCZOQ" annotatedElement="_1YDC0CijEd--DMAvlHV1Yg">
            <body>Pointer to the Payer which offers the Health Plan or the Healthcare Policy.&#xD;
&quot;The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).&quot; - HL7 FHIR, Coverage.payor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1YDC0SijEd--DMAvlHV1Yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1YDC0iijEd--DMAvlHV1Yg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_T5HM0LKBEeeKfvjx78dWlQ" name="coverage_dependent" memberEnd="_T5Q90LKBEeeKfvjx78dWlQ _T5au0LKBEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_T5au0LKBEeeKfvjx78dWlQ" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_T5HM0LKBEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZYPloLKaEeeKfvjx78dWlQ" name="coverage_planOrPolicy" memberEnd="_ZYPlobKaEeeKfvjx78dWlQ _ZYPlpLKaEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_ZYPlpLKaEeeKfvjx78dWlQ" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_ZYPloLKaEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZAMxsLKdEeeKfvjx78dWlQ" name="planOrPolicy_network" memberEnd="_ZAV7oLKdEeeKfvjx78dWlQ _ZAV7o7KdEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_ZAV7o7KdEeeKfvjx78dWlQ" name="" visibility="private" type="_xRKHcLBpEeeaRp4uBVUfTA" association="_ZAMxsLKdEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_whgYgLKgEeeKfvjx78dWlQ" name="Contract"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_4O3s0LKgEeeKfvjx78dWlQ" name="coverage_contract" memberEnd="_4O3s0bKgEeeKfvjx78dWlQ _4O3s1LKgEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_4O3s1LKgEeeKfvjx78dWlQ" name="" visibility="private" type="_vPGWoLBJEeesgss27DHDeg" association="_4O3s0LKgEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XESh0LKhEeeKfvjx78dWlQ" name="AccountCoverage">
        <ownedAttribute xmi:id="_YqnmcbKhEeeKfvjx78dWlQ" name="coverage" visibility="public" type="_vPGWoLBJEeesgss27DHDeg" association="_YqnmcLKhEeeKfvjx78dWlQ">
          <ownedComment xmi:id="_yYLw0LKhEeeKfvjx78dWlQ" annotatedElement="_YqnmcbKhEeeKfvjx78dWlQ">
            <body>&quot;The party(s) that are responsible for payment (or part of) of charges applied to this account (including self-pay). A coverage may only be resposible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.&quot; - HL7 FHIR, Account.coverage.coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YqnmcrKhEeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yqnmc7KhEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XEh0wLBkEeeaRp4uBVUfTA" name="priority" visibility="public">
          <ownedComment xmi:id="_LWK4YLKiEeeKfvjx78dWlQ" annotatedElement="_XEh0wLBkEeeaRp4uBVUfTA">
            <body>&quot;The priority of the coverage in the context of this account. [It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming)].&quot; - HL7 FHIR, Account.coverage.priority</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XEh0wrBkEeeaRp4uBVUfTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XEh0wbBkEeeaRp4uBVUfTA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YN-twLKhEeeKfvjx78dWlQ" name="account_accountCoverage" memberEnd="_YN-twbKhEeeKfvjx78dWlQ _YN-txLKhEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_YN-txLKhEeeKfvjx78dWlQ" name="" visibility="private" type="_yIScQK-DEeeEi_Ln3rvPEg" association="_YN-twLKhEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YqnmcLKhEeeKfvjx78dWlQ" name="accountCoverage_coverage" memberEnd="_YqnmcbKhEeeKfvjx78dWlQ _YqnmdLKhEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_YqnmdLKhEeeKfvjx78dWlQ" name="" visibility="private" type="_XESh0LKhEeeKfvjx78dWlQ" association="_YqnmcLKhEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OVApgMDDEee8L6dSHLP3zQ" name="EligibilityRequest">
        <ownedComment xmi:id="_bMxwsMDEEee8L6dSHLP3zQ" annotatedElement="_OVApgMDDEee8L6dSHLP3zQ">
          <body>&quot;The EligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an EligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.&quot; - HL7 FHIR, EligibilityRequest</body>
        </ownedComment>
        <ownedAttribute xmi:id="_6tQecMDQEee8L6dSHLP3zQ" name="benefitCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dDNa8MDREee8L6dSHLP3zQ" annotatedElement="_6tQecMDQEee8L6dSHLP3zQ">
            <body>&quot;Dental, Vision, Medical, Pharmacy, Rehab etc.&quot; - HL7 FHIR, EligibilityRequest.benefitCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6tQecsDQEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6tQeccDQEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fUe6AMDREee8L6dSHLP3zQ" name="benefitSubCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fUe6AcDREee8L6dSHLP3zQ" annotatedElement="_fUe6AMDREee8L6dSHLP3zQ">
            <body>&quot;Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.&quot; - HL7 FHIR, EligibilityRequest.benefitSubCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fUe6A8DREee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fUe6AsDREee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6l-xwMDQEee8L6dSHLP3zQ" name="businessArrangement" visibility="public">
          <ownedComment xmi:id="_NbEocMDREee8L6dSHLP3zQ" annotatedElement="_6l-xwMDQEee8L6dSHLP3zQ">
            <body>&quot;The contract number of a business agreement which describes the terms and conditions.&quot; - HL7 FHIR, EligibilityRequest.businessArrangement</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6l-xwsDQEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6l-xwcDQEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6iUZwMDQEee8L6dSHLP3zQ" name="coverage" visibility="public" type="_vPGWoLBJEeesgss27DHDeg">
          <ownedComment xmi:id="_EOZdgMDREee8L6dSHLP3zQ" annotatedElement="_6iUZwMDQEee8L6dSHLP3zQ">
            <body>&quot;Financial instrument by which payment information for health care.&quot; - HL7 FHIR, EligibilityRequest.coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6iUZwsDQEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6iUZwcDQEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2R0qYMDPEee8L6dSHLP3zQ" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HCHXwMDQEee8L6dSHLP3zQ" annotatedElement="_2R0qYMDPEee8L6dSHLP3zQ">
            <body>&quot;The date when this resource was created.&quot; - HL7 FHIR, EligibilityRequest.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2R0qYsDPEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2R0qYcDPEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZJHFQMDDEee8L6dSHLP3zQ" name="datesOfService" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_4CxqoMDPEee8L6dSHLP3zQ" annotatedElement="_ZJHFQMDDEee8L6dSHLP3zQ">
            <body>&quot;The date or dates when the enclosed suite of services were performed or completed.&quot; - HL7 FHIR, EligibilityRequest.serviced[x]&#xD;
Note that FHIR allows this property to be either a date or a period, while FHIM models this as a period. If only one date is needed, use Period.start, and leave Period.end empty.&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZJHFQsDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZJHFQcDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2VV4cMDPEee8L6dSHLP3zQ" name="enterer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_mUVdgMDQEee8L6dSHLP3zQ" annotatedElement="_2VV4cMDPEee8L6dSHLP3zQ">
            <body>&quot;Person who created the invoice/claim/pre-determination or pre-authorization.&quot; - HL7 FHIR, EligibilityRequest.enterer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2VV4csDPEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2VV4ccDPEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2kcrcMDPEee8L6dSHLP3zQ" name="facility" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_8ahRgMDQEee8L6dSHLP3zQ" annotatedElement="_2kcrcMDPEee8L6dSHLP3zQ">
            <body>&quot;Facility where the services were provided.&quot; - HL7 FHIR, EligibilityRequest.facility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2kcrcsDPEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2kcrccDPEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RPmLUMDDEee8L6dSHLP3zQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_gXTxUMDDEee8L6dSHLP3zQ" annotatedElement="_RPmLUMDDEee8L6dSHLP3zQ">
            <body>&quot;The Response business identifier.&quot; - HL7 FHIR, EligibilityRequest.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T7IkgMDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T7IkgcDDEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Yq5fQMDDEee8L6dSHLP3zQ" name="insurer" visibility="public" type="_fzpRUMDIEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_PGLyUMDEEee8L6dSHLP3zQ" annotatedElement="_Yq5fQMDDEee8L6dSHLP3zQ">
            <body>&quot;The Insurer who is target of the request.&quot; - HL7 FHIR, EligibilityRequest.insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yq5fQsDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yq5fQcDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bm_CQMDEEee8L6dSHLP3zQ" name="organization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_Bm_CQcDEEee8L6dSHLP3zQ" annotatedElement="_Bm_CQMDEEee8L6dSHLP3zQ">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EligibilityRequest.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bm_CQ8DEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bm_CQsDEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y_NiYMDDEee8L6dSHLP3zQ" name="patient" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg">
          <ownedComment xmi:id="_k6zUMMDPEee8L6dSHLP3zQ" annotatedElement="_Y_NiYMDDEee8L6dSHLP3zQ">
            <body>&quot;Patient Resource.&quot; - HL7 FHIR, EligibilityRequest.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y_NiYsDDEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y_NiYcDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YzfakMDDEee8L6dSHLP3zQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_b2pMEMDPEee8L6dSHLP3zQ" annotatedElement="_YzfakMDDEee8L6dSHLP3zQ">
            <body>&quot;Immediate (STAT), best effort (NORMAL), deferred (DEFER).&quot; - HL7 FHIR, EligibilityRequest.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YzfaksDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YzfakcDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X7KEYMDDEee8L6dSHLP3zQ" name="provider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_2LmkEMDDEee8L6dSHLP3zQ" annotatedElement="_X7KEYMDDEee8L6dSHLP3zQ">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EligibilityRequest.provider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X7KEYsDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X7KEYcDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W-20MMDDEee8L6dSHLP3zQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oQmo0MDDEee8L6dSHLP3zQ" annotatedElement="_W-20MMDDEee8L6dSHLP3zQ">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, EligibilityRequest.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W-20MsDDEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W-20McDDEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_b35KQMDEEee8L6dSHLP3zQ" name="EligibilityResponse">
        <ownedComment xmi:id="_b35KQcDEEee8L6dSHLP3zQ" annotatedElement="_b35KQMDEEee8L6dSHLP3zQ">
          <body>&quot;This resource provides eligibility and plan details from the processing of an Eligibility resource.&quot; - HL7 FHIR, EligibilityResponse</body>
        </ownedComment>
        <ownedAttribute xmi:id="_718S4MDSEee8L6dSHLP3zQ" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_718S4cDSEee8L6dSHLP3zQ" annotatedElement="_718S4MDSEee8L6dSHLP3zQ">
            <body>&quot;The date when the enclosed suite of services were performed or completed.&quot; - HL7 FHIR, EligibilityResponse.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_718S48DSEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_718S4sDSEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O-YjYMDTEee8L6dSHLP3zQ" name="disposition" visibility="public">
          <ownedComment xmi:id="_XflvcMDTEee8L6dSHLP3zQ" annotatedElement="_O-YjYMDTEee8L6dSHLP3zQ">
            <body>&quot;A description of the status of the adjudication.&quot; - HL7 FHIR, EligibilityResponse.disposition</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O-YjYsDTEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O-YjYcDTEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PIStUMDTEee8L6dSHLP3zQ" name="form" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BHn9AMDVEee8L6dSHLP3zQ" annotatedElement="_PIStUMDTEee8L6dSHLP3zQ">
            <body>&quot;The form to be used for printing the content.&quot; - HL7 FHIR, EligibilityResponse.form</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PIStUsDTEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PIStUcDTEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b35KQsDEEee8L6dSHLP3zQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_b35KQ8DEEee8L6dSHLP3zQ" annotatedElement="_b35KQsDEEee8L6dSHLP3zQ">
            <body>&quot;The Response business identifier.&quot; - HL7 FHIR, EligibilityResponse.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b35KRcDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b35KRMDEEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JyuhYcDUEee8L6dSHLP3zQ" name="insurance" visibility="public" type="_IvKLkMDUEee8L6dSHLP3zQ" association="_JyuhYMDUEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_QN84YMDUEee8L6dSHLP3zQ" annotatedElement="_JyuhYcDUEee8L6dSHLP3zQ">
            <body>&quot;The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer.&quot; - HL7 FHIR, EligibilityResponse.insurance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JyuhYsDUEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JyuhY8DUEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b35KTsDEEee8L6dSHLP3zQ" name="insurer" visibility="public" type="_420A62FD03B6418AA15801A9">
          <ownedComment xmi:id="_b35KT8DEEee8L6dSHLP3zQ" annotatedElement="_b35KTsDEEee8L6dSHLP3zQ">
            <body>&quot;The Insurer who produced this adjudicated response.&quot; - HL7 FHIR, EligibilityResponse.insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b35KUcDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b35KUMDEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PDg7AMDTEee8L6dSHLP3zQ" name="isInForce" visibility="public">
          <ownedComment xmi:id="_punrsMDTEee8L6dSHLP3zQ" annotatedElement="_PDg7AMDTEee8L6dSHLP3zQ">
            <body>&quot;Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates.&quot; - HL7 FHIR, EligibilityResponse.inforce</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PDg7AsDTEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PDg7AcDTEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NKwpoMDTEee8L6dSHLP3zQ" name="outcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RIjU4MDTEee8L6dSHLP3zQ" annotatedElement="_NKwpoMDTEee8L6dSHLP3zQ">
            <body>&quot;Transaction status: error, complete.&quot; - HL7 FHIR, EligibilityResponse.outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NKwpo8DTEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NKwposDTEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jxY2EcDEEee8L6dSHLP3zQ" name="request" visibility="public" type="_OVApgMDDEee8L6dSHLP3zQ" association="_jxY2EMDEEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_U5UZIMDFEee8L6dSHLP3zQ" annotatedElement="_jxY2EcDEEee8L6dSHLP3zQ">
            <body>&quot;Original request resource reference.&quot; - HL7 FHIR, EligibilityResponse.request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jxY2EsDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jxY2E8DEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b35KW8DEEee8L6dSHLP3zQ" name="requestOrganization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_b35KXMDEEee8L6dSHLP3zQ" annotatedElement="_b35KW8DEEee8L6dSHLP3zQ">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EligibilityResponse.requestOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b35KXsDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b35KXcDEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b35KSsDEEee8L6dSHLP3zQ" name="requestProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_b35KS8DEEee8L6dSHLP3zQ" annotatedElement="_b35KSsDEEee8L6dSHLP3zQ">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EligibilityResponse.requestProvider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b35KTcDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b35KTMDEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b35KRsDEEee8L6dSHLP3zQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_b35KR8DEEee8L6dSHLP3zQ" annotatedElement="_b35KRsDEEee8L6dSHLP3zQ">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, EligibilityResponse.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b35KScDEEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b35KSMDEEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xW5H0cDXEee8L6dSHLP3zQ" name="error" visibility="public" type="_cO2XEMDXEee8L6dSHLP3zQ" association="_xW5H0MDXEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_x9jfMMDXEee8L6dSHLP3zQ" annotatedElement="_xW5H0cDXEee8L6dSHLP3zQ">
            <body>&quot;Mutually exclusive with Services Provided (Item).&quot; - EligibilityResponse.error</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xW5H0sDXEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xW5H08DXEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jxY2EMDEEee8L6dSHLP3zQ" name="eligibilityResponse_request" memberEnd="_jxY2EcDEEee8L6dSHLP3zQ _jxY2FMDEEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_jxY2FMDEEee8L6dSHLP3zQ" name="" visibility="private" type="_b35KQMDEEee8L6dSHLP3zQ" association="_jxY2EMDEEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fzpRUMDIEee8L6dSHLP3zQ" name="BenefitsProvider">
        <ownedAttribute xmi:id="_rWSOEMDIEee8L6dSHLP3zQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_rWQ_8MDIEee8L6dSHLP3zQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rWS1IMDIEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rWS1IcDIEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rWQ_8MDIEee8L6dSHLP3zQ" name="benefitsProvider_organization" memberEnd="_rWSOEMDIEee8L6dSHLP3zQ _rWUDQMDIEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_rWUDQMDIEee8L6dSHLP3zQ" name="" visibility="private" type="_fzpRUMDIEee8L6dSHLP3zQ" association="_rWQ_8MDIEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_L84s0MDJEee8L6dSHLP3zQ" name="Self-pay">
        <generalization xmi:id="_t5nRAMDJEee8L6dSHLP3zQ" general="_420A62FD03B6454662F10302"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sCsLoMDJEee8L6dSHLP3zQ" name="OrganizationalPayer">
        <generalization xmi:id="_uaja4MDJEee8L6dSHLP3zQ" general="_420A62FD03B6454662F10302"/>
        <ownedAttribute xmi:id="_VV60gBs5Ed--ZY2-pbJ-Pw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_VVxqkBs5Ed--ZY2-pbJ-Pw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VV60gRs5Ed--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VV60ghs5Ed--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_IvKLkMDUEee8L6dSHLP3zQ" name="Insurance">
        <ownedComment xmi:id="_QvL9MMDUEee8L6dSHLP3zQ" annotatedElement="_IvKLkMDUEee8L6dSHLP3zQ">
          <body>&quot;The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer.&quot; - HL7 FHIR, EligibilityResponse.insurance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Yg6NE8DUEee8L6dSHLP3zQ" name="contract" visibility="public" type="_whgYgLKgEeeKfvjx78dWlQ">
          <ownedComment xmi:id="_kGDrQMDUEee8L6dSHLP3zQ" annotatedElement="_Yg6NE8DUEee8L6dSHLP3zQ">
            <body>&quot;The contract resource which may provide more detailed information.&quot; - HL7 FHIR, EligibilityResponse.insurance.contract</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yg6NFcDUEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yg6NFMDUEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Yg6NEMDUEee8L6dSHLP3zQ" name="coverage" visibility="public" type="_vPGWoLBJEeesgss27DHDeg">
          <ownedComment xmi:id="_d4qU4MDUEee8L6dSHLP3zQ" annotatedElement="_Yg6NEMDUEee8L6dSHLP3zQ">
            <body>&quot;A suite of updated or additional Coverages from the Insurer.&quot; - HL7 FHIR, EligibilityResponse.insurance.coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yg6NEsDUEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yg6NEcDUEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y2e_AcDVEee8L6dSHLP3zQ" name="benefitBalance" visibility="public" type="_6cxOkMDUEee8L6dSHLP3zQ" association="_Y2e_AMDVEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_exlEcMDVEee8L6dSHLP3zQ" annotatedElement="_Y2e_AcDVEee8L6dSHLP3zQ">
            <body>&quot;Benefits and optionally current balances by Category.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y2e_AsDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y2e_A8DVEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JyuhYMDUEee8L6dSHLP3zQ" name="eligibilityResponse_insurance" memberEnd="_JyuhYcDUEee8L6dSHLP3zQ _JyuhZMDUEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_JyuhZMDUEee8L6dSHLP3zQ" name="" visibility="private" type="_b35KQMDEEee8L6dSHLP3zQ" association="_JyuhYMDUEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6cxOkMDUEee8L6dSHLP3zQ" name="BenefitBalance">
        <ownedComment xmi:id="_eRyxIMDVEee8L6dSHLP3zQ" annotatedElement="_6cxOkMDUEee8L6dSHLP3zQ">
          <body>&quot;Benefits and optionally current balances by Category.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_POnXwMDTEee8L6dSHLP3zQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pqHUQMDVEee8L6dSHLP3zQ" annotatedElement="_POnXwMDTEee8L6dSHLP3zQ">
            <body>&quot;Dental, Vision, Medical, Pharmacy, Rehab etc.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_POnXwsDTEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_POnXwcDTEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kRgQ0MDVEee8L6dSHLP3zQ" name="subCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ublfMMDVEee8L6dSHLP3zQ" annotatedElement="_kRgQ0MDVEee8L6dSHLP3zQ">
            <body>&quot;Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.subCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kRgQ0sDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kRgQ0cDVEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__18dQMDVEee8L6dSHLP3zQ" name="description" visibility="public">
          <ownedComment xmi:id="_NI7WQMDWEee8L6dSHLP3zQ" annotatedElement="__18dQMDVEee8L6dSHLP3zQ">
            <body>&quot;A richer description of the benefit, for example DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__18dQsDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__18dQcDVEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k4bG4MDVEee8L6dSHLP3zQ" name="isExcluded" visibility="public">
          <ownedComment xmi:id="_1vlRQMDVEee8L6dSHLP3zQ" annotatedElement="_k4bG4MDVEee8L6dSHLP3zQ">
            <body>&quot;True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.excluded</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k4bG4sDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k4bG4cDVEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lFLJcMDVEee8L6dSHLP3zQ" name="name" visibility="public">
          <ownedComment xmi:id="_Fjpm8MDWEee8L6dSHLP3zQ" annotatedElement="_lFLJcMDVEee8L6dSHLP3zQ">
            <body>&quot;A short name or tag for the benefit, for example MED01, or DENT2.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lFLJcsDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lFLJccDVEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k-pDoMDVEee8L6dSHLP3zQ" name="network" visibility="public" type="_SYe5oCu5Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_i1GHwMDWEee8L6dSHLP3zQ" annotatedElement="_k-pDoMDVEee8L6dSHLP3zQ">
            <body>&quot;Network designation.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.network&#xD;
Note that FHIR uses a code, but FHIM uses a pointer to the Network class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k-pDosDVEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k-pDocDVEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gGhBoMDWEee8L6dSHLP3zQ" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xHZvwMDWEee8L6dSHLP3zQ" annotatedElement="_gGhBoMDWEee8L6dSHLP3zQ">
            <body>&quot;Unit designation: individual or family.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.unit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gGhBosDWEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gGhBocDWEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gPSjIMDWEee8L6dSHLP3zQ" name="term" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0-n48MDWEee8L6dSHLP3zQ" annotatedElement="_gPSjIMDWEee8L6dSHLP3zQ">
            <body>&quot;The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.term</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gPSjIsDWEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gPSjIcDWEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8lcgYcDWEee8L6dSHLP3zQ" name="benefit" visibility="public" type="_4yRJsMDWEee8L6dSHLP3zQ" association="_8lcgYMDWEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_E0LcYMDXEee8L6dSHLP3zQ" annotatedElement="_8lcgYcDWEee8L6dSHLP3zQ">
            <body>&quot;Benefits Used to date.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.financial</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8lcgYsDWEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8lcgY8DWEee8L6dSHLP3zQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y2e_AMDVEee8L6dSHLP3zQ" name="insurance_benefitBalance" memberEnd="_Y2e_AcDVEee8L6dSHLP3zQ _Y2oI8MDVEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_Y2oI8MDVEee8L6dSHLP3zQ" name="" visibility="private" type="_IvKLkMDUEee8L6dSHLP3zQ" association="_Y2e_AMDVEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4yRJsMDWEee8L6dSHLP3zQ" name="Benefit">
        <ownedComment xmi:id="_EUCjwMDXEee8L6dSHLP3zQ" annotatedElement="_4yRJsMDWEee8L6dSHLP3zQ">
          <body>&quot;Benefits Used to date.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.financial</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7QBlkMDWEee8L6dSHLP3zQ" name="allowed" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_X9rc0MDXEee8L6dSHLP3zQ" annotatedElement="_7QBlkMDWEee8L6dSHLP3zQ">
            <body>&quot;Benefits allowed.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.financial.allowed[x]&#xD;
Note that the FHIR datatype for this concept can be either an unsignedInt, string, or money. FHIM uses Money.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7QBlksDWEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7QBlkcDWEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gYMAcMDWEee8L6dSHLP3zQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K-Zi8MDXEee8L6dSHLP3zQ" annotatedElement="_gYMAcMDWEee8L6dSHLP3zQ">
            <body>&quot;Deductable, visits, benefit amount.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.financial.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gYMAcsDWEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gYMAccDWEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7X3S8MDWEee8L6dSHLP3zQ" name="used" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_nBOUgMDXEee8L6dSHLP3zQ" annotatedElement="_7X3S8MDWEee8L6dSHLP3zQ">
            <body>&quot;Benefits used.&quot; - HL7 FHIR, EligibilityResponse.insurance.benefitBalance.financial.used[x]&#xD;
Note that the FHIR datatype for this concept can be either an unsignedInt, or money. FHIM uses Money.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7X3S8sDWEee8L6dSHLP3zQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7X3S8cDWEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8lcgYMDWEee8L6dSHLP3zQ" name="benefitBalance_benefit" memberEnd="_8lcgYcDWEee8L6dSHLP3zQ _8llqUMDWEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_8llqUMDWEee8L6dSHLP3zQ" name="" visibility="private" type="_6cxOkMDUEee8L6dSHLP3zQ" association="_8lcgYMDWEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cO2XEMDXEee8L6dSHLP3zQ" name="Error">
        <ownedComment xmi:id="_wXOakMDXEee8L6dSHLP3zQ" annotatedElement="_cO2XEMDXEee8L6dSHLP3zQ">
          <body>&quot;Mutually exclusive with Services Provided (Item).&quot; - EligibilityResponse.error</body>
        </ownedComment>
        <ownedAttribute xmi:id="_62z-4MDXEee8L6dSHLP3zQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_62z-4cDXEee8L6dSHLP3zQ" annotatedElement="_62z-4MDXEee8L6dSHLP3zQ">
            <body>&quot;An error code,from a specified code system, which details why the eligibility check could not be performed.&quot; - EligibilityResponse.error.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_62z-48DXEee8L6dSHLP3zQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_62z-4sDXEee8L6dSHLP3zQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xW5H0MDXEee8L6dSHLP3zQ" name="eligibilityResponse_error" memberEnd="_xW5H0cDXEee8L6dSHLP3zQ _xXC40MDXEee8L6dSHLP3zQ">
        <ownedEnd xmi:id="_xXC40MDXEee8L6dSHLP3zQ" name="" visibility="private" type="_b35KQMDEEee8L6dSHLP3zQ" association="_xW5H0MDXEee8L6dSHLP3zQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rqQygMmmEeeW7aW01KV2Hg" name="EnrollmentRequest">
        <ownedComment xmi:id="_yq-cMMmmEeeW7aW01KV2Hg" annotatedElement="_rqQygMmmEeeW7aW01KV2Hg">
          <body>&quot;This resource provides the insurance enrollment details to the insurer regarding a specified coverage.&quot; - HL7 FHIR, EnrollmentRequest</body>
        </ownedComment>
        <ownedAttribute xmi:id="_k7KAwMmnEeeW7aW01KV2Hg" name="candidate" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg">
          <ownedComment xmi:id="_k7KAwcmnEeeW7aW01KV2Hg" annotatedElement="_k7KAwMmnEeeW7aW01KV2Hg">
            <body>&quot;Patient Resource.&quot; - HL7 FHIR, EnrollmentRequest.candidate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k7KAw8mnEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k7KAwsmnEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Lra0MmmEeeW7aW01KV2Hg" name="coverage" visibility="public" type="_vPGWoLBJEeesgss27DHDeg">
          <ownedComment xmi:id="_9Lra0cmmEeeW7aW01KV2Hg" annotatedElement="_9Lra0MmmEeeW7aW01KV2Hg">
            <body>&quot;Reference to the program or plan identification, underwriter or payor.&quot; - HL7 FHIR, EnrollmentRequest.coverage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9Lra08mmEeeW7aW01KV2Hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9Lra0smmEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Lra1MmmEeeW7aW01KV2Hg" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_9Lra1cmmEeeW7aW01KV2Hg" annotatedElement="_9Lra1MmmEeeW7aW01KV2Hg">
            <body>&quot;The date when this resource was created.&quot; - HL7 FHIR, EnrollmentRequest.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9Lra18mmEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9Lra1smmEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Lra2MmmEeeW7aW01KV2Hg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_9Lra2cmmEeeW7aW01KV2Hg" annotatedElement="_9Lra2MmmEeeW7aW01KV2Hg">
            <body>&quot;The Response business identifier.&quot; - HL7 FHIR, EnrollmentRequest.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9Lra28mmEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9Lra2smmEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XTZKkMmnEeeW7aW01KV2Hg" name="insurer" visibility="public" type="_fzpRUMDIEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_XTZKkcmnEeeW7aW01KV2Hg" annotatedElement="_XTZKkMmnEeeW7aW01KV2Hg">
            <body>&quot;The Insurer who is target of the request.&quot; - HL7 FHIR, EnrollmentRequest.insurer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XTZKk8mnEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XTZKksmnEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9L0kwMmmEeeW7aW01KV2Hg" name="organization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_9L0kwcmmEeeW7aW01KV2Hg" annotatedElement="_9L0kwMmmEeeW7aW01KV2Hg">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EnrollmentRequest.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9L0kw8mmEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9L0kwsmmEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9L0kxMmmEeeW7aW01KV2Hg" name="provider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_9L0kxcmmEeeW7aW01KV2Hg" annotatedElement="_9L0kxMmmEeeW7aW01KV2Hg">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EnrollmentRequest.provider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9L0kx8mmEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9L0kxsmmEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9L0kyMmmEeeW7aW01KV2Hg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9L0kycmmEeeW7aW01KV2Hg" annotatedElement="_9L0kyMmmEeeW7aW01KV2Hg">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, EnrollmentRequest.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9L0ky8mmEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9L0kysmmEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_I1kZoMmoEeeW7aW01KV2Hg" name="EnrollmentResponse">
        <ownedComment xmi:id="_Pvzn4MmoEeeW7aW01KV2Hg" annotatedElement="_I1kZoMmoEeeW7aW01KV2Hg">
          <body>&quot;This resource provides enrollment and plan details from the processing of an Enrollment resource.&quot; - HL7 FHIR, EnrollmentResponse</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZDmHcMmoEeeW7aW01KV2Hg" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ZDmHccmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHcMmoEeeW7aW01KV2Hg">
            <body>&quot;The date when the enclosed suite of services were performed or completed.&quot; - HL7 FHIR, EnrollmentResponse.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHc8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHcsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHdMmoEeeW7aW01KV2Hg" name="disposition" visibility="public">
          <ownedComment xmi:id="_ZDmHdcmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHdMmoEeeW7aW01KV2Hg">
            <body>&quot;A description of the status of the adjudication.&quot; - HL7 FHIR, EnrollmentResponse.disposition</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHd8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHdsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHeMmoEeeW7aW01KV2Hg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ZDmHecmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHeMmoEeeW7aW01KV2Hg">
            <body>&quot;The Response business identifier.&quot; - HL7 FHIR, EnrollmentResponse.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHe8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHesmoEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ERTu0MmpEeeW7aW01KV2Hg" name="organization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_ERTu0cmpEeeW7aW01KV2Hg" annotatedElement="_ERTu0MmpEeeW7aW01KV2Hg">
            <body>&quot;The Insurer who produced this adjudicated response.&quot; - HL7 FHIR, EnrollmentResponse.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ERTu08mpEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ERTu0smpEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHfMmoEeeW7aW01KV2Hg" name="outcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZDmHfcmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHfMmoEeeW7aW01KV2Hg">
            <body>&quot;Processing status: error, complete.&quot; - HL7 FHIR, EnrollmentResponse.outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHf8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHfsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a0tfwMmoEeeW7aW01KV2Hg" name="request" visibility="public" type="_rqQygMmmEeeW7aW01KV2Hg" association="_a0kV0MmoEeeW7aW01KV2Hg">
          <ownedComment xmi:id="_h9jxwMmoEeeW7aW01KV2Hg" annotatedElement="_a0tfwMmoEeeW7aW01KV2Hg">
            <body>&quot;Original request resource reference.&quot; - HL7 FHIR, EnrollmentResponse.request</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a0tfwcmoEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a0tfwsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHgMmoEeeW7aW01KV2Hg" name="requestOrganization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_ZDmHgcmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHgMmoEeeW7aW01KV2Hg">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EnrollmentResponse.requestOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHg8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHgsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHhMmoEeeW7aW01KV2Hg" name="requestProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_ZDmHhcmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHhMmoEeeW7aW01KV2Hg">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, EnrollmentResponse.requestProvider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHh8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHhsmoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZDmHiMmoEeeW7aW01KV2Hg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZDmHicmoEeeW7aW01KV2Hg" annotatedElement="_ZDmHiMmoEeeW7aW01KV2Hg">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, EnrollmentResponse.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZDmHi8moEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZDmHismoEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_a0kV0MmoEeeW7aW01KV2Hg" name="enrollmentResponse_request" memberEnd="_a0tfwMmoEeeW7aW01KV2Hg _a0tfw8moEeeW7aW01KV2Hg">
        <ownedEnd xmi:id="_a0tfw8moEeeW7aW01KV2Hg" name="" visibility="private" type="_I1kZoMmoEeeW7aW01KV2Hg" association="_a0kV0MmoEeeW7aW01KV2Hg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1aZIcMmpEeeW7aW01KV2Hg" name="PaymentNotice">
        <ownedComment xmi:id="_7GtLAMmpEeeW7aW01KV2Hg" annotatedElement="_1aZIcMmpEeeW7aW01KV2Hg">
          <body>&quot;This resource provides the status of the payment for goods and services rendered, and the request and response resource references.&quot; - HL7 FHIR, PaymentNotice</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xWimkMmrEeeW7aW01KV2Hg" name="_request" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_xWimkcmrEeeW7aW01KV2Hg" annotatedElement="_xWimkMmrEeeW7aW01KV2Hg">
            <body>&quot;Reference of resource for which payment is being made.&quot; - HL7 FHIR, PaymentNotice.request&#xD;
Note that in FHIR, this is a pointer to any resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xWimk8mrEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xWimksmrEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6yBpkMmrEeeW7aW01KV2Hg" name="_response" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_6yBpkcmrEeeW7aW01KV2Hg" annotatedElement="_6yBpkMmrEeeW7aW01KV2Hg">
            <body>&quot;Reference of response to resource for which payment is being made.&quot; - HL7 FHIR, PaymentNotice.response&#xD;
Note that in FHIR, this is a pointer to any resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6yBpk8mrEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6yBpksmrEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQeUwMmqEeeW7aW01KV2Hg" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_GQeUwcmqEeeW7aW01KV2Hg" annotatedElement="_GQeUwMmqEeeW7aW01KV2Hg">
            <body>&quot;The date when this resource was created.&quot; - HL7 FHIR, PaymentNotice.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQeUw8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQeUwsmqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQeUxMmqEeeW7aW01KV2Hg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_GQeUxcmqEeeW7aW01KV2Hg" annotatedElement="_GQeUxMmqEeeW7aW01KV2Hg">
            <body>&quot;The notice business identifier.&quot; - HL7 FHIR, PaymentNotice.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQeUx8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQeUxsmqEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQeUyMmqEeeW7aW01KV2Hg" name="organization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_GQeUycmqEeeW7aW01KV2Hg" annotatedElement="_GQeUyMmqEeeW7aW01KV2Hg">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, PaymentNotice.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQeUy8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQeUysmqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tJ2ZIMmqEeeW7aW01KV2Hg" name="paymentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tJ2ZIcmqEeeW7aW01KV2Hg" annotatedElement="_tJ2ZIMmqEeeW7aW01KV2Hg">
            <body>&quot;The payment status, typically paid: payment sent, cleared: payment received.&quot; - HL7 FHIR, PaymentNotice.paymentStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tJ2ZI8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tJ2ZIsmqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQeUzMmqEeeW7aW01KV2Hg" name="provider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_GQeUzcmqEeeW7aW01KV2Hg" annotatedElement="_GQeUzMmqEeeW7aW01KV2Hg">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, PaymentNotice.provider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQeUz8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQeUzsmqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GQeU0MmqEeeW7aW01KV2Hg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_GQeU0cmqEeeW7aW01KV2Hg" annotatedElement="_GQeU0MmqEeeW7aW01KV2Hg">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, PaymentNotice.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GQeU08mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GQeU0smqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fRosIMmqEeeW7aW01KV2Hg" name="statusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fRosIcmqEeeW7aW01KV2Hg" annotatedElement="_fRosIMmqEeeW7aW01KV2Hg">
            <body>&quot;The date when the above payment action occurrred.&quot; - HL7 FHIR, PaymentNotice.statusDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fRosI8mqEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fRosIsmqEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UJT3YMmrEeeW7aW01KV2Hg" name="target" visibility="public" type="_fzpRUMDIEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_UJT3YcmrEeeW7aW01KV2Hg" annotatedElement="_UJT3YMmrEeeW7aW01KV2Hg">
            <body>&quot;The Insurer who is target of the request.&quot; - HL7 FHIR, PaymentNotice.target</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UJT3Y8mrEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UJT3YsmrEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_zaEIEMmsEeeW7aW01KV2Hg" name="PaymentReconciliation">
        <ownedComment xmi:id="_6E7dkMmsEeeW7aW01KV2Hg" annotatedElement="_zaEIEMmsEeeW7aW01KV2Hg">
          <body>&quot;This resource provides payment details and claim references supporting a bulk payment.&quot; - HL7 FHIR, PaymentReconciliation</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fVOEQMmtEeeW7aW01KV2Hg" name="_request" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_fVOEQcmtEeeW7aW01KV2Hg" annotatedElement="_fVOEQMmtEeeW7aW01KV2Hg">
            <body>&quot;Original request resource reference.&quot; - HL7 FHIR, PaymentReconciliation.request&#xD;
Note that in FHIR, this is a pointer to any resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fVOEQ8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fVOEQsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSAMmtEeeW7aW01KV2Hg" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cwsSAcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSAMmtEeeW7aW01KV2Hg">
            <body>&quot;The date when the enclosed suite of services were performed or completed.&quot; - HL7 FHIR, PaymentReconciliation.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSA8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSAsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nVrBwcmvEeeW7aW01KV2Hg" name="detail" visibility="public" type="_H9jaQMmtEeeW7aW01KV2Hg" association="_nVrBwMmvEeeW7aW01KV2Hg">
          <ownedComment xmi:id="_ptU1oMmvEeeW7aW01KV2Hg" annotatedElement="_nVrBwcmvEeeW7aW01KV2Hg">
            <body>&quot;List of individual settlement amounts and the corresponding transaction.&quot; - HL7 FHIR, PaymentReconciliation.detail</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nVrBwsmvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nVrBw8mvEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSBMmtEeeW7aW01KV2Hg" name="disposition" visibility="public">
          <ownedComment xmi:id="_cwsSBcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSBMmtEeeW7aW01KV2Hg">
            <body>&quot;A description of the status of the adjudication.&quot; - HL7 FHIR, PaymentReconciliation.disposition</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSB8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSBsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OPKQUMmvEeeW7aW01KV2Hg" name="form" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OPKQUcmvEeeW7aW01KV2Hg" annotatedElement="_OPKQUMmvEeeW7aW01KV2Hg">
            <body>&quot;The form to be used for printing the content.&quot; - HL7 FHIR, PaymentReconciliation.form</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OPKQU8mvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OPKQUsmvEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSCMmtEeeW7aW01KV2Hg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_cwsSCcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSCMmtEeeW7aW01KV2Hg">
            <body>&quot;The Response business identifier.&quot; - HL7 FHIR, PaymentReconciliation.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSC8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSCsmtEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VZY30MmuEeeW7aW01KV2Hg" name="organization" visibility="public" type="_fzpRUMDIEee8L6dSHLP3zQ">
          <ownedComment xmi:id="_XPZXMMmuEeeW7aW01KV2Hg" annotatedElement="_VZY30MmuEeeW7aW01KV2Hg">
            <body>&quot;The Insurer who produced this adjudicated response.&quot; - HL7 FHIR, PaymentReconciliation.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VZY308muEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VZY30smuEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSDMmtEeeW7aW01KV2Hg" name="outcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cwsSDcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSDMmtEeeW7aW01KV2Hg">
            <body>&quot;Transaction status: error, complete.&quot; - HL7 FHIR, PaymentReconciliation.outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSD8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSDsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_DZoMmuEeeW7aW01KV2Hg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_OHQuAMmuEeeW7aW01KV2Hg" annotatedElement="_H_DZoMmuEeeW7aW01KV2Hg">
            <body>&quot;The period of time for which payments have been gathered into this bulk payment for settlement.&quot; - HL7 FHIR, PaymentReconciliation.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H_DZo8muEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_DZosmuEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m0JCAMmvEeeW7aW01KV2Hg" name="processNote" visibility="public" type="_7WImwMmsEeeW7aW01KV2Hg" association="_mz_RAMmvEeeW7aW01KV2Hg">
          <ownedComment xmi:id="_oddJMMmvEeeW7aW01KV2Hg" annotatedElement="_m0JCAMmvEeeW7aW01KV2Hg">
            <body>&quot;Suite of notes.&quot; - HL7 FHIR, PaymentReconciliation.processNote</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m0JCAcmvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m0JCAsmvEeeW7aW01KV2Hg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSEMmtEeeW7aW01KV2Hg" name="requestOrganization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_KDjykMmvEeeW7aW01KV2Hg" annotatedElement="_cwsSEMmtEeeW7aW01KV2Hg">
            <body>&quot;The organization which is responsible for the services rendered to the patient.&quot; - HL7 FHIR, PaymentReconciliation.requestOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSE8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSEsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSFMmtEeeW7aW01KV2Hg" name="requestProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_cwsSFcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSFMmtEeeW7aW01KV2Hg">
            <body>&quot;The practitioner who is responsible for the services rendered to the patient.&quot; - HL7 FHIR, PaymentReconciliation.requestProvider</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSF8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSFsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cwsSGMmtEeeW7aW01KV2Hg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cwsSGcmtEeeW7aW01KV2Hg" annotatedElement="_cwsSGMmtEeeW7aW01KV2Hg">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, PaymentReconciliation.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cwsSG8mtEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cwsSGsmtEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UB8uUMmvEeeW7aW01KV2Hg" name="total" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_UB8uUcmvEeeW7aW01KV2Hg" annotatedElement="_UB8uUMmvEeeW7aW01KV2Hg">
            <body>&quot;Total payment amount.&quot; - HL7 FHIR, PaymentReconciliation.total</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UB8uU8mvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UB8uUsmvEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7WImwMmsEeeW7aW01KV2Hg" name="ProcessNote">
        <ownedComment xmi:id="_BOsVkMmtEeeW7aW01KV2Hg" annotatedElement="_7WImwMmsEeeW7aW01KV2Hg">
          <body>&quot;Suite of notes.&quot; - HL7 FHIR, PaymentReconciliation.processNote</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-fxJ1MmvEeeW7aW01KV2Hg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JuazkMmwEeeW7aW01KV2Hg" annotatedElement="_-fxJ1MmvEeeW7aW01KV2Hg">
            <body>&quot;The note purpose: Print/Display.&quot; - HL7 FHIR, PaymentReconciliation.processNote.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-fxJ18mvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-fxJ1smvEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-fxJ0MmvEeeW7aW01KV2Hg" name="text" visibility="public">
          <ownedComment xmi:id="_-fxJ0cmvEeeW7aW01KV2Hg" annotatedElement="_-fxJ0MmvEeeW7aW01KV2Hg">
            <body>&quot;The note text.&quot; - HL7 FHIR, PaymentReconciliation.processNote.text</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-fxJ08mvEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-fxJ0smvEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_H9jaQMmtEeeW7aW01KV2Hg" name="Detail">
        <ownedComment xmi:id="_I0r2kMmtEeeW7aW01KV2Hg" annotatedElement="_H9jaQMmtEeeW7aW01KV2Hg">
          <body>&quot;List of individual settlement amounts and the corresponding transaction.&quot; - HL7 FHIR, PaymentReconciliation.detail</body>
        </ownedComment>
        <ownedAttribute xmi:id="_werqIMmuEeeW7aW01KV2Hg" name="_request" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_werqIcmuEeeW7aW01KV2Hg" annotatedElement="_werqIMmuEeeW7aW01KV2Hg">
            <body>&quot;The claim or financial resource.&quot; - HL7 FHIR, PaymentReconciliation.detail.request&#xD;
Note that in FHIR, this is a pointer to any resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_werqI8muEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_werqIsmuEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_werqJMmuEeeW7aW01KV2Hg" name="_response" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_werqJcmuEeeW7aW01KV2Hg" annotatedElement="_werqJMmuEeeW7aW01KV2Hg">
            <body>&quot;The claim response resource.&quot; - HL7 FHIR, PaymentReconciliation.detail.response&#xD;
Note that in FHIR, this is a pointer to any resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_werqJ8muEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_werqJsmuEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UfZp4MmwEeeW7aW01KV2Hg" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_UfZp4cmwEeeW7aW01KV2Hg" annotatedElement="_UfZp4MmwEeeW7aW01KV2Hg">
            <body>&quot;Amount paid for this detail.&quot; - HL7 FHIR, PaymentReconciliation.detail.amount</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UfZp48mwEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UfZp4smwEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fy5-cMmwEeeW7aW01KV2Hg" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fy5-ccmwEeeW7aW01KV2Hg" annotatedElement="_fy5-cMmwEeeW7aW01KV2Hg">
            <body>&quot;The date of the invoice or financial resource.&quot; - HL7 FHIR, PaymentReconciliation.detail.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fy5-c8mwEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fy5-csmwEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wU-CkMmwEeeW7aW01KV2Hg" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wU-CkcmwEeeW7aW01KV2Hg" annotatedElement="_wU-CkMmwEeeW7aW01KV2Hg">
            <body>&quot;Code to indicate the nature of the payment, adjustment, funds advance, etc.&quot; - HL7 FHIR, PaymentReconciliation.detail.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wU-Ck8mwEeeW7aW01KV2Hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wU-CksmwEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JPdKMMmxEeeW7aW01KV2Hg" name="payee" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_JPdKMcmxEeeW7aW01KV2Hg" annotatedElement="_JPdKMMmxEeeW7aW01KV2Hg">
            <body>&quot;The organization which is receiving the payment.&quot; - HL7 FHIR, PaymentReconciliation.detail.payee</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JPdKM8mxEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JPdKMsmxEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JGzkgMmxEeeW7aW01KV2Hg" name="submitter" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_JGzkgcmxEeeW7aW01KV2Hg" annotatedElement="_JGzkgMmxEeeW7aW01KV2Hg">
            <body>&quot;The Organization which submitted the claim or financial transaction.&quot; - HL7 FHIR, PaymentReconciliation.detail.submitter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JGzkg8mxEeeW7aW01KV2Hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JGzkgsmxEeeW7aW01KV2Hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mz_RAMmvEeeW7aW01KV2Hg" name="paymentReconciliation_processNote" memberEnd="_m0JCAMmvEeeW7aW01KV2Hg _m0JCA8mvEeeW7aW01KV2Hg">
        <ownedEnd xmi:id="_m0JCA8mvEeeW7aW01KV2Hg" name="" visibility="private" type="_zaEIEMmsEeeW7aW01KV2Hg" association="_mz_RAMmvEeeW7aW01KV2Hg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nVrBwMmvEeeW7aW01KV2Hg" name="paymentReconciliation_detail" memberEnd="_nVrBwcmvEeeW7aW01KV2Hg _nVrBxMmvEeeW7aW01KV2Hg">
        <ownedEnd xmi:id="_nVrBxMmvEeeW7aW01KV2Hg" name="" visibility="private" type="_zaEIEMmsEeeW7aW01KV2Hg" association="_nVrBwMmvEeeW7aW01KV2Hg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3r-OQMoREeeZZoufAxo6MA" name="Claim">
        <ownedComment xmi:id="_9KG1cMoSEeeZZoufAxo6MA" annotatedElement="_3r-OQMoREeeZZoufAxo6MA">
          <body>&quot;A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.&quot; - HL7 FHIR, Claim</body>
        </ownedComment>
        <ownedAttribute xmi:id="_eyhkQMoYEeeZZoufAxo6MA" name="billablePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_eyhkQcoYEeeZZoufAxo6MA" annotatedElement="_eyhkQMoYEeeZZoufAxo6MA">
            <body>&quot;The billable period for which charges are being submitted.&quot; - HL7 FHIR, Claim.billablePeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyhkQ8oYEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyhkQsoYEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBBjwMoSEeeZZoufAxo6MA" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xBBjwcoSEeeZZoufAxo6MA" annotatedElement="_xBBjwMoSEeeZZoufAxo6MA">
            <body>&quot;The date when the enclosed suite of services were performed or completed.&quot; - HL7 FHIR, Claim.created</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xBBjw8oSEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xBBjwsoSEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kajHQMoZEeeZZoufAxo6MA" name="fundsReserve" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kajHQcoZEeeZZoufAxo6MA" annotatedElement="_kajHQMoZEeeZZoufAxo6MA">
            <body>&quot;In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved (Patient or Provider) to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.&quot; - HL7 FHIR, Claim.fundsReserve</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kajHQ8oZEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kajHQsoZEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBBjxMoSEeeZZoufAxo6MA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_xBBjxcoSEeeZZoufAxo6MA" annotatedElement="_xBBjxMoSEeeZZoufAxo6MA">
            <body>&quot;The business identifier for the instance: claim number, pre-determination or pre-authorization number.&quot; - HL7 FHIR, Claim.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xBBjx8oSEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xBBjxsoSEeeZZoufAxo6MA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NtttgMoaEeeZZoufAxo6MA" name="periodEmploymentImpacted" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Y11RcMoaEeeZZoufAxo6MA" annotatedElement="_NtttgMoaEeeZZoufAxo6MA">
            <body>&quot;The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).&quot; - HL7 FHIR, Claim.employmentImpacted</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ntttg8oaEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NtttgsoaEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SmZ6wMoaEeeZZoufAxo6MA" name="periodHospitalized" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_mqqTQMoaEeeZZoufAxo6MA" annotatedElement="_SmZ6wMoaEeeZZoufAxo6MA">
            <body>&quot;The start and optional end dates of when the patient was confined to a treatment center.&quot; - HL7 FHIR, Claim.hospitalization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SmZ6wsoaEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SmZ6wcoaEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eMr20MoZEeeZZoufAxo6MA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eMr20coZEeeZZoufAxo6MA" annotatedElement="_eMr20MoZEeeZZoufAxo6MA">
            <body>&quot;Immediate (STAT), best effort (NORMAL), deferred (DEFER).&quot; - HL7 FHIR, Claim.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eMr208oZEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eMr20soZEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBLUwMoSEeeZZoufAxo6MA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xBLUwcoSEeeZZoufAxo6MA" annotatedElement="_xBLUwMoSEeeZZoufAxo6MA">
            <body>&quot;The status of the resource instance.&quot; - HL7 FHIR, Claim.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xBLUw8oSEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xBLUwsoSEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KWsykMoTEeeZZoufAxo6MA" name="subType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KWsykcoTEeeZZoufAxo6MA" annotatedElement="_KWsykMoTEeeZZoufAxo6MA">
            <body>&quot;A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.&quot; - HL7 FHIR, Claim.subType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KWsyk8oTEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KWsyksoTEeeZZoufAxo6MA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KIrksMoTEeeZZoufAxo6MA" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KIrkscoTEeeZZoufAxo6MA" annotatedElement="_KIrksMoTEeeZZoufAxo6MA">
            <body>&quot;The category of claim, eg, oral, pharmacy, vision, insitutional, professional.&quot; - HL7 FHIR, Claim.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KIrks8oTEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KIrkssoTEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F6e-kMoWEeeZZoufAxo6MA" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F6e-kcoWEeeZZoufAxo6MA" annotatedElement="_F6e-kMoWEeeZZoufAxo6MA">
            <body>&quot;Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).&quot; - HL7 FHIR, Claim.use</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F6e-k8oWEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F6e-ksoWEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBBjyMoSEeeZZoufAxo6MA" name="requestOrganization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xBBjy8oSEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xBBjysoSEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBBjzMoSEeeZZoufAxo6MA" name="requestProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xBBjz8oSEeeZZoufAxo6MA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xBBjzsoSEeeZZoufAxo6MA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1SQnAMrkEeeRmrVpDYXk5A" name="accident" visibility="public" type="_X7EmoDVfEeeQAI9kLhpEGw" association="_1SP_8MrkEeeRmrVpDYXk5A">
          <ownedComment xmi:id="_5jE78MrkEeeRmrVpDYXk5A" annotatedElement="_1SQnAMrkEeeRmrVpDYXk5A">
            <body>&quot;An accident which resulted in the need for healthcare services.&quot; - HL7 FHIR, Claim.accident</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1SQnAcrkEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1SQnAsrkEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5JBD4MrpEeeRmrVpDYXk5A" name="enterer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_5JBD4crpEeeRmrVpDYXk5A" annotatedElement="_5JBD4MrpEeeRmrVpDYXk5A">
            <body>&quot;Person who created the invoice/claim/pre-determination or pre-authorization.&quot; - HL7 FHIR, Claim.enterer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5JBD48rpEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5JBD4srpEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DujNQMrsEeeRmrVpDYXk5A" name="total" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_DujNQcrsEeeRmrVpDYXk5A" annotatedElement="_DujNQMrsEeeRmrVpDYXk5A">
            <body>&quot;The total value of the claim.&quot; - HL7 FHIR, Claim.total</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DujNQ8rsEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DujNQsrsEeeRmrVpDYXk5A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jTT44MsKEeeRmrVpDYXk5A" name="diagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_jTSqwMsKEeeRmrVpDYXk5A">
          <ownedComment xmi:id="_0q5PwMsKEeeRmrVpDYXk5A" annotatedElement="_jTT44MsKEeeRmrVpDYXk5A">
            <body>&quot;List of patient diagnosis for which care is sought.&quot; - HL7 FHIR, Claim.diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jTUf8MsKEeeRmrVpDYXk5A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jTVHAMsKEeeRmrVpDYXk5A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1SP_8MrkEeeRmrVpDYXk5A" memberEnd="_1SQnAMrkEeeRmrVpDYXk5A _1SQnA8rkEeeRmrVpDYXk5A">
        <ownedEnd xmi:id="_1SQnA8rkEeeRmrVpDYXk5A" name="" visibility="private" type="_3r-OQMoREeeZZoufAxo6MA" association="_1SP_8MrkEeeRmrVpDYXk5A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jTSqwMsKEeeRmrVpDYXk5A" name="claim_diagnosis" memberEnd="_jTT44MsKEeeRmrVpDYXk5A _jTWVIMsKEeeRmrVpDYXk5A">
        <ownedEnd xmi:id="_jTWVIMsKEeeRmrVpDYXk5A" name="" visibility="private" type="_3r-OQMoREeeZZoufAxo6MA" association="_jTSqwMsKEeeRmrVpDYXk5A"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B643613746019D" name="HomeBasedPrimaryCare">
      <eAnnotations xmi:id="_Mx2DIOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_Mx_0IOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6439854E4017F" name="HomeBasedPrimaryCareEpisode">
        <eAnnotations xmi:id="_MqGcZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mp8rbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439854E4017F">
          <body>Patient's Epsiode of care for Home Based Primary Care  Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fkjPwE2OEd-N7JZGCuVoQQ" name="admitRejectStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_420A62FD03B64399C1AA0215" name="evaluationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MqPmVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399C1AA0215">
            <body>Represents date the patient was considered/reviwed/evaluated/admitted for the HBPC Program.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439855220124" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MqGcYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439855220124">
            <body>&quot;A unique identifier for the Act.&quot; (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CE671B0066" name="evaluatingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643CE67190371">
          <ownedComment xmi:id="_MxQNS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CE671B0066">
            <body>Service Delivery Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxQNTeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxQNTuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399B46E010F" name="evaluationAtAdmissionToHbpc" visibility="public" type="_420A62FD03B64398563E0281" isUnique="false" association="_420A62FD03B64399B46C01CA">
          <ownedComment xmi:id="_MvwYf-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399B46E010F">
            <body>Evaluation at the time of admission to the HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6JceLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JcuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64398569D0183" name="evaluationAtDischargeFromHbpc" visibility="public" type="_420A62FD03B643985671023E" isUnique="false" association="_420A62FD03B64398569C0240">
          <ownedComment xmi:id="_MvwYeOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64398569D0183">
            <body>Evaluation at the time of discharge from the HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MvwYeuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MvwYe-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jiodoU2IEd-N7JZGCuVoQQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_jiodoE2IEd-N7JZGCuVoQQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiodok2IEd-N7JZGCuVoQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiodo02IEd-N7JZGCuVoQQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439D9F2F004A" name="rejectionWithdrawal" visibility="public" type="_420A62FD03B6439D9E8603A5" isUnique="false" association="_420A62FD03B6439D9F2D012E">
          <ownedComment xmi:id="_Mv6JfeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439D9F2F004A">
            <body>Rejection/Withdrawal from HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6Jf-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JgOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64398563E0281" name="HbpcAdmission">
        <eAnnotations xmi:id="_MqPmWuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MqGcZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64398563E0281">
          <body>This class includes data elements related to patient's eligibility and other administrative information that is evaluated at the time of admission to the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_k60e8E2QEd-N7JZGCuVoQQ" name="admissionDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_420A62FD03B64399F183036B" name="eligibilityCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqGcauLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399F183036B">
            <body>The patient's eligibility at time of evaluation for HBPC program.  Possible Values Include:   Service Connected 50% or More; Aid &amp;amp;amp; Attendance or Housebound; Service Connected Less Than 50%; Non-Service Connected, Receiving VA Pension; Other Non-Service Connected etc..  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i44ZME2MEd-N7JZGCuVoQQ" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i44ZMU2MEd-N7JZGCuVoQQ" annotatedElement="_i44ZME2MEd-N7JZGCuVoQQ">
            <body>Living arrangement of a patient for HBPC Program.  Possible Values Include: Alone; With Spouse; With Relatives; With Non-Relatives; Group Quarters, Not Health Related; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645AE6FE701DB" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqPmWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645AE6FE701DB">
            <body>Marital Status of the patient at time of admission to the HBPC Program.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BADFE60171" name="admissionAssessment" visibility="public" type="_Llv70E2KEd-N7JZGCuVoQQ" isUnique="false" association="_420A62FD03B643BADFE4036D">
          <ownedComment xmi:id="_MwD6gOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BADFE60171">
            <body>Patient's Health Assessment at time of admission to HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MwNEYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MwNEYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA68BF0003" name="previousAgencyType" visibility="public" type="_420A62FD03B643DA689C01B2" isUnique="false" association="_420A62FD03B643DA68BC0370">
          <ownedComment xmi:id="_MxjIPOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA68BF0003">
            <body>Type of agency providing last care to patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxjIPuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxjIP-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643985671023E" name="HbpcDischarge">
        <eAnnotations xmi:id="_MqihROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MqPmXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643985671023E">
          <body>This class includes data elements related to person eligibility and other administrative information that is evaluated at the time of discharge from the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6439DB768030E" name="dateDischarged" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MqZXUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439DB768030E">
            <body>The date the patient was discharged from the HBPC Program.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439DB82802B0" name="dischargeStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqZXWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439DB82802B0">
            <body>Describes the status of the patient at discharge.  Possible Values are Transferred to Other Provider; Anticipated Institutionalization; Family or Self Care/No Regular Source; Died on HBPC; Moved Away/Lost to Contact; Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utxE2REd-N7JZGCuVoQQ" name="eligibilityCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utxU2REd-N7JZGCuVoQQ" annotatedElement="_H3utxE2REd-N7JZGCuVoQQ">
            <body>The patient's eligibility at time of evaluation for HBPC program.  Possible Values Include:   Service Connected 50% or More; Aid &amp;amp;amp; Attendance or Housebound; Service Connected Less Than 50%; Non-Service Connected, Receiving VA Pension; Other Non-Service Connected etc..  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utwk2REd-N7JZGCuVoQQ" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utw02REd-N7JZGCuVoQQ" annotatedElement="_H3utwk2REd-N7JZGCuVoQQ">
            <body>Living arrangement of a patient for HBPC Program.  Possible Values Include: Alone; With Spouse; With Relatives; With Non-Relatives; Group Quarters, Not Health Related; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utwE2REd-N7JZGCuVoQQ" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utwU2REd-N7JZGCuVoQQ" annotatedElement="_H3utwE2REd-N7JZGCuVoQQ">
            <body>Marital Status of the patient at time of admission to the HBPC Program.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA692800D7" name="destinationAgencyType" visibility="public" type="_420A62FD03B643DA689C01B2" isUnique="false" association="_420A62FD03B643DA692200E2">
          <ownedComment xmi:id="_MxjIQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA692800D7">
            <body>Represents the patient's type of destination agency. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxsSIeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxsSIuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399FCB80009" name="dischargeAssessment" visibility="public" type="_Llv70E2KEd-N7JZGCuVoQQ" isUnique="false" association="_420A62FD03B64399FCB60223">
          <ownedComment xmi:id="_Mv6JduLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FCB80009">
            <body>Patient's Health Assessment at time of discharge from HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6JeOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JeeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6439D9E8603A5" name="RejectionOrWithdrawlEvent">
        <eAnnotations xmi:id="_MsfCCuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MsfCAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439D9E8603A5">
          <body>This class has nonAdmission (rejection/withdrawal) reason and disposition if the patient was rejected/not admitted to  the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64399FBE90232" name="nonAdmissionDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MsfCCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FBE90232">
            <body>This represents the patient's reject/withdraw disposition.  Possible Values are Referred Back to Referral Source, Disposition Made by HBPC etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399FADF0186" name="nonAdmissionReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MsfCBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FADF0186">
            <body>Reason patient was rejected/wothdrawn from the HBPC Program.  Possible Values are Referral Withdrawn Due to Death, Not Located in Service Area, Program Slot Not Available, Patient or Caregiver Refused HBHC, Suitable Caregiver Not Available, Home Environment Unsuitable, Referral Withdrawn (excludes death), Patient's Condition Necessitates Institutional Care, Patient Can Be Effectively Treated as Outpatient, Other etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643DA689C01B2" name="CareAgency">
        <eAnnotations xmi:id="_MvwYdOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MvnOjuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA689C01B2">
          <body>This class includes information related to the type of agency providing last care to patient or type of patient destination agency for HPBC program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643DA68DF029E" name="agencyCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MvwYcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA68DF029E">
            <body>Categorizes the agency providing care to the patient.  Possible values include VA Provided Care, Non-VA Care, and VA Fee Basis/Contract.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KuZ8wE2NEd-N7JZGCuVoQQ" name="careCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KuZ8wU2NEd-N7JZGCuVoQQ" annotatedElement="_KuZ8wE2NEd-N7JZGCuVoQQ">
            <body>Type of care provided to the patient  Possible values are General Hospital; Specialty Hospital; Nursing Home; Residential Care Facility; Hospice; Community-Based Service; Self/Family, No Regular Source; Not Determined etc.    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64398569C0240" name="homeBasedPrimaryCareEpisode_evaluationAtDischargeFromHbpc" memberEnd="_420A62FD03B64398569D0183 _420A62FD03B64398569D0185">
        <eAnnotations xmi:id="_zsDXQE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64398569D0185" name="" visibility="public" type="_420A62FD03B6439854E4017F" isUnique="false" association="_420A62FD03B64398569C0240"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64399B46C01CA" name="homeBasedPrimaryCareEpisode_evaluationAtAdmissionToHbpc" memberEnd="_420A62FD03B64399B46E010F _420A62FD03B64399B46E0111">
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      <packagedElement xmi:type="uml:Class" xmi:id="_Llv70E2KEd-N7JZGCuVoQQ" name="HbpcAssessment">
        <ownedAttribute xmi:id="_PKem0E2KEd-N7JZGCuVoQQ" name="hearingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4ywAwE2SEd-N7JZGCuVoQQ" annotatedElement="_PKem0E2KEd-N7JZGCuVoQQ">
            <body>Describes patient's hearing ability at time of Admission/Discharge.  Possible values are  Normal or Minimal Loss, Moderate Loss, Severe Loss, Total Loss, Not Determined etc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W9qPQE2KEd-N7JZGCuVoQQ" name="visionAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bWx1gE2TEd-N7JZGCuVoQQ" annotatedElement="_W9qPQE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's Vision ability at time of Admission/Discharge.  Possible values are  Normal or Minimal Loss, Moderate Loss, Severe Loss, Total Loss, Not Determined etc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_avMnME2KEd-N7JZGCuVoQQ" name="expressiveCommunicationAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fmyuoE2SEd-N7JZGCuVoQQ" annotatedElement="_avMnME2KEd-N7JZGCuVoQQ">
            <body>Describes patient's ability to communicate with others at time of Admission/Discharge.  Possible values are Speaks and is Usually Understood; Speaks But is Understood Only with Difficulty; Uses Only Sign Language, Symbol Board or Writing; Uses Only Gestures, Grunts, or Primitive Symbols; Does Not Convey Needs;  Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dw6rwE2KEd-N7JZGCuVoQQ" name="receptiveCommunicationAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i4S7oE2SEd-N7JZGCuVoQQ" annotatedElement="_dw6rwE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's ability to understand others at time of Admission/Discharge.  Possible values are Usually Understands Oral Communication; Has Limited Comprehension of Oral Communication; Understands by Depending on Lip Reading, Written Material, or Sign Language; Understands Primitive Gestures, Facial Expres., Pictograms, and/or Env. Cues; Does Not Understand; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gs9mIE2KEd-N7JZGCuVoQQ" name="primaryDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_gs0cME2KEd-N7JZGCuVoQQ">
          <ownedComment xmi:id="_oevKQE2TEd-N7JZGCuVoQQ" annotatedElement="_gs9mIE2KEd-N7JZGCuVoQQ">
            <body>The primary diagnosis of the patient at admission or discharge</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gs9mIU2KEd-N7JZGCuVoQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gs9mIk2KEd-N7JZGCuVoQQ" value="1"/>
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        <ownedAttribute xmi:id="_r6vGIE2KEd-N7JZGCuVoQQ" name="bathingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kvkbwE2REd-N7JZGCuVoQQ" annotatedElement="_r6vGIE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires bathing at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v48BEE2KEd-N7JZGCuVoQQ" name="dressingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bLYTQE2SEd-N7JZGCuVoQQ" annotatedElement="_v48BEE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires dressing at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zYml4E2KEd-N7JZGCuVoQQ" name="toiletUsageAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XehxkE2TEd-N7JZGCuVoQQ" annotatedElement="_zYml4E2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires using toilet at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0GDhwE2KEd-N7JZGCuVoQQ" name="transferringAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZcJU0E2TEd-N7JZGCuVoQQ" annotatedElement="_0GDhwE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires transferring at time of Admission.Discharge</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0H_bcE2KEd-N7JZGCuVoQQ" name="eatingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dQlsQE2SEd-N7JZGCuVoQQ" annotatedElement="_0H_bcE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires eating at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0KEfEE2KEd-N7JZGCuVoQQ" name="walkingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ime9cE2TEd-N7JZGCuVoQQ" annotatedElement="_0KEfEE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires walking at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Z3LAE2KEd-N7JZGCuVoQQ" name="bowelContinence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rtsrgE2REd-N7JZGCuVoQQ" annotatedElement="_8Z3LAE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's bowel continence at time of Admission/Discharge.  Possible Values are Continent or Ostomy/Catheter Self Care; Incontinent Occasionally; Incontinent or Ostomy/Catheter Not Self Care; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-eLMIE2KEd-N7JZGCuVoQQ" name="bladderContinence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qajooE2REd-N7JZGCuVoQQ" annotatedElement="_-eLMIE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's bladder continence at time of Admission/Discharge.  Possible Values are Continent or Ostomy/Catheter Self Care; Incontinent Occasionally; Incontinent or Ostomy/Catheter Not Self Care; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CIapQE2LEd-N7JZGCuVoQQ" name="mobility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7ZWPkE2SEd-N7JZGCuVoQQ" annotatedElement="_CIapQE2LEd-N7JZGCuVoQQ">
            <body>Describes patient's mobility at time of Admission/Discharge.  Possible Values are Goes Outdoors Without Help; Goes Outdoors With Help; Confined Indoors, Not Bed Disabled; Bed Disabled; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CKNZAE2LEd-N7JZGCuVoQQ" name="adaptiveTasksAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hK2X0E2REd-N7JZGCuVoQQ" annotatedElement="_CKNZAE2LEd-N7JZGCuVoQQ">
            <body>Describes the patient's ability to perform adaptive tasks at time of Admission/Discharge.  Possible values are No Help, Requires Help,  Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CL2XwE2LEd-N7JZGCuVoQQ" name="behavioralProblems" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nWA5kE2REd-N7JZGCuVoQQ" annotatedElement="_CL2XwE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient has behavior problems at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J8ykgE2LEd-N7JZGCuVoQQ" name="disorientation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZQJVoE2SEd-N7JZGCuVoQQ" annotatedElement="_J8ykgE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient is disoriented at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J-bjQE2LEd-N7JZGCuVoQQ" name="moodDisturbance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yN9eEE2SEd-N7JZGCuVoQQ" annotatedElement="_J-bjQE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient has a mood disturbance at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J_xAAE2LEd-N7JZGCuVoQQ" name="careGiverLimitations" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MEUNgE2SEd-N7JZGCuVoQQ" annotatedElement="_J_xAAE2LEd-N7JZGCuVoQQ">
            <body>Describes the level of limitations for the caregiver at time of Admission/Discharge.  Possible values are Minimal or None,  Moderate, Moderately Severe, No Caregiver, Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A5A37025A" name="Imaging">
      <eAnnotations xmi:id="_M26JVuLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
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      <ownedComment xmi:id="_XoVsIAYvEeWwo6SB9Lnb3w" annotatedElement="_dP9loN3-Ed6yatlejfcw_g">
        <body>HL7 PR1 segment has: Anesthesiologist, Anesthesology minutes, Surgeon. Procedure Practitioner, Consent, etc</body>
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      <ownedComment xmi:id="_HCLTgPCBEeWoT_0zIvvImQ" annotatedElement="_420A62FD03B6420A5A37025A">
        <body>*Domain scope*&#xD;
The imaging domain addresses several overlapping topics. &#xD;
It addresses all data captured in the form of image files. This includes files traditionally managed by PACS systems, such as x-rays and mri scans, but it also includes clinical images taken by unregulated devices (a snapshot of a rash; a photocopy of an ECG), as well as scans of non-clinical images such as scans of insurance cards or other forms.&#xD;
It does not address activities performed by radiologists that do not result in image artifacts, such as radiation therapy.&#xD;
&#xD;
*Overall Structure*&#xD;
An Order or Request results in a Promise, and the Promise results in an Imaging Event. The Imaging Event may be either a Document Imaging Event (images of text or writing) or a Medical Imaging Event (images of biology, whether radiological, white light, or even graphical, e.g., an ECG). Documents have little other structure. Medical image objects reflect the DICOM model hierarchy of study, series, and image. A study is what is ordered. It may consist of series of distinct modality, though it typically contains only one. A series may contain several images, e.g., from different perspectives.&#xD;
The study will typically be &quot;read&quot; to generate a report that interprets its contents. &#xD;
In some cases, it is desirable to identify parts of a study, or of studies, for a particular purpose. A referral, for instance, may contain studies, but it may also contain a set of references to specific images or views for special attention. Alternatively, such a selection may also serve ancillary purposes, such as teaching, research, or quality review. This case is supported by the Image Object Selection class, a way to aggregate references to study elements for a defined purpose. In addition to the references, it contains a coded concept indicating the purpose of the collection: the value set is taken from DICOM by way of FHIR.</body>
      </ownedComment>
      <ownedComment xmi:id="_97apkLyzEea_DaXmJ278Kw">
        <body>NOTE: HealthcarePromise, ImagingEvent, ImageObjectSelection, InterpretationReport and Study are subtypes of ClinicalInformation!&#xD;
This is not shown in the diagram to reduce clutter.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586EE2E00B9" name="MedicalImagingEvent">
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        <ownedComment xmi:id="_QBa9iuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EE2E00B9">
          <body>This class contains attributes associated with Radiology or Nuclear Medicine imaging examinations. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images.  Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.&#xD;
&#xD;
Note that this class represents information about the act of performing the medical imaging event, with the majority of the results stored in the Study, Series, Image hierarchy.  From a DICOM point of view, the Study and the Imaging Event are roughly synonymous, with the activities surrounding the production of the Study being implied in the resulting data.  We make the distinction primarily in order to be consistent with how orders and accessions (aka promises) are treated elsewhere in the FHIM.  Therefore this class could easily be merged with the Study class in resulting implementations.</body>
        </ownedComment>
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            <body>Catagorizes the state of the exam.</body>
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            <language></language>
            <body>(ImageEventStatus)</body>
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            <body>Indicates whether an intravascular contrast was used during this Rad/Nuc Med exam. This property is marked as derived as it could potentially be determined based on the presence of a contrastMediaAdministration</body>
          </ownedComment>
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            <body>Identifies Constrat Media associated with the Examination</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGo0ueLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGo0uuLiEduGJrQyRGTO1A" value="1"/>
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        <ownedAttribute xmi:id="_dT7ZIYCgEd-cvdR-JEsOjQ" name="diagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_dT7ZIICgEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_Dw7csPIXEeWI5dLNhw9XrQ" annotatedElement="_dT7ZIYCgEd-cvdR-JEsOjQ">
            <body>Pointer to an ordered list of findings or diagnoses which have been established as a result of the imaging study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dT7ZIoCgEd-cvdR-JEsOjQ"/>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_unUeQGjBEeG3pKm-C5y0hA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_unQz4GjBEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_0huAIGjBEeG3pKm-C5y0hA" annotatedElement="_unUeQGjBEeG3pKm-C5y0hA">
            <body>The encounter during which the Radiologic Examination took place.&#xD;
&quot;The encounter or episode at which the request is initiated.&quot; - HL7 FHIR, ImagingStudy.context</body>
          </ownedComment>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_unWTcGjBEeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645953A17032F" name="principalClinic" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B645953A1103DB">
          <ownedComment xmi:id="_QHhlhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645953A17032F">
            <body>Th name of the principal clinic that referred the patient to Radiology/Nuclear Medicine for the exam.  Equivalent to File 44.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QHrWgeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QHrWguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QVZbQYCiEd-cvdR-JEsOjQ" name="procedure" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_QVZbQICiEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_JMqIwPIbEeWI5dLNhw9XrQ" annotatedElement="_QVZbQYCiEd-cvdR-JEsOjQ">
            <body>Pointer to an ordered list of actions that were performed during the performance of the imaging study. These procedures are often tracked for billing or workload purposes.&#xD;
&quot;A reference to the performed Procedure.&quot; - HL7 FHIR, ImagingStudy.procedureReference&#xD;
&quot;The code for the performed procedure type.&quot; - HL7 FHIR, ImagingStudy.procedureCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QVZbQoCiEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QVZbQ4CiEd-cvdR-JEsOjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645C093A6032E" name="radioPharmaceuticalAdministration" visibility="public" type="_420A62FD03B6459176EB0167" isUnique="false" association="_420A62FD03B645C093A30366">
          <ownedComment xmi:id="_QI3pWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645C093A6032E">
            <body>A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QI3pWuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QI3pW-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645915F8E02A7" name="report" visibility="public" type="_420A62FD03B64586FBA701A8" isUnique="false" association="_420A62FD03B645915F8D036E">
          <ownedComment xmi:id="_QGo0suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645915F8E02A7">
            <body>Represents the radiology/nuclear medicine report as known by the originating VistA system.  Equivalent to a pointer to File 74.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGo0tOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGo0teLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HrxtgV4uEeWQiN9lTU6tCQ" name="study" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" association="_HrxtgF4uEeWQiN9lTU6tCQ">
          <ownedComment xmi:id="_l5guwPIbEeWI5dLNhw9XrQ" annotatedElement="_HrxtgV4uEeWQiN9lTU6tCQ">
            <body>Pointer to content produced in a DICOM imaging study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hrxtgl4uEeWQiN9lTU6tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hrxtg14uEeWQiN9lTU6tCQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6458687500084" name="ImagingPromise">
        <eAnnotations xmi:id="_QBRMh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Jc0xAPCBEeWoT_0zIvvImQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_QBHbh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6458687500084">
          <body>The Imaging Order from the perspective of the performing organization. This information is commonly called the Accession. Note that nearly all of the properties needed for the Imaging Promise are inherited from the generic Healthcare Promise class which is its parent, so this class adds only those few properties unique to imaging promises such as the anticipated dose and a pointer to the actual performance of the imaging study.</body>
        </ownedComment>
        <generalization xmi:id="_OcdLUHmyEeW-j_oLISFbOQ" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_sj8xEGO-EeWL1ov4GOhBTA" name="anticipatedDose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_mLsD8PFXEeWEJ4Z3YTwiDQ" annotatedElement="_sj8xEGO-EeWL1ov4GOhBTA">
            <body>The amount of radiation to which the Patient is expected to be exposed upon completion of the imaging study. Note if the object of the study is a specimen taken from the Patient, this property has no meaning and should not be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WKg5kLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WKg5kbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nir2oGO-EeWL1ov4GOhBTA" name="cumulativeRadiationExposure" visibility="public" type="_7ui78F4sEeWQiN9lTU6tCQ" association="_niqogGO-EeWL1ov4GOhBTA">
          <ownedComment xmi:id="_16sI4PFWEeWEJ4Z3YTwiDQ" annotatedElement="_nir2oGO-EeWL1ov4GOhBTA">
            <body>Pointer to the amount of radiation to which the Patient has been known to have been exposed previously. This information can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. This information may also influence the Radiologist to choose an alternative methodology if the patient has already been exposed to excessive radiation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nisdsGO-EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nitEwGO-EeWL1ov4GOhBTA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C3ut0PsUEeSc9M34gwVpgg" name="imagingEvent" visibility="public" type="_420A62FD03B64550AAFD02CE" association="_C3uGwPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_CRIWkPFWEeWEJ4Z3YTwiDQ" annotatedElement="_C3ut0PsUEeSc9M34gwVpgg">
            <body>Pointer to the Act during which the Imaging Event is performed, which includes information about who, when, and where the image event took place along with the results of the action (i.e., the image(s) and associated metadata including the clinical assessment / interpretation of the image(s)).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C3v78PsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C3wjAPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586F4B502F6" name="ImagingRequest">
        <eAnnotations xmi:id="_QCTuWuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_KYo5APCBEeWoT_0zIvvImQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_QCAzZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586F4B502F6">
          <body>The Imaging Order from the perspective of the ordering organization. Note that nearly all of the properties needed for the Imaging Request are inherited from the generic Healthcare Request class which is its parent, so this class adds only those few properties unique to imaging requests.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dTTxQICkEd-cvdR-JEsOjQ" name="clinicalHistory" visibility="public">
          <ownedComment xmi:id="_nSkPsICkEd-cvdR-JEsOjQ" annotatedElement="_dTTxQICkEd-cvdR-JEsOjQ">
            <body>Clinical history of the patient that might be relevant to this case as well as instructions to the interpreting physician</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f6ipMLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f6ipMbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kG1a0GO-EeWL1ov4GOhBTA" name="cumulativeRadiationExposure" visibility="public" type="_7ui78F4sEeWQiN9lTU6tCQ" association="_kG0MsGO-EeWL1ov4GOhBTA">
          <ownedComment xmi:id="_zk8ZgPFWEeWEJ4Z3YTwiDQ" annotatedElement="_kG1a0GO-EeWL1ov4GOhBTA">
            <body>Pointer to the amount of radiation to which the Patient has been known to have been exposed previously. This information can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. This information may also influence the Radiologist to choose an alternative methodology if the patient has already been exposed to excessive radiation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kG2B4GO-EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kG2B4WO-EeWL1ov4GOhBTA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9J3_0FitEeWPFcZL8Pri7w" name="pregnancyMenstrualStatus" visibility="public" type="_c8AmgNymEeGh5_jMwegn_g" association="_9J1jkFitEeWPFcZL8Pri7w">
          <ownedComment xmi:id="_s11PYPIVEeWI5dLNhw9XrQ" annotatedElement="_9J3_0FitEeWPFcZL8Pri7w">
            <body>Pointer to an Observation of whether the Patient is known to be expecting and/or when the Patient last experienced a menstrual cycle.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9J5N8FitEeWPFcZL8Pri7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9J51AFitEeWPFcZL8Pri7w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586F4EF02DD" name="preOpAppointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCTuUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586F4EF02DD">
            <body>The date/time this patient is scheduled for pre-operative image</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hOJmILyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hOJmIbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586EEDA0106" name="researchSource" visibility="public">
          <ownedComment xmi:id="_QBt4cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EEDA0106">
            <body>If the study is being / was conducted as part of a research study, this property will contain the name of the research source that referred the patient to for the exam.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hz_eILyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h0AFMLyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F-ANkCweEees082q__D7oQ" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_F-ANkSweEees082q__D7oQ" annotatedElement="_F-ANkCweEees082q__D7oQ">
            <body>An administration schedule for how often the requested observation should be performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F-ANkyweEees082q__D7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F-ANkiweEees082q__D7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F-ANlCweEees082q__D7oQ" name="orderedObservation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F-ANlSweEees082q__D7oQ" annotatedElement="_F-ANlCweEees082q__D7oQ">
            <body>Identifies a kind of observation that can be, is, or has been requested as part of an order. In other words, this is the service ordered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F-ANlyweEees082q__D7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F-ANliweEees082q__D7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6459176EB0167" name="RadioPharmaceuticalAdministration">
        <eAnnotations xmi:id="_QDpyK-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_QDNGP-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459176EB0167">
          <body>Represents the radiopharmaceutical administration.  Equivalent to File 70.2.</body>
        </ownedComment>
        <generalization xmi:id="_wrWpoFitEeWPFcZL8Pri7w" general="_420A62FD03B641A349EF0070"/>
        <ownedAttribute xmi:id="_420A62FD03B6459177080391" name="activityDrawn" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_QDW3NeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459177080391">
            <body>This is the radiopharmaceutical activity drawn to be administered to the patient. The unit of measure is mCi.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qDt4oLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qDt4obyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459177080392" name="dateDrawn" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QDW3OOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459177080392">
            <body>The date and time the radiopharmaceutical was drawn.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qcBD4LyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qcBq8LyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459B22C3015B" name="radiopharmaceutical" visibility="public" type="_420A62FD03B6426545CB0072" isUnique="false" association="_420A62FD03B6459B22C20290">
          <ownedComment xmi:id="_QIa9ZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459B22C3015B">
            <body>A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIa9ZuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIa9Z-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586FBA701A8" name="ImageInterpretationReport">
        <eAnnotations xmi:id="_QCwaR-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_QCdfWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBA701A8">
          <body>Represents the radiology/nuclear medicine report as known by the originating system.</body>
        </ownedComment>
        <generalization xmi:id="_0x1EMMU0EeW7a6OfPDMv9g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90276" name="additionalClinicalHistory" visibility="public">
          <ownedComment xmi:id="_QCwaReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90276">
            <body>Contain a patient's clinical history as well as instructions to the interpreting physician.  For example, the  instructions might be for the physician to interpret the exam images to rule out the possibility of the patient having a certain disease. The 'additional clinical history' is written by the interpreting physician and is entered into the system by the transcriptionist.  Voice Recognition systems allow the interpreting physician to directly enter this information into the 'additional clinical history' field.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DoH8cLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DoH8cbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90262" name="dateEntered" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCnQVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90262">
            <body>The date and time that the report was entered into the system by the transcriptionist. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FUn6gLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FUn6gbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90263" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCnQWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90263">
            <body>The date that the interpreting physician dictated this report. The transcriptionist enters this date from the dictation tape. If the physician is using a voice recognition system for dictation, this date is entered at the time the report is transmitted to DHCP.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FyMnULyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FyMnUbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90258" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_QCdfXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90258">
            <body>Uniquely identifies the Report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GRwRILyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GRwRIbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE9026D" name="impressionText" visibility="public">
          <ownedComment xmi:id="_QCwaQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE9026D">
            <body>'Impression text' of the rad/nuc med exam associated with this report. The 'impression text' gives a quick summary of the 'report text'. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HaFLILyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HaFLIbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE9026C" name="reportText" visibility="public">
          <ownedComment xmi:id="_QCnQW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE9026C">
            <body>Contains the report text for the  imaging exam. The report text is written by the interpreting physician and may be entered into the system by a transcriptionist.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IMZ_8LyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IMZ_8byuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90259" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QCnQUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90259">
            <body>Iindicate the  status of this report. Possible values are Verified; Released/Not Verified; Problem Draft; Draft.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JAjZsLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JAjZsbyuEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_aPOdkPCJEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ImageReportStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645B67D9600A1" name="image" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" isUnique="false" association="_420A62FD03B645B67D9403BF">
          <ownedComment xmi:id="_QIkudOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645B67D9600A1">
            <body>Image assocated with this Report</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIt4UeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIt4UuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645C08F130077" name="relatedCase" visibility="public" type="_420A62FD03B64586EE2E00B9" isUnique="false" association="_420A62FD03B645C08F11031E">
          <ownedComment xmi:id="_QIt4XeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645C08F130077">
            <body>Related case to this report</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIt4X-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIt4YOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64550AAFD02CE" name="ImagingEvent" isAbstract="true">
        <eAnnotations xmi:id="_MzMG-uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MyvbAeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02CE">
          <body>This class contains those attributes and associations common to both Radiology / Nuclear Medicine imaging examinations and the scanning of paper documents into an image storage and retrieval system. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images.  Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.</body>
        </ownedComment>
        <generalization xmi:id="_FODqgIzBEeaPWbBiMJSPyg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_5ECDQOGnEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_-2RHoOGnEeaHnLXha23s2A" annotatedElement="_5ECDQOGnEeaHnLXha23s2A">
            <body>Pointer to a Practitioner in the Role of Author. This Practitioner is the person who is responsible for the Imaging Event and who &quot;owns&quot; the Imaging Event record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_81Er8OGnEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_81Er8eGnEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__R3I8IB5Ed-cvdR-JEsOjQ" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_g_VF4MU7EeW7a6OfPDMv9g" annotatedElement="__R3I8IB5Ed-cvdR-JEsOjQ">
            <body>The date (and optionally time) that the Imaging Event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OM4UoLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OM47sLyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02D6" name="description" visibility="public">
          <ownedComment xmi:id="_MzCV8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02D6">
            <body>This property provides further narrative of the imaging event or of the images that were produced as part of the imaging event.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ot9ocLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ot9ocbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02CF" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MyvbBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02CF">
            <body>This property is used to uniquely identify the Imaging Event and therefore the set of images resulting from the Imaging Event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PLFCQLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PLFCQbyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RwP6YIB7Ed-cvdR-JEsOjQ" name="imageCategory" visibility="public">
          <ownedComment xmi:id="_RwP6YYB7Ed-cvdR-JEsOjQ" annotatedElement="_RwP6YIB7Ed-cvdR-JEsOjQ">
            <body>A categorization of the image, which can be used for searching and sorting. We can imagine many possible mechanisms or axes by which images can be categorized, but none which can be easily standardized for universal use, so this property is currently modeled as string rather than a code. It is anticipated that this one string field may be implemented by one or more coded and/or non-coded fields in any given implementation depending on the categorization needs of the system.&#xD;
&#xD;
It is noted that the VA's VistA system has several categorization mechanisms that might inform how this field may be used here, for example:&#xD;
VistA table 2005.82 which includes: Administrative, Clinical, Admin/Clinical.&#xD;
VistA table 2005.83&#xD;
VistA table 2005.84 which categorizes the image by specialty/subspecialty&#xD;
Another possible axis is to categorize the procedure that generated the image. Possible values include: Colonoscopy, Surgery, Surgical pathology, Radiology. &#xD;
Another possible axis is to categorize the software system or package that generated and/or accesses the image. Possible values include (from the VA): Radiology, Laboratory, Medicine, Clinical Document, Surgery, Photo ID, etc.&#xD;
&#xD;
When the image is a scanned document, this field might be used to identify the kind of document contained in the image. Possible values (from the VA) include: Insurance form, Eligibility form, Patient Rights and Responsibilities form, Means Test form, Allied Veteran form, Appointment of a VSO as claimant's representative, DD214 enlisted record and report of separation, Death certificate, Miscellaneous document, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QUVwYLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QUe6ULyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DOCgQYCeEd-cvdR-JEsOjQ" name="imagingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_DOCgQICeEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_Wz3CcPIUEeWI5dLNhw9XrQ" annotatedElement="_DOCgQYCeEd-cvdR-JEsOjQ">
            <body>Pointer to the organization/location at which the imaging study is to (or did) take place. Note that this property is modeled as zero-to-many in order to handle multiple kinds of organization/location associations such as the ward, bed section, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DOCgQoCeEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOCgQ4CeEd-cvdR-JEsOjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i6KbUCkzEeesReY_kMDKgw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_i6ADQCkzEeesReY_kMDKgw">
          <ownedComment xmi:id="_3qvuUCkzEeesReY_kMDKgw" annotatedElement="_i6KbUCkzEeesReY_kMDKgw">
            <body>&quot;The patient imaged in the study.&quot; - HL7 FHIR,ImagingStudy.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6M3kCkzEeesReY_kMDKgw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6NeoCkzEeesReY_kMDKgw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456AF07F0009" name="DocumentImagingEvent">
        <eAnnotations xmi:id="_MzfB4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MzVQ5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456AF07F0009">
          <body>This class contains attributes associated with scanned documents. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images. Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6456AF0D6031B" general="_420A62FD03B64550AAFD02CE"/>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02EF" name="acquisitionDevice" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" isUnique="false" association="_420A62FD03B64550AAFD02EE">
          <ownedComment xmi:id="_M1RKluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02EF">
            <body>Pointer to the individual Device that was used to produce the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M1RKmOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M1RKmeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456AF10D02DE" name="documentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MzVQ6eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456AF10D02DE">
            <body>If the item being scanned is a dated document, this property identifies the date of the document. For example, if on 1/15/2016 a patient's birth certificate dated 6/17/1961 were scanned, this property would contain the birth certificate date (6/17/1961), while the ImagingEvent.dateTime would contain the date that the document was scanned (1/15/2016).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sip78MU3EeW7a6OfPDMv9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sirKEMU3EeW7a6OfPDMv9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_18qZgIy_EeaPWbBiMJSPyg" name="pageQuantity" visibility="public" isDerived="true">
          <ownedComment xmi:id="_izP3gLy1Eea_DaXmJ278Kw" annotatedElement="_18qZgIy_EeaPWbBiMJSPyg">
            <body>The number of paper pages that were scanned at the same time. These pages typically comprise the entire document of interest, but may be only a subset of the original paper document. This property is marked as derived as it will generally be calculated at the time of scanning.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_91tZYIy_EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_91uAcIy_EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2dm0MLyzEea_DaXmJ278Kw" name="pageImageEvent" visibility="public" type="_FLnFYIy_EeaPWbBiMJSPyg" association="_2ddDMLyzEea_DaXmJ278Kw">
          <ownedComment xmi:id="_qyBaALy3Eea_DaXmJ278Kw" annotatedElement="_2dm0MLyzEea_DaXmJ278Kw">
            <body>Pointer to a page (or potentially a group of pages) within the scanned document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2dm0MbyzEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2dm0MryzEea_DaXmJ278Kw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64550AAFD02EE" name="documentImagingEvent_acquisitionDevice" memberEnd="_420A62FD03B64550AAFD02EF _420A62FD03B64550AAFD02F0">
        <ownedEnd xmi:id="_420A62FD03B64550AAFD02F0" name="" visibility="public" type="_420A62FD03B6456AF07F0009" isUnique="false" association="_420A62FD03B64550AAFD02EE"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6GHhAIByEd-cvdR-JEsOjQ" name="specimenImagingEvent_specimen" memberEnd="_6GHhAYByEd-cvdR-JEsOjQ _6GHhBIByEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_6GHhBIByEd-cvdR-JEsOjQ" name="" visibility="public" type="_Yv8YIF45EeWQiN9lTU6tCQ" association="_6GHhAIByEd-cvdR-JEsOjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_eEZDMPAuEeS1qetF27ECmQ" name="ImagingStudy">
        <ownedComment xmi:id="_XrZ84PEAEeWFncL105bIbg" annotatedElement="_eEZDMPAuEeS1qetF27ECmQ">
          <body>&quot;Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.&quot; - HL7 FHIR, ImagingStudy.</body>
        </ownedComment>
        <generalization xmi:id="_ma2LkPsVEeSc9M34gwVpgg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_xYzjYPsUEeSc9M34gwVpgg" name="availability" visibility="public">
          <ownedComment xmi:id="_6r3lsF4mEeWQiN9lTU6tCQ" annotatedElement="_xYzjYPsUEeSc9M34gwVpgg">
            <body>This property indicates whether the image is immediately available, or is stored on a medium that must be located (if available) and loaded.  The need for a field like this is based on older technology and is arguably not needed anymore, but is still commonly used in older standards. FHIM is retaining this property for backwards-compatibility to FHIR, but is modeling the property as a string rather than a code in order to avoid the need to maintain a standardized value-set.&#xD;
&quot;Availability of study (online, offline or nearline).&quot; - HL7 FHIR, ImagingStudy.availability.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ag57MMqrEeW_D7b30NnZGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ag8-gMqrEeW_D7b30NnZGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cq_QgPsUEeSc9M34gwVpgg" name="dateTimeStarted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fjRnwF4mEeWQiN9lTU6tCQ" annotatedElement="_cq_QgPsUEeSc9M34gwVpgg">
            <body>&quot;Date and time the study started&quot; - HL7 FHIR, ImagingStudy.started</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MA0QQLyvEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MA03ULyvEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gUvwAPsVEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_2DP_UF4nEeWQiN9lTU6tCQ" annotatedElement="_gUvwAPsVEeSc9M34gwVpgg">
            <body>&quot;Institution-generated description or classification of the Study performed.&quot; - HL7 FHIR, ImagingStudy.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MoLLMLyvEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MoLyQLyvEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2asI4PsUEeSc9M34gwVpgg" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA">
          <ownedComment xmi:id="_Y8J34F4oEeWQiN9lTU6tCQ" annotatedElement="_2asI4PsUEeSc9M34gwVpgg">
            <body>&quot;The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.type.&quot; - HL7 FHIR, ImagingStudy.endpoint&#xD;
&quot;The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.type.&quot; - HL7 FHIR, ImagingManifest.study.endpoint</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ou8DYLyvEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ou8qcLyvEea_DaXmJ278Kw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hz3OkOP7Eea407qNHok1lQ" name="interpreter" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_pBHfcOP7Eea407qNHok1lQ" annotatedElement="_hz3OkOP7Eea407qNHok1lQ">
            <body>A Provider who is specially trained to arrive at a diagnosis by exercising clinical judgement based on numerical or visual evidence. This is the person who developed a diagnosis based on the content of the Imaging Study.&#xD;
&quot;Who read the study and interpreted the images or other content.&quot; - HL7 FHIR, ImagingStudy.interpreter</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hz3OkuP7Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hz3OkeP7Eea407qNHok1lQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sAPjQPsUEeSc9M34gwVpgg" name="modalityList" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_yksqQF4mEeWQiN9lTU6tCQ" annotatedElement="_sAPjQPsUEeSc9M34gwVpgg">
            <body>&quot;A list of all the Series.ImageModality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19)&quot; - HL7 FHIR, ImagingStudy.modalityList.&#xD;
Note that we have marked this property as derived because this information may be calculated based on the modalities of the series that makes up the study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AO9kMPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AO9kMfCKEeWoT_0zIvvImQ" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_r7q6gPKUEeWK49aD-a6xLg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AcquisitionModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ba340PsVEeSc9M34gwVpgg" name="numberOfInstances" visibility="public" isDerived="true">
          <ownedComment xmi:id="_FpJWIF4oEeWQiN9lTU6tCQ" annotatedElement="_Ba340PsVEeSc9M34gwVpgg">
            <body>&quot;Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.&quot; - HL7 FHIR, ImagingStudy.numberOfInstances&#xD;
Note that we have marked this property as derived because this information may be calculated based on the instances that makes up the study.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BuxxIPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BuxxIfCKEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9bIs0PsUEeSc9M34gwVpgg" name="numberOfSeries" visibility="public" isDerived="true">
          <ownedComment xmi:id="_QT1-QF4oEeWQiN9lTU6tCQ" annotatedElement="_9bIs0PsUEeSc9M34gwVpgg">
            <body>&quot;Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.&quot; - HL7 FHIR, ImagingStudy.numberOfSeries&#xD;
Note that we have marked this property as derived because this information may be calculated based on the series that makes up the study.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzA1UPCKEeWoT_0zIvvImQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzA1UfCKEeWoT_0zIvvImQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i-MxoNUoEeeaHvV-nCCy9A" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qremYNUoEeeaHvV-nCCy9A" annotatedElement="_i-MxoNUoEeeaHvV-nCCy9A">
            <body>&quot;Description of clinical condition indicating why the ImagingStudy was requested.&quot; - HL7 FHIR, ImagingStudy.reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lxQvINUoEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lxQvIdUoEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ftk5kPsUEeSc9M34gwVpgg" name="series" visibility="public" type="_fV6VcPAuEeS1qetF27ECmQ" aggregation="composite" association="_FtkSgPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_qCfw8F4sEeWQiN9lTU6tCQ" annotatedElement="_Ftk5kPsUEeSc9M34gwVpgg">
            <body>&quot;Each study has one or more series of images or other content.&quot; - HL7 FHIR, ImagingStudy.series&#xD;
&quot;Series identity and locating information of the DICOM SOP instances in the selection.&quot; - HL7 FHIR, ImagingManifest.study.series</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FtmHsPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FtmHsfsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tU3x4NUlEeeaHvV-nCCy9A" name="uid" visibility="public">
          <ownedComment xmi:id="_1X-ssNUlEeeaHvV-nCCy9A" annotatedElement="_tU3x4NUlEeeaHvV-nCCy9A">
            <body>&quot;Study instance UID of the SOP instances in the selection.&quot; - HL7 FHIR, ImagingManifest.study.uid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tU3x4tUlEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tU3x4dUlEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fV6VcPAuEeS1qetF27ECmQ" name="Series">
        <ownedComment xmi:id="_ob_tMF4sEeWQiN9lTU6tCQ" annotatedElement="_fV6VcPAuEeS1qetF27ECmQ">
          <body>&quot;Each study has one or more series of images or other content.&quot; - HL7 FHIR, ImagingStudy.series</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5Tiv4PsVEeSc9M34gwVpgg" name="availability" visibility="public">
          <ownedComment xmi:id="_d-SfkF4pEeWQiN9lTU6tCQ" annotatedElement="_5Tiv4PsVEeSc9M34gwVpgg">
            <body>This property indicates whether the image series is immediately available, or is stored on a medium that must be located (if available) and loaded. The need for a field like this is based on older technology and is arguably not needed anymore, but is still commonly used in older systems. FHIM is retaining this property for backwards-compatibility to FHIR, but is modeling the property as a string rather than a code in order to avoid the need to maintain a standardized value-set.&#xD;
&quot;Availability of series (online, offline or nearline).&quot; - HL7 FHIR, ImagingStudy.series.availability</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D74bgPCCEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D74bgfCCEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_70pasPsVEeSc9M34gwVpgg" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jpYaIF4pEeWQiN9lTU6tCQ" annotatedElement="_70pasPsVEeSc9M34gwVpgg">
            <body>&quot;The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.&quot; - HL7 FHIR, ImagingStudy.series.bodySite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2T_-gLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2UAlkLyuEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_13iGsPKUEeWK49aD-a6xLg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ImagingBodySite)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CHQoQPsWEeSc9M34gwVpgg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cSpAoF4qEeWQiN9lTU6tCQ" annotatedElement="_CHQoQPsWEeSc9M34gwVpgg">
            <body>&quot;The date and time the series was started.&quot; - HL7 FHIR, ImagingStudy.series.started</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2uzEILyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2uzrMLyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1MOVMPsVEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_h61YMF4qEeWQiN9lTU6tCQ" annotatedElement="_1MOVMPsVEeSc9M34gwVpgg">
            <body>&quot;A description of the series.&quot; - HL7 FHIR, ImagingStudy.series.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3Xc_kLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3XdmoLyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_edyIMPsyEeSc9M34gwVpgg" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_edwTAPsyEeSc9M34gwVpgg">
          <ownedComment xmi:id="_MXs2gPIdEeWI5dLNhw9XrQ" annotatedElement="_edyIMPsyEeSc9M34gwVpgg">
            <body>Pointer to the individual Device that was used to produce the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_edz9YPsyEeSc9M34gwVpgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ed0kcPsyEeSc9M34gwVpgg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6708UPsVEeSc9M34gwVpgg" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA">
          <ownedComment xmi:id="_6T500F4qEeWQiN9lTU6tCQ" annotatedElement="_6708UPsVEeSc9M34gwVpgg">
            <body>&quot;The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.type.&quot; - HL7 FHIR, ImagingStudy.series.endpoint&#xD;
&quot;The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.type.&quot; - HL7 FHIR, ImagingManifest.study.series.endpoint</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_86aR0LyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_86a44LyuEea_DaXmJ278Kw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GM89MPsUEeSc9M34gwVpgg" name="imageInstance" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" aggregation="composite" association="_GM8WIPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_0I1u0F4sEeWQiN9lTU6tCQ" annotatedElement="_GM89MPsUEeSc9M34gwVpgg">
            <body>Pointer to the medical image (along with metadata to help identify, locate, and classify the image).&#xD;
&quot;A single SOP instance within the series, e.g. an image, or presentation state.&quot; - HL7 FHIR, ImagingStudy.series.instance&#xD;
&quot;Identity and locating information of the selected DICOM SOP instances.&quot; - HL7 FHIR, ImagingManifest.study.series.instance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GM9kQPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GM-LUPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9isQ4PsVEeSc9M34gwVpgg" name="laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_niVMMF4qEeWQiN9lTU6tCQ" annotatedElement="_9isQ4PsVEeSc9M34gwVpgg">
            <body>&quot;The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.&quot; - HL7 FHIR, ImagingStudy.series.laterality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nHQoLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nH3sLyuEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_RxhG4PCIEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(BodySiteLaterality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zFJT8PsVEeSc9M34gwVpgg" name="modality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_G1pJAF4pEeWQiN9lTU6tCQ" annotatedElement="_zFJT8PsVEeSc9M34gwVpgg">
            <body>&quot;The modality of this series sequence.&quot; - HL7 FHIR, ImagingStudy.series.modality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ZLmwLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ZLmwbyuEea_DaXmJ278Kw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_YdjhEPCIEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AcquisitionModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oRlUPsVEeSc9M34gwVpgg" name="numberOfInstances" visibility="public" isDerived="true">
          <ownedComment xmi:id="_zlO9YF4qEeWQiN9lTU6tCQ" annotatedElement="_4oRlUPsVEeSc9M34gwVpgg">
            <body>&quot;Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.&quot; - HL7 FHIR, ImagingStudy.series.numberOfInstances&#xD;
Note that we have marked this property as derived because this information may be calculated based on the instances that makes up the series.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D9ymYPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D9ymYfCKEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ug660PsVEeSc9M34gwVpgg" name="seriesNumber" visibility="public">
          <ownedComment xmi:id="_BYDe8F4pEeWQiN9lTU6tCQ" annotatedElement="_ug660PsVEeSc9M34gwVpgg">
            <body>&quot;The numeric identifier of this series in the study.&quot; - HL7 FHIR, ImagingStudy.series.number</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7-qbQLyuEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7-rCULyuEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vjr9YNUmEeeaHvV-nCCy9A" name="uid" visibility="public">
          <ownedComment xmi:id="_vjr9YdUmEeeaHvV-nCCy9A" annotatedElement="_vjr9YNUmEeeaHvV-nCCy9A">
            <body>&quot;Series instance UID of the SOP instances in the selection.&quot; - HL7 FHIR, ImagingManifest.study.series.uid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vjr9Y9UmEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vjr9YtUmEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oErcYPAuEeS1qetF27ECmQ" name="ImageInstance">
        <ownedComment xmi:id="_yFnS0F4sEeWQiN9lTU6tCQ" annotatedElement="_oErcYPAuEeS1qetF27ECmQ">
          <body>This class contains an electronic representation of an optical counterpart or appearance of an object along with metadata to help identify, locate, and classify the image. This class is to be used for both clinical images which may be managed using a PACS and for scanned documents and other informal images.&#xD;
&quot;A single SOP Instance within the series, e.g. an image, or presentation state.&quot; - HL7 FHIR, ImagingStudy.series.instance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fZOZAHmzEeW-j_oLISFbOQ" name="content" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_V-A4QPFTEeWEJ4Z3YTwiDQ" annotatedElement="_fZOZAHmzEeW-j_oLISFbOQ">
            <body>An electronic representation of an optical counterpart or appearance of an object. This property contains the binary data of the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kNKpIHmzEeW-j_oLISFbOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kNKpIXmzEeW-j_oLISFbOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Go-x4PsUEeSc9M34gwVpgg" name="frame" visibility="public" type="_pe27YPAuEeS1qetF27ECmQ" aggregation="composite" association="_Go9jwPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_sHd5YF4sEeWQiN9lTU6tCQ" annotatedElement="_Go-x4PsUEeSc9M34gwVpgg">
            <body>&quot;Identity and location information of the frames in the selected instance.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GpAAAPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GpAnEPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KlVn0PsWEeSc9M34gwVpgg" name="instanceNumber" visibility="public">
          <ownedComment xmi:id="_cxrQkF4rEeWQiN9lTU6tCQ" annotatedElement="_KlVn0PsWEeSc9M34gwVpgg">
            <body>&quot;The number of instance in the series.&quot; - HL7 FHIR, ImagingStudy.series.instance.number</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iM6poGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iNEaoGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xw0zkIB-Ed-cvdR-JEsOjQ" name="pacsUID" visibility="public">
          <ownedComment xmi:id="_xw0zkYB-Ed-cvdR-JEsOjQ" annotatedElement="_xw0zkIB-Ed-cvdR-JEsOjQ">
            <body>When an image is created from an external PACS system, this property will contain the unique identifier for the image within that system.&#xD;
&quot;Formal identifier for this image or other content.&quot; - HL7 FHIR, ImagingStudy.series.instance.uid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9T4WQPFREeWEJ4Z3YTwiDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9UCHQPFREeWEJ4Z3YTwiDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q420UPsWEeSc9M34gwVpgg" name="sopClass" visibility="public">
          <ownedComment xmi:id="_twsWcF4rEeWQiN9lTU6tCQ" annotatedElement="_Q420UPsWEeSc9M34gwVpgg">
            <body>&quot;DICOM instance type.&quot; - HL7 FHIR, ImagingStudy.series.instance.sopClass&#xD;
&quot;SOP class UID of the selected instance.&quot; - HL7 FHIR, ImagingManifest.study.series.instance.sopClass&#xD;
Note that in FHIR, the data type for this property is an oid. We may wish to make it a code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-LGSIPFREeWEJ4Z3YTwiDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-LGSIfFREeWEJ4Z3YTwiDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RCNkoPsWEeSc9M34gwVpgg" name="title" visibility="public">
          <ownedComment xmi:id="_yVxEIF4rEeWQiN9lTU6tCQ" annotatedElement="_RCNkoPsWEeSc9M34gwVpgg">
            <body>&quot;The description of the instance.&quot; - HL7 FHIR, ImagingStudy.series.instance.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f3fDUGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f3oNQGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q9bLQPsWEeSc9M34gwVpgg" name="type" visibility="public">
          <ownedComment xmi:id="_4FLeAF4rEeWQiN9lTU6tCQ" annotatedElement="_Q9bLQPsWEeSc9M34gwVpgg">
            <body>&quot;A human-friendly SOP Class name.&quot; - HL7 FHIR, ImagingStudy.series.instance.type</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fEECUGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fENzUGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N6nfkNUnEeeaHvV-nCCy9A" name="uid" visibility="public">
          <ownedComment xmi:id="_N6nfkdUnEeeaHvV-nCCy9A" annotatedElement="_N6nfkNUnEeeaHvV-nCCy9A">
            <body>&quot;SOP Instance UID of the selected instance.&quot; - HL7 FHIR, ImagingManifest.study.series.instance.uid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6nfk9UnEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6nfktUnEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pe27YPAuEeS1qetF27ECmQ" name="Frame">
        <ownedComment xmi:id="_ehSXkF4sEeWQiN9lTU6tCQ" annotatedElement="_pe27YPAuEeS1qetF27ECmQ">
          <body>&quot;Identity and location information of the frames in the selected instance.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hJNdYPsWEeSc9M34gwVpgg" name="frameNumber" visibility="public">
          <ownedComment xmi:id="_MubZ8F4sEeWQiN9lTU6tCQ" annotatedElement="_hJNdYPsWEeSc9M34gwVpgg">
            <body>&quot;The specific frame reference within a multi-frame object.&quot; - HL7 FHIR, ImagingManifest.study.series.instance.frameNumber</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-ctngLytEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-ctngbytEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lhqrYPsWEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_RnA5gF4sEeWQiN9lTU6tCQ" annotatedElement="_lhqrYPsWEeSc9M34gwVpgg">
            <body>&quot;WADO-RS URL to retrieve the DICOM frames.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__QyIwLytEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__QyIwbytEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_C3uGwPsUEeSc9M34gwVpgg" name="imagingPromise_imagingEvent" memberEnd="_C3ut0PsUEeSc9M34gwVpgg _C3xKEPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_C3xKEPsUEeSc9M34gwVpgg" name="" visibility="public" type="_420A62FD03B6458687500084" association="_C3uGwPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FtkSgPsUEeSc9M34gwVpgg" name="study_series" memberEnd="_Ftk5kPsUEeSc9M34gwVpgg _FtnV0PsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_FtnV0PsUEeSc9M34gwVpgg" name="" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" association="_FtkSgPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GM8WIPsUEeSc9M34gwVpgg" name="series_imageInstance" memberEnd="_GM89MPsUEeSc9M34gwVpgg _GM-yYPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_GM-yYPsUEeSc9M34gwVpgg" name="" visibility="public" type="_fV6VcPAuEeS1qetF27ECmQ" association="_GM8WIPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Go9jwPsUEeSc9M34gwVpgg" name="imageInstance_frame" memberEnd="_Go-x4PsUEeSc9M34gwVpgg _GpBOIPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_GpBOIPsUEeSc9M34gwVpgg" name="" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" association="_Go9jwPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_19LbkPsWEeSc9M34gwVpgg" name="ImagingManifest">
        <eAnnotations xmi:id="_30p54PBTEeW0ha-_6Q5R7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_30p54fBTEeW0ha-_6Q5R7w" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_5gowEH9AEeW8SPVtPHwMkQ" annotatedElement="_19LbkPsWEeSc9M34gwVpgg">
          <body>A set of DICOM Service-Object Pair Instances (SOP Instances). The referenced SOP Instances (images or other content) are for a single patient, and may be from one or more studies. The referenced SOP Instances have been selected for a purpose, such as quality assurance, conference, or consult. Therefore this class may reference all SOP Instances in a study (perhaps for sharing through a Health Information Exchange); key images from multiple studies (for reference by a referring or treating physician); a multi-frame ultrasound instance; or a set of measurements taken from that instance (for inclusion in a teaching file).&#xD;
&quot;A text description of the DICOM SOP instances selected in the ImagingManifest; or the reason for, or significance of, the selection.&quot; - HL7 FHIR, ImagingManifest</body>
        </ownedComment>
        <generalization xmi:id="_Q0tKwPsvEeSc9M34gwVpgg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_czXVIPsvEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_zkWX0H9AEeW8SPVtPHwMkQ" annotatedElement="_czXVIPsvEeSc9M34gwVpgg">
            <body>&quot;Free text narrative description of the ImagingManifest. The value may be derived from the DICOM Standard Part 16, CID-7010 descriptions (e.g. Best in Set, Complete Study Content). Note that those values cover the wide range of uses of the DICOM Key Object Selection object, several of which are not supported by ImagingManifest. Specifically, there is no expected behavior associated with descriptions that suggest referenced images be removed or not used.&quot; - HL7 FHIR, ImagingManifest.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6ia9MH9AEeW8SPVtPHwMkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6ia9MX9AEeW8SPVtPHwMkQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q0VwoNUlEeeaHvV-nCCy9A" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_V9KroNUlEeeaHvV-nCCy9A" annotatedElement="_Q0VwoNUlEeeaHvV-nCCy9A">
            <body>&quot;Unique identifier of the DICOM Key Object Selection (KOS) that this resource represents.&quot; - HL7 FHIR, ImagingManifest.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q0VwotUlEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q0VwodUlEeeaHvV-nCCy9A" value="1"/>
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        <ownedAttribute xmi:id="_ZcJhsPsvEeSc9M34gwVpgg" name="kosTitle" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The reason for, or significance of, the selection of objects referenced in the resource.&quot; - HL7 FHIR, ImagingObjectSelection.title</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MVNoYLyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MVNoYbyuEea_DaXmJ278Kw" value="1"/>
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            <language></language>
            <body>(KOSTitle)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SMuGkPsvEeSc9M34gwVpgg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_SMs4cPsvEeSc9M34gwVpgg">
          <ownedComment xmi:id="_IzRVQPFTEeWEJ4Z3YTwiDQ" annotatedElement="_SMuGkPsvEeSc9M34gwVpgg">
            <body>Pointer to the Person(s) (playing the role of Patient) whose images are included in the set of selected objects.&#xD;
&quot;A patient resource reference which is the patient subject of all DICOM SOP Instances in this ImagingManifest.&quot; - HL7 FHIR, ImagingManifest.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SMvUsPsvEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SMv7wPsvEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeDH0V4vEeWQiN9lTU6tCQ" name="study" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" aggregation="composite" association="_SeDH0F4vEeWQiN9lTU6tCQ">
          <ownedComment xmi:id="_udsTMPFTEeWEJ4Z3YTwiDQ" annotatedElement="_SeDH0V4vEeWQiN9lTU6tCQ">
            <body>&quot;Study identity and locating information of the DICOM SOP instances in the selection.&quot; - HL7 FHIR, ImagingManifest.study&#xD;
&quot;Reference to the Imaging Study in FHIR form.&quot; - HL7 FHIR, ImagingManifest.study.imagingStudy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeDH0l4vEeWQiN9lTU6tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeDH014vEeWQiN9lTU6tCQ" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SMs4cPsvEeSc9M34gwVpgg" name="imageObjectSelection_patient" memberEnd="_SMuGkPsvEeSc9M34gwVpgg _SMwi0PsvEeSc9M34gwVpgg">
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      <packagedElement xmi:type="uml:Association" xmi:id="_edwTAPsyEeSc9M34gwVpgg" name="series_deviceInstance" memberEnd="_edyIMPsyEeSc9M34gwVpgg _ed1ykPsyEeSc9M34gwVpgg">
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      <packagedElement xmi:type="uml:Association" xmi:id="_dF98gPs5EeSc9M34gwVpgg" name="documentImagingEvent_imageInstance" memberEnd="_dF_KoPs5EeSc9M34gwVpgg _dGA_0Ps5EeSc9M34gwVpgg">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645C08F11031E" name="imageInterpretationReport_relatedCase" memberEnd="_420A62FD03B645C08F130077 _420A62FD03B645C08F13008B">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6459B22C20290" name="radioPharmaceuticalAdministration_radiopharmaceutical" memberEnd="_420A62FD03B6459B22C3015B _420A62FD03B6459B22C3016F">
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      <packagedElement xmi:type="uml:Association" xmi:id="_DOCgQICeEd-cvdR-JEsOjQ" name="imagingEvent_imagingLocation" memberEnd="_DOCgQYCeEd-cvdR-JEsOjQ _DOCgRICeEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_DOCgRICeEd-cvdR-JEsOjQ" name="" visibility="public" type="_420A62FD03B64550AAFD02CE" association="_DOCgQICeEd-cvdR-JEsOjQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645915F8D036E" name="medicalImagingEvent_report" memberEnd="_420A62FD03B645915F8E02A7 _420A62FD03B645915F8E02BB">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6459165BE0006" name="medicalImagingEvent_contrastMediaAdministration" memberEnd="_420A62FD03B6459165BE0377 _420A62FD03B6459165BE0381">
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      <packagedElement xmi:type="uml:Association" xmi:id="_QVZbQICiEd-cvdR-JEsOjQ" name="medicalImagingEvent_procedure" memberEnd="_QVZbQYCiEd-cvdR-JEsOjQ _QVZbRICiEd-cvdR-JEsOjQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645C093A30366" name="medicalImagingEvent_radioPharmaceuticalAdministration" memberEnd="_420A62FD03B645C093A6032E _420A62FD03B645C093A60338">
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      <packagedElement xmi:type="uml:Association" xmi:id="_unQz4GjBEeG3pKm-C5y0hA" name="medicalImagingEvent_encounter" memberEnd="_unUeQGjBEeG3pKm-C5y0hA _unZWwGjBEeG3pKm-C5y0hA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_9J1jkFitEeWPFcZL8Pri7w" name="imagingRequest_pregnancyMenstrualStatus" memberEnd="_9J3_0FitEeWPFcZL8Pri7w _9J6cEFitEeWPFcZL8Pri7w">
        <ownedEnd xmi:id="_9J6cEFitEeWPFcZL8Pri7w" name="" visibility="public" type="_420A62FD03B64586F4B502F6" association="_9J1jkFitEeWPFcZL8Pri7w">
          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_9J7DIFitEeWPFcZL8Pri7w">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_9J9fYFitEeWPFcZL8Pri7w">
            <language></language>
            <body>(none)</body>
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        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7ui78F4sEeWQiN9lTU6tCQ" name="RadiationExposureObservation">
        <ownedComment xmi:id="__X5NgPEyEeWSzOqEIoYYig" annotatedElement="_7ui78F4sEeWQiN9lTU6tCQ">
          <body>An Observation of the amount of radiation to which the Patient has been or is expected to be exposed. Such data can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. Retrospectively, it may be necessary to know how much radiation to which the Patient was exposed. As an example, if it was later learned that the Patient was pregnant at the time of exposure, it would be helpful to know the kind and quantity of radiation to which the fetus might have been exposed.&#xD;
&#xD;
Radiation exposure is typically measured in equivalent doses, expressed using Sieverts (Sv), or roentgen equivalents in man (rem). The equivalent dose is itself derived from the amount of ionizing radiation (dose) expressed in Gray (Gy) or rad. The dose is derived from the exposure expressed in Coulomb per kilogram (C/kg) or roentgen (R).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_6UZCIGO-EeWL1ov4GOhBTA" name="dose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_6kUw8PIbEeWI5dLNhw9XrQ" annotatedElement="_6UZCIGO-EeWL1ov4GOhBTA">
            <body>The amount of radiation to which the Patient has been or is expected to be exposed. Radiation exposure is typically measured in equivalent doses, expressed using Sieverts (Sv) or Roentgen Equivalents in Man (rem). The equivalent dose is itself derived from the amount of ionizing radiation (dose) expressed in Gray (Gy) or rad. The dose is derived from the exposure expressed in Coulomb per kilogram (C/kg) or roentgen (R).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o1-TILyuEea_DaXmJ278Kw" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HrxtgF4uEeWQiN9lTU6tCQ" name="medicalImagingEvent_study" memberEnd="_HrxtgV4uEeWQiN9lTU6tCQ _HrxthF4uEeWQiN9lTU6tCQ">
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            <language></language>
            <body>(none)</body>
          </lowerValue>
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            <language></language>
            <body>(none)</body>
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        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SeDH0F4vEeWQiN9lTU6tCQ" name="imageObjectSelection_study" memberEnd="_SeDH0V4vEeWQiN9lTU6tCQ _SeDH1F4vEeWQiN9lTU6tCQ">
        <ownedEnd xmi:id="_SeDH1F4vEeWQiN9lTU6tCQ" name="" visibility="public" type="_19LbkPsWEeSc9M34gwVpgg" association="_SeDH0F4vEeWQiN9lTU6tCQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Yv8YIF45EeWQiN9lTU6tCQ" name="SpecimenImagingEvent">
        <ownedComment xmi:id="_iQm80PEHEeWFncL105bIbg" annotatedElement="_Yv8YIF45EeWQiN9lTU6tCQ">
          <body>This sub-type of Imaging Event contains additional properties applicable when the subject of the study is a sample taken from the Patient rather than the Patient him/herself. For example, a mass of tissue may be extracted from the patient and sent to the radiology department for an assessment of whether that mass may be cancerous. This class contains information concerning any stain technique used, and the magnification used to produce the image. In addition, properties of the specimen itself are referenced.&#xD;
Note that as a sub-type of Imaging Event, Specimen Imaging Event includes all of the properties of Imaging Event, including the Study, Series, and Image classes.</body>
        </ownedComment>
        <generalization xmi:id="_QuuAQH9BEeW8SPVtPHwMkQ" general="_420A62FD03B64586EE2E00B9"/>
        <ownedAttribute xmi:id="_6GHhAYByEd-cvdR-JEsOjQ" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_6GHhAIByEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_X4cyUPIcEeWI5dLNhw9XrQ" annotatedElement="_6GHhAYByEd-cvdR-JEsOjQ">
            <body>Pointer to a physical entity that is part representative of a larger whole that is the target of an observation or analysis for the purpose of drawing conclusions about whole. In other words, a portion taken from the patient for the purpose of study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6GHhAoByEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6GHhA4ByEd-cvdR-JEsOjQ" value="1"/>
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        <ownedAttribute xmi:id="_msmtoIB9Ed-cvdR-JEsOjQ" name="microscopicObjective" visibility="public">
          <ownedComment xmi:id="_msmtoYB9Ed-cvdR-JEsOjQ" annotatedElement="_msmtoIB9Ed-cvdR-JEsOjQ">
            <body>The microscopic objective is the magnification used when taking the image and/or examining the sample. This datum is recorded along with the image for use by future reviewers.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-KsN8LyuEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Ks1ALyuEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_S3TXIIB9Ed-cvdR-JEsOjQ" name="stainDescription" visibility="public">
          <ownedComment xmi:id="_S3TXIYB9Ed-cvdR-JEsOjQ" annotatedElement="_S3TXIIB9Ed-cvdR-JEsOjQ">
            <body>Description of the Histological Stain used in the preparation of the specimen.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__C7dgLyuEea_DaXmJ278Kw"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kG0MsGO-EeWL1ov4GOhBTA" name="imagingRequest_cumulativeRadiationExposure" memberEnd="_kG1a0GO-EeWL1ov4GOhBTA _kG3QAGO-EeWL1ov4GOhBTA">
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            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_kG33EGO-EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_niqogGO-EeWL1ov4GOhBTA" name="imagingPromise_cumulativeRadiationExposure" memberEnd="_nir2oGO-EeWL1ov4GOhBTA _niuS4GO-EeWL1ov4GOhBTA">
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          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_niwIEGO-EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_niwvIGO-EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </upperValue>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_Sf86MPCIEeWoT_0zIvvImQ" client="_fV6VcPAuEeS1qetF27ECmQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_uXEAcPCHEeWoT_0zIvvImQ?FHIM_Vocab/CommonAndDatatypesVocab/BodySiteLaterality?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_aksXQPCJEeWoT_0zIvvImQ" client="_420A62FD03B64586FBA701A8">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_8CxtEPCIEeWoT_0zIvvImQ?FHIM_Vocab/ImagingVocab/ImageReportStatus?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_cw_HMPIfEeWI5dLNhw9XrQ" client="_420A62FD03B64586EE2E00B9">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ebJrcPCJEeWoT_0zIvvImQ?FHIM_Vocab/ImagingVocab/ImageEventStatus?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_yifdgPKUEeWK49aD-a6xLg" client="_19LbkPsWEeSc9M34gwVpgg">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_hsPeMPCIEeWoT_0zIvvImQ?FHIM_Vocab/ImagingVocab/KOSTitle?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_5VO8oPKUEeWK49aD-a6xLg" client="_fV6VcPAuEeS1qetF27ECmQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#__d9voPCKEeWoT_0zIvvImQ?FHIM_Vocab/ImagingVocab/ImagingBodySite?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FLnFYIy_EeaPWbBiMJSPyg" name="PageImageEvent">
        <ownedComment xmi:id="_P1ewgLy2Eea_DaXmJ278Kw" annotatedElement="_FLnFYIy_EeaPWbBiMJSPyg">
          <body>This class contains a pointer to the image of scanned page plus a property in which to store a relevant date for the page. This is needed in order to handle multi-page documents in which there are different dates on some or all of the pages. This is particularly necessary when scanning in a paper medical record. In practice, the scanned document will have one or more of these scanned pages, each of which has one image associated with it. The date property associated with the image is optional as many document pages either don’t have dates or aren’t dated differently from the document as a whole. Note that there is nothing prohibiting the scanned image from containing multiple pages, so the document class may have one page class which has one image which contains multiple pages. Yet this class exists so that the separate dates can be associated with separate pages (or groups of pages).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JoHs8Iy_EeaPWbBiMJSPyg" name="clinicallyRelevantDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fbC6sLy3Eea_DaXmJ278Kw" annotatedElement="_JoHs8Iy_EeaPWbBiMJSPyg">
            <body>This optional property is used to associate a date with a page within a scanned document if (and only if) the relevant date of the page is different from the relevant date of the document. If the document being scanned is a paper medical record with a separate page for each office visit, this property will contain the office visit date on the page. It is noted that this date will only occasionally be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJTdkIy_EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJUEoIy_EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dF_KoPs5EeSc9M34gwVpgg" name="imageInstance" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" association="_dF98gPs5EeSc9M34gwVpgg">
          <ownedComment xmi:id="_gcDPUPFREeWEJ4Z3YTwiDQ" annotatedElement="_dF_KoPs5EeSc9M34gwVpgg">
            <body>Pointer to the scanned image (along with metadata to help identify, locate, and classify the image) of the document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dF_xsPs5EeSc9M34gwVpgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dF_xsfs5EeSc9M34gwVpgg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2ddDMLyzEea_DaXmJ278Kw" name="documentImagingEvent_pageImagingEvent" memberEnd="_2dm0MLyzEea_DaXmJ278Kw _2dm0M7yzEea_DaXmJ278Kw">
        <ownedEnd xmi:id="_2dm0M7yzEea_DaXmJ278Kw" name="" visibility="private" type="_420A62FD03B6456AF07F0009" association="_2ddDMLyzEea_DaXmJ278Kw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2dm0NLyzEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2dm0NbyzEea_DaXmJ278Kw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_i6ADQCkzEeesReY_kMDKgw" name="imagingEvent_patient" memberEnd="_i6KbUCkzEeesReY_kMDKgw _i6Qh8CkzEeesReY_kMDKgw">
        <ownedEnd xmi:id="_i6Qh8CkzEeesReY_kMDKgw" name="" visibility="private" type="_420A62FD03B64550AAFD02CE" association="_i6ADQCkzEeesReY_kMDKgw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6RJACkzEeesReY_kMDKgw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6RJASkzEeesReY_kMDKgw" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64294DF9F0087" name="Immunization">
      <eAnnotations xmi:id="_M4jIG-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_M4s5EuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_MxwqoFSOEeOiZrLzx6PDyg" annotatedElement="_420A62FD03B64294DF9F0087">
        <body>The FHIM Immunization domain is concerned with the documentation surrounding ordering, administration, and reporting to public authorities of vaccations.  There are three potential &quot;entry points&quot;, the primary one being the Immunization History List.  The Immunization History List can be composed of entries from multiple organizations and may include entries describing actual immunizations as well as immunizations that did not occur for some reason.&#xD;
&#xD;
There currently exists a subpackage in this domain that deals with forecasting of immunizations, which is out of scope for this iteration of the FHIM, but was modeled in the HL7 Domain Analysis Model, which was one of the sources for this domain.  The Immunization Forecast will likely be modeled in a future iteration.</body>
      </ownedComment>
      <ownedComment xmi:id="_BrYpwFNBEeaHsPdvgbW7pw">
        <body>ToDo (as part of FHIR / CIMI Harmonization):&#xD;
&#xD;
a) Add Encounter during which Admin. happened&#xD;
b) Add MedicationAdmin non-occurance, make VaccinationNonEvent a subtype&#xD;
c) FHIR has an Explanation, which is akin to Indication, but it is used for non-events too&#xD;
d) FHIR points directly to the Vaccination Protocol, FHIM links through the evaluation</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_DygMsH82EeG8JPxVazzwbQ" name="VaccineInformationStatement">
        <ownedComment xmi:id="_KJsmYCzcEeKLfdgQhBZO1Q" annotatedElement="_DygMsH82EeG8JPxVazzwbQ">
          <body>A vaccine information document is an educational document intended to outline the risks and benefits of the vaccine.  It outlines the impact of infection by the disease causing organism. Also known as a Vaccine Information Sheet (VIS).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_LqWSsH82EeG8JPxVazzwbQ" name="dateOfPublication" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_ldWmEEcNEeKCL55cY7xifw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_cQBSkCzcEeKLfdgQhBZO1Q" annotatedElement="_LqWSsH82EeG8JPxVazzwbQ">
            <body>The date that the Vaccine Information Sheet was published.  In effect, this date serves to identify the version of the VIS.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PYis8LyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PYis8byiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cgFwEBSMEeKpJeaG5gXc6Q" name="documentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_prQw8EcNEeKCL55cY7xifw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_8I_Z0CzdEeKLfdgQhBZO1Q" annotatedElement="_cgFwEBSMEeKpJeaG5gXc6Q">
            <body>The type of Vaccine Information Sheet.  The combination of the document type and the date of publication identifies a particular version of the document.&#xD;
Note that the &quot;document title&quot; is in the &quot;text&quot; sub-component of the code datatype.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pz0TsLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pz0TsbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QeDyEIAiEeGE1-mzJa42fw" name="serialNumber" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MtMocCzdEeKLfdgQhBZO1Q" annotatedElement="_QeDyEIAiEeGE1-mzJa42fw">
            <body>Uniquely identifies the Vaccine Information Sheet.  This property allows for individual Vaccine Information Sheets to be enumerated, which is uncommon, but is expected to become more prevelent in the future.  This property is therefore optional.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NrMhwCzdEeKLfdgQhBZO1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NrNv4CzdEeKLfdgQhBZO1Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Pn8CYIAiEeGE1-mzJa42fw" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kTwfgCzcEeKLfdgQhBZO1Q" annotatedElement="_Pn8CYIAiEeGE1-mzJa42fw">
            <body>The language in which the Vaccine Information Sheet is written.  This would most likely be a code from ISO table 639.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6VbRwMxPEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6VeVEMxPEeKpUOrR1CIFUA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Off64H82EeG8JPxVazzwbQ" name="Vaccine">
        <ownedComment xmi:id="_WWm-QLyFEeGK2djLWlLFew" annotatedElement="_Off64H82EeG8JPxVazzwbQ">
          <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5</body>
        </ownedComment>
        <generalization xmi:id="_jgdwcLyFEeGK2djLWlLFew" general="_OaEXAKEREeGnfe88WF3uxw"/>
        <ownedAttribute xmi:id="_RCElUH82EeG8JPxVazzwbQ" name="vaccineCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Y6M8YLyFEeGK2djLWlLFew" annotatedElement="_RCElUH82EeG8JPxVazzwbQ">
            <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OR-tgLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OSH3cLyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SVtzkIsgEeGv9r5ZNThaOw" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_SVqwQIsgEeGv9r5ZNThaOw">
          <ownedComment xmi:id="_MrqBkNEuEeG6d5ozG3gSdw" annotatedElement="_SVtzkIsgEeGv9r5ZNThaOw">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SVuaoIsgEeGv9r5ZNThaOw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SVvBsIsgEeGv9r5ZNThaOw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HhemkH87EeG8JPxVazzwbQ" name="VaccinationEvent">
        <ownedComment xmi:id="_qugcwCzZEeKLfdgQhBZO1Q" annotatedElement="_HhemkH87EeG8JPxVazzwbQ">
          <body>Information about the administration of a vaccine to a patient.  This class is a sub-class of MedicationAdministrationEvent, and therefore inherits the properties of that class, and then adds vaccination-specific information such as the dose number within a series, and immunity status.</body>
        </ownedComment>
        <generalization xmi:id="_CjBIoIAkEeGE1-mzJa42fw" general="_420A62FD03B641A349EF0070"/>
        <ownedAttribute xmi:id="_egUl8AlpEeKmMfGXbG9elQ" name="fundingSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6nJtwAlpEeKmMfGXbG9elQ" annotatedElement="_egUl8AlpEeKmMfGXbG9elQ">
            <body>Indicates the source of funds used to pay for the Immunization.  In the CDC Version 2 Implementation Guide, this is implemented as a seperate observation, in OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sVLc8AlpEeKmMfGXbG9elQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sVLc8QlpEeKmMfGXbG9elQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P1vY4KETEeGnfe88WF3uxw" name="numberInSeries" visibility="public">
          <ownedComment xmi:id="_GN-GwLyFEeGK2djLWlLFew" annotatedElement="_P1vY4KETEeGnfe88WF3uxw">
            <body>&quot;If the order is for a continuous administration (such as an IV), and the rate is changed at a certain time after the start, an RAS message can be issued to record the change.  For such an RAS message, this field records the time the rate was changed to the new value recorded in the RXA-12-Administered Per (time unit) of the same message.&quot; - HL7 Version 2.8, RXA-2</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jk7IgLyiEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jk7IgbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ugzRUNgkEeG3E4mt6RKX5Q" name="evaluation" visibility="public" type="_nCBqkKEZEeGnfe88WF3uxw" association="_ugw1ENgkEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_c6TGACzZEeKLfdgQhBZO1Q" annotatedElement="_ugzRUNgkEeG3E4mt6RKX5Q">
            <body>An evaluation of a given vaccination in which an attempt is made to match the vaccination with a target dose number.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ugzRUdgkEeG3E4mt6RKX5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ugz4YNgkEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cOQpsIAiEeGE1-mzJa42fw" name="patientDocumentPresentation" visibility="public" type="_KvtvMIAiEeGE1-mzJa42fw" association="_cOM_UIAiEeGE1-mzJa42fw">
          <ownedComment xmi:id="_rKR18CzdEeKLfdgQhBZO1Q" annotatedElement="_cOQpsIAiEeGE1-mzJa42fw">
            <body>The provision of a Vaccine Information Sheet to the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cOR30IAiEeGE1-mzJa42fw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cOSe4IAiEeGE1-mzJa42fw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pARWIEC2EeO2aaQpQxRerg" name="immunityStatus" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_pAQvEEC2EeO2aaQpQxRerg">
          <ownedComment xmi:id="_sABr0EC2EeO2aaQpQxRerg" annotatedElement="_pARWIEC2EeO2aaQpQxRerg">
            <body>The immunological state of the patient with respect to a given disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pASkQEC2EeO2aaQpQxRerg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pASkQUC2EeO2aaQpQxRerg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RbWd0EC3EeO2aaQpQxRerg" name="immunizationFundingEligibility" visibility="public" type="_kscRANKiEeGtfrdPU3R3yA" association="_RbVPsEC3EeO2aaQpQxRerg">
          <ownedComment xmi:id="_WH5sgEC3EeO2aaQpQxRerg" annotatedElement="_RbWd0EC3EeO2aaQpQxRerg">
            <body>Indicates the eligibility of the Patient to receive a vaccine under a publicly funded vaccine program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RbXE4EC3EeO2aaQpQxRerg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RbXE4UC3EeO2aaQpQxRerg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KvtvMIAiEeGE1-mzJa42fw" name="PatientDocumentPresentation">
        <ownedComment xmi:id="_YvwbYCzdEeKLfdgQhBZO1Q" annotatedElement="_KvtvMIAiEeGE1-mzJa42fw">
          <body>This class contains information regarding the provision of a Vaccine Information Sheet to the patient.  A vaccine information document is an educational document intended to outline the risks and benefits of the vaccine.  It outlines the impact of infection by the disease causing organism.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_IElF4H82EeG8JPxVazzwbQ" name="dateOfPresentation" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_rHzAYEcNEeKCL55cY7xifw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_oDkjsCzdEeKLfdgQhBZO1Q" annotatedElement="_IElF4H82EeG8JPxVazzwbQ">
            <body>The date that the Vaccine Information Sheet was provided to the patient (or the patient's representative).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9IjHYLyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9IjHYbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_csKtsIAiEeGE1-mzJa42fw" name="vaccineInformationStatement" visibility="public" type="_DygMsH82EeG8JPxVazzwbQ" association="_csGcQIAiEeGE1-mzJa42fw">
          <ownedComment xmi:id="_vmfikCzdEeKLfdgQhBZO1Q" annotatedElement="_csKtsIAiEeGE1-mzJa42fw">
            <body>An educational document intended to outline the risks and benefits of the vaccine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_csL70IAiEeGE1-mzJa42fw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_csL70YAiEeGE1-mzJa42fw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cOM_UIAiEeGE1-mzJa42fw" name="vaccinationEvent_patientDocumentPresentation" memberEnd="_cOQpsIAiEeGE1-mzJa42fw _cOViMIAiEeGE1-mzJa42fw">
        <ownedEnd xmi:id="_cOViMIAiEeGE1-mzJa42fw" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_cOM_UIAiEeGE1-mzJa42fw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_csGcQIAiEeGE1-mzJa42fw" name="patientDocumentPresentation_vaccineInformationStatement" memberEnd="_csKtsIAiEeGE1-mzJa42fw _csPmMIAiEeGE1-mzJa42fw">
        <ownedEnd xmi:id="_csPmMIAiEeGE1-mzJa42fw" name="" visibility="public" type="_KvtvMIAiEeGE1-mzJa42fw" association="_csGcQIAiEeGE1-mzJa42fw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SVqwQIsgEeGv9r5ZNThaOw" name="vaccine_indication" memberEnd="_SVtzkIsgEeGv9r5ZNThaOw _SVwP0IsgEeGv9r5ZNThaOw">
        <ownedEnd xmi:id="_SVwP0IsgEeGv9r5ZNThaOw" name="" visibility="public" type="_Off64H82EeG8JPxVazzwbQ" association="_SVqwQIsgEeGv9r5ZNThaOw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_uLxJ4KEYEeGnfe88WF3uxw" name="PatientSeries">
        <ownedComment xmi:id="_wO22ACzQEeKLfdgQhBZO1Q" annotatedElement="_uLxJ4KEYEeGnfe88WF3uxw">
          <body>Patient Series is an instantiation in time of the Vaccine Series that represents one path towards the goal of protection against a disease.  It consists of a number of Target Doses.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_y5T3EKEYEeGnfe88WF3uxw" name="numberOfDoses" visibility="public">
          <ownedComment xmi:id="_Ut3FgCzYEeKLfdgQhBZO1Q" annotatedElement="_y5T3EKEYEeGnfe88WF3uxw">
            <body>The total number of doses of a given vaccine that is anticipated to be administered to the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__nlVoLyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__nlVobyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y5TQAKEYEeGnfe88WF3uxw" name="seriesName" visibility="public">
          <ownedComment xmi:id="_vowlsCzYEeKLfdgQhBZO1Q" annotatedElement="_y5TQAKEYEeGnfe88WF3uxw">
            <body>A designation for the Vaccine Series, for ease in locating a given series.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AheLALyiEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AheLAbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1zw2AKEYEeGnfe88WF3uxw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Gi3J8CzZEeKLfdgQhBZO1Q" annotatedElement="_1zw2AKEYEeGnfe88WF3uxw">
            <body>Indicates the state of the Patient Series.  Values should reflect the HL7 V3 Act State Machine.  Possible values include: New, Active, Completed, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BDMYALyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BDMYAbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_96JuUKEYEeGnfe88WF3uxw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_96GD8KEYEeGnfe88WF3uxw">
          <ownedComment xmi:id="_TMnRACzfEeKLfdgQhBZO1Q" annotatedElement="_96JuUKEYEeGnfe88WF3uxw">
            <body>Identfies the person who is the subject of the Patient Series record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_96K8cKEYEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_96LjgKEYEeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CGRwgKEZEeGnfe88WF3uxw" name="vaccineSeries" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_CGJNoKEZEeGnfe88WF3uxw">
          <ownedComment xmi:id="_IcJcQCzYEeKLfdgQhBZO1Q" annotatedElement="_CGRwgKEZEeGnfe88WF3uxw">
            <body>A series is one path to meet the goals for assuming protection against a target disease. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGS-oKEZEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGS-oaEZEeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QGOdMKEZEeGnfe88WF3uxw" name="targetDose" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" aggregation="composite" association="_QGMoAKEZEeGnfe88WF3uxw">
          <ownedComment xmi:id="_QYIl8CzZEeKLfdgQhBZO1Q" annotatedElement="_QGOdMKEZEeGnfe88WF3uxw">
            <body>Each target dose is one step in a patient series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGPEQKEZEeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGPEQaEZEeGnfe88WF3uxw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_96GD8KEYEeGnfe88WF3uxw" name="patientSeries_patient" memberEnd="_96JuUKEYEeGnfe88WF3uxw _96Om0KEYEeGnfe88WF3uxw">
        <ownedEnd xmi:id="_96Om0KEYEeGnfe88WF3uxw" name="" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_96GD8KEYEeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_F4bMcKEZEeGnfe88WF3uxw" name="TargetDoseNumber">
        <ownedComment xmi:id="_5z-k0AGcEeK-JchLsriwUw" annotatedElement="_F4bMcKEZEeGnfe88WF3uxw">
          <body>Each target dose is one step in a patient series.  The target dose links the vaccine dose administered to the series dose that it meets the goals of. A vaccine dose may not meet the goals of a given series dose and therefore be not valid.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NJdKEKEZEeGnfe88WF3uxw" name="doseNumber" visibility="public">
          <ownedComment xmi:id="_X1p90AGfEeK-JchLsriwUw" annotatedElement="_NJdKEKEZEeGnfe88WF3uxw">
            <body>Indicates the position in which the dose represented by this class is in the sequence of doses that make up a series of doses prescribed by a vaccination protocol.&#xD;
&quot;Nominal position in a series.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.doseSequence</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GyO-cLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GyO-cbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KMYU8KEZEeGnfe88WF3uxw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1S5e8AGfEeK-JchLsriwUw" annotatedElement="_KMYU8KEZEeGnfe88WF3uxw">
            <body>Indicates the state of the assignment of the patient dose to the vaccine series.  Note that this assignment will likely be accomplished by a Rules Engine evaluating various rules against the actual vaccine administration data to determine whether the vaccination satisfies the requirements of the vaccination series.  Possible values include: Satisfied.&#xD;
&quot;Indicates if the immunization event should &quot;count&quot; against the protocol.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.doseStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hjh4gLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HjifkLyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xWrSQNgkEeG3E4mt6RKX5Q" name="nextDoseForecast" visibility="public" type="_TmW8EKEZEeGnfe88WF3uxw" association="_xWnA0NgkEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_XEHVwCzZEeKLfdgQhBZO1Q" annotatedElement="_xWrSQNgkEeG3E4mt6RKX5Q">
            <body>The recommended next dose of a particular vaccine for a given patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xWsgYNgkEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xWsgYdgkEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QGMoAKEZEeGnfe88WF3uxw" name="patientSeries_targetDose" memberEnd="_QGOdMKEZEeGnfe88WF3uxw _QGQSYKEZEeGnfe88WF3uxw">
        <ownedEnd xmi:id="_QGQSYKEZEeGnfe88WF3uxw" name="" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_QGMoAKEZEeGnfe88WF3uxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGQ5cKEZEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGQ5caEZEeGnfe88WF3uxw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nCBqkKEZEeGnfe88WF3uxw" name="Evaluation">
        <ownedComment xmi:id="_r94MINglEeG3E4mt6RKX5Q" annotatedElement="_nCBqkKEZEeGnfe88WF3uxw">
          <body>This class represents an evaluation of a given vaccination in which an attempt is made to match the vaccination with a target dose number.  If the vaccination event passes the rules for a target dose in a series, the evaluation outcome will &quot;valid&quot; and will point to the appropriate target dose number.  Other wise, there will not be a link to the target dose number.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_sy5dAKEZEeGnfe88WF3uxw" name="evaluationOutcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0KY6kNglEeG3E4mt6RKX5Q" annotatedElement="_sy5dAKEZEeGnfe88WF3uxw">
            <body>Indicates the outcome of the evaluation of this vaccine dose administered.  Possible values include: Valid, Invalid, NeverEvaluated.  Note that NeverEvaluated would be appropriate for vaccines that do not occur in series, or for which there are no rules for the series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_koAw0LyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_koKh0LyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1CiX8KEZEeGnfe88WF3uxw" name="evaluationReason" visibility="public">
          <ownedComment xmi:id="_jKr7UP_9EeGbvqRkTkah6w" annotatedElement="_1CiX8KEZEeGnfe88WF3uxw">
            <body>Indicates any circumstances which impacted the validation of this vaccine dose administered.&#xD;
&quot;Provides an explanation as to why an immunization event should or should not count against the protocol.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.doseStatusReason</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_md4tULyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_md4tUbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2ofwLGiEeGkU9GcFSzOCA" name="targetDose" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" association="_-2k1YLGiEeGkU9GcFSzOCA">
          <ownedComment xmi:id="_RAke8CzZEeKLfdgQhBZO1Q" annotatedElement="_-2ofwLGiEeGkU9GcFSzOCA">
            <body>Each target dose is one step in a patient series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-2pt4LGiEeGkU9GcFSzOCA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-2qU8LGiEeGkU9GcFSzOCA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fuXvYKEcEeGnfe88WF3uxw" name="ImmunizationHistoryList">
        <eAnnotations xmi:id="_yb0gMLVYEeGagp-AW0X6HQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_yb0gMbVYEeGagp-AW0X6HQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_N_nnsCzfEeKLfdgQhBZO1Q" annotatedElement="_fuXvYKEcEeGnfe88WF3uxw">
          <body>An Immunization History is the record of a person's immunizations and the attendant information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_G5ys4KwcEeG4dfTp_XT2yg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_G5ubcKwcEeG4dfTp_XT2yg">
          <ownedComment xmi:id="_RddAgCzfEeKLfdgQhBZO1Q" annotatedElement="_G5ys4KwcEeG4dfTp_XT2yg">
            <body>Identfies the person who is the subject of the Immunization History record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G50iEKwcEeG4dfTp_XT2yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G50iEawcEeG4dfTp_XT2yg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jiHAUBImEeK0rPN86AJEog" name="immunizationHistoryEntry" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" aggregation="composite" association="_jiCH0BImEeK0rPN86AJEog">
          <ownedComment xmi:id="_9JdVICzZEeKLfdgQhBZO1Q" annotatedElement="_jiHAUBImEeK0rPN86AJEog">
            <body>Information about the administration of a vaccine to a patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiI1gBImEeK0rPN86AJEog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiI1gRImEeK0rPN86AJEog" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_G5ubcKwcEeG4dfTp_XT2yg" name="immunizationHistory_patient" memberEnd="_G5ys4KwcEeG4dfTp_XT2yg _G54McKwcEeG4dfTp_XT2yg">
        <ownedEnd xmi:id="_G54McKwcEeG4dfTp_XT2yg" name="" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_G5ubcKwcEeG4dfTp_XT2yg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3V9HYKwiEeG4dfTp_XT2yg" name="Exemption">
        <ownedComment xmi:id="_cexjcCzgEeKLfdgQhBZO1Q" annotatedElement="_3V9HYKwiEeG4dfTp_XT2yg">
          <body>This class is a record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.  Examples include a parent refusing an immunization for their child based on religious beliefs.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__tDkUL_uEeG9Y6ZcZJMJaA" name="dateAsserted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NtmosEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gLr6ECzgEeKLfdgQhBZO1Q" annotatedElement="__tDkUL_uEeG9Y6ZcZJMJaA">
            <body>The date that the assertion was made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qI4YYLyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qI4YYbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eXvZkMFbEeGfF8TDoecqAg" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_mNedYCzgEeKLfdgQhBZO1Q" annotatedElement="_eXvZkMFbEeGfF8TDoecqAg">
            <body>The date range during which the exemption is valid.  Note that the start date may differ from the date asserted, although they typically will be the same.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qpAC4LyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qpAC4byhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BMwhkMFlEeGfF8TDoecqAg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_pSlNICzgEeKLfdgQhBZO1Q" annotatedElement="_BMwhkMFlEeGfF8TDoecqAg">
            <body>Uniquely identifies the Exemption.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E46DMMFlEeGfF8TDoecqAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E46qQMFlEeGfF8TDoecqAg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZE9VMLGgEeGkU9GcFSzOCA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_XNK6cEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_vcr-8CzgEeKLfdgQhBZO1Q" annotatedElement="_ZE9VMLGgEeGkU9GcFSzOCA">
            <body>Indicates the basis for the Exemption.&#xD;
&quot;Contains the reason the patient refused the medical substance/treatment.  Any entry in the field indicates that the patient did not take the substance.&quot; - HL7 Version 2.8, RXA-18</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r05OQLyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r05OQbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WwnhEMFkEeGfF8TDoecqAg" name="remarks" visibility="public">
          <ownedComment xmi:id="_6uIeACzgEeKLfdgQhBZO1Q" annotatedElement="_WwnhEMFkEeGfF8TDoecqAg">
            <body>Any comments concerning the Exemption.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xm4_8MFkEeGfF8TDoecqAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xm6OEMFkEeGfF8TDoecqAg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nb5acOP8Eea407qNHok1lQ" name="issuedBy" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_TCVegOP8Eea407qNHok1lQ" annotatedElement="_Nb5acOP8Eea407qNHok1lQ">
            <body>Indicates the practitioner who issued the exemption.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nb5acuP8Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nb5aceP8Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AyJDEKwlEeG4dfTp_XT2yg" name="PublicHealthClient">
        <ownedComment xmi:id="_kKvesCziEeKLfdgQhBZO1Q" annotatedElement="_AyJDEKwlEeG4dfTp_XT2yg">
          <body>A Public Health Client is a Patient from the viewpoint of a Jurisdiction.  For example, John Doe lives in Arizona, and has been seen by two practices, whereby he is patient number 123 at practice A and patient number 456 at practice B.  The state of Arizona will assign a single id to John, say, XYZ.  This id (the recordId property of this class) is correlated to the ids from the two practices.  In other words, each patient will have a separate id and record at each medical practice, but will have one id at the jurisdictional level.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_UkytMNgiEeG3E4mt6RKX5Q" name="beginDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_H9HV4CzjEeKLfdgQhBZO1Q" annotatedElement="_UkytMNgiEeG3E4mt6RKX5Q">
            <body>The earliest known date upon which the Patient had a service performed or a condition that was reportable to the Public Health Jurisdiction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Dd9KQLyiEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Dd9KQbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UkzUQNgiEeG3E4mt6RKX5Q" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JezLECzjEeKLfdgQhBZO1Q" annotatedElement="_UkzUQNgiEeG3E4mt6RKX5Q">
            <body>The latest known date upon which the Patient had a service performed or a condition that was reportable to the Public Health Jurisdiction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D1XksLyiEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D1XksbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bOS8LGeEeGkU9GcFSzOCA" name="recordId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_UoNvgCzjEeKLfdgQhBZO1Q" annotatedElement="_-bOS8LGeEeGkU9GcFSzOCA">
            <body>Uniquely identifies the patient from a jurisdictional point of view.  This id is used to aggregate data reported from multiple sources within the jurisdiction; each source may have it's own id for the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FaiywLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FaiywbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_80NR0LGeEeGkU9GcFSzOCA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ce6mIL_vEeG9Y6ZcZJMJaA" annotatedElement="_80NR0LGeEeGkU9GcFSzOCA">
            <body>Indicates the active/inactive status of the patient in the IIS. This is a jurisdictional status. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F3-8sLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F3-8sbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TALNEL_qEeG9Y6ZcZJMJaA" name="publicHealthJurisdiction" visibility="public" type="_zory4LGdEeGkU9GcFSzOCA" association="_TAFGcL_qEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_zgGNMCzkEeKLfdgQhBZO1Q" annotatedElement="_TALNEL_qEeG9Y6ZcZJMJaA">
            <body>An organization that is responsible for Public Health either at the local, state, or national level.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TAR6wL_qEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TASh0L_qEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sb6f8NKiEeGtfrdPU3R3yA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_Sbwu8NKiEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_iGFC0CzjEeKLfdgQhBZO1Q" annotatedElement="_Sb6f8NKiEeGtfrdPU3R3yA">
            <body>Identifies the Patient (from the Provider's point of view) that correlates to the Public Health Client record.  For example, John Doe lives in Arizona, and has been seen by two practices, whereby he is patient number 123 at practice A and patient number 456 at practice B.  The state of Arizona will assign a single id to John, say, XYZ.  The Public Health Client class will contain a recordId = XYZ.  This property points to Practice A, patientId=123, and Practice B, patientId=456.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sb7uENKiEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sb7uEdKiEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-2k1YLGiEeGkU9GcFSzOCA" name="evaluation_targetDose" memberEnd="_-2ofwLGiEeGkU9GcFSzOCA _-2tYQLGiEeGkU9GcFSzOCA">
        <ownedEnd xmi:id="_-2tYQLGiEeGkU9GcFSzOCA" name="" visibility="public" type="_nCBqkKEZEeGnfe88WF3uxw" association="_-2k1YLGiEeGkU9GcFSzOCA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_x5tEYLGkEeGkU9GcFSzOCA" name="ImmunizationForecast">
        <eAnnotations xmi:id="_x5uSgLGkEeGkU9GcFSzOCA" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_fLHAYKETEeGnfe88WF3uxw" name="VaccineSeries">
          <ownedComment xmi:id="_Dra8YCzREeKLfdgQhBZO1Q" annotatedElement="_fLHAYKETEeGnfe88WF3uxw">
            <body>&quot;One possible path to achieve presumed immunity against a disease - within the context of an authority.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.series</body>
          </ownedComment>
          <ownedAttribute xmi:id="_sUxlUKETEeGnfe88WF3uxw" name="numberOfDoses" visibility="public">
            <ownedComment xmi:id="_Y6aQYCzWEeKLfdgQhBZO1Q" annotatedElement="_sUxlUKETEeGnfe88WF3uxw">
              <body>The total number of doses defined by the series.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dw_ZMLyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dw_ZMbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_l9cP0KETEeGnfe88WF3uxw" name="seriesName" visibility="public">
            <ownedComment xmi:id="_j6sG8CzWEeKLfdgQhBZO1Q" annotatedElement="_l9cP0KETEeGnfe88WF3uxw">
              <body>A designation for the Vaccine Series, for ease in locating a given series.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e4PVILyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e4PVIbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jqTIgKETEeGnfe88WF3uxw" name="vaccineSeriesDose" visibility="public" type="_hXNEgKETEeGnfe88WF3uxw" aggregation="composite" association="_jqPeIKETEeGnfe88WF3uxw">
            <ownedComment xmi:id="_kkJ5sCzhEeKLfdgQhBZO1Q" annotatedElement="_jqTIgKETEeGnfe88WF3uxw">
              <body>A Series Dose is a specification of how to determine if a particular dose administered meets the goals for that dose in the series.&#xD;
&quot;The recommended number of doses to achieve immunity.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.seriesDoses</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jqUWoKETEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jqUWoaETEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cGd4wKEVEeGnfe88WF3uxw" name="seriesRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_cGcDkKEVEeGnfe88WF3uxw">
            <ownedComment xmi:id="_cOxrgCzTEeKLfdgQhBZO1Q" annotatedElement="_cGd4wKEVEeGnfe88WF3uxw">
              <body>This is the collection of rules which are specific to this series. Series rules are not common.  Most are associated with series doses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cGef0KEVEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cGfG4KEVEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CGNfEKEZEeGnfe88WF3uxw" name="patientSeries" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_CGJNoKEZEeGnfe88WF3uxw">
            <ownedComment xmi:id="_NevMYCzYEeKLfdgQhBZO1Q" annotatedElement="_CGNfEKEZEeGnfe88WF3uxw">
              <body>Patient Series is an instantiation in time of the Vaccine Series that represents one path towards the goal of protection against a disease.  It consists of a number of Target Doses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGOGIKEZEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGOtMKEZEeGnfe88WF3uxw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hXNEgKETEeGnfe88WF3uxw" name="VaccineSeriesDoseNumber">
          <ownedComment xmi:id="_t4SYgCzWEeKLfdgQhBZO1Q" annotatedElement="_hXNEgKETEeGnfe88WF3uxw">
            <body>A Series Dose is a specification of how to determine if a particular dose administered meets the goals for that dose in the series.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_ma0dcKEVEeGnfe88WF3uxw" name="doseNumber" visibility="public">
            <ownedComment xmi:id="_13fOQCzXEeKLfdgQhBZO1Q" annotatedElement="_ma0dcKEVEeGnfe88WF3uxw">
              <body>Indicates the individual dose within a series of doses to which the Dose Rule applies.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f_3EgLyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f_3rkLyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cnFSgKEVEeGnfe88WF3uxw" name="doseRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_cnDdUKEVEeGnfe88WF3uxw">
            <ownedComment xmi:id="_h6db8CzTEeKLfdgQhBZO1Q" annotatedElement="_cnFSgKEVEeGnfe88WF3uxw">
              <body>This is the collection of all rules which apply to this dose.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cnF5kKEVEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cnF5kaEVEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3DrtIKEVEeGnfe88WF3uxw" name="ImmunizationSchedule">
          <ownedComment xmi:id="_4XoT8CzQEeKLfdgQhBZO1Q" annotatedElement="_3DrtIKEVEeGnfe88WF3uxw">
            <body>The Immunization Schedule is a set of published rules for evaluating vaccines administered and for forecasting next doses due.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_GkjaAKEWEeGnfe88WF3uxw" name="name" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V4B44LyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V4B44byiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6zUMoFNqEeaHsPdvgbW7pw" name="description">
            <ownedComment xmi:id="__MKcMFNqEeaHsPdvgbW7pw" annotatedElement="_6zUMoFNqEeaHsPdvgbW7pw">
              <body>&quot;Contains the description about the protocol under which the vaccine was administered.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.description</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UItQULyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UItQUbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_46xxoKEVEeGnfe88WF3uxw" name="publishedSchedule" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_J7FHICzSEeKLfdgQhBZO1Q" annotatedElement="_46xxoKEVEeGnfe88WF3uxw">
              <body>Uniquely identifies the Immunization Schedule.&#xD;
A designation of the Immunization Schedule, which may include a version number or release date to distinguish it from other instances.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WadQgLyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WadQgbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BQdqMKEWEeGnfe88WF3uxw" name="releaseDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_Hw210CzTEeKLfdgQhBZO1Q" annotatedElement="_BQdqMKEWEeGnfe88WF3uxw">
              <body>The date upon which the Immunization Schedule was published.  Used to distinguish between different versions of the schedule for the same vaccine.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XtBEkLyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XtBEkbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Jp1I4KEWEeGnfe88WF3uxw" name="scheduleRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_JpysoKEWEeGnfe88WF3uxw">
            <ownedComment xmi:id="_atSDkCzTEeKLfdgQhBZO1Q" annotatedElement="_Jp1I4KEWEeGnfe88WF3uxw">
              <body>This is a collection of the rules that apply to the entire schedule. These are uncommon.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jp1v8KEWEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jp1v8aEWEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O0czoKEWEeGnfe88WF3uxw" name="vaccineSeries" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" aggregation="composite" association="_O0YiMKEWEeGnfe88WF3uxw">
            <ownedComment xmi:id="_S8gukCzWEeKLfdgQhBZO1Q" annotatedElement="_O0czoKEWEeGnfe88WF3uxw">
              <body>&quot;One possible path to achieve presumed immunity against a disease - within the context of an authority.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.series</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O0eBwKEWEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O0eBwaEWEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_pSMCwVNrEeaHsPdvgbW7pw" name="publisher" visibility="public" type="_420A62FD03B6418AA15801A9" association="_pSMCwFNrEeaHsPdvgbW7pw">
            <ownedComment xmi:id="_yRSEsFNrEeaHsPdvgbW7pw" annotatedElement="_pSMCwVNrEeaHsPdvgbW7pw">
              <body>&quot;Indicates the authority who published the protocol. E.g. ACIP.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.authority</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pSMCwlNrEeaHsPdvgbW7pw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pSMCw1NrEeaHsPdvgbW7pw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-jAfkFNsEeaHsPdvgbW7pw" name="vaccine" visibility="public" type="_Off64H82EeG8JPxVazzwbQ" association="_-i2ukFNsEeaHsPdvgbW7pw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-jAfkVNsEeaHsPdvgbW7pw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-jAfklNsEeaHsPdvgbW7pw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_KVufsVNtEeaHsPdvgbW7pw" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_KVufsFNtEeaHsPdvgbW7pw">
            <ownedComment xmi:id="_00jAwFNtEeaHsPdvgbW7pw" annotatedElement="_KVufsVNtEeaHsPdvgbW7pw">
              <body>&quot;The targeted disease.&quot; - HL7 FHIR, Immunization.vaccinationProtocol.targetDisease</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KVufslNtEeaHsPdvgbW7pw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KVufs1NtEeaHsPdvgbW7pw" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_TmW8EKEZEeGnfe88WF3uxw" name="NextDoseForecast">
          <ownedComment xmi:id="_FIwjoNKpEeGtfrdPU3R3yA" annotatedElement="_TmW8EKEZEeGnfe88WF3uxw">
            <body>The recommended next dose of a particular vaccine for a given patient.  It does not deal with usage projections over a population.  This forecast is based on application of the rules of the series dose.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_Z2oAQKEZEeGnfe88WF3uxw" name="earliestDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_Qlro0CzQEeKLfdgQhBZO1Q" annotatedElement="_Z2oAQKEZEeGnfe88WF3uxw">
              <body>The date that is the earliest recommended date.  This is not always the earliest date that a dose administered will be acceptable.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zl1AULyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zl1AUbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_eqWN8KEZEeGnfe88WF3uxw" name="latestDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_TuOuICzQEeKLfdgQhBZO1Q" annotatedElement="_eqWN8KEZEeGnfe88WF3uxw">
              <body>The latest date patient should receive the vaccine</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aGwjILyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aGwjIbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fcfckKEZEeGnfe88WF3uxw" name="overdueDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_V2nW8CzQEeKLfdgQhBZO1Q" annotatedElement="_fcfckKEZEeGnfe88WF3uxw">
              <body>The date when patient is considered behind schedule.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ajHH8LyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ajHH8byiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jF2v8KEZEeGnfe88WF3uxw" name="recommendedDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_cUq_gCzQEeKLfdgQhBZO1Q" annotatedElement="_jF2v8KEZEeGnfe88WF3uxw">
              <body>The ideal date upon which the patient should receive the next dose of the vaccine.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bBlMoLyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bBlMobyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_0m_6MKETEeGnfe88WF3uxw" name="Rule">
          <ownedComment xmi:id="_JwSFACzVEeKLfdgQhBZO1Q" annotatedElement="_0m_6MKETEeGnfe88WF3uxw">
            <body>A statement of a condition that must be met.  The evaluation of facts against a rule results in a value of true or false.  Rules can be evaluated by humans or by computers; this class is intended to contain rules that are human-readable as well as those that can be evaluated by a rules engine.  An example of a Rule would be that the second dose of a vaccine must be administered between six and eight weeks after the first dose.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_8VEZIKETEeGnfe88WF3uxw" name="comments" visibility="public">
            <ownedComment xmi:id="_9irqQCzVEeKLfdgQhBZO1Q" annotatedElement="_8VEZIKETEeGnfe88WF3uxw">
              <body>Contains any remarks about the rule.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bnQskLyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bnQskbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3HrHMKETEeGnfe88WF3uxw" name="rule" visibility="public">
            <ownedComment xmi:id="_FADawCzWEeKLfdgQhBZO1Q" annotatedElement="_3HrHMKETEeGnfe88WF3uxw">
              <body>Contains the rule, in either a human-readable or computer-readable format.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cjjVsLyiEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cjjVsbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_XYyosKEVEeGnfe88WF3uxw" name="ruleName" visibility="public">
            <ownedComment xmi:id="_H4YSwCzWEeKLfdgQhBZO1Q" annotatedElement="_XYyosKEVEeGnfe88WF3uxw">
              <body>A designation for the rule, for ease in locating a given rule.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dQ8nMLyiEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dQ8nMbyiEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_O0YiMKEWEeGnfe88WF3uxw" name="immunizationSchedule_vaccineSeries" memberEnd="_O0czoKEWEeGnfe88WF3uxw _O0hFEKEWEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_O0hFEKEWEeGnfe88WF3uxw" name="" visibility="public" type="_3DrtIKEVEeGnfe88WF3uxw" association="_O0YiMKEWEeGnfe88WF3uxw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O0iTMKEWEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O0i6QKEWEeGnfe88WF3uxw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_JpysoKEWEeGnfe88WF3uxw" name="immunizationSchedule_scheduleRule" memberEnd="_Jp1I4KEWEeGnfe88WF3uxw _Jp2-EKEWEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_Jp2-EKEWEeGnfe88WF3uxw" name="" visibility="public" type="_3DrtIKEVEeGnfe88WF3uxw" association="_JpysoKEWEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_cnDdUKEVEeGnfe88WF3uxw" name="vaccineSeriesDoseNumber_doseRule" memberEnd="_cnFSgKEVEeGnfe88WF3uxw _cnHHsKEVEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_cnHHsKEVEeGnfe88WF3uxw" name="" visibility="public" type="_hXNEgKETEeGnfe88WF3uxw" association="_cnDdUKEVEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_cGcDkKEVEeGnfe88WF3uxw" name="vaccineSeries_seriesRule" memberEnd="_cGd4wKEVEeGnfe88WF3uxw _cGg8EKEVEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_cGg8EKEVEeGnfe88WF3uxw" name="" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_cGcDkKEVEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_jqPeIKETEeGnfe88WF3uxw" name="vaccineSeries_vaccineSeriesDose" memberEnd="_jqTIgKETEeGnfe88WF3uxw _jqXZ8KETEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_jqXZ8KETEeGnfe88WF3uxw" name="" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_jqPeIKETEeGnfe88WF3uxw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jqYoEKETEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jqYoEaETEeGnfe88WF3uxw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_CGJNoKEZEeGnfe88WF3uxw" name="vaccineSeries_patientSeries" memberEnd="_CGNfEKEZEeGnfe88WF3uxw _CGRwgKEZEeGnfe88WF3uxw"/>
        <packagedElement xmi:type="uml:Association" xmi:id="_pSMCwFNrEeaHsPdvgbW7pw" name="ImmunizationSchedule_publisher" memberEnd="_pSMCwVNrEeaHsPdvgbW7pw _pSMCxFNrEeaHsPdvgbW7pw">
          <ownedEnd xmi:id="_pSMCxFNrEeaHsPdvgbW7pw" name="" visibility="private" type="_3DrtIKEVEeGnfe88WF3uxw" association="_pSMCwFNrEeaHsPdvgbW7pw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_-i2ukFNsEeaHsPdvgbW7pw" memberEnd="_-jAfkFNsEeaHsPdvgbW7pw _-jAfk1NsEeaHsPdvgbW7pw">
          <ownedEnd xmi:id="_-jAfk1NsEeaHsPdvgbW7pw" name="" visibility="private" type="_3DrtIKEVEeGnfe88WF3uxw" association="_-i2ukFNsEeaHsPdvgbW7pw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_KVufsFNtEeaHsPdvgbW7pw" name="ImmunizationSchedule_Indication" memberEnd="_KVufsVNtEeaHsPdvgbW7pw _KVuftFNtEeaHsPdvgbW7pw">
          <ownedEnd xmi:id="_KVuftFNtEeaHsPdvgbW7pw" name="" visibility="private" type="_3DrtIKEVEeGnfe88WF3uxw" association="_KVufsFNtEeaHsPdvgbW7pw"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TAFGcL_qEeG9Y6ZcZJMJaA" name="publicHealthClient_publicHealthJurisdiction" memberEnd="_TALNEL_qEeG9Y6ZcZJMJaA _TATv8L_qEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_TATv8L_qEeG9Y6ZcZJMJaA" name="" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_TAFGcL_qEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vF-n4L_vEeG9Y6ZcZJMJaA" name="ImmunizationRegistrySubmission">
        <eAnnotations xmi:id="_RkXn4MBiEeGAoul-aOV7oA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_RkYO8MBiEeGAoul-aOV7oA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_vl1FICzmEeKLfdgQhBZO1Q" annotatedElement="_vF-n4L_vEeG9Y6ZcZJMJaA">
          <body>The transmittal of Immunization information to a Immunization Information System (IIS), which are maintained by Public Health Jurisdictions.  Note that healthcare providers typically submit all known information regarding the Patient's immunization history to the IIS, not just those vaccinations that they performed themselves.  This is in order to ensure that as much information as possible is available to the IIS.  The IIS has the burden to de-duplicate records received from multiple providers.</body>
        </ownedComment>
        <generalization xmi:id="_FPfWYBImEeK0rPN86AJEog" general="_O851ELC5EeGGPqUAHxbNLQ"/>
        <ownedAttribute xmi:id="_z7jPsL_vEeG9Y6ZcZJMJaA" name="immunizationHistory" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_z7ZesL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_PXwfUCzfEeKLfdgQhBZO1Q" annotatedElement="_z7jPsL_vEeG9Y6ZcZJMJaA">
            <body>A record of a person's immunizations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z7j2wL_vEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z7j2wb_vEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1BRhoL_vEeG9Y6ZcZJMJaA" name="publicHealthClient" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_1BHwoL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_nsZAgCziEeKLfdgQhBZO1Q" annotatedElement="_1BRhoL_vEeG9Y6ZcZJMJaA">
            <body>A Public Health Client is a Patient from the viewpoint of a Jurisdiction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1BSIsL_vEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1BSIsb_vEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-tWgENKgEeGtfrdPU3R3yA" name="publicHealthJurisdiction" visibility="public" type="_zory4LGdEeGkU9GcFSzOCA" association="_-tMIANKgEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_y6Y4ECzkEeKLfdgQhBZO1Q" annotatedElement="_-tWgENKgEeGtfrdPU3R3yA">
            <body>An organization that is responsible for Public Health either at the local, state, or national level.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-tXHINKgEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-tXuMNKgEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_z7ZesL_vEeG9Y6ZcZJMJaA" name="immunizationRegistrySubmission_immunizationHistory" memberEnd="_z7jPsL_vEeG9Y6ZcZJMJaA _z7tAsL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_z7tAsL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_z7ZesL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1BHwoL_vEeG9Y6ZcZJMJaA" name="immunizationRegistrySubmission_publicHealthClient" memberEnd="_1BRhoL_vEeG9Y6ZcZJMJaA _1BbSoL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_1BbSoL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_1BHwoL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4NdCYL_yEeG9Y6ZcZJMJaA" name="EvidenceOfImmunity">
        <ownedComment xmi:id="__WThUAllEeKmMfGXbG9elQ" annotatedElement="_4NdCYL_yEeG9Y6ZcZJMJaA">
          <body>Evidence of immunity indicates that a person has plausible evidence that they have already developed immunity to a particular disease.  The definition of plausible evidence is a local decision, but best practice would suggest that serological evidence of immunity is the strongest indicator of immunity.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JEJSsL_zEeG9Y6ZcZJMJaA" name="relevantDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_TUUZkEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_RCpnQAlmEeKmMfGXbG9elQ" annotatedElement="_JEJSsL_zEeG9Y6ZcZJMJaA">
            <body>The date upon which the immunity is believed to have occurred.  For example, the patient may have contracted measles when she was 5 years old, and therefore does not need a measles vaccination.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o1y_4LyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o1y_4byhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pI8xMNKlEeGtfrdPU3R3yA" name="evidenceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BzZ14AlmEeKmMfGXbG9elQ" annotatedElement="_pI8xMNKlEeGtfrdPU3R3yA">
            <body>Kind of evidence used to determine the immunity status of the patient.  Possible values include: Serological test; History of disease; Completed Vaccination Series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oJiW0LyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oJiW0byhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__Ior0L_yEeG9Y6ZcZJMJaA" name="immunityStatus_vaccinePreventibleDisease" memberEnd="__Iyc0L_yEeG9Y6ZcZJMJaA __I804L_yEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="__I804L_yEeG9Y6ZcZJMJaA" name="" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="__Ior0L_yEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q3qd4MIfEeGx0M-CyAbegA" name="ImmunityStatus">
        <ownedComment xmi:id="_EzoxkCzlEeKLfdgQhBZO1Q" annotatedElement="_q3qd4MIfEeGx0M-CyAbegA">
          <body>This class contains information regarding the immunological state of the patient with respect to a given disease.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8NlfwNKlEeGtfrdPU3R3yA" name="statusCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NQmU0NKmEeGtfrdPU3R3yA" annotatedElement="_8NlfwNKlEeGtfrdPU3R3yA">
            <body>Categorizes the immunological state of the Patient with respect to a given disease.  Possible values include: Susceptible; Equivocal; Immune; Currently Infected.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0SXJ0LyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0SXJ0byhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jTIX4NKmEeGtfrdPU3R3yA" name="dateOfDetermination" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YkLj4CzlEeKLfdgQhBZO1Q" annotatedElement="_jTIX4NKmEeGtfrdPU3R3yA">
            <body>The date upon which a healthcare provider determined the immunological state of the Patient with respect to a given disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zTFeILyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zTFeIbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Iyc0L_yEeG9Y6ZcZJMJaA" name="vaccinePreventibleDisease" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="__Ior0L_yEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_MGL9ANEuEeG6d5ozG3gSdw" annotatedElement="__Iyc0L_yEeG9Y6ZcZJMJaA">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__IzD4L_yEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__IzD4b_yEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IqJuINKmEeGtfrdPU3R3yA" name="evidenceOfImmunity" visibility="public" type="_4NdCYL_yEeG9Y6ZcZJMJaA" association="_Ip9g4NKmEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_VcZ-0CzeEeKLfdgQhBZO1Q" annotatedElement="_IqJuINKmEeGtfrdPU3R3yA">
            <body>Evidence that the patient has already developed immunity to a particular disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IqKVMNKmEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IqKVMdKmEeGtfrdPU3R3yA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-tMIANKgEeGtfrdPU3R3yA" name="immunizationRegistrySubmission_publicHealthJurisdiction" memberEnd="_-tWgENKgEeGtfrdPU3R3yA _-titUNKgEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_-titUNKgEeGtfrdPU3R3yA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_-tMIANKgEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sbwu8NKiEeGtfrdPU3R3yA" name="publicHealthClient_patient" memberEnd="_Sb6f8NKiEeGtfrdPU3R3yA _ScFfENKiEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_ScFfENKiEeGtfrdPU3R3yA" name="" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_Sbwu8NKiEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_kscRANKiEeGtfrdPU3R3yA" name="ImmunizationFundingEligibility">
        <ownedComment xmi:id="__FLkgCzlEeKLfdgQhBZO1Q" annotatedElement="_kscRANKiEeGtfrdPU3R3yA">
          <body>Indicates the eligibility of the Patient to receive a vaccine under a publicly funded vaccine program. See MIROW &quot;IIS collaboration with VFC Program and Grantee Immunization Programs&quot; guidelines.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_P4mwcL_wEeG9Y6ZcZJMJaA" name="financialClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XYvhEL_wEeG9Y6ZcZJMJaA" annotatedElement="_P4mwcL_wEeG9Y6ZcZJMJaA">
            <body>Categorizes the eligibility of the patient to receive a vaccine under a publicly funded vaccine program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TfR8ML_wEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TfSjQL_wEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xY86oL_wEeG9Y6ZcZJMJaA" name="financialClassAssessmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TU9QgCzmEeKLfdgQhBZO1Q" annotatedElement="_xY86oL_wEeG9Y6ZcZJMJaA">
            <body>The date upon which the Patient's financialClass was determined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1eMRsL_wEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1eM4wL_wEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ip9g4NKmEeGtfrdPU3R3yA" name="immunityStatus_evidenceOfImmunity" memberEnd="_IqJuINKmEeGtfrdPU3R3yA _IqVUUNKmEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_IqVUUNKmEeGtfrdPU3R3yA" name="" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_Ip9g4NKmEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ugw1ENgkEeG3E4mt6RKX5Q" name="vaccinationEvent_evaluation" memberEnd="_ugzRUNgkEeG3E4mt6RKX5Q _ug1GgNgkEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_ug1GgNgkEeG3E4mt6RKX5Q" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_ugw1ENgkEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xWnA0NgkEeG3E4mt6RKX5Q" name="targetDoseNumber_nextDoseForecast" memberEnd="_xWrSQNgkEeG3E4mt6RKX5Q _xWwKwNgkEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_xWwKwNgkEeG3E4mt6RKX5Q" name="" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" association="_xWnA0NgkEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qMSL4AlrEeKmMfGXbG9elQ" name="ContraIndication">
        <ownedComment xmi:id="_FDJgoAlsEeKmMfGXbG9elQ" annotatedElement="_qMSL4AlrEeKmMfGXbG9elQ">
          <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.&#xD;
&#xD;
Note that because almost all Contra-Indications are Health Concerns, for example, &quot;Allergy to Eggs&quot;, &quot;Allergy to Aluminum&quot;, &quot;Current fever with moderate-to-severe illness&quot;, the Contra-Indication is modeled as relationship to Health Concern, and the Contra-Indication code may be derived from the Health Concern code.  This having been said, there are some members of the Contra-Indication Value Set that are too general to point to a single Health Concern, even though they might still be derivable from the Health Concern list.  Examples include &quot;Chronic disease (disorder)&quot;, and &quot;Immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids)&quot;.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_tZ1F8AlrEeKmMfGXbG9elQ" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_tZxbkAlrEeKmMfGXbG9elQ">
          <ownedComment xmi:id="_gNadEAltEeKmMfGXbG9elQ" annotatedElement="_tZ1F8AlrEeKmMfGXbG9elQ">
            <body>Indicates the Health Concern that contra-indicates the administration of a drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tZ2UEAlrEeKmMfGXbG9elQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tZ27IAlrEeKmMfGXbG9elQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2jKB8AlrEeKmMfGXbG9elQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_Js7vMAlsEeKmMfGXbG9elQ" annotatedElement="_2jKB8AlrEeKmMfGXbG9elQ">
            <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.&#xD;
&#xD;
Note that because almost all Contra-Indications are Health Concerns, for example, &quot;Allergy to Eggs&quot;, &quot;Allergy to Aluminum&quot;, &quot;Current fever with moderate-to-severe illness&quot;, the Contra-Indication is modeled as relationship to Health Concern, and the Contra-Indication code may be derived from the Health Concern code.  This having been said, there are some members of the Contra-Indication Value Set that are too general to point to a single Health Concern, even though they might still be derivable from the Health Concern list.  Examples include &quot;Chronic disease (disorder)&quot;, and &quot;Immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids)&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iBNtsLyhEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iBNtsbyhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tZxbkAlrEeKmMfGXbG9elQ" name="contraIndication_healthConcern" memberEnd="_tZ1F8AlrEeKmMfGXbG9elQ _tZ5-cAlrEeKmMfGXbG9elQ">
        <ownedEnd xmi:id="_tZ5-cAlrEeKmMfGXbG9elQ" name="" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_tZxbkAlrEeKmMfGXbG9elQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jiCH0BImEeK0rPN86AJEog" name="immunizationHistoryList_immunizationHistoryEntry" memberEnd="_jiHAUBImEeK0rPN86AJEog _jiMf4BImEeK0rPN86AJEog">
        <ownedEnd xmi:id="_jiMf4BImEeK0rPN86AJEog" name="" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_jiCH0BImEeK0rPN86AJEog">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiNuABImEeK0rPN86AJEog" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiNuARImEeK0rPN86AJEog" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YZzGcKOiEeKXo6wNsb0JpQ" name="ImmunizationHistoryEntry">
        <ownedComment xmi:id="_N4-qEGdVEeOSXYfwme4xPQ" annotatedElement="_YZzGcKOiEeKXo6wNsb0JpQ">
          <body>An entry in a Patient's &quot;Immunization List&quot;.  This class allows for entries in the list to be associated with the Immunization clinical events in the EHR, and potentially to be de-duplicated if multiple entries are received from different sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__bNeoKwfEeG4dfTp_XT2yg" name="informationSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pne-QLGeEeGkU9GcFSzOCA" annotatedElement="__bNeoKwfEeG4dfTp_XT2yg">
            <body>Identifies the source of the information about the vaccination.  Possible values include: Source unspecified; From other provider; From parent’s written record; From parent’s recall; From other registry; From birth certificate; From school record; From public agency.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_49TO8LyhEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_49TO8byhEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j_c68KOiEeKXo6wNsb0JpQ" name="vaccinationEvent" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_j_cT4KOiEeKXo6wNsb0JpQ">
          <ownedComment xmi:id="_ZlD2sGdVEeOSXYfwme4xPQ" annotatedElement="_j_c68KOiEeKXo6wNsb0JpQ">
            <body>Pointer to information about the administration of a Vaccine to a Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j_eJEKOiEeKXo6wNsb0JpQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j_eJEaOiEeKXo6wNsb0JpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Kg7TMMxUEeKpUOrR1CIFUA" name="vaccinationNonEvent" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_Kg5eAMxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_1n4LwGdWEeOSXYfwme4xPQ" annotatedElement="_Kg7TMMxUEeKpUOrR1CIFUA">
            <body>Pointer to information about the deliberate act(s) of not administering a scheduled (or otherwise expected) Vaccination to a Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kg8hUMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kg8hUcxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_j_cT4KOiEeKXo6wNsb0JpQ" name="immunizationHistoryEntry_vaccinationEvent" memberEnd="_j_c68KOiEeKXo6wNsb0JpQ _j_ewIKOiEeKXo6wNsb0JpQ">
        <ownedEnd xmi:id="_j_ewIKOiEeKXo6wNsb0JpQ" name="" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" association="_j_cT4KOiEeKXo6wNsb0JpQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yBtLQMxTEeKpUOrR1CIFUA" name="VaccinationNonEvent">
        <ownedComment xmi:id="_AF1fwGdUEeOSXYfwme4xPQ" annotatedElement="_yBtLQMxTEeKpUOrR1CIFUA">
          <body>This class represents an assertion that an administration of a vaccine to a patient did not occur.  Such information is useful when an administration would normally be expected, and this class serves to document that it indeed did not occur (as opposed to leaving the medical record blank).  This class may contain (via associations) information regarding why the administration did not occur such as documentation of an Exemption, a Contraindication, or of an established Immunity Status.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_K4GdEMxUEeKpUOrR1CIFUA" name="exemption" visibility="public" type="_3V9HYKwiEeG4dfTp_XT2yg" association="_K4FO8MxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_MEfiwGdXEeOSXYfwme4xPQ" annotatedElement="_K4GdEMxUEeKpUOrR1CIFUA">
            <body>Pointer to a record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K4HrMMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K4HrMcxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Lj398MxUEeKpUOrR1CIFUA" name="vaccinationContraIndication" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_Lj2v0MxUEeKpUOrR1CIFUA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lj4lAMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Lj5MEMxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MriwoMxUEeKpUOrR1CIFUA" name="immunityStatus" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_MrhigMxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_GGbMYGdYEeOSXYfwme4xPQ" annotatedElement="_MriwoMxUEeKpUOrR1CIFUA">
            <body>Pointer to information regarding the immunological state of the patient with respect to a given disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MrjXsMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MrjXscxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MC4gkGdUEeOSXYfwme4xPQ" name="dateRecorded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MC4gkWdUEeOSXYfwme4xPQ" annotatedElement="_MC4gkGdUEeOSXYfwme4xPQ">
            <body>Represents the date upon which the Vaccination Event was deliberately not performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MDTPcLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MDTPcbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Kg5eAMxUEeKpUOrR1CIFUA" name="immunizationHistoryEntry_vaccinationNonEvent" memberEnd="_Kg7TMMxUEeKpUOrR1CIFUA _Kg9vcMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_Kg9vcMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" association="_Kg5eAMxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_K4FO8MxUEeKpUOrR1CIFUA" name="vacinationNonEvent_exemption" memberEnd="_K4GdEMxUEeKpUOrR1CIFUA _K4ISQMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_K4ISQMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_K4FO8MxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Lj2v0MxUEeKpUOrR1CIFUA" name="vaccinationNonEvent_vaccinationContraIndication" memberEnd="_Lj398MxUEeKpUOrR1CIFUA _Lj5zIMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_Lj5zIMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_Lj2v0MxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MrhigMxUEeKpUOrR1CIFUA" name="vaccinationNonEvent_immunityStatus" memberEnd="_MriwoMxUEeKpUOrR1CIFUA _MrlM4MxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_MrlM4MxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_MrhigMxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pAQvEEC2EeO2aaQpQxRerg" name="vaccinationEvent_immunityStatus" memberEnd="_pARWIEC2EeO2aaQpQxRerg _pATLUEC2EeO2aaQpQxRerg">
        <ownedEnd xmi:id="_pATLUEC2EeO2aaQpQxRerg" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_pAQvEEC2EeO2aaQpQxRerg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RbVPsEC3EeO2aaQpQxRerg" name="vaccinationEvent_immunizationFundingEligibility" memberEnd="_RbWd0EC3EeO2aaQpQxRerg _RbYTAEC3EeO2aaQpQxRerg">
        <ownedEnd xmi:id="_RbYTAEC3EeO2aaQpQxRerg" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_RbVPsEC3EeO2aaQpQxRerg"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57B401F1" name="Lab">
      <eAnnotations xmi:id="_NEeEM-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NE6wIOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_K5BdYMHOEeCdLPayeDTWtA">
        <body>Need to model more details regarding chain of custody in general and the storage and handling of specimens in specifica in future modeling iterations.  May also need a shipping-container assessment, not just specimen assessment</body>
      </ownedComment>
      <ownedComment xmi:id="_98VnoDDLEeKCbIQBRtD6KA" annotatedElement="_420A62FD03B6420A57B401F1">
        <body>The FHIM Laboratory domain focuses on laboratory orders and the electronic reporting of laboratory results, especially to an Electronic Health Record.  The information classes in this domain do not include data which are used solely to operate the laboratory, or any other data which is not reported to an external entity.  It is noted that in the course of developing this domain, this package at one time contained certain elements gleaned from existing systems related to Quality Control, including Sterility Control Results and Lab Quality Assurance.  These were removed, but may need to be re-visited if we encounter use-cases that require the transmittal of such information.  Nevertheless, such use cases would likely be modeled in a separate sub-domain or package, as the focus would be quite different.  Note that the Clinical Laboratory Improvement Amendments (CLIA) of 1988 Subpart K (Quality Systems for Nonwaived Testing) defines the quality assurance requirements of CLIA-certified laboratories.&#xD;
&#xD;
The Laboratory domain currently does not address the needs of blood banking, transfusion services, autopsy, genomics, or food safety.  While some elements required by these disciplines may exist in this model for other reasons, we have not addressed their needs.  In addition, it is noted that forensics, e.g., chain of custody concerns are not fully modeled.&#xD;
&#xD;
This domain is heavily influenced by the work of the ONC S&amp;I Framework's Lab Results Interface (LRI) Initiative, which produced an HL7 Version 2.5.1 Implementation Guide for laboratory results which in turn is required for Meaningful Use.  Other influences include the existing systems in use by DOD, IHS, and VA; HL7 Version 3; BRIDG; and the Life Sciences Domain Analysis Model developed by the National Cancer Institute.&#xD;
&#xD;
See the Diagram Documentation for a walkthrough of the major concepts.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230F39A02CC" name="LabTestPromise">
        <eAnnotations xmi:id="_M4_0CeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_lwWp4MYREeGsb4KXw2Babg" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_M4s5GeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230F39A02CC">
          <body>This class represents an intent to perform one or more Laboratory Tests in response to a Request (an Order) from an authorized entity (usually a doctor).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Laboratory Test Promise can be looked at as the Laboratory Test Order from the laboratory's point of view.</body>
        </ownedComment>
        <generalization xmi:id="_KGLzIMnmEeG_ScqIlDrcqg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_420A62FD03B645783AF70191" name="dateReportCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_M42DCeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M42DB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645783AF70191">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euwfMuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euwfM-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TyzRQPjTEeCmc6EQPl3F9g" name="producersReference" visibility="public">
          <ownedComment xmi:id="_EcvhYLsfEeGZTLDYkoM_Sw" annotatedElement="_TyzRQPjTEeCmc6EQPl3F9g">
            <body>&quot;Contains a unique identifier of the responsible producing service.  It should be reported explicitly when the test results are produced at outside laboratories, for example.  When this field is null, the receiving system assumes that the observations were produced by the sending organization.  This information supports CLIA regulations in the US....&quot; - HL7 Version 2.8, OBX-15.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Iie-oLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Iie-obyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S0eEsX8AEd-6KMbY3gBFOQ" name="reportableResult" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_S0eEsH8AEd-6KMbY3gBFOQ">
          <ownedComment xmi:id="_x5zFIEVLEeKmiJoj9rWMSg" annotatedElement="_S0eEsX8AEd-6KMbY3gBFOQ">
            <body>This property points to the set (zero to many) of test results or observations that were generated as a result of the laboratory tests performed.  Note that the word Reportable is used to indicate that these Results are limited to those which have reached the point where they are deemed to be reportable or releasable.  The result may or may not have been part of an actual report, as it might be on hold waiting for other results to be combined with it.  A result that has not yet been approved by the appropriate personnel does not meet the criteria of being reportable, and therefore will not be available through this stucture.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S0eEsn8AEd-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S0eEs38AEd-6KMbY3gBFOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rJ7CUPjLEeCmc6EQPl3F9g" name="billingProcedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_rJ3_APjLEeCmc6EQPl3F9g">
          <ownedComment xmi:id="_rxRPcAmQEeGe4v7RnpTDUQ" annotatedElement="_rJ7CUPjLEeCmc6EQPl3F9g">
            <body>&quot;Contains a unique identifier assigned to the procedure, if any, associated with the charge.&quot; - HL7 Version 2.8, OBR-44.&#xD;
&quot;Contains the procedure code modifier to the procedure code reported in OBR-44-procedure code, when applicable....  Multiple modifiers may be reported....&quot; - HL7 Version 2.8, OBR-45.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rJ7CUfjLEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rJ7CUvjLEeCmc6EQPl3F9g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Ze0ILskEeGZTLDYkoM_Sw" name="labReferral" visibility="public" type="_b_84MOOaEd-8X4J7aT-aiQ" association="__ZaisLskEeGZTLDYkoM_Sw">
          <ownedComment xmi:id="_dvpE0LsmEeGZTLDYkoM_Sw" annotatedElement="__Ze0ILskEeGZTLDYkoM_Sw">
            <body>An order placed by a laboratory to another laboratory to perform a test that the originating laboratory had taken on.  This action typically occurs when the originating laboratory cannot perform the requested test in-house.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__ZgCQLskEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__ZgpULskEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WTeFIMYREeGsb4KXw2Babg" name="labTestPromised" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_WTaawMYREeGsb4KXw2Babg">
          <ownedComment xmi:id="_YiYXQMYSEeGsb4KXw2Babg" annotatedElement="_WTeFIMYREeGsb4KXw2Babg">
            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WTf6UMYREeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WTf6UcYREeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y1GXsOOYEd-8X4J7aT-aiQ" name="relatedLabPromise" visibility="public" type="_WUomEOOYEd-8X4J7aT-aiQ" association="_Y1D7cOOYEd-8X4J7aT-aiQ">
          <ownedComment xmi:id="_cM8MkEVKEeKmiJoj9rWMSg" annotatedElement="_Y1GXsOOYEd-8X4J7aT-aiQ">
            <body>Identifies other Lab Test Promise(s) to which this Lab Test Promise is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y1Hl0OOYEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y1Hl0eOYEd-8X4J7aT-aiQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B0jz8cp5EeC9Pb3leltpqQ" name="specimenAssessment" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_B0jz8Mp5EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_F_f10EVREeKmiJoj9rWMSg" annotatedElement="_B0jz8cp5EeC9Pb3leltpqQ">
            <body>Contains observations regarding the Specimen.  Such observations, or assessments, of the Specimen are performed by the laboratory upon initial receipt, although periodic assessments may be performed later, especially when the Specimen is in long-term storage, or when some change in custody has occurred.  The assessment also contains information concerning the handling of the Specimen, such as storage or transportation information.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B0tk8Mp5EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B0tk8cp5EeC9Pb3leltpqQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W1_tkczCEeCMF_3VBil7Gw" name="specimenCollectionEvent" visibility="public" type="_420A62FD03B64263CF150098" association="_W1_tkMzCEeCMF_3VBil7Gw">
          <ownedComment xmi:id="_MvF6UEVREeKmiJoj9rWMSg" annotatedElement="_W1_tkczCEeCMF_3VBil7Gw">
            <body>The actual gathering of portions or quantities of material for use in testing, examination, or study based upon the request (order).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W1_tkszCEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1_tk8zCEeCMF_3VBil7Gw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LgnYYC0QEeKEnd784Zlo8Q" name="accessionEvent" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_LghRwC0QEeKEnd784Zlo8Q">
          <ownedComment xmi:id="_5P10sEVCEeKmiJoj9rWMSg" annotatedElement="_LgnYYC0QEeKEnd784Zlo8Q">
            <body>This property points to the record of the laboratory's accepting a laboratory test and entering the test into the laboratory's workload.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LgpNkC0QEeKEnd784Zlo8Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LgpNkS0QEeKEnd784Zlo8Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hrjakOQQEeak6NCuAd5Onw" name="medicalDirector" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_hrjakeQQEeak6NCuAd5Onw" annotatedElement="_hrjakOQQEeak6NCuAd5Onw">
            <body>&quot;Contains the medical director of the organization/service responsible for performing the service.  For labs, this field specifies the medical director of the laboratory that produced the test result described in this OBX segment.  This field is different than OBX-16 in that OBX-16 identifies the individual who performed the lab test (made the observation) whereas this field identifies the individual who is the medical director of the organization responsible for the result.  It should be reported explicitly when the test results are produced at outside laboratories, for example.  This information supports CLIA regulations in the US.&quot; - HL7 Version 2.8, OBX-25.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hrjak-QQEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hrjakuQQEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FF5D004A" name="MeasurementWithReferenceRangeResult">
        <eAnnotations xmi:id="_M6V32OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6CV2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FF5D004A">
          <body>An observation of the quantity of the analyte found within the sample.    Note that loinc and procedure codes are identifying more specifically the type of test being performed.  Because there may be multiple methodologies available to measure the same substance, these codes are more specific than the analyte and testCode referenced in the ChemistryTest class.  Note that this class has 5 subtypes to handle the different kinds of result values.  Most chemistry tests are physical quanties (e.g., mg/dL).  Some are coded, and even those that normally are physical quantities might be replaced by a coded observation of Quantity Not Sufficient.</body>
        </ownedComment>
        <generalization xmi:id="_ANJX8Mp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64561D1490389" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_M7YZrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64561D1490389">
            <body>&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W00wILsYEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1KHULsYEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5iQsgGH_EeCHAoM78Lf2xA" name="referenceRangeCriterion" visibility="public" type="_3XW7MGH_EeCHAoM78Lf2xA" association="_5iNpMGH_EeCHAoM78Lf2xA">
          <ownedComment xmi:id="_wBazELsmEeGZTLDYkoM_Sw" annotatedElement="_5iQsgGH_EeCHAoM78Lf2xA">
            <body>&quot;Contains the nature of the abnormal test.  Refer to HL7 Table 0080 - Nature of abnormal testing for valid values.  As many of the codes as apply may be included, separated by repeat delimiters. For example, normal values based on age, sex, and race would be codes as &quot;A~S~R&quot;.&quot; - HL7 Version 2.8, OBX.10&#xD;
&#xD;
This is the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5iQsgWH_EeCHAoM78Lf2xA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5iQsgmH_EeCHAoM78Lf2xA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FF74014C" name="MicrobeIdentification">
        <eAnnotations xmi:id="_M6fByOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6fBw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FF74014C">
          <body>This class documents each Microbiology identification observation (note that in this case, &quot;Microbiology&quot; includes Bacteriology, Mycobacteriology, Mycology, Parasitology, and Virology).  </body>
        </ownedComment>
        <generalization xmi:id="_kOll4Mp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_U48skEYxEeKzQP378IhUpA" name="description" visibility="public">
          <ownedComment xmi:id="_eQwf0FSIEeOiZrLzx6PDyg" annotatedElement="_U48skEYxEeKzQP378IhUpA">
            <body>An optional textual description of the microbial observation, which may include other items of note.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TZI_ILyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TZI_IbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64230FFBF0068" name="organismObserved" visibility="public" type="_420A62FD03B64230FFB100BB" isUnique="false" association="_420A62FD03B64230FFBD0250">
          <ownedComment xmi:id="_NAmQ3-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FFBF0068">
            <body>The organism identified as being present within a microbiology observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NAwB0eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NAwB0uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645870F1B03CA" name="organismQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_M9UTVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645870F1B03CA">
            <body>The quantification the organism detected.  e.g.,  >100,000 CFU/ML.&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UzI38LyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UzI38byjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642691855010A" name="antibioticSensitivity" visibility="public" type="_420A62FD03B64263C8F8030F" isUnique="false" association="_420A62FD03B6426918530274">
          <ownedComment xmi:id="_NA5LxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642691855010A">
            <body>The results of a drug challenge.   A drug challenge tests the susceptibility of a culture of the identified organism to an antibiotic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NA5LyOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NA5LyeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d_E_0EuxEeKeIb_h9Qm4xw" name="microscopyFinding" visibility="public" type="_ZiYyEEuxEeKeIb_h9Qm4xw" association="_d--SIEuxEeKeIb_h9Qm4xw">
          <ownedComment xmi:id="__Dm48GEMEeO0cp8yTpBD0g" annotatedElement="_d_E_0EuxEeKeIb_h9Qm4xw">
            <body>Pointer to findings, other than the identification of microorganisms, arrived at by microscopic observation of a specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_blIEuxEeKeIb_h9Qm4xw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_cMMEuxEeKeIb_h9Qm4xw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64263C8F8030F" name="AntibioticSensitivityObservationEvent">
        <eAnnotations xmi:id="_M6yjw-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6fBy-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263C8F8030F">
          <body>This class represents a drug challenge.   A drug challenge tests the susceptibility of a culture of the identified organism to an antibiotic.  Note that the determination whether a microbe is susceptible or resistant to the antibiotic would be reported in the interpretation class, which is inherited from the Reportable Result super type.</body>
        </ownedComment>
        <generalization xmi:id="_EFAaUMp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586C0D901BC" name="minimumInhibitoryConcentration" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <eAnnotations xmi:id="_M6yjweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M6oyy-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C0D901BC">
            <body>The minimum inhibitory dilution of the serum or body fluid, which inhibits reproduction of the patient's infecting organism.  Fluid is drawn from the patient who is undergoing antibiotic therapy.  Samples of the fluid is diluted between 1:2 and 1:16 and a sample of the infecting organism is cultured in each of the diluted samples.&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euwfSOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euwfSeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v9BJsLFVEeCiPcKjPTIyBg" name="antibiotic" visibility="public" type="_420A62FD03B645919F1600B4" association="_v83_wLFVEeCiPcKjPTIyBg">
          <ownedComment xmi:id="__J2zkDNQEeKkw_YjK6aRcw" annotatedElement="_v9BJsLFVEeCiPcKjPTIyBg">
            <body>Antibiotic: &quot;A substance, such as penicillin or streptomycin, produced by or derived from certain fungi, bacteria, and other organisms, that can destroy or inhibit the growth of other microorganisms.&quot; - The American Heritage Stedman's Medical Dictionary.  This association identifies the antibiotic substance used to test the degree of susceptibility of the microorganism to that substance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v9BJsbFVEeCiPcKjPTIyBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v9BJsrFVEeCiPcKjPTIyBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FFB100BB" name="Organism">
        <eAnnotations xmi:id="_M6yjzuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6yjxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FFB100BB">
          <body>The organism identified as being present within a specimen sample.  &quot;Organism&quot; as used here is not the full spectrum of possible living things, but rather is limited to a member of the following: Bacteria, Fungus, Mycobacterium, Parasite, or Virus.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64586C1770123" name="organismTaxon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M6yjyeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C1770123">
            <body>A categorization of the organism identified, i.e., the “type” of organism.  Note that this property is intended to include not only specific species of organisms (e.g., Staphylococcus aureus, SNOMED-CT code 3092008), but also more general classifications that might be found in laboratory results, such as Gram-positive Cocci (SNOMED-CT code 59206002).  Note also that since this property is a coded element, it contains both a code and a display name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YWCW8LyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YWCW8byjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CrZtENrOEd-fKY5dgJoxiA" name="strain" visibility="public">
          <ownedComment xmi:id="_3shnQO6uEd-crcWiXVDZrQ" annotatedElement="_CrZtENrOEd-fKY5dgJoxiA">
            <body>A more precise subdivision of the value in the organism taxon, for example, the H1N1 form of Influenza.  Because of the multitude of strains and the speed at which they are discovered, the organism taxon coding system may not provide such values.  This property is therefore modeled as a string, rather than a code, as one might otherwise expect.&#xD;
&quot;Contains the specific strain of animal.  It can also be expanded to include strain of any living organism and is not restricted to animals.&quot; - HL7 Version 2.8, PID-37.&#xD;
&quot;The body of descendants of a common ancestor, as a family or stock.  A variety, especially of microorganisms.&quot; - Dictionary.com</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3KwgGy2EeKS_YH7dVt7vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3KwgWy2EeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DD3EE4017D" name="PathologyResult">
        <eAnnotations xmi:id="_M7Oop-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M67ttuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD3EE4017D">
          <body>This class documents the results of a Pathology observation event.  Note that the VA makes a distinction between AnatomicalPathology, Cytopathology, ElectronMicroscopy, and SurgicalPathology, all of which are handled by this one class.  Also, a large portion of Autopy observations take the form of pathology reports.&#xD;
&#xD;
Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.  The report may also contain images and diagnoses.  It is noted that this entire structure could easily be replaced by a Clinical Document; in the future we may point to Clinical Document rather than maintain a separate Pathology Result structure.</body>
        </ownedComment>
        <generalization xmi:id="_BSsY0MqAEeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586C7480174" name="image" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B64586C7470210">
          <ownedComment xmi:id="_gwxasMDtEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586C7480174">
            <body>An image associated with the Pathology Report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCPPoOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCPPoeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645870AF3013B" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B645870AF20274">
          <ownedComment xmi:id="_zhEQ8MDtEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B645870AF3013B">
            <body>Diagnoses associated with the Pathology Report.  Such diagnoses are typically determined by the pathologist based on the observations made and documented in the report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NC1FeeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NC1FeuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VwzVQOQPEeak6NCuAd5Onw" name="anatomicPathologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_h0ctUOQPEeak6NCuAd5Onw" annotatedElement="_VwzVQOQPEeak6NCuAd5Onw">
            <body>A clinician who is board certifified in the field of Anatomic Pathology.  This person may or may not also be board certified in the field of Clinical Pathology.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VwzVQuQPEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VwzVQeQPEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WWHo0OQPEeak6NCuAd5Onw" name="clinicalPathologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_ovUNsOQPEeak6NCuAd5Onw" annotatedElement="_WWHo0OQPEeak6NCuAd5Onw">
            <body>A clinician who is board certifified in the field of Clinical Pathology.  This person may or may not also be board certified in the field of Anatomic Pathology.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, but limited to the clinical, non-anatomic pathology testing (e.g., hematology, chemistry)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WWHo0uQPEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WWHo0eQPEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YaE_IOhQEeCUNuD9-34Rcg" name="pathologyReportSection" visibility="public" type="_420A62FD03B64586C4B903A9" association="_YaB70OhQEeCUNuD9-34Rcg">
          <ownedComment xmi:id="_ebXK0DNVEeKkw_YjK6aRcw" annotatedElement="_YaE_IOhQEeCUNuD9-34Rcg">
            <body>A section of a Pathology Report.  Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YaE_IehQEeCUNuD9-34Rcg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YaICcOhQEeCUNuD9-34Rcg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TBOJkOQPEeak6NCuAd5Onw" name="residentAnatomicPathologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_9klMYOQPEeak6NCuAd5Onw" annotatedElement="_TBOJkOQPEeak6NCuAd5Onw">
            <body>A clinician who is currently undergoing a Anatomic Pathology residency program.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, subject to the delegated authority and confirmation from the anatomic pathologist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TBOJkuQPEeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TBOJkeQPEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586C4B903A9" name="LabReportSection">
        <eAnnotations xmi:id="_M9nOSeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M9nOROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C4B903A9">
          <body>This class represents a section of a Pathology Report.  Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_a4BoQOhQEeCUNuD9-34Rcg" name="sectionTitle" visibility="public" type="_gv2V8DNVEeKkw_YjK6aRcw">
          <ownedComment xmi:id="_FrpUoOhREeCUNuD9-34Rcg" annotatedElement="_a4BoQOhQEeCUNuD9-34Rcg">
            <body>Categorizes the section of the report.  Possible values include: Brief Clinical History, Frozen Section, Gross Description, MicroscopicExamination, Operative Findings, Post-operative Diagnosis, Pre-operative Diagnosis, etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DmT_kLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DmT_kbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586C4C5035C" name="text" visibility="public">
          <ownedComment xmi:id="_M9nOR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C4C5035C">
            <body>Contains the lab report results in textual format.&#xD;
&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EyamULyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EyamUbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6458956DC035E" name="LabTestRequest">
        <eAnnotations xmi:id="_M_QND-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_D0KAQL_CEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B6458956DC035E">
          <body>This class contains attributes associated with a record of the investigative procedure requested to be performed in the laboratory.    Need to flesh out how to model both Panels and individual tests at the same time.  It is not reasonable to expect to be able to standardize panels, but may have to enumerate the tests that make up the panel ordered.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64239E125013B" name="intendedDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NLU6IuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239E125013B">
            <body>Contains the time period over which one or more LabTestRequests are to be executed.&#xD;
&quot;Contains the duration for which the service is requested.&quot; - HL7 Version 2.8, TQ1-6.&#xD;
&quot;Indicates the earliest date/time at which the services should be started.&quot; - HL7 Version 2.8, TQ1-7.&#xD;
&quot;Contain(s) the latest date/time that the service should be performed.  If it has not been performed by the specified time, it should not be performed at all.&quot; - HL7 Version 2.8, TQ1-8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LgscMLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LgscMbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZlpnkMYREeGsb4KXw2Babg" name="labTestRequested" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_Zll9MMYREeGsb4KXw2Babg">
          <ownedComment xmi:id="_h2jt0MYREeGsb4KXw2Babg" annotatedElement="_ZlpnkMYREeGsb4KXw2Babg">
            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zlq1sMYREeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZlrcwMYREeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64558D0DD0190" name="referralType" visibility="public">
          <ownedComment xmi:id="_NLU6JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64558D0DD0190">
            <body>If the test was accepted as a referral from another facility, only portions of the test may need to be performed.  For example, CHCS lists the following: Procedure Only, Report Only, and Outside Films.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MmveQLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MmveQbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OF8WgX70Ed-6KMbY3gBFOQ" name="requestingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_OF8WgH70Ed-6KMbY3gBFOQ">
          <ownedComment xmi:id="_RL-TUH70Ed-6KMbY3gBFOQ" annotatedElement="_OF8WgX70Ed-6KMbY3gBFOQ">
            <body>An association from LabTestRequest to Institution identifying a requesting organization that is devoted to the diagnosis and care. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OF8Wgn70Ed-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OF8Wg370Ed-6KMbY3gBFOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L1b3oMYfEeGsb4KXw2Babg" name="resultsReleaseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RaajIMYfEeGsb4KXw2Babg" annotatedElement="_L1b3oMYfEeGsb4KXw2Babg">
            <body>&quot;Contains instructions on whether to share the results with the patient, and if so how.&quot; - HL7 Version 2.8, OBX-26.&#xD;
Possible values include (from HL7 Table 909): Share To Be Determined: Category to be determined; Share Immediately: Share result with patient immediately; Share Within Normal Limits: Share result in reference/therapeutic range with patient immediately, Share result out of reference/therapeutic ranges with patient after 1 or more business day as agreed to by the systems in play; Share In 1 Day: Share result regardless of reference/therapeutic range after 1 or more business day as agreed to by the systems in play; Share in 1 Day Conditionally: Share result in reference ranges/therapeutic with patient after 1 or more business day as agreed to by the systems in play, Withhold result out of reference/therapeutic range until physician release; Share Withhold: Withhold result regardless of reference/therapeutic ranges.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PcalYMYfEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PcbMcMYfEeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_igjXMAl-EeGe4v7RnpTDUQ" name="specimenActionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XSdRoAl_EeGe4v7RnpTDUQ" annotatedElement="_igjXMAl-EeGe4v7RnpTDUQ">
            <body>&quot;Identifies the action to be taken with respect to the specimens that accompany or precede this order.&quot; - HL7 Version 2.8, OBR-11.  Possible values include (from HL7 Table 65): Add ordered tests to the existing specimen; Generated order - reflex order; Lab to obtain specimen from patient; Specimen obtained by service other than Lab; Pending specimen - Order sent prior to delivery; Revised order; Schedule the tests specified below.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OJC-gLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OJC-gbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BIR0wCweEees082q__D7oQ" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_BIR0wSweEees082q__D7oQ" annotatedElement="_BIR0wCweEees082q__D7oQ">
            <body>An administration schedule for how often the requested observation should be performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BIR0wyweEees082q__D7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BIR0wiweEees082q__D7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BIR0xCweEees082q__D7oQ" name="orderedObservation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BIR0xSweEees082q__D7oQ" annotatedElement="_BIR0xCweEees082q__D7oQ">
            <body>Identifies a kind of observation that can be, is, or has been requested as part of an order. In other words, this is the service ordered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BIR0xyweEees082q__D7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BIR0xiweEees082q__D7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64266BCE800E0" name="SpecimenCollectionPromise">
        <eAnnotations xmi:id="_M_2p9-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_s49uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64266BCE800E0">
          <body>This class represents an intent to collect one or more Specimens in response to a Request (an Order) from an authorized entity (usually a doctor).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled.  A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Specimen Collection Promise can be looked at as the Specimen Collection Order from the point of view of the entity collecting the Specimen.&#xD;
&#xD;
It should be noted that while a Specimen Collection Promise logically occurs in response to an order, the notion of a Specimen Collection Promise is rarely implemented as separate concept, because specimen collections typically occur automatically based on policy, procedure, or contract.  Rarely would two computers be exchanging messages requesting and acknowledging specimen collections; most likely this would occur when a patient is sent to the laboratory for specimen collection.  Nevertheless, the class exists in order to support the few cases where an explicit promise is needed.</body>
        </ownedComment>
        <generalization xmi:id="_vWSTIMoTEeGas4Yp_oUthg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_q13wYEVAEeKmiJoj9rWMSg" name="accessionEvent" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_q117MEVAEeKmiJoj9rWMSg">
          <ownedComment xmi:id="_AxdMAEVDEeKmiJoj9rWMSg" annotatedElement="_q13wYEVAEeKmiJoj9rWMSg">
            <body>This property points to the record of the laboratory's accepting a laboratory test and entering the test into the laboratory's workload.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q14XcEVAEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q14XcUVAEeKmiJoj9rWMSg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64263CF150098" name="SpecimenCollectionEvent">
        <eAnnotations xmi:id="_M__z6-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_2p-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263CF150098">
          <body>The actual gathering of portions or quantities of material for use in testing, examination, or study based upon the request (order).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_I8XO0MzDEeCMF_3VBil7Gw" name="collectionAmount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="__Wm7UAlkEeGe4v7RnpTDUQ" annotatedElement="_I8XO0MzDEeCMF_3VBil7Gw">
            <body>&quot;Specifies the volume or mass of the collected specimen.&quot; - HL7 Version 2.8, SPM-12.&#xD;
&quot;The volume of a specimen.&quot; - HL7 Version 2.8, OBR-9.&#xD;
&quot;The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.&quot; - HL7 FHIR, Specimen.collection.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1guvgLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1guvgbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KYTcwn8YEd-6KMbY3gBFOQ" name="collectionMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KYTcw38YEd-6KMbY3gBFOQ" annotatedElement="_KYTcwn8YEd-6KMbY3gBFOQ">
            <body>&quot;Describes the procedure or process by which the specimen was collected.&quot; - HL7 Version 2.8, SPM-7. Note that HL7 identifies a Code Table (Table 488) for this property, which currently contains 42 suggested values.&#xD;
&quot;A coded value specifying the technique that is used to perform the procedure.&quot; - HL7 FHIR, Specimen.collection.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sXo6kJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sXo6kZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KYTcwH8YEd-6KMbY3gBFOQ" name="collectionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KYTcwX8YEd-6KMbY3gBFOQ" annotatedElement="_KYTcwH8YEd-6KMbY3gBFOQ">
            <body>&quot;This field differs from [Specimen Source Site] in those cases where the source site must be approached via a particular site (e.g., anatomic location).  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the collection site would be the point of entry of the needle.  For venous blood collected from the left radial vein, the collection site could be Antecubital Fossa.&quot; - HL7 Version 2.8, SPM-10.  Note that HL7 identifies a Code Table (Table 543) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3ShdQLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3ShdQbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586B93403B1" name="comment" visibility="public">
          <eAnnotations xmi:id="_M__z6eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M__z5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586B93403B1">
            <body>&quot;This field is for reporting additional comments related to the sample.&quot; - HL7 Version 2.8, OBR-39.&#xD;
&quot;To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).&quot; - HL7 FHIR, Specimen.note</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pJuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pJ-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64230FCD502CF" name="dateTime" visibility="public" type="_420A62FD03B642387187004E">
          <eAnnotations xmi:id="_omXO0EhUEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M_2p_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FCD502CF">
            <body>The date and time during which the specimen was taken from the source (e.g., the patient, or other entity such as a sample of pond water). This property is of type Period in order to handle collections that take place over a period of time.&#xD;
&quot;The date and time when the specimen was acquired from the source. The use of the Date Range data type allows for description of specimens collected over a period of time, for example, 24-hour urine collection. For specimens collected at a point in time, only the first component (start date/time) will be populated.&quot; - HL7 Version 2.8, SPM-17.&#xD;
&quot;The clinically relevant date/time of the observation. In the case of observations taken directly from a subject, it is the actual date and time the observation was obtained. In the case of a specimen associated study, this field shall represent the date and time the specimen was collected or obtained.&quot; - HL7 Version 2.8, OBR-7.&#xD;
&quot;Contains the end date and time of a study or timed specimen collection.&quot; - HL7 Version 2.8, OBR-8.&#xD;
&quot;This field is required in two circumstances. The first is when the observations reported beneath one report header have different dates/times. This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement.... The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time.  In the case of tests performed on specimens, the relevant date-time is the specimen’s collection date-time.  In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX-14.&#xD;
&quot;Time when specimen was collected from subject - the physiologically relevant time.&quot; - HL7 FHIR, Specimen.collection.collected[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4tbVALyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4tbVAbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7E3ikN6GEeaQL8YZ3sNKnw" name="performer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_EvGzQN6HEeaQL8YZ3sNKnw" annotatedElement="_7E3ikN6GEeaQL8YZ3sNKnw">
            <body>&quot;Identifies the person, department, or facility that collected the specimen.&quot; - HL7 Version 2.8, OBR-10&#xD;
&quot;Person who collected the specimen.&quot; - HL7 FHIR, Specimen.collection.collector</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BX61AN6HEeaQL8YZ3sNKnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BX61Ad6HEeaQL8YZ3sNKnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DHxwkP8sEd-Koe9flR96lw" name="sourceSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_EnhzgEhVEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_TLXI8P8sEd-Koe9flR96lw" annotatedElement="_DHxwkP8sEd-Koe9flR96lw">
            <body>&quot;Specifies the source from which the specimen was obtained. For example, in the case where a liver biopsy is obtained via a percutaneous needle, the source would be Liver.  Any nationally recognized coding system might be used for this field including SNOMED; alternatively HL7 Table 0163 may be used.&quot; - HL7 Version 2.8, SPM-8.&#xD;
&quot;Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens.&quot; - HL7 FHIR, Specimen.collection.bodySite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tfLxcJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tfMYgJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TlsUgP8sEd-Koe9flR96lw" name="sourceSiteModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TlsUgf8sEd-Koe9flR96lw" annotatedElement="_TlsUgP8sEd-Koe9flR96lw">
            <body>&quot;Contains modifying or qualifying description(s) about the specimen source site.  The use of this attribute is to modify, qualify or further specify, the entity described by [Specimen Source Site].  This is particularly useful when the code set used in [Specimen Source Site] does not provide the precision required to fully describe the site from which the specimen originated.  For example, if the specimen source site was precisely described as Left Radial Vein but the code set employed only provided Radial Vein, this attribute could be employed to add the modifier Left.&quot; - HL7 Version 2.8, SPM-9.  Note that HL7 identifies a Code Table (Table 542) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lmZ08PIJEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lmZ08fIJEeGWjrqT5CRABg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586BC410090" name="collectingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64586BC3F0275">
          <ownedComment xmi:id="_-Wg9wL-_Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586BC410090">
            <body>The anatomic location from which the specimen was obtained. The collection site would be the point of entry of the needle.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NBfosuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NBfos-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE47D009E" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" isUnique="false" association="_420A62FD03B642DBE479028D">
          <ownedComment xmi:id="_ND4OZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE47D009E">
            <body>A collection of samples or specimens collected and potentially processed for eventual testing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NEBYQeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NEBYQuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tn8FgMoUEeGas4Yp_oUthg" name="specimenCollectionPromise" visibility="public" type="_420A62FD03B64266BCE800E0" association="_tn30EMoUEeGas4Yp_oUthg">
          <ownedComment xmi:id="_ISdwoEWWEeKmiJoj9rWMSg" annotatedElement="_tn8FgMoUEeGas4Yp_oUthg">
            <body>Points to the &quot;promise&quot; made in response to a Request (an Order) from an authorized entity (usually a doctor), which resulted in this Specimen Collection Event.  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled.  The Specimen Collection Promise can be looked at as the Specimen Collection Order from the point of view of the entity collecting the Specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tn9ToMoUEeGas4Yp_oUthg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tn9TocoUEeGas4Yp_oUthg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64589A6CD0176" name="SpecimenCollectionRequest">
        <eAnnotations xmi:id="_NAmQ0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NAcf1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589A6CD0176">
          <body>The gathering of portions or quantities of material for use in testing, examination, or study based upon a request (order).  For example, a blood or urine sample.&#xD;
&quot;Details concerning a test or procedure request that required a specimen to be collected.&quot; - HL7 FHIR, Specimen.request</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64589A70201DD" name="collectionMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NAcf3eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589A70201DD">
            <body>&quot;Describes the procedure or process by which the specimen was collected.&quot; - HL7 Version 2.8, SPM-7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9E5EgLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9E5EgbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcRWgOcQEeGjtvsfy1ZDDQ" name="collectionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcRWgecQEeGjtvsfy1ZDDQ" annotatedElement="_dcRWgOcQEeGjtvsfy1ZDDQ">
            <body>&quot;This field differs from SPM-8-Specimen Source Site in those cases where the source site must be approached via a particular site (e.g., anatomic location).  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the collection site would be the point of entry of the needle.  For venous blood collected from the left radial vein, the collection site could be &quot;antecubital fossa&quot;.&quot; - HL7 Version 2.8, SPM.10</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_97jmwLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_97jmwbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcR9kOcQEeGjtvsfy1ZDDQ" name="sourceSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcR9kecQEeGjtvsfy1ZDDQ" annotatedElement="_dcR9kOcQEeGjtvsfy1ZDDQ">
            <body>&quot;Specifies the source from which the specimen was obtained.  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the source would be  liver. &quot; - HL7 Version 2.8, SPM-8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-eCowLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-eCowbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcSkoOcQEeGjtvsfy1ZDDQ" name="sourceSiteModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcSkoecQEeGjtvsfy1ZDDQ" annotatedElement="_dcSkoOcQEeGjtvsfy1ZDDQ">
            <body>&quot;This field contains modifying or qualifying description(s) about the specimen source site.  The use of this attribute is to modify, qualify or further specify, the entity described by [sourceSite].  This is particularly useful when the code set used in [sourceSite] does not provide the precision required to fully describe the site from which the specimen originated.  For example, if the specimen source site was precisely described as  left radial vein but the code set employed only provided  radial vein, this attribute could be employed to add the modifier  left. &quot; - HL7 Version 2.8, SPM-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dBMSoPIJEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dBM5sPIJEeGWjrqT5CRABg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64230FFBD0250" name="microbeIdentification_organismObserved" memberEnd="_420A62FD03B64230FFBF0068 _420A62FD03B64230FFBF006A">
        <eAnnotations xmi:id="_ZEOp0EzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64230FFBF006A" name="" visibility="public" type="_420A62FD03B64230FF74014C" isUnique="false" association="_420A62FD03B64230FFBD0250"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6426918530274" name="microbeIdentification_antibioticSensitivity" memberEnd="_420A62FD03B642691855010A _420A62FD03B642691855010C">
        <eAnnotations xmi:id="_ZGnPcEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B642691855010C" name="" visibility="public" type="_420A62FD03B64230FF74014C" isUnique="false" association="_420A62FD03B6426918530274"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586BC3F0275" name="specimenCollectionEvent_collectingLocation" memberEnd="_420A62FD03B64586BC410090 _420A62FD03B64586BC410092">
        <eAnnotations xmi:id="_ZJJmEUzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NBV3xOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586BC3F0275">
          <body>Contains the Instituion name for the site where the specimen was collected.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586BC410092" name="" visibility="public" type="_420A62FD03B64263CF150098" isUnique="false" association="_420A62FD03B64586BC3F0275">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v8JE0BnkEdyQfodwAgrWbw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v8JE0RnkEdyQfodwAgrWbw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586C7470210" name="pathologyResult_image" memberEnd="_420A62FD03B64586C7480174 _420A62FD03B64586C7480176">
        <eAnnotations xmi:id="_ZIs6IEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NCPPneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C7470210">
          <body> Image associated with surgical pathology reports are stored in this multiple within the surgical pathology field of the lab data file.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586C7480176" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B64586C7470210"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645870AF20274" name="pathologyResult_diagnosis" memberEnd="_420A62FD03B645870AF3013B _420A62FD03B645870AF3014B">
        <eAnnotations xmi:id="_ZI2rIkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NC1FduLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645870AF20274">
          <body>The process of determining by examination the nature and circumstances of a diseased condition.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B645870AF3014B" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B645870AF20274"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DBE479028D" name="specimenCollectionEvent_specimen" memberEnd="_420A62FD03B642DBE47D009E _420A62FD03B642DBE47D00A0">
        <eAnnotations xmi:id="_ZI_1EEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OF8WgH70Ed-6KMbY3gBFOQ" name="labTestRequest_requestingLocation" memberEnd="_OF8WgX70Ed-6KMbY3gBFOQ _OF8WhH70Ed-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_OF8WhH70Ed-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B6458956DC035E" association="_OF8WgH70Ed-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6eu_AH72Ed-6KMbY3gBFOQ" name="reportableResult_commentEvent" memberEnd="_6eu_AX72Ed-6KMbY3gBFOQ _6eu_BH72Ed-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_6eu_BH72Ed-6KMbY3gBFOQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_6eu_AH72Ed-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NglJMH8AEd-6KMbY3gBFOQ" name="ReportableResult">
        <ownedComment xmi:id="_KzpqALsoEeGZTLDYkoM_Sw" annotatedElement="_NglJMH8AEd-6KMbY3gBFOQ">
          <body>This class represents a test result or observation that may be reported.  Some tests, such as an microbiology identification may have multiple results reported over time, for example a preliminary gram stain result might be initially reported, followed by the identification and relative number of organisms, followed by an antibiotic senstivity test results.  Each one of these results would manifest as a separate instance of this class, each with their own date/times, performers, etc.&#xD;
&#xD;
&quot;The OBX segment is used to transmit a single observation or observation fragment.  It represents the smallest indivisible unit of a report.&quot; - HL7 Version 2.8, OBX</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4dtFwGRQEeCsvJrE4KlOMA" name="dateDeemedReportable" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qH7K8MneEeG_ScqIlDrcqg" annotatedElement="_4dtFwGRQEeCsvJrE4KlOMA">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dtFw2RQEeCsvJrE4KlOMA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dtFwmRQEeCsvJrE4KlOMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WcTM0ArPEdyiYardodwdWw" name="dateTimeObserved" visibility="public" type="_420A62FD03B64244824602F5" isUnique="false">
          <ownedComment xmi:id="_rjaJcArPEdyiYardodwdWw" annotatedElement="_WcTM0ArPEdyiYardodwdWw">
            <body>&quot;This field is required in two circumstances.  The first is when the observations reported beneath one report header have different dates/times.  This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement....  The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time.  In the case of tests performed on specimens, the relevant date-time is the specimen’s collection date-time.  In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX.14</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AicxkNOPEd27LKffJpV5RQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AicxkdOPEd27LKffJpV5RQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_moV9ILshEeGZTLDYkoM_Sw" name="dateTimeOfAnalysis" visibility="public" type="_420A62FD03B64244824602F5" isUnique="false">
          <ownedComment xmi:id="_moV9IbshEeGZTLDYkoM_Sw" annotatedElement="_moV9ILshEeGZTLDYkoM_Sw">
            <body>&quot;The time stamp associated with generation of the analytical result by the instrument specified in [the deviceInstance]&quot; - HL7 Version 2.8, OBX.19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_moV9I7shEeGZTLDYkoM_Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_moV9IrshEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FAF3018D" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_M6fBxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FAF3018D">
            <body>&quot;Contains a unique identifier for this observation.&quot; - HL7 Version 2.8, OBX-21.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nPBkcLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nPBkcbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_45bPYOQQEeak6NCuAd5Onw" name="laboratoryDirector" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_45bPYeQQEeak6NCuAd5Onw" annotatedElement="_45bPYOQQEeak6NCuAd5Onw">
            <body>This is the director of the laboratory that is reporting the result to the Orderer. This person may or may not be the director of the organization that actually performed the analysis, rather of the reporting organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_45bPY-QQEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_45bPYuQQEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SBcAMFUUEeKxd7-Yw-gPSg" name="negationIndicator" visibility="public">
          <ownedComment xmi:id="_YtX2gGEPEeO0cp8yTpBD0g" annotatedElement="_SBcAMFUUEeKxd7-Yw-gPSg">
            <body>This is a placeholder to convey the concept that something looked for was not found.  It is possible that this property might be superfluous and may be removed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pKGKALyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pKGKAbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__9-akLsfEeGZTLDYkoM_Sw" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XdQvgLsgEeGZTLDYkoM_Sw" annotatedElement="__9-akLsfEeGZTLDYkoM_Sw">
            <body>&quot;The method or procedure by which an observation was obtained when the sending system wishes to distinguish among one measurement obtained by different methods and the distinction is not implicit in the test ID.  Chemistry laboratories do not usually distinguish between two different methods used to measure a given serum constituent (e.g., serum potassium) as part of the test name....&quot; - HL7 Version 2.8, OBX-17.&#xD;
&#xD;
Note that the aerobic condition of the culture is included in this concept.  Note also that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Dns6ULsgEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DnthYLsgEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a_LFILsiEeGZTLDYkoM_Sw" name="observationSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yPTjwLsiEeGZTLDYkoM_Sw" annotatedElement="_a_LFILsiEeGZTLDYkoM_Sw">
            <body>&quot;Contains the body site(s) where the measurement being reported was obtained.   This field should not be used for a specimen source or specimen collection site.  This information is of particular importance if the clinical meaning of a value is modified either directly by the site (for example, is the temperature central or peripheral?) or if the site of one measurement impacts the value of another measurement (for example, is the finger SpO2 probe on the same arm as the NIBP cuff?).  In most cases these observations are performed directly upon the patient and do not involve a specimen.&quot; - HL7 Version 2.8, OBX-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_kUALsiEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_k7ELsiEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GFCVEOQREeak6NCuAd5Onw" name="performer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_GFCVEeQREeak6NCuAd5Onw" annotatedElement="_GFCVEOQREeak6NCuAd5Onw">
            <body>&quot;This field identifies the performing technician.&quot; - HL7 Version 2.8, OBR-34&#xD;
&quot;This field contains the identifier of the individual directly responsible for the observation (i.e., the person who either performed or verified it).  In a nursing service, the observer is usually the professional who performed the observation (e.g., took the blood pressure).  In a laboratory, the observer is the technician who performed or verified the analysis....&quot; - HL7 Version 2.8, OBX.16</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GFCVE-QREeak6NCuAd5Onw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GFCVEuQREeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ptNP4PjPEeCmc6EQPl3F9g" name="probability" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_29mH4PjPEeCmc6EQPl3F9g" annotatedElement="_ptNP4PjPEeCmc6EQPl3F9g">
            <body>&quot;Contains the probability of a result being true for results with categorical values.  It mainly applies to discrete coded results.  It is a decimal number ... between 0 and 1, inclusive.&quot; - HL7 Version 2.8, OBX-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wEGggPjPEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wEGggfjPEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSGXQMYfEeGsb4KXw2Babg" name="reReleaseReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_x54fIMYfEeGsb4KXw2Babg" annotatedElement="_sSGXQMYfEeGsb4KXw2Babg">
            <body>&quot;Indicates the root cause for the reissue of a previously released lab report.  This element is used in conjunction with OBX-11 Observation Result Status to define the root cause for a reissued laboratory report in the case of a corrected, amended, appended, or revised report.&quot; - HL7 Version 2.8, OBX-27.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vxMUUMYfEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vxM7YMYfEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PpezYHpLEeCYy4DzyFpAzQ" name="reportDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_rgh8oMneEeG_ScqIlDrcqg" annotatedElement="_PpezYHpLEeCYy4DzyFpAzQ">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rZeysLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rZeysbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QmOvgHpLEeCYy4DzyFpAzQ" name="resultStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fupOULsJEeGZTLDYkoM_Sw" annotatedElement="_QmOvgHpLEeCYy4DzyFpAzQ">
            <body>&quot;Contains the observation result status.... This field reflects the current completion status of the results for one Observation Identifier....&quot; - HL7 Version 2.8, OBX-11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sJ_poLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sJ_pobyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NelqoOQTEeak6NCuAd5Onw" name="transcription" visibility="public" type="_1nqfgOQXEeak6NCuAd5Onw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QuU9EOQTEeak6NCuAd5Onw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QuU9EeQTEeak6NCuAd5Onw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BaOXcPjTEeCmc6EQPl3F9g" name="userDefinedAccessCheck" visibility="public">
          <ownedComment xmi:id="_sJpfALsgEeGZTLDYkoM_Sw" annotatedElement="_BaOXcPjTEeCmc6EQPl3F9g">
            <body>&quot;This field permits the producer to record results-dependent codes for classifying the observation at the receiving system.  This field should be needed only rarely...&quot; - HL7 Version 2.8, OBX-13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2K54PjTEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2K54fjTEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6eu_AX72Ed-6KMbY3gBFOQ" name="commentEvent" visibility="public" type="_420A62FD03B642C044DB02ED" association="_6eu_AH72Ed-6KMbY3gBFOQ">
          <ownedComment xmi:id="_-pKYEH72Ed-6KMbY3gBFOQ" annotatedElement="_6eu_AX72Ed-6KMbY3gBFOQ">
            <body>Contains any comments pertinent to the result of the lab test.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6eu_An72Ed-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6eu_A372Ed-6KMbY3gBFOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R83lMcqCEeC9Pb3leltpqQ" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_R83lMMqCEeC9Pb3leltpqQ">
          <ownedComment xmi:id="_W4RIMMqCEeC9Pb3leltpqQ" annotatedElement="_R83lMcqCEeC9Pb3leltpqQ">
            <body>&quot;Identifies the Equipment Instance (e.g., Analyzer, Analyzer module, group of Analyzers, etc.) responsible for the production of the observation....&quot; - HL7 Version 2.8, OBX-18.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R83lMsqCEeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R83lM8qCEeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gcFfwO3MEeCFZuasLkncZQ" name="interpretation" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_gcCccO3MEeCFZuasLkncZQ">
          <ownedComment xmi:id="_mS-CsLskEeGZTLDYkoM_Sw" annotatedElement="_gcFfwO3MEeCFZuasLkncZQ">
            <body>&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8.&#xD;
&#xD;
For chemistry tests, provides an automated indication of the result, based upon &quot;normal&quot; values as indicated by the reference range.  Examples include High, Low, Critically High, Critically Low, etc.&#xD;
&#xD;
For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic.  Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gcGt4O3MEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gcGt4e3MEeCFZuasLkncZQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D4mP0MYSEeGsb4KXw2Babg" name="labTestPerformed" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_D4ilcMYSEeGsb4KXw2Babg">
          <ownedComment xmi:id="_WPH7MMYSEeGsb4KXw2Babg" annotatedElement="_D4mP0MYSEeGsb4KXw2Babg">
            <body>&quot;Contains a unique identifier for the observation....  In most systems the identifier will point to a master observation table that will provide other attributes of the observation that may be used by the receiving system to process the observations it receives&quot;. - HL7 Version 2.8, OBX-3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D4nd8MYSEeGsb4KXw2Babg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D4oFAMYSEeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j5AykMqXEeG4_uv2Hb_AVQ" name="relatedResult" visibility="public" type="_hkGwsMqXEeG4_uv2Hb_AVQ" association="_j46E4MqXEeG4_uv2Hb_AVQ">
          <ownedComment xmi:id="_XEZJMMqaEeG4_uv2Hb_AVQ" annotatedElement="_j5AykMqXEeG4_uv2Hb_AVQ">
            <body>Identifies other Reportable Result(s) to which this Reportable Result is somehow related.&#xD;
&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j5CnwMqXEeG4_uv2Hb_AVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j5DO0MqXEeG4_uv2Hb_AVQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_S0eEsH8AEd-6KMbY3gBFOQ" name="labTestPromise_reportableResult" memberEnd="_S0eEsX8AEd-6KMbY3gBFOQ _S0eEtH8AEd-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_S0eEtH8AEd-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_S0eEsH8AEd-6KMbY3gBFOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxqhcGIBEeCHAoM78Lf2xA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxqhcWIBEeCHAoM78Lf2xA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WUomEOOYEd-8X4J7aT-aiQ" name="RelatedLabPromise">
        <ownedComment xmi:id="_j4BWkPemEeGDQviDyE5NDQ" annotatedElement="_WUomEOOYEd-8X4J7aT-aiQ">
          <body>This class identifies Laboratory Promises that are related to each other in some way.  The relatedPromiseCategory indicates how the referenced Promise is related to the &quot;owning&quot; Promise.&#xD;
&#xD;
Note that a &quot;Reflex Test&quot; will be handled through this RelatedLabPromise mechanism.  A Reflex Test is a test that is performed and is made necessary based on results from another test, such as results that need confirmation or tests that are indicated by standards of care, so that it is necessary to perform even though the clinician hasn't ordered it.  Examples include when a CBC indicates a high white blood cell count, a differential is automatically performed.  These tests are usually defined within the laboratory's established procedures.  In this case, the original order will point to an instance of RelatedLabPromise, wherein the relatedPromiseCategory will contain a code that means &quot;reflex test&quot;, and a pointer (i.e., the labTestPromise property) that points to the reflex test promise.  Similarly, the reflex test promise can point to another instance of RelatedLabPromise, wherein the relatedPromiseCategory will contain a code that means &quot;original promise&quot;, and a pointer (i.e., the labTestPromise property) that points to the original lab test promise.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZgmLwOOYEd-8X4J7aT-aiQ" name="labTestPromise" visibility="public" type="_420A62FD03B64230F39A02CC" association="_ZgjvgOOYEd-8X4J7aT-aiQ">
          <ownedComment xmi:id="_k4ckIEVKEeKmiJoj9rWMSg" annotatedElement="_ZgmLwOOYEd-8X4J7aT-aiQ">
            <body>Points to the Lab Test Promise (i.e., the &quot;target Lab Test Promise&quot;) to which the &quot;source Lab Test Promise&quot; (i.e., the Lab Test Promise that points to this class) is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZgnZ4OOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgnZ4eOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jMUzIOtMEd-UtpmJtcZCZg" name="relatedPromiseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_71tUkAPLEeGyxsUXi9XkTg" annotatedElement="_jMUzIOtMEd-UtpmJtcZCZg">
            <body>Indicates how the &quot;target LabTestPromise&quot; is related to the &quot;source LabTestPromise&quot;.  Examples include Parent, Child, Replaces, Replaced By, Reflex Test, Original Promise, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_irP3QLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_irP3QbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y1D7cOOYEd-8X4J7aT-aiQ" name="labTestPromise_relatedLabPromise" memberEnd="_Y1GXsOOYEd-8X4J7aT-aiQ _Y1JbAOOYEd-8X4J7aT-aiQ">
        <ownedEnd xmi:id="_Y1JbAOOYEd-8X4J7aT-aiQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_Y1D7cOOYEd-8X4J7aT-aiQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y1KpIOOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y1KpIeOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZgjvgOOYEd-8X4J7aT-aiQ" name="relatedLabPromise_labTestPromise" memberEnd="_ZgmLwOOYEd-8X4J7aT-aiQ _ZgpPEOOYEd-8X4J7aT-aiQ">
        <ownedEnd xmi:id="_ZgpPEOOYEd-8X4J7aT-aiQ" name="" visibility="public" type="_WUomEOOYEd-8X4J7aT-aiQ" association="_ZgjvgOOYEd-8X4J7aT-aiQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zgp2IOOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgqdMOOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_b_84MOOaEd-8X4J7aT-aiQ" name="LabReferral">
        <ownedComment xmi:id="_dMsv0LsmEeGZTLDYkoM_Sw" annotatedElement="_b_84MOOaEd-8X4J7aT-aiQ">
          <body>An order placed by a laboratory to another laboratory to perform a test that the originating laboratory had taken on.  This action typically occurs when the originating laboratory cannot perform the requested test in-house.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TAcLQAPLEeGyxsUXi9XkTg" name="cost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Rf5xgLsmEeGZTLDYkoM_Sw" annotatedElement="_TAcLQAPLEeGyxsUXi9XkTg">
            <body>Indicates the amount charged by the performing lab to perform the referred test.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ATj1YLyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ATj1YbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5MGMOOaEd-8X4J7aT-aiQ" name="orderDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_s5MGMeOaEd-8X4J7aT-aiQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_s5MGMuOaEd-8X4J7aT-aiQ" annotatedElement="_s5MGMOOaEd-8X4J7aT-aiQ">
            <body>The date/time that the order was created by the ordering provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5MGNOOaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5MGM-OaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5NUUOOaEd-8X4J7aT-aiQ" name="placerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s5NUUeOaEd-8X4J7aT-aiQ" annotatedElement="_s5NUUOOaEd-8X4J7aT-aiQ">
            <body>&quot;This field is the placer application's order number.&quot; - HL7 Version 2.8, ORC-2</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5NUU-OaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5NUUuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5NUVOOaEd-8X4J7aT-aiQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_s5N7YOOaEd-8X4J7aT-aiQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_s5N7YeOaEd-8X4J7aT-aiQ" annotatedElement="_s5NUVOOaEd-8X4J7aT-aiQ">
            <body>&quot;Describes the urgency of the request. If this field is blank, the default is [Routine]&quot; - HL7 Version 2.8, TQ1-9.  Possible values include (from HL7 Table 122): Stat; ASAP; Routine; Preop; Callback; Timing critical*; As needed.  *Note that the Timing Critical has a syntax that allows more information, e.g., Timing Critical within 15 minutes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5N7Y-OaEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5N7YuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5N7ZOOaEd-8X4J7aT-aiQ" name="remarks" visibility="public">
          <ownedComment xmi:id="_16n3kLslEeGZTLDYkoM_Sw" annotatedElement="_s5N7ZOOaEd-8X4J7aT-aiQ">
            <body>Any comments regarding the referral.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B5aY4LyjEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B5aY4byjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5OicOOaEd-8X4J7aT-aiQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_s5OiceOaEd-8X4J7aT-aiQ" annotatedElement="_s5OicOOaEd-8X4J7aT-aiQ">
            <body>&quot;Specifies the status of an order....  The purpose of this field is to report the status of an order either upon request (solicited), or when the status changes (unsolicited).  It does not initiate action.  It is assumed that the order status always reflects the status as it is known to the sending application at the time that the message is sent.  Only the filler can originate the value of this field.&quot; - HL7 Version 2.8, ORC-5&#xD;
&#xD;
A code specifying the status of the Order.  Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5Oic-OaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5OicuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H6OGILslEeGZTLDYkoM_Sw" name="performingLabsPromise" visibility="public" type="_420A62FD03B64230F39A02CC" association="_H6KbwLslEeGZTLDYkoM_Sw">
          <ownedComment xmi:id="_nLSf4LsmEeGZTLDYkoM_Sw" annotatedElement="_H6OGILslEeGZTLDYkoM_Sw">
            <body>Points to the performing laboratory's promise to perform the requested test(s).  This allows navigation to the results, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H6OtMLslEeGZTLDYkoM_Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H6PUQLslEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iI8NkPZPEd-e1vPpWfL-Bw" name="SpecimenContainer">
        <ownedComment xmi:id="_k4YzwEWMEeKmiJoj9rWMSg" annotatedElement="_iI8NkPZPEd-e1vPpWfL-Bw">
          <body>Container: &quot;an object used for or capable of holding, esp for transport or storage, such as a carton, box, etc.&quot; - Dictionary.com. This class describes the object in which the specimen is contained, such as its capacity, etc. Some containers are manufactured such that they contain a pre-defined substance that may act to preserve, maintain or enhance the particular nature or component of the specimen. For example, a &quot;blue top tube&quot; typically contains an anticoagulant such as citrate. It is therefore important to know what kind of container the sample is in, as the condition of the sample may be affected.&#xD;
&#xD;
&quot;An Entity that holds other Entities.&quot; - HL7 Version 3.&#xD;
&quot;The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.&quot; - HL7 FHIR, Specimen.container</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VyJbIEWREeKmiJoj9rWMSg" name="barrierDeltaQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_VyJbIUWREeKmiJoj9rWMSg" annotatedElement="_VyJbIEWREeKmiJoj9rWMSg">
            <body>&quot;Identifies the distance from the Point of Reference to the separator material (barrier) within the container in units specified below. This distance may be provided by the LAS to the instrument and/or specimen processing/handling device to facilitate the insertion of a sampling probe into the specimen without touching the separator.&quot; - HL7 Version 2.8, SAC-18.&#xD;
&quot;The distance from the point of reference to the separator material (barrier) within a container.&quot; - HL7 Version 3 (Container.barrierDeltaQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VyJbI0WREeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VyJbIkWREeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3ZdI8EWREeKmiJoj9rWMSg" name="bottomDeltaQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_3ZdI8UWREeKmiJoj9rWMSg" annotatedElement="_3ZdI8EWREeKmiJoj9rWMSg">
            <body>&quot;Identifies the distance from the Point of Reference to the separator material (barrier) within the container in units specified below. This distance may be provided by the LAS to the instrument and/or specimen processing/handling device to facilitate the insertion of a sampling probe into the specimen without touching the separator.&quot; - HL7 Version 2.8, SAC-18.&#xD;
&quot;The distance from the point of reference to the separator material (barrier) within a container.&quot; - HL7 Version 3 (Container.barrierDeltaQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3ZdI80WREeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3ZdI8kWREeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZwbggEWPEeKmiJoj9rWMSg" name="capType" visibility="public">
          <ownedComment xmi:id="_ZwbggUWPEeKmiJoj9rWMSg" annotatedElement="_ZwbggEWPEeKmiJoj9rWMSg">
            <body>&quot;Indicates the type of cap that is to be used with this container for decapping, piercing or other mechanisms.&quot; - HL7 Version 2.8, SAC-26.  Note that HL7 identifies a Code Table (Table 381) for this property, but does not provide any suggested values.&#xD;
&quot;The type of cap (closure) associated with the container that is the entity being described.&quot; - HL7 Version 3 (Container.capTypeCode).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zwbgg0WPEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZwbggkWPEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ycJ9YPZPEd-e1vPpWfL-Bw" name="containerCapacity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_k1KcQEVuEeKmiJoj9rWMSg" annotatedElement="_ycJ9YPZPEd-e1vPpWfL-Bw">
            <body>&quot;Indicates the capacity of the container in the units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-21.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The functional capacity of the container.&quot; - HL7 Version 3 (Container.capacityQuantity).&#xD;
&quot;The capacity (volume or other measure) the container may contain.&quot; - HL7 FHIR, Specimen.container.capacity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vJ_7kEWOEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vKAioEWOEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SoseQEWOEeKmiJoj9rWMSg" name="containerDiameter" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_SoseQUWOEeKmiJoj9rWMSg" annotatedElement="_SoseQEWOEeKmiJoj9rWMSg">
            <body>&quot;Identifies the outside diameter of the container in units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-17.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The outside diameter of the container.&quot; - HL7 Version 3 (Container.diameterQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxD4sLykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxNpsLykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SF89kEWOEeKmiJoj9rWMSg" name="containerHeight" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_SF89kUWOEeKmiJoj9rWMSg" annotatedElement="_SF89kEWOEeKmiJoj9rWMSg">
            <body>&quot;Identifies the height of the container in units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-16.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The height of the container.&quot; - HL7 Version 3 (Container.heightQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ubMU0EWOEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ubM74EWOEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rgeksPZPEd-e1vPpWfL-Bw" name="containerType" visibility="public">
          <ownedComment xmi:id="_8-uGoAlTEeGe4v7RnpTDUQ" annotatedElement="_rgeksPZPEd-e1vPpWfL-Bw">
            <body>&quot;The container in or on which a specimen is transported.&quot; - HL7 Version 2.8, SPM-27. Note that although this property is a flavor of Code in HL7 Version 2, HL7 does not link this property to a Code Table nor do they provide any suggested values.&#xD;
&quot;The type of container associated with the specimen (e.g. slide, aliquot, etc.).&quot; - HL7 FHIR, Specimen.container.type</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C1dU8LykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C1dU8bykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rubJwCCBEeeBkqCcjIYjZw" name="description" visibility="public">
          <ownedComment xmi:id="_1XcScCCBEeeBkqCcjIYjZw" annotatedElement="_rubJwCCBEeeBkqCcjIYjZw">
            <body>&quot;Textual description of the container.&quot; - HL7 FHIR, Specimen.container.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vBxw4CCBEeeBkqCcjIYjZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vBxw4SCBEeeBkqCcjIYjZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7OE0cEVtEeKmiJoj9rWMSg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_-ObnEEVtEeKmiJoj9rWMSg" annotatedElement="_7OE0cEVtEeKmiJoj9rWMSg">
            <body>&quot;The container's unique identifier assigned by the corresponding equipment....&quot; - HL7 Version 2.8, SAC-3.&#xD;
&quot;Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.&quot; - HL7 FHIR, Specimen.container.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DdygQLykEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DdzHULykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gJZYQEWQEeKmiJoj9rWMSg" name="separatorType" visibility="public">
          <ownedComment xmi:id="_gJZYQUWQEeKmiJoj9rWMSg" annotatedElement="_gJZYQEWQEeKmiJoj9rWMSg">
            <body>&quot;Identifies the type of the separator that is being used (e.g., gel separator in the container…)&quot; - HL7 Version 2.8, SAC-25.  Note that HL7 identifies a Code Table (Table 380) for this property, but does not provide any suggested values.&#xD;
&quot;A material added to a container to facilitate and create a physical separation of specimen components of differing density.  The composition or nature of the separator material may have an effect on the analysis. Knowledge of the material aids interpretation of results.&quot; - HL7 Version 3 (Container.separatorTypeCode).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gJZYQ0WQEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gJZYQkWQEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IX0MECCCEeeBkqCcjIYjZw" name="specimenQuantity" visibility="public" type="_420A62FD03B641886F630221" isDerived="true">
          <ownedComment xmi:id="_lKFdkCCCEeeBkqCcjIYjZw" annotatedElement="_IX0MECCCEeeBkqCcjIYjZw">
            <body>The amount of specimen in the container. Note that this property could potentially be derived through a Specimen Assessment, and therefore is marked as a derived property.&#xD;
&quot;The amount of specimen that currently exists or is available for use in further testing.&quot; - HL7 Version 2.8, SPM-25.&#xD;
&quot;The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.&quot; - HL7 FHIR, Specimen.container.specimenQuantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UdHxACCCEeeBkqCcjIYjZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UdHxASCCEeeBkqCcjIYjZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9WIW8CjuEeKdfLgBSxgNnA" name="additive" visibility="public" type="_6r9PsCjuEeKdfLgBSxgNnA" association="_9WEFgCjuEeKdfLgBSxgNnA">
          <ownedComment xmi:id="_06WQsCtPEeKKgp1v3A6sOA" annotatedElement="_9WIW8CjuEeKdfLgBSxgNnA">
            <body>&quot;Identifies any additives introduced to the specimen before or at the time of collection. These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen.&quot; - HL7 Version 2.8, SPM-6. Note that HL7 identifies a Code Table (Table 371) for this property, which currently contains 57 suggested values.&#xD;
&quot;Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.&quot; - HL7 FHIR, Specimen.container.additive[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9WJlECjuEeKdfLgBSxgNnA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9WKMICjuEeKdfLgBSxgNnA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q9AJsGCBEeCJMrtaoIWSIw" name="Parasite">
        <ownedComment xmi:id="_eIeZIDNXEeKkw_YjK6aRcw" annotatedElement="_Q9AJsGCBEeCJMrtaoIWSIw">
          <body>Parasite: &quot;An organism that grows, feeds, and is sheltered on or in a different organism while contributing nothing to the survival of its host.&quot; - The American Heritage Stedman's Medical Dictionary.  This class identifies the organism identified in a sample, and contains an indication of the life-cycle-stage(s) of the organisms observed (e.g., eggs, larvae, adults).</body>
        </ownedComment>
        <generalization xmi:id="_UdZuUGCBEeCJMrtaoIWSIw" general="_420A62FD03B64230FFB100BB"/>
        <ownedAttribute xmi:id="_VqE80GCBEeCJMrtaoIWSIw" name="stage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FrDykDNYEeKkw_YjK6aRcw" annotatedElement="_VqE80GCBEeCJMrtaoIWSIw">
            <body>Stage: &quot;A particular step, phase, or position in a developmental process.&quot; - The American Heritage Stedman's Medical Dictionary.  Categorizes the life-cycle-stage of the organism observed in a sample.  Possible values include: Adults, Cysts, Eggs, Filariform Larvae, Gametes, Larvae, Microfilaria, Rhabditiform Larvae, Schizonts, Trophozoites.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZvUeELyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZvUeEbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5iNpMGH_EeCHAoM78Lf2xA" name="measurementWithReferenceRangeResult_referenceRangeCriterion" memberEnd="_5iQsgGH_EeCHAoM78Lf2xA _5iQsg2H_EeCHAoM78Lf2xA">
        <ownedEnd xmi:id="_5iQsg2H_EeCHAoM78Lf2xA" name="" visibility="public" type="_420A62FD03B64230FF5D004A" association="_5iNpMGH_EeCHAoM78Lf2xA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5iQshGH_EeCHAoM78Lf2xA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5iQshWH_EeCHAoM78Lf2xA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="__rYpEGIOEeCHAoM78Lf2xA" name="Autopsy">
        <eAnnotations xmi:id="__rldYGIOEeCHAoM78Lf2xA" source="uml2.diagrams"/>
        <ownedComment xmi:id="_r5DBQMYjEeGsb4KXw2Babg">
          <body>Note: The Autopsy domain originates from the VA VistA system, and had not yet been modeled in the FHIM. Please see the package documentation.</body>
        </ownedComment>
        <ownedComment xmi:id="_Dx7h8MYkEeGsb4KXw2Babg" annotatedElement="_420A62FD03B64587F4F2036A">
          <body>This class should link to Clinical Document, but we did not do so to avoid a package dependency</body>
        </ownedComment>
        <ownedComment xmi:id="_tXS6cDNcEeKkw_YjK6aRcw" annotatedElement="__rYpEGIOEeCHAoM78Lf2xA">
          <body>The Autopsy domain originates from the VA VistA system, and had not yet been modeled in the FHIM. In VistA, Autopsy is part of the Laboratory software system because of the laboratory tests routinely performed during autopsies. The FHIM Laboratory Subject Matter Experts (SMEs) determined that in the FHIM, Autopsy should not be part of the Laboratory domain, but rather constitute its own domain. This package was therefore created in order to maintain a record of the original Blood Bank classes received from the VA for future modeling. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420CDAE00271" name="AnatomicMeasurement">
          <eAnnotations xmi:id="_M5mQ8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5cf8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420CDAE00271">
            <body>This class contains measurements of various organs and structures to include the entire body.  The bodySite property indicates the organ or structure to be measured, e.g., Brain.  The measurementType indicates whether we're measuring the length, volume, or weight.  The measurementValue property holds the actual measurement e.g., 1500 grams.    In VA's VistA system, the following fields are specificaly called out, which would be contained in this class, along with potentially others: Body Height, Body Weight, Length Of Aortic Valve, Length Of Mitral Valve, Length Of Pulmonic Valve, Length Of Tricuspid Valve, Length Of Ventricle (Left), Length Of Ventricle (Right), Volume Of Pericardial Cavity, Volume Of Peritoneal Cavity, Volume Of Pleural Cavity (Left), Volume Of Pleural Cavity (Right), Weight Of Adrenal Gland (Left), Weight Of Adrenal Gland(Right), Weight Of Brain , Weight Of Heart , Weight Of Kidney (Left), Weight Of Kidney (Right), Weight Of Liver, Weight Of Lung (Left), Weight Of Lung (Right), Weight Of Ovary (Left), Weight Of Ovary (Right), Weight Of Pancreas, Weight Of Parathyroid (Left Lower), Weight Of Parathyroid (Left Upper), Weight Of Parathyroid (Right Lower), Weight Of Parathyroid (Right Upper), Weight Of Pituitary Gland, Weight Of Spleen, Weight Of Testis (Left), Weight Of Testis (Right), Weight Of Thyroid Gland</body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B642122444025D" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5cf9uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642122444025D">
              <body>This property indicates the organ or structure that is being measured, e.g., the Brain.  Note that this property will require an extensive effort by the terminology team to define fully.        </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1WQGwOQUEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1WQGweQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E43F8015B" name="measurementType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5cf-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E43F8015B">
              <body>Identifies the kind of measurement that is contained in the measurement value such as weight, length, or volume.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2cyRAOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2cy4EOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E441D035C" name="measurementValue" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_M5cf_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E441D035C">
              <body>Contains the actual measurement of the organ or bodily structure measured.  Note that this is a physical quantity, so the datatype contains both the measurement value and the unit of measure (e.g., 1500 grams).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2qadUOQUEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2qbEYOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64587F4F2036A" name="AutopsyDocumentReference">
          <eAnnotations xmi:id="_M96wReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M9w_ROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F4F2036A">
            <body>Contains all documentation produced as a result of the autopsy.   </body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B64587F53001D6" name="dateModified" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M9w_R-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F53001D6">
              <body>This is the date the report was modified if it was modified after it was electronically signed/released.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4YtLIOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4YtLIeQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F54102D0" name="referenceDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M9w_SuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F54102D0">
              <body>This is the date and time that the autopsy SF515 was stored in TIU. </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_44VGYOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_44VtcOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F58C0302" name="wasDiagnosisModified" visibility="public">
            <ownedComment xmi:id="_M96wQOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F58C0302">
              <body>Diagnosis modified after report was electronically signed/released. 1=  ' YES'   or 0 = 'NO'.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5ZD04OQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5ZFDAOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BEC8900C6" name="AutopsyEvent">
          <eAnnotations xmi:id="_M6CV1eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5mQ9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BEC8900C6">
            <body>Clinical documents commonly have 'Subjective' and 'Objective' findings, both of which are kinds of Observations. In addition, clinical documents commonly contain 'Assessments', which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.    </body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B64586CB0302AA" name="ageAtDeath" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_M5mQ9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB0302AA">
              <body>Contains the age of the patient at the time of death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Z4_wOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Z5m0OQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CCbB8OQWEeak6NCuAd5Onw" name="autopsyAssistant" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
            <ownedComment xmi:id="_WSY7MOQWEeak6NCuAd5Onw" annotatedElement="_CCbB8OQWEeak6NCuAd5Onw">
              <body>The practitioner who assisted in performing the autopsy. </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CCbB8-QWEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CCbB8uQWEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B642FFAA72039E" name="autopsyDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M5mQ-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FFAA72039E">
              <body>The date and time when the autopsy assessment is completed.  Also the date of the final diagnosis of cause of death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_62YHcOQUEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_62YugOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B642122495008D" name="autopsyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5mQ_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642122495008D">
              <body>Anatomical areas of the body the autopsy is performed on.  This can be as broad as a full autopsy or grouping of the body region such as chest, trunk, head. lower body.    </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7MKxQOQUEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7MLYUOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580348" name="clinicalDiagnoses" visibility="public">
            <ownedComment xmi:id="_M5va4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580348">
              <body>Contains information in textual format about the autopsy.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8Nj80OQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8Nj80eQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580338" name="comments" visibility="public">
            <ownedComment xmi:id="_M5va5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580338">
              <body>Contains information in textual format about the autopsy.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8j2V4OQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8j288OQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB03029B" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M5va6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB03029B">
              <body>This is the date and time of the death of the patient.    </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8-EMsOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8-EMseQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB4203A5" name="diagnosisClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M55L4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB4203A5">
              <body>Contains the Code value to indicate whether the  clinical dx insufficient (ex. Intracranial hemorrhage) did autopsy clarify the dx (ex. ruptured aneurysm) ?  '1' FOR YES; '0' FOR NO; '2' FOR CONFIRMED;      </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9LPtEOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9LQUIOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB16001A" name="finalDiagnosisDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M55L5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB16001A">
              <body>This is the date and time the final diagnosis was given.    </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9cIowOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9cIoweQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB420395" name="isMajorDxDisagreement" visibility="public">
            <ownedComment xmi:id="_M55L5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB420395">
              <body>Contains the Code value to indicate whether there is major disagreement with the clinical Diagnoses. 0 = No  1 = Yes.     </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9yPboOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9yPboeQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580357" name="pathologicalDiagnoses" visibility="public">
            <ownedComment xmi:id="_M55L6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580357">
              <body>These are the pathological diagnoses in textual format.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9--3IOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-_eMOQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB3902CA" name="provisionalDiagnosisDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M6CV0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB3902CA">
              <body>Contains the date provisional anatomic diagnoses reported.     </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Kb5MOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Kb5MeQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Q_tgoOQWEeak6NCuAd5Onw" name="residentPathologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
            <ownedComment xmi:id="_dJt_YOQWEeak6NCuAd5Onw" annotatedElement="_Q_tgoOQWEeak6NCuAd5Onw">
              <body>Resident Pathologist who authored the autopsy assessment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q_tgo-QWEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q_tgouQWEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Rh_uUOQWEeak6NCuAd5Onw" name="seniorPathologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
            <ownedComment xmi:id="_evNWgOQWEeak6NCuAd5Onw" annotatedElement="_Rh_uUOQWEeak6NCuAd5Onw">
              <body>Senior Pathologist who verified and approved autopsy assessment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rh_uU-QWEeak6NCuAd5Onw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rh_uUuQWEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB3400B7" name="serviceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_cgDWcL-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CB3400B7">
              <body>Contains the code set that identifies the reason for autopsy service performed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-cfSgOQUEeak6NCuAd5Onw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-cfSgeQUEeak6NCuAd5Onw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CBCA0165" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B64586CBC9028E">
            <ownedComment xmi:id="_MAohML-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CBCA0165">
              <body>An association from AutopsyEvent2 to Diagnosis identifying a dignosis associated to the autopsy event.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCYZieLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCYZiuLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F5B40351" name="document" visibility="public" type="_420A62FD03B64587F4F2036A" isUnique="false" association="_420A62FD03B64587F5B40044">
            <ownedComment xmi:id="_cgY4ML-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64587F5B40351">
              <body>An association from AutopayEvent2 to AutopsyDocumnetReference identifying the document referencing the autopsy.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDksUuLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDksU-LiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CC06032B" name="grossImage" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B64586CC030389">
            <ownedComment xmi:id="_xheh0L-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CC06032B">
              <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data (#63) file.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCYZkOLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCYZkeLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E451A03E2" name="measurement" visibility="public" type="_420A62FD03B6420CDAE00271" isUnique="false" association="_420A62FD03B6420E451A0107">
            <ownedComment xmi:id="_NBC8yuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E451A03E2">
              <body>Measurement value is the actual value of the result and its unit of measure.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NBC8zOLiEduGJrQyRGTO1A" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NBC8zeLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6458712D203AF" name="microscopicImage" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B6458712D2012F">
            <ownedComment xmi:id="_9nJTIL-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B6458712D203AF">
              <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data file.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NC-2cuLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NC-2c-LiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B645871A75010D" name="treatingSpecialtyAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B645871A74033F">
            <ownedComment xmi:id="_Y1i-IL-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B645871A75010D">
              <body>An association from AutopsyEvent2 to FacilityTreatingSpeciality identifying the Treating specialist at death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDbiaeLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDbiauLiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645871A74033F" name="_autopsyEvent_treatingSpecialtyAtDeath" memberEnd="_420A62FD03B645871A75010D _420A62FD03B645871A75011C">
          <eAnnotations xmi:id="_ZIGdMkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NDbiZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645871A74033F">
            <body>Contains the name of treating specialty at time of patient's death.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B645871A75011C" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B645871A74033F"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6458712D2012F" name="_autopsyEvent_microscopicImage" memberEnd="_420A62FD03B6458712D203AF _420A62FD03B6458712D203B1">
          <eAnnotations xmi:id="_ZIZ_MkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NC1FhOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6458712D2012F">
            <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data file.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B6458712D203B1" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6458712D2012F"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586CBC9028E" name="_autopsyEvent_diagnosis" memberEnd="_420A62FD03B64586CBCA0165 _420A62FD03B64586CBCA0174">
          <eAnnotations xmi:id="_ZIjJIkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NCYZhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CBC9028E">
            <body>Contains the Diagnosis of the patient health Issue for the episode of care.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64586CBCA0174" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64586CBC9028E"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64587F5B40044" name="_autopsyEvent_document" memberEnd="_420A62FD03B64587F5B40351 _420A62FD03B64587F5B40353">
          <eAnnotations xmi:id="_ZIQOMEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NDbidOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F5B40044">
            <body>The text of the report in it's entirety, as signed by the practitioner.  Can also mean the text that comprises the report section.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64587F5B40353" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64587F5B40044"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586CC030389" name="_autopsyEvent_grossImage" memberEnd="_420A62FD03B64586CC06032B _420A62FD03B64586CC06032D">
          <eAnnotations xmi:id="_ZIZ_MEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NCYZjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CC030389">
            <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data (#63) file.   </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64586CC06032D" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64586CC030389"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6420E451A0107" name="_autopsyEvent_measurement" memberEnd="_420A62FD03B6420E451A03E2 _420A62FD03B6420E451A03E4">
          <eAnnotations xmi:id="_ZIGdMEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedEnd xmi:id="_420A62FD03B6420E451A03E4" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6420E451A0107"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FloQMGRPEeCsvJrE4KlOMA" name="TestException">
        <ownedComment xmi:id="_L1xiADNQEeKkw_YjK6aRcw" annotatedElement="_FloQMGRPEeCsvJrE4KlOMA">
          <body>This class is used to communicate reason(s) why a test was unable to be performed.  It may indicate that the quantity of specimen was insufficient, that the specimen was contaminated, that the specimen is inappropriate for the kind of test ordered, etc.</body>
        </ownedComment>
        <generalization xmi:id="_PmqGUMqDEeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_N4v88GRPEeCsvJrE4KlOMA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2yqQIMYYEeGsb4KXw2Babg" annotatedElement="_N4v88GRPEeCsvJrE4KlOMA">
            <body>Indicates the reason why a test was unable to be performed.  It may indicate that the quantity of specimen was insufficient, that the specimen was contaminated, that the specimen is inappropriate for the kind of test ordered, etc.&#xD;
Note that when the reason that a test could not be performed is due to some aspect of the specimen, the specimen appropriateness and/or speciment condition should be used instead of this property.&#xD;
&#xD;
&quot;As best practice in the future, a combination of SPM-21 and SPM-24 should be used to provide the most detailed coded information about the specimen reject reason and the specific specimen condition, if applicable. Use of SPM-21 is the ideal way to communicate when a test order is canceled due to specimen rejection as it codifies the reason for cancellation. Because disposition of a specimen is a CLIA requirement this reason needs to be retained and displayed in the patient record and incorporated into any type of report regardless of the medium of that report (paper, displayed on screen). The IG has identified HL70490 table as the value set for SPM-21, though the content needs improvement. The SNOMED finding hierarchy also has some appropriate terms, but is not complete. Future work on these vocabularies will expand the content. Use of SPM-24 can be very useful for communicating specimen condition information that does not meet the laboratory’s standard for acceptability (HL70493). The SNOMED finding hierarchy also has some appropriate terms, but is not complete. Future work on these vocabularies will expand the content. If a laboratory system cannot use SPM-21 and SPM-24, then this information shall be communicated using OBX-5 and NTE segment(s)&quot;&#xD;
&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxNQ0LykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxNQ0bykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_v83_wLFVEeCiPcKjPTIyBg" name="antibioticSensitivityObservationEvent_antibiotic" memberEnd="_v9BJsLFVEeCiPcKjPTIyBg _v9BJs7FVEeCiPcKjPTIyBg">
        <ownedEnd xmi:id="_v9BJs7FVEeCiPcKjPTIyBg" name="" visibility="public" type="_420A62FD03B64263C8F8030F" association="_v83_wLFVEeCiPcKjPTIyBg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v9BJtLFVEeCiPcKjPTIyBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v9BJtbFVEeCiPcKjPTIyBg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_x4U9ILxIEeCjnsq0FtkmeA" name="SpecimenTransportation">
        <ownedComment xmi:id="_kUcVoEU-EeKmiJoj9rWMSg" annotatedElement="_x4U9ILxIEeCjnsq0FtkmeA">
          <body>This class contains information regarding the transportation of a specimen.  This class currently contains the shipment identifier and the method of transportation, but will be augmented in future iterations as we intend to model more details regarding chain of custody.</body>
        </ownedComment>
        <generalization xmi:id="_dFxFcLxOEeCjnsq0FtkmeA" general="_3fUokLxNEeCjnsq0FtkmeA"/>
        <ownedAttribute xmi:id="_Tt_bcAl2EeGe4v7RnpTDUQ" name="shipmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_W4nkYAl2EeGe4v7RnpTDUQ" annotatedElement="_Tt_bcAl2EeGe4v7RnpTDUQ">
            <body>&quot;The identifier assigned by the shipment transportation provider that uniquely identifies this shipment from all other shipments by the same provider.  The addressee for the shipment should be able to use this identifier to match a physical shipment with the electronic manifest for the shipment.&quot; - HL7 Version 2.8, SPM-32.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LyQ34LykEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LyQ34bykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MPcyAAcgEeGfLeiV6Brugg" name="transportationMethod" visibility="public">
          <ownedComment xmi:id="_TjzJYAcgEeGfLeiV6Brugg" annotatedElement="_MPcyAAcgEeGfLeiV6Brugg">
            <body>Indicates &quot;the means by which a sample reaches the diagnostic service provider.  This information is to aid the lab in scheduling or interpretation of results.  Possible answers: routine transport van, public postal service, etc.&quot; - HL7 Version 2.8, OBR-38.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MiDWELykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MiDWEbykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3fUokLxNEeCjnsq0FtkmeA" name="SpecimenHandling">
        <ownedComment xmi:id="_NNsucEU8EeKmiJoj9rWMSg" annotatedElement="_3fUokLxNEeCjnsq0FtkmeA">
          <body>This class contains information regarding the transportation or storage of a specimen.  Information may be recorded for both storage and transportation about the minimum and maximum temperatures to which the specimen was exposed.  Subtypes of this class deal with specific requirements for storage and transportation.&#xD;
&#xD;
Note that we need to model more details regarding chain of custody in general and the storage and handling of specimens in specific in future modeling iterations.  We may also need a shipping-container assessment, not just specimen assessment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1-BAILxIEeCjnsq0FtkmeA" name="dateTimeBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_OpW-sEU9EeKmiJoj9rWMSg" annotatedElement="_1-BAILxIEeCjnsq0FtkmeA">
            <body>The date time upon which the specimen handling commenced.  For Specimen Transportation, this would be the date/time that the specimen was sent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F8KnMLykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F8KnMbykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8G_wkLxIEeCjnsq0FtkmeA" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_9-x94EhUEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_LKrLILxJEeCjnsq0FtkmeA" annotatedElement="_8G_wkLxIEeCjnsq0FtkmeA">
            <body>The date time upon which the specimen handling ended.  For Specimen Transportation, this would be the date/time that the specimen was received.&#xD;
&#xD;
&quot;The time that the specimen is received at the diagnostic service.  The actual time that is recorded is based on how specimen receipt is managed and may correspond to the time the sample is logged in.&quot; - HL7 Version 2.8, SPM-18.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GXpCQLykEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GXpCQbykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IzS1ULxPEeCjnsq0FtkmeA" name="highTemperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_dX3P8EU8EeKmiJoj9rWMSg" annotatedElement="_IzS1ULxPEeCjnsq0FtkmeA">
            <body>The maximum temperature to which the specimen was exposed during the Specimen Handling episode described by this class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I8wdsEU8EeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I8xEwEU8EeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9W_xILxOEeCjnsq0FtkmeA" name="lowTemperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_aD9PMEU8EeKmiJoj9rWMSg" annotatedElement="_9W_xILxOEeCjnsq0FtkmeA">
            <body>The minimum temperature to which the specimen was exposed during the Specimen Handling episode described by this class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IJf0wEU8EeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IJf0wUU8EeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_andP8LxOEeCjnsq0FtkmeA" name="SpecimenStorage">
        <ownedComment xmi:id="_Fj4LcEU-EeKmiJoj9rWMSg" annotatedElement="_andP8LxOEeCjnsq0FtkmeA">
          <body>This class contains information regarding the storage of a specimen.  This class currently contains a storage location identifier, but will be augmented in future iterations as we intend to model more details regarding chain of custody as well as long-term storage (for example tissue banks).</body>
        </ownedComment>
        <generalization xmi:id="_duTFELxOEeCjnsq0FtkmeA" general="_3fUokLxNEeCjnsq0FtkmeA"/>
        <ownedAttribute xmi:id="_q7xo4Mp5EeC9Pb3leltpqQ" name="location" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TtgYkEU-EeKmiJoj9rWMSg" annotatedElement="_q7xo4Mp5EeC9Pb3leltpqQ">
            <body>Identifies the location in which the specimen is/was stored.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J8g3MLykEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J8iFULykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LKXIcLxREeCjnsq0FtkmeA" name="specimenAssessment_specimenHandling" memberEnd="_LKaLwLxREeCjnsq0FtkmeA _LKaLw7xREeCjnsq0FtkmeA">
        <ownedEnd xmi:id="_LKaLw7xREeCjnsq0FtkmeA" name="" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_LKXIcLxREeCjnsq0FtkmeA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LKdPELxREeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LKdPEbxREeCjnsq0FtkmeA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rWnUoMHPEeCdLPayeDTWtA" name="DefinedPatientEvent">
        <ownedComment xmi:id="_bUK4MM5mEeCM-vbOXYpzjw" annotatedElement="_rWnUoMHPEeCdLPayeDTWtA">
          <body>The specific patient-related event to which a specimen collection or collections (and subsequently, any tests performed on that specimen) are related or affected by time, sequence, directive, intent, etc.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), Last Menstrual Period (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9g-MQMHPEeCdLPayeDTWtA" name="eventType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pPBpgM5mEeCM-vbOXYpzjw" annotatedElement="_9g-MQMHPEeCdLPayeDTWtA">
            <body>Categorizes the patient event that triggered the speciment collection, or the patient state at the time of the specimen collection.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), LMP (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-dGqELyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-dGqEbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sz-qgMHPEeCdLPayeDTWtA" name="timeBeforeOrSinceEvent" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_J2_MoM6HEeCM-vbOXYpzjw" annotatedElement="_sz-qgMHPEeCdLPayeDTWtA">
            <body>Specifies the amount of time that had elapsed between the event and the collection of the specimen.  Note that the event usually occurs before the specimen collection (e.g., in a glucose tolerance test, the amount of time after the glucose load had been administered), but sometimes the event in question occurs after the specimen collection (e.g., pre-admission).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Jq1ILyiEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Jq1IbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_A57aMMHSEeCdLPayeDTWtA" name="SpecimenAssessment">
        <ownedComment xmi:id="_w-dsAEVQEeKmiJoj9rWMSg" annotatedElement="_A57aMMHSEeCdLPayeDTWtA">
          <body>This class contains observations regarding the Specimen.  Such observations, or assessments, of the Specimen are performed by the laboratory upon initial receipt, although periodic assessments may be performed later, especially when the Specimen is in long-term storage, or when some change in custody has occurred.  The assessment also contains information concerning the handling of the Specimen, such as storage or transportation information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dJUBEMHSEeCdLPayeDTWtA" name="appropriateness" visibility="public">
          <ownedComment xmi:id="_dJUBEcHSEeCdLPayeDTWtA" annotatedElement="_dJUBEMHSEeCdLPayeDTWtA">
            <body>This field is deprecated in favor of using Reject Reason (SPM-21) and Specimen Condition (SPM-24).  This field is retained for backward compatibility for legacy HL7 V2 messaging.&#xD;
&quot;The suitability of the specimen for the particular planned use as determined by the filler.&quot; - HL7 Version 2.8, SPM-23.  Possible values include (from HL7 Table 492): Preferred; Appropriate; Inappropriate; Inappropriate due to....</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OyJcYJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OyJcYZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vj-8MHTEeCdLPayeDTWtA" name="containerCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aRIGMAlTEeGe4v7RnpTDUQ" annotatedElement="_5Vj-8MHTEeCdLPayeDTWtA">
            <body>&quot;In chain of custody cases where specimens are moved from lab to lab, the status of the container that the specimen is shipped in must be recorded at each receipt.  If the container is compromised in any way (seal broken, container cracked or leaking, etc) then this needs to be recorded for legal reasons.&quot; - HL7 Version 2.8, SPM-28.  Note that HL7 identifies a Code Table (Table 544) for this property, which currently contains 21 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mdvw0J_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mdvw0Z_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_K0C58MHSEeCdLPayeDTWtA" name="currentQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_eHOyEAl0EeGe4v7RnpTDUQ" annotatedElement="_K0C58MHSEeCdLPayeDTWtA">
            <body>&quot;The amount of specimen that currently exists or is available for use in further testing.&quot; - HL7 Version 2.8, SPM-25.&#xD;
&quot;The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.&quot; - HL7 FHIR, Specimen.container.specimenQuantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RCXLgJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RCXykJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cMtPYMzJEeCMF_3VBil7Gw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cxkNYAl5EeGe4v7RnpTDUQ" annotatedElement="_cMtPYMzJEeCMF_3VBil7Gw">
            <body>The date/time that the Specimen Assessment was performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xUSkQLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xUSkQbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kD68oLxJEeCjnsq0FtkmeA" name="isSpecimenAvailable" visibility="public">
          <ownedComment xmi:id="_PpGgIAlqEeGe4v7RnpTDUQ" annotatedElement="_kD68oLxJEeCjnsq0FtkmeA">
            <body>&quot;Describes whether the specimen, as it exists, is currently available to use in an analysis.&quot; - HL7 Version 2.8, SPM-20.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x395ELyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x395EbyjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OmhhYPZQEd-e1vPpWfL-Bw" name="numberOfContainers" visibility="public">
          <ownedComment xmi:id="_1U2nEAc2EeGfLeiV6Brugg" annotatedElement="_OmhhYPZQEd-e1vPpWfL-Bw">
            <body>&quot;The number of containers for a given sample.  For sample receipt verification purposes; may be different from the total number of samples that accompany the order.&quot; - HL7 Version 2.8, OBR-37 and SPM-26.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SErkIJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SErkIZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dFc0wMHSEeCdLPayeDTWtA" name="rejectReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dFc0wcHSEeCdLPayeDTWtA" annotatedElement="_dFc0wMHSEeCdLPayeDTWtA">
            <body>&quot;Describes one or more reasons the specimen is rejected for the specified observation/result/analysis.&quot; - HL7 Version 2.8, SPM-21.  Possible values include (from HL7 Table 490): Expired; Quantity not sufficient; Broken container; Clotting; Missing collection date; Missing patient ID number; Missing patient name; Hemolysis; Identification problem; Labeling; Contamination; Missing phlebotomist ID; Improper storage; Name misspelling.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iuSQIJ_sEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iuTeQJ_sEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jNUK4MHSEeCdLPayeDTWtA" name="specimenCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jNUK4cHSEeCdLPayeDTWtA" annotatedElement="_jNUK4MHSEeCdLPayeDTWtA">
            <body>&quot;A mode or state of being that describes the nature of the specimen.&quot; - HL7 Version 2.8, SPM-24.  Possible values include (from HL7 Table 493): Autolyzed; Clotted; Contaminated; Cool; Frozen; Hemolyzed; Live; Room temperature; Sample not received.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zx05QAlTEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zx05QQlTEeGe4v7RnpTDUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P70sEMHSEeCdLPayeDTWtA" name="specimenQuality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" aggregation="composite">
          <ownedComment xmi:id="_YdZEgMHSEeCdLPayeDTWtA" annotatedElement="_P70sEMHSEeCdLPayeDTWtA">
            <body>&quot;The degree or grade of excellence of the specimen at receipt.&quot; - HL7 Version 2.8, SPM-22.  Possible values include (from HL7 Table 491): Excellent; Good; Fair; Poor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UHJyMJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UHKZQJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1LQI0EWNEeKmiJoj9rWMSg" name="temperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Daa9QEWOEeKmiJoj9rWMSg" annotatedElement="_1LQI0EWNEeKmiJoj9rWMSg">
            <body>&quot;Identifies the specimen temperature in degrees Celsius&quot; - HL7 Version 2.8, SAC-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Zke8EWNEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ZlGAEWNEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TIVB0Mp5EeC9Pb3leltpqQ" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_TILQ0Mp5EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_akinMEVREeKmiJoj9rWMSg" annotatedElement="_TIVB0Mp5EeC9Pb3leltpqQ">
            <body>Identifies the specimen associated with the assessment, and therefore to which the assessment data pertains.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TIVB0cp5EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TIVB0sp5EeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LKaLwLxREeCjnsq0FtkmeA" name="specimenHandling" visibility="public" type="_3fUokLxNEeCjnsq0FtkmeA" association="_LKXIcLxREeCjnsq0FtkmeA">
          <ownedComment xmi:id="_RQSaIEU8EeKmiJoj9rWMSg" annotatedElement="_LKaLwLxREeCjnsq0FtkmeA">
            <body>Points to information regarding the transportation or storage of a specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LKaLwbxREeCjnsq0FtkmeA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LKaLwrxREeCjnsq0FtkmeA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_B0jz8Mp5EeC9Pb3leltpqQ" name="labTestPromise_specimenAssessment" memberEnd="_B0jz8cp5EeC9Pb3leltpqQ _B0tk8sp5EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_B0tk8sp5EeC9Pb3leltpqQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_B0jz8Mp5EeC9Pb3leltpqQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_TILQ0Mp5EeC9Pb3leltpqQ" name="specimenAssessment_Specimen" memberEnd="_TIVB0Mp5EeC9Pb3leltpqQ _TIVB08p5EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_TIVB08p5EeC9Pb3leltpqQ" name="" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_TILQ0Mp5EeC9Pb3leltpqQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J28rIMp7EeC9Pb3leltpqQ" name="specimen_definedPatientEvent" memberEnd="_J28rIcp7EeC9Pb3leltpqQ _J28rJMp7EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_J28rJMp7EeC9Pb3leltpqQ" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_J28rIMp7EeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J28rJcp7EeC9Pb3leltpqQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_R83lMMqCEeC9Pb3leltpqQ" name="reportableResult_deviceInstance" memberEnd="_R83lMcqCEeC9Pb3leltpqQ _R9BWMMqCEeC9Pb3leltpqQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_W1_tkMzCEeCMF_3VBil7Gw" name="labTestPromise_specimenCollectionEvent" memberEnd="_W1_tkczCEeCMF_3VBil7Gw _W1_tlMzCEeCMF_3VBil7Gw">
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      <packagedElement xmi:type="uml:Association" xmi:id="_YaB70OhQEeCUNuD9-34Rcg" name="pathologyResult_labReportSection" memberEnd="_YaE_IOhQEeCUNuD9-34Rcg _YaICcehQEeCUNuD9-34Rcg">
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      <packagedElement xmi:type="uml:Association" xmi:id="_gcCccO3MEeCFZuasLkncZQ" name="reportableResult_interpretation" memberEnd="_gcFfwO3MEeCFZuasLkncZQ _gcIjEO3MEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_gcIjEO3MEeCFZuasLkncZQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_gcCccO3MEeCFZuasLkncZQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_rJ3_APjLEeCmc6EQPl3F9g" name="labTestPromise_billingProcedureList" memberEnd="_rJ7CUPjLEeCmc6EQPl3F9g _rJ7CU_jLEeCmc6EQPl3F9g">
        <ownedEnd xmi:id="_rJ7CU_jLEeCmc6EQPl3F9g" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_rJ3_APjLEeCmc6EQPl3F9g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wb_GYKqXEeGeRqsN3l6jrA" name="SpecimenProcessingEvent">
        <ownedComment xmi:id="_MDrYcEWWEeKmiJoj9rWMSg" annotatedElement="_wb_GYKqXEeGeRqsN3l6jrA">
          <body>This class represents actions performed on a specimen in order to prepare it for future testing.  Such actions may include adding an additive or placing the specimen in a container containing a pre-defined additive in order to preserve, maintain or enhance the particular nature or component of the specimen. Other actions include aliquoting a single specimens into multiple subsets, grouping or pooling multiple specimens into one specimen, etc. As a result of this processing event, a new specimen(s) may be created, thus this class contains a pointer (zero-to-many) back to the Specimen class to identify the newly-created Specimen(s).&#xD;
&quot;Details concerning processing and processing steps for the specimen.&quot; - HL7 FHIR, Specimen.processing</body>
        </ownedComment>
        <ownedAttribute xmi:id="_09FhcCBwEeeBkqCcjIYjZw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HIC2ACBxEeeBkqCcjIYjZw" annotatedElement="_09FhcCBwEeeBkqCcjIYjZw">
            <body>&quot;A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin.&quot; - HL7 FHIR, Specimen.processing.time[x]. Note that FHIR uses a Period datatype whereas the FHIM currently uses single point in time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5xXv0CBwEeeBkqCcjIYjZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5xXv0SBwEeeBkqCcjIYjZw" value="1"/>
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        <ownedAttribute xmi:id="_eFIc0CBxEeeBkqCcjIYjZw" name="description" visibility="public">
          <ownedComment xmi:id="_oocDgCBxEeeBkqCcjIYjZw" annotatedElement="_eFIc0CBxEeeBkqCcjIYjZw">
            <body>&quot;Textual description of procedure.&quot; - HL7 FHIR, Specimen.processing.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_psx1YCBxEeeBkqCcjIYjZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_psx1YSBxEeeBkqCcjIYjZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4RieAMzHEeCMF_3VBil7Gw" name="groupedSpecimenCount" visibility="public">
          <ownedComment xmi:id="_JnvM4AllEeGe4v7RnpTDUQ" annotatedElement="_4RieAMzHEeCMF_3VBil7Gw">
            <body>&quot;The number of individual specimens of a particular type represented by this instance of a specimen. The use of this field is restricted to specimens upon which all specimen related attributes are identical. This field would only be valued if the [Specimen Role] attribute has the value [Group].&quot; - HL7 Version 2.8, SPM-13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xsMS4FSKEeOiZrLzx6PDyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xsOIEFSKEeOiZrLzx6PDyg" value="1"/>
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        <ownedAttribute xmi:id="_yGwwsKqYEeGeRqsN3l6jrA" name="processCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j9_nEEWXEeKmiJoj9rWMSg" annotatedElement="_yGwwsKqYEeGeRqsN3l6jrA">
            <body>Identifies the process that was performed. Possible values include: Aliquot, Pool, Spun, etc.&#xD;
&quot;A coded value specifying the procedure used to process the specimen.&quot; - HL7 FHIR, Specimen.processing.procedure</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IPmCYLykEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IPmCYbykEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8W-nECjuEeKdfLgBSxgNnA" name="additive" visibility="public" type="_6r9PsCjuEeKdfLgBSxgNnA" association="_8W5HgCjuEeKdfLgBSxgNnA">
          <ownedComment xmi:id="_30EP0CtPEeKKgp1v3A6sOA" annotatedElement="_8W-nECjuEeKdfLgBSxgNnA">
            <body>&quot;Material used in the processing step.&quot; - HL7 FHIR, Specimen.processing.additive</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8XAcQCjuEeKdfLgBSxgNnA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8XBDUCjuEeKdfLgBSxgNnA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oQG0oKqYEeGeRqsN3l6jrA" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_oQB8IKqYEeGeRqsN3l6jrA">
          <ownedComment xmi:id="_aUadsEWXEeKmiJoj9rWMSg" annotatedElement="_oQG0oKqYEeGeRqsN3l6jrA">
            <body>Identifies Specimen instance(s) created as a result of a Specimen Processing Event. Note the Id of the newly-created specimens are often derived from the Id of the original specimen. For example, if a samply of whole blood with Id=1234 was spun into two new samples containing plasma (Id=1234-01) and platelets (Id=1234-02), two new Sample instances are created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oQICwKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQIp0KqYEeGeRqsN3l6jrA" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oQB8IKqYEeGeRqsN3l6jrA" name="specimenProcessingEvent_specimen" memberEnd="_oQG0oKqYEeGeRqsN3l6jrA _oQLtIKqYEeGeRqsN3l6jrA">
        <ownedEnd xmi:id="_oQLtIKqYEeGeRqsN3l6jrA" name="" visibility="public" type="_wb_GYKqXEeGeRqsN3l6jrA" association="_oQB8IKqYEeGeRqsN3l6jrA">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQMUMaqYEeGeRqsN3l6jrA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__ZaisLskEeGZTLDYkoM_Sw" name="labTestPromise_labReferral" memberEnd="__Ze0ILskEeGZTLDYkoM_Sw __ZkTsLskEeGZTLDYkoM_Sw">
        <ownedEnd xmi:id="__ZkTsLskEeGZTLDYkoM_Sw" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="__ZaisLskEeGZTLDYkoM_Sw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_H6KbwLslEeGZTLDYkoM_Sw" name="labReferral_performingLabsPromise" memberEnd="_H6OGILslEeGZTLDYkoM_Sw _H6SXkLslEeGZTLDYkoM_Sw">
        <ownedEnd xmi:id="_H6SXkLslEeGZTLDYkoM_Sw" name="" visibility="public" type="_b_84MOOaEd-8X4J7aT-aiQ" association="_H6KbwLslEeGZTLDYkoM_Sw"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_QYxoUMYREeGsb4KXw2Babg" name="LabTest">
        <ownedComment xmi:id="_tMPhwMYTEeGsb4KXw2Babg" annotatedElement="_QYxoUMYREeGsb4KXw2Babg">
          <body>This class represents a laboratory test ordered, promised, or resulted.  It consists of a test code, which should be a LOINC code, and a sub-identifier, which may be used when more than one of the same test are ordered, promised, or resulted.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZO6GEMYSEeGsb4KXw2Babg" name="name" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qdJTsMYSEeGsb4KXw2Babg" annotatedElement="_ZO6GEMYSEeGsb4KXw2Babg">
            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4&#xD;
&quot;Contains a unique identifier for the observation....  In most systems the identifier will point to a master observation table that will provide other attributes of the observation that may be used by the receiving system to process the observations it receives&quot;. - HL7 Version 2.8, OBX-3.&#xD;
&#xD;
It is recommended that LOINC be used.  Note that VA's VistA system uses the VA National Laboratory Test code via File 64.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fxqc0LyjEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_eAY4EMYSEeGsb4KXw2Babg" name="subId" visibility="public">
          <ownedComment xmi:id="_2NLWwMYTEeGsb4KXw2Babg" annotatedElement="_eAY4EMYSEeGsb4KXw2Babg">
            <body>&quot;This field is used to distinguish between multiple OBX segments with the same observation ID organized under one OBR.&quot;. - HL7 Version 2.8, OBX-4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uPaO8MYTEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uPa2AMYTEeGsb4KXw2Babg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WTaawMYREeGsb4KXw2Babg" name="labTestPromise_labTestPromised" memberEnd="_WTeFIMYREeGsb4KXw2Babg _WTjksMYREeGsb4KXw2Babg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Zll9MMYREeGsb4KXw2Babg" name="labTestRequest_labTestRequested" memberEnd="_ZlpnkMYREeGsb4KXw2Babg _ZlugEMYREeGsb4KXw2Babg">
        <ownedEnd xmi:id="_ZlugEMYREeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B6458956DC035E" association="_Zll9MMYREeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_D4ilcMYSEeGsb4KXw2Babg" name="reportableResult_reportableLabTest" memberEnd="_D4mP0MYSEeGsb4KXw2Babg _D4rIUMYSEeGsb4KXw2Babg">
        <ownedEnd xmi:id="_D4rIUMYSEeGsb4KXw2Babg" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_D4ilcMYSEeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tn30EMoUEeGas4Yp_oUthg" name="specimenCollectionEvent_specimenCollectionPromise" memberEnd="_tn8FgMoUEeGas4Yp_oUthg _toA-AMoUEeGas4Yp_oUthg">
        <ownedEnd xmi:id="_toA-AMoUEeGas4Yp_oUthg" name="" visibility="public" type="_420A62FD03B64263CF150098" association="_tn30EMoUEeGas4Yp_oUthg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hkGwsMqXEeG4_uv2Hb_AVQ" name="RelatedResult">
        <ownedComment xmi:id="_Waa_IMqaEeG4_uv2Hb_AVQ" annotatedElement="_hkGwsMqXEeG4_uv2Hb_AVQ">
          <body>&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uS0fAMqXEeG4_uv2Hb_AVQ" name="reportableResult" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_uSxbsMqXEeG4_uv2Hb_AVQ">
          <ownedComment xmi:id="_YcgysMqaEeG4_uv2Hb_AVQ" annotatedElement="_uS0fAMqXEeG4_uv2Hb_AVQ">
            <body>Points to the Reportable Result (i.e., the &quot;target Reportable Result&quot;) to which the &quot;source Reportable Result&quot; (i.e., the Reportable Result that points to this class) is somehow related.&#xD;
&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uS1GEMqXEeG4_uv2Hb_AVQ" value="1"/>
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        <ownedAttribute xmi:id="_f6wX0MqYEeG4_uv2Hb_AVQ" name="relatedResultCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f6wX0cqYEeG4_uv2Hb_AVQ" annotatedElement="_f6wX0MqYEeG4_uv2Hb_AVQ">
            <body>Indicates how the &quot;target Result&quot; is related to the &quot;source Result&quot;.  Examples include Parent, Child, Replaces, Replaced By, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j1KFoLyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j1KFobyjEea_DaXmJ278Kw" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_j46E4MqXEeG4_uv2Hb_AVQ" name="reportableResult_relatedResult" memberEnd="_j5AykMqXEeG4_uv2Hb_AVQ _j5FEAMqXEeG4_uv2Hb_AVQ">
        <ownedEnd xmi:id="_j5FEAMqXEeG4_uv2Hb_AVQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_j46E4MqXEeG4_uv2Hb_AVQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_uSxbsMqXEeG4_uv2Hb_AVQ" name="relatedResult_reportableResult" memberEnd="_uS0fAMqXEeG4_uv2Hb_AVQ _uS27QMqXEeG4_uv2Hb_AVQ">
        <ownedEnd xmi:id="_uS27QMqXEeG4_uv2Hb_AVQ" name="" visibility="public" type="_hkGwsMqXEeG4_uv2Hb_AVQ" association="_uSxbsMqXEeG4_uv2Hb_AVQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_QVZQ4A8SEeK0aKhL_Nyezg" name="AccessionEvent">
        <ownedComment xmi:id="_3ksB0EU_EeKmiJoj9rWMSg" annotatedElement="_QVZQ4A8SEeK0aKhL_Nyezg">
          <body>Accession: &quot;An increase by means of something added to record as acquired&quot; - Websters. Accessioning is the act of taking on the responsibility to perform a laboratory test and adding the test to the laboratory's workload (hence the word accession, the workload or responsibility has been increased). While the definition would imply a close alignment with the Lab Test Promise, in practice, the Accession (and the &quot;Accession Number&quot;) are more closely associated with the Specimen, as the Specimen represents a unit of work. Accession numbers and specimen numbers are often related, and when a specimen is subsetted for some other purpose, a new accession number may be created.  This class represents the act of creating a new accession, and is associated with both the Promise and the Specimen.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_78ZN8MnlEeG_ScqIlDrcqg" name="accessionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_78ZN8cnlEeG_ScqIlDrcqg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_78ZN8snlEeG_ScqIlDrcqg" annotatedElement="_78ZN8MnlEeG_ScqIlDrcqg">
            <body>The date/time upon which the laboratory accepted the unit of work into its workload.  This date/time might be the same as the Laboratory Promise date, or the date/time that the laboratory received the Specimen(s), depending on local laboratory practice.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_78ZN9MnlEeG_ScqIlDrcqg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_78ZN88nlEeG_ScqIlDrcqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_78Z1AMnlEeG_ScqIlDrcqg" name="accessionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_78Z1AcnlEeG_ScqIlDrcqg" annotatedElement="_78Z1AMnlEeG_ScqIlDrcqg">
            <body>Uniquely identifies the accession. The accession is closely associated with both the Promise to perform a laboratory test, and the Specimen(s) upon which the tests are performed. The accession id therefore may be based upon the LabTestPromise.fillerOrderId or the Specimen.id, or conversely, those ids might be based upon this accessionId, depending on local laboratory practice. For example, if the accession id is ABCD, and two samples were received, one sample id might be ABCD-01 and the other ABCD-02. The accession id therefore may be used to identify the laboratory promise, samples, and results.&#xD;
&#xD;
&quot;This field contains accession identifier(s) associated with the specimen....&quot; - HL7 Version 2.8, SPM-30.&#xD;
&quot;The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.&quot; - HL7 FHIR, Specimen.accessionIdentifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7UEckLyiEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7UEckbyiEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KfTRsEVAEeKmiJoj9rWMSg" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_Ke5pEEVAEeKmiJoj9rWMSg">
          <ownedComment xmi:id="_TkS_8EVDEeKmiJoj9rWMSg" annotatedElement="_KfTRsEVAEeKmiJoj9rWMSg">
            <body>Identifies the specimen(s) associated with the accession.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KfW8EEVAEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KfXjIEVAEeKmiJoj9rWMSg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6r9PsCjuEeKdfLgBSxgNnA" name="SpecimenAdditive">
        <ownedComment xmi:id="_O28VkCtQEeKKgp1v3A6sOA" annotatedElement="_6r9PsCjuEeKdfLgBSxgNnA">
          <body>This class identifies any substances that were added or introduced to the specimen in order to preserve, maintain or enhance the particular nature or component of the specimen.  While the HL7 definition implies that this additive is only used before or during specimen collection, this Additive class may be used after specimen collection as part of specimen processing as well.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JZc8IPvNEd-3ndaGus2qMA" name="additiveType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2Uv3EAlVEeGe4v7RnpTDUQ" annotatedElement="_JZc8IPvNEd-3ndaGus2qMA">
            <body>&quot;Identifies any additives introduced to the specimen before or at the time of collection.  These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen.&quot; - HL7 Version 2.8, SPM-6.  Note that HL7 identifies a Code Table (Table 371) for this property, which currently contains 57 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NpWEAPvNEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NpWEAfvNEd-3ndaGus2qMA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-fxS0CtPEeKKgp1v3A6sOA" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_CEPbMEWTEeKmiJoj9rWMSg" annotatedElement="_-fxS0CtPEeKKgp1v3A6sOA">
            <body>Indicates the amount of the substance that is identified in the additiveType property exists in this instance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uEj44LyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uEj44byjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8W5HgCjuEeKdfLgBSxgNnA" name="specimenProcessingEvent_additive" memberEnd="_8W-nECjuEeKdfLgBSxgNnA _8XFUwCjuEeKdfLgBSxgNnA">
        <ownedEnd xmi:id="_8XFUwCjuEeKdfLgBSxgNnA" name="" visibility="public" type="_wb_GYKqXEeGeRqsN3l6jrA" association="_8W5HgCjuEeKdfLgBSxgNnA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9WEFgCjuEeKdfLgBSxgNnA" name="specimenContainer_additive" memberEnd="_9WIW8CjuEeKdfLgBSxgNnA _9WNPcCjuEeKdfLgBSxgNnA">
        <ownedEnd xmi:id="_9WNPcCjuEeKdfLgBSxgNnA" name="" visibility="public" type="_iI8NkPZPEd-e1vPpWfL-Bw" association="_9WEFgCjuEeKdfLgBSxgNnA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LghRwC0QEeKEnd784Zlo8Q" name="labTestPromise_accessionEvent" memberEnd="_LgnYYC0QEeKEnd784Zlo8Q _Lgrp0C0QEeKEnd784Zlo8Q">
        <ownedEnd xmi:id="_Lgrp0C0QEeKEnd784Zlo8Q" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_LghRwC0QEeKEnd784Zlo8Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_gv2V8DNVEeKkw_YjK6aRcw" name="PathologyReportSection">
        <ownedLiteral xmi:id="_mWwUEDNVEeKkw_YjK6aRcw" name="BriefClinicalHistory">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_tXPUQDNVEeKkw_YjK6aRcw">
            <body>BriefClinicalHistory</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_ozVEMDNVEeKkw_YjK6aRcw" name="FrozenSection">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_sHTWYDNVEeKkw_YjK6aRcw">
            <body>FrozenSection</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_3ayc0DNVEeKkw_YjK6aRcw" name="GrossDescription">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_40Ej8DNVEeKkw_YjK6aRcw">
            <body>Gross Description</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_6ggQkDNVEeKkw_YjK6aRcw" name="MicroscopicExamination">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_7kO-cDNVEeKkw_YjK6aRcw">
            <body>MicroscopicExamination</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_9OsVIDNVEeKkw_YjK6aRcw" name="OperativeFindings">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_-MI00DNVEeKkw_YjK6aRcw">
            <body>Operative Findings</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_BLgI8DNWEeKkw_YjK6aRcw" name="PostOperativeDiagnosis">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_Car44DNWEeKkw_YjK6aRcw">
            <body>Post-operative Diagnosis</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_ElMooDNWEeKkw_YjK6aRcw" name="PreOperativeDiagnosis">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_FwjogDNWEeKkw_YjK6aRcw">
            <body>Pre-operative Diagnosis</body>
          </specification>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_I2FPADNWEeKkw_YjK6aRcw" client="_420A62FD03B64586C4B903A9" supplier="_gv2V8DNVEeKkw_YjK6aRcw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ke5pEEVAEeKmiJoj9rWMSg" memberEnd="_KfTRsEVAEeKmiJoj9rWMSg _KfZYUEVAEeKmiJoj9rWMSg">
        <ownedEnd xmi:id="_KfZYUEVAEeKmiJoj9rWMSg" name="" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_Ke5pEEVAEeKmiJoj9rWMSg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q117MEVAEeKmiJoj9rWMSg" memberEnd="_q13wYEVAEeKmiJoj9rWMSg _q15lkEVAEeKmiJoj9rWMSg">
        <ownedEnd xmi:id="_q15lkEVAEeKmiJoj9rWMSg" name="" visibility="public" type="_420A62FD03B64266BCE800E0" association="_q117MEVAEeKmiJoj9rWMSg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZiYyEEuxEeKeIb_h9Qm4xw" name="MicroscopyFinding">
        <ownedComment xmi:id="_7Y1QUGEMEeO0cp8yTpBD0g" annotatedElement="_ZiYyEEuxEeKeIb_h9Qm4xw">
          <body>This class represents findings, other than the identification of microorganisms, arrived at by microscopic observation of a specimen.  This includes observations made of cells or tissue.  For example, the detection of red blood cells in a urine sample would be reported via this class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_pwc8IEuxEeKeIb_h9Qm4xw" name="evaluationFinding" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ap00IFUUEeKxd7-Yw-gPSg" annotatedElement="_pwc8IEuxEeKeIb_h9Qm4xw">
            <body>Findings concerning cells which are not separate microorganisms arrived at by microscopic observation.  These finding might be of normal cells existing in an abnormal location such as the detection of red blood cells in a urine sample.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WDGD8LyjEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WDGD8byjEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_d--SIEuxEeKeIb_h9Qm4xw" memberEnd="_d_E_0EuxEeKeIb_h9Qm4xw _d_hEsEuxEeKeIb_h9Qm4xw">
        <ownedEnd xmi:id="_d_hEsEuxEeKeIb_h9Qm4xw" name="" visibility="public" type="_420A62FD03B64230FF74014C" association="_d--SIEuxEeKeIb_h9Qm4xw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B642A6E9450017" name="Assessment">
      <eAnnotations xmi:id="_NGju5OLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NGtf4uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_CLnt8LhAEee9erX2IY_lug">
        <body>An AssessmentInstrument, or Questionnaire, is made up of a specific set of questions, question-groups, and text-elements. The Questionnair Item class represents that which is common to each kind of questionnaire element. The Question element is then a subtype of Item which contains specific information about the question.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNAI8GEd-XNpj2tjovxA" name="ApplicabilityType">
        <ownedComment xmi:id="_UmgNAY8GEd-XNpj2tjovxA" annotatedElement="_UmgNAI8GEd-XNpj2tjovxA">
          <body>This value set specifies the how the content of assessment being exchanged is used.</body>
        </ownedComment>
        <ownedLiteral xmi:id="_UmgNAo8GEd-XNpj2tjovxA" name="Clinical">
          <ownedComment xmi:id="_-muOQJdDEd-1hLYGSfVdpQ" annotatedElement="_UmgNAo8GEd-XNpj2tjovxA">
            <body>This code specifies that the assessment is applicable to clinical evaluation of the patient.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_UmgNBI8GEd-XNpj2tjovxA" name="ProgramEvaluation">
          <ownedComment xmi:id="_UmgNBY8GEd-XNpj2tjovxA" annotatedElement="_UmgNBI8GEd-XNpj2tjovxA">
            <body>The value ProgramEvaluation identifies types of patients and problems presenting for treatment, quantifies level of problems, measures patients response to treatment, identifies agencies /workers  strengths and areas for improvement with particular populations and problems, enables management by outcome, reports to funding sources, etc.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_UmgNA48GEd-XNpj2tjovxA" name="Research">
          <ownedComment xmi:id="_GCrCcJdEEd-1hLYGSfVdpQ" annotatedElement="_UmgNA48GEd-XNpj2tjovxA">
            <body>This code specifies that the assessment is applicable for research.</body>
          </ownedComment>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DFB6BC006E" name="AssessmentEvent">
        <eAnnotations xmi:id="_NFEhJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NE6wJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB6BC006E">
          <body>This class describes the performance of an assessment of a particular aspect of a patient’s condition.  Such assessments employ a test or instrument, often a questionnaire, that quantify otherwise subjective observations.  These instruments employ scoring sysystems which have been systemetized and validated.  Standardized assessment tools create scores and (sometimes) sub-scores which are then used to determine the optimal placement and treatment plans for the patient and to track patient progress over time.  Standardized assessment tools facilitate the collection of accurate information in a reliable and consistent manner, provide clinicians and treatment agencies with increased accountability, identify patient progress over time, and provide a basis to adjust treatment plans.</body>
        </ownedComment>
        <generalization xmi:id="_eqGScN6DEeaQL8YZ3sNKnw" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_gTUboGJgEeKl3I3Lt5ZAXg" name="applicability" visibility="public" type="_UmgNAI8GEd-XNpj2tjovxA">
          <ownedComment xmi:id="_gTUboWJgEeKl3I3Lt5ZAXg" annotatedElement="_gTUboGJgEeKl3I3Lt5ZAXg">
            <body>Specifies whether the Assessment is used for clinical, research, or program evaluation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ORrwQGJiEeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ORrwQWJiEeKl3I3Lt5ZAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DFC6C3028A" name="dateTimeAdminstered" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NFEhIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFC6C3028A">
            <body>The date and time on which the assessment was performed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KIXeUN6EEeaQL8YZ3sNKnw" name="interviewer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_hD8CMN6EEeaQL8YZ3sNKnw" annotatedElement="_KIXeUN6EEeaQL8YZ3sNKnw">
            <body>Identifies the provider who administered the assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OvNGkN6EEeaQL8YZ3sNKnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OvNtoN6EEeaQL8YZ3sNKnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642EE2AF2031A" name="remarks" visibility="public">
          <ownedComment xmi:id="_NFhNFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642EE2AF2031A">
            <body>Contains comments regarding the Assessment Event by the administrator of the assessment.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PyifAGJiEeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PyifAWJiEeKl3I3Lt5ZAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZZUgUGKUEeKl3I3Lt5ZAXg" name="totalScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nm3twLkMEeen59ms6rVAXg" annotatedElement="_ZZUgUGKUEeKl3I3Lt5ZAXg">
            <body>Many assessment instruments assign numeric values to potential responses, where the total value of the responses can be used to assert conclusions regarding the condition of the patient, and to decide upon a care or treatment plan to meet the needs of the client/patient. For example, the Morse Fall Scale arrives at one of three conclusions based on the score: 0-24 means &quot;no risk&quot;, 25-45 means &quot;low to moderate risk&quot;, and a score over 46 means &quot;high risk&quot;. This property contains a code linking the meaning of the concept being measured (by the score) to a standard vocabulary. In other words, in this example, this field will contain a LOINC code meaning either &quot;risk of falling&quot;</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OeVtIGMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OeVtIWMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GyGGgGKUEeKl3I3Lt5ZAXg" name="totalScoreMeaning" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fJB-wLkMEeen59ms6rVAXg" annotatedElement="_GyGGgGKUEeKl3I3Lt5ZAXg">
            <body>Many assessment instruments assign numeric values to potential responses, where the total value of the responses can be used to assert conclusions regarding the condition of the patient, and to decide upon a care or treatment plan to meet the needs of the client/patient. For example, the Morse Fall Scale arrives at one of three conclusions based on the score: 0-24 means &quot;no risk&quot;, 25-45 means &quot;low to moderate risk&quot;, and a score over 46 means &quot;high risk&quot;. This property contains a code linking the meaning of the score to a standard vocabulary. In other words, in this example, this field will contain a LOINC code meaning either &quot;no risk&quot;, &quot;low to moderate risk&quot;, or &quot;high risk&quot;</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPvU4GMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPvU4WMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ndUIoGMaEeKxBO-lRPipyg" name="totalScoreValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_ndUIoWMaEeKxBO-lRPipyg" annotatedElement="_ndUIoGMaEeKxBO-lRPipyg">
            <body>Many assessment instruments assign numeric values to potential responses, where the total value of the responses can be used to assert conclusions regarding the condition of the patient, and to decide upon a care or treatment plan to meet the needs of the client/patient. For example, the Morse Fall Scale arrives at one of three conclusions based on the score: 0-24 means &quot;no risk&quot;, 25-45 means &quot;low to moderate risk&quot;, and a score over 46 means &quot;high risk&quot;. This property contains the sum of the values based on the responses received. In other words, in this example, this field might contain &quot;32&quot; for a given patient at the time of the assessment. &quot;32&quot; would then be interpreted as the patient having a low to moderate risk of falling.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ndUIo2MaEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ndUIomMaEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rPdCQF6gEeKGzfqSipVsxQ" name="assessmentInstrument" visibility="public" type="_sXbMYF6fEeKGzfqSipVsxQ" association="_rPTRQF6gEeKGzfqSipVsxQ">
          <ownedComment xmi:id="_ijkOoGMeEeKxBO-lRPipyg" annotatedElement="_rPdCQF6gEeKGzfqSipVsxQ">
            <body>Identifies the Assessment Instrument that was used as part of the Assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rPv9MF6gEeKGzfqSipVsxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rPv9MV6gEeKGzfqSipVsxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5vmygWKREeKl3I3Lt5ZAXg" name="subScore" visibility="public" type="_ef5sgGJ8EeKl3I3Lt5ZAXg" association="_5vmygGKREeKl3I3Lt5ZAXg">
          <ownedComment xmi:id="_qsAzYLkEEeen59ms6rVAXg" annotatedElement="_5vmygWKREeKl3I3Lt5ZAXg">
            <body>Pointer to a set of values associated with defined subset(s) of the Assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5vmygmKREeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5vmyg2KREeKl3I3Lt5ZAXg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZxkwsLjyEeen59ms6rVAXg" name="responseItem" visibility="public" type="_WRlbwLjyEeen59ms6rVAXg" association="_Zxa_sLjyEeen59ms6rVAXg">
          <ownedComment xmi:id="_jVVl8LjyEeen59ms6rVAXg" annotatedElement="_ZxkwsLjyEeen59ms6rVAXg">
            <body>&quot;A group or question item from the original questionnaire for which answers are provided.&quot; - HL7 FHIR, QuestionnaireResponse.item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZxkwsbjyEeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZxkwsrjyEeen59ms6rVAXg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DFB7AB0068" name="Question" isAbstract="true">
        <eAnnotations xmi:id="_NFNrEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NFEhJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB7AB0068">
          <body>This class represents a question on an Assessment Instrument as well as informatin regarding the possible response to that question.  Note that the response might be entered by an interviewer, entered by the interviewee, or populated by a software system (e.g., a system could automatically populate a question such as Date Created).  Note also that this class defines both the question, which is the same for every instance of an edition of a questionaire, and the response which is populated for each administration of the instrument.  For a given Assessment Instrument, the question part would be hard-coded while the response would be populated at run-time.</body>
        </ownedComment>
        <generalization xmi:id="_uuLZoLhGEee9erX2IY_lug" general="_saFQELhGEee9erX2IY_lug"/>
        <ownedAttribute xmi:id="_doT7ULg6Eee9erX2IY_lug" name="initialValue" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_WjkS8LhKEee9erX2IY_lug" annotatedElement="_doT7ULg6Eee9erX2IY_lug">
            <body>&quot;The value that should be defaulted when initially rendering the questionnaire for user input.&quot; - HL7 FHIR, Questionnaire.item.initial[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gw0kYLg6Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gw1LcLg6Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VRSvkLhGEee9erX2IY_lug" name="maxLength" visibility="public">
          <ownedComment xmi:id="_bR61QLhGEee9erX2IY_lug" annotatedElement="_VRSvkLhGEee9erX2IY_lug">
            <body>&quot;The maximum number of characters that are permitted in the answer to be considered a &quot;valid&quot; QuestionnaireResponse.&quot; - HL7 FHIR, Questionnaire.item.maxLength</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VRSvkrhGEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VRSvkbhGEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FYb6UH_lEd-Ure_vzgD_TA" name="possibleResponse" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_LjNecGHLEeK73_u7KyErow" annotatedElement="_FYb6UH_lEd-Ure_vzgD_TA">
            <body>This property represents the possible responses to a question on an Assessment Instrument.&#xD;
&quot;One of the permitted answers for a &quot;choice&quot; or &quot;open-choice&quot; question.&quot; - HL7 FHIR, Questionnaire.item.option&#xD;
&quot;A potential answer that's allowed as the answer to this question.&quot; - HL7 FHIR, Questionnaire.item.option.value[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bgJ80JXeEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bgJ80ZXeEeCD7vwmJe8BlA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sXbMYF6fEeKGzfqSipVsxQ" name="AssessmentInstrument">
        <ownedComment xmi:id="_sz_IMLgiEee9erX2IY_lug" annotatedElement="_sXbMYF6fEeKGzfqSipVsxQ">
          <body>&quot;A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.&quot; - HL7 FHIR, Questionnaire</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0aK-4WKREeKl3I3Lt5ZAXg" name="item" visibility="public" type="_yQGFYLg_Eee9erX2IY_lug" aggregation="composite" association="_0aK-4GKREeKl3I3Lt5ZAXg">
          <ownedComment xmi:id="_RZ5wwHCMEeKknILXOCcS7w" annotatedElement="_0aK-4WKREeKl3I3Lt5ZAXg">
            <body>Pointer to a collection of questions, question-groups, or display text elements that make up a given Assessment Instrument.&#xD;
&quot;A particular question, question grouping or display text that is part of the questionnaire.&quot; - HL7 FHIR, Questionnaire.item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0aK-4mKREeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0aK-42KREeKl3I3Lt5ZAXg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jk6ukLg4Eee9erX2IY_lug" name="contact" visibility="public" type="_7TKL4LYqEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_rVDDALg4Eee9erX2IY_lug" annotatedElement="_jk6ukLg4Eee9erX2IY_lug">
            <body>&quot;Contact details to assist a user in finding and communicating with the publisher.&quot; - HL7 FHIR, Questionnaire.contact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jk6ukrg4Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jk6ukbg4Eee9erX2IY_lug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y9Jc0Lg4Eee9erX2IY_lug" name="copyright" visibility="public">
          <ownedComment xmi:id="_1eLPILg4Eee9erX2IY_lug" annotatedElement="_y9Jc0Lg4Eee9erX2IY_lug">
            <body>&quot;A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire.&quot; - HL7 FHIR, Questionnaire.copyright</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y9Jc0rg4Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y9Jc0bg4Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CgcwcLgqEee9erX2IY_lug" name="dateApproved" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_CgcwcbgqEee9erX2IY_lug" annotatedElement="_CgcwcLgqEee9erX2IY_lug">
            <body>&quot;The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.&quot; - HL7 FHIR, Questionnaire.approvalDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Cgcwc7gqEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CgcwcrgqEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_24ojULgqEee9erX2IY_lug" name="dateLastReviewed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_24ojUbgqEee9erX2IY_lug" annotatedElement="_24ojULgqEee9erX2IY_lug">
            <body>&quot;The date on which the resource content was last reviewed. Review happens periodically after approval, but doesn't change the original approval date.&quot; - HL7 FHIR, Questionnaire.lastReviewDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_24ojU7gqEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_24ojUrgqEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UADRwOfGEeWKHuD1aKU_UQ" name="datePublished" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_UADRwefGEeWKHuD1aKU_UQ" annotatedElement="_UADRwOfGEeWKHuD1aKU_UQ">
            <body>Indicates the date on which the Assessment Instrument was published. Note that implementations might obtain the Assessment Instrument publication date from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;The date (and optionally time) when the questionnaire was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes.&quot; - HL7 FHIR, Questionnaire.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XQw0kOfGEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XQyCsOfGEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GTo1kLgnEee9erX2IY_lug" name="description" visibility="public">
          <ownedComment xmi:id="_LGAYYLgnEee9erX2IY_lug" annotatedElement="_GTo1kLgnEee9erX2IY_lug">
            <body>&quot;A free text natural language description of the questionnaire from a consumer's perspective.&quot; - HL7 FHIR, Questionnaire.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JasGELgnEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JasGEbgnEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9yTTYLg2Eee9erX2IY_lug" name="effectivePeriod" visibility="public">
          <ownedComment xmi:id="_DCjFALg3Eee9erX2IY_lug" annotatedElement="_9yTTYLg2Eee9erX2IY_lug">
            <body>&quot;The period during which the questionnaire content was or is planned to be in active use.&quot; - HL7 FHIR, Questionnaire.effectivePeriod</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9yTTYrg2Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9yTTYbg2Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q68IQLgjEee9erX2IY_lug" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Q68IQbgjEee9erX2IY_lug" annotatedElement="_Q68IQLgjEee9erX2IY_lug">
            <body>&quot;A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.&quot; - HL7 FHIR, Questionnaire.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q68IQ7gjEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q68IQrgjEee9erX2IY_lug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WNYc0LgkEee9erX2IY_lug" name="isExperimental" visibility="public">
          <ownedComment xmi:id="_g1XvMLgkEee9erX2IY_lug" annotatedElement="_WNYc0LgkEee9erX2IY_lug">
            <body>&quot;A boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.&quot; - HL7 FHIR, Questionnaire.experimental</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dDfZALgkEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dDfZAbgkEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LOa6QLg3Eee9erX2IY_lug" name="jurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA">
          <ownedComment xmi:id="_PfK9wLg3Eee9erX2IY_lug" annotatedElement="_LOa6QLg3Eee9erX2IY_lug">
            <body>&quot;A legal or geographic region in which the questionnaire is intended to be used.&quot; - HL7 FHIR, Questionnaire.jurisdiction</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LOa6Qrg3Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LOa6Qbg3Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vHUJoGDaEeKhedmo5dwvTw" name="kind" visibility="public">
          <ownedComment xmi:id="_m1sO8OeuEeWKHuD1aKU_UQ" annotatedElement="_vHUJoGDaEeKhedmo5dwvTw">
            <body>Identifies the Assessment Instrument, or Questionnaire that was used, e.g., Morse Fall Scale, Addiction Severity Index.&#xD;
&quot;An identifier for this question or group of questions in a particular terminology such as LOINC.&quot; - HL7 FHIR, Questionnaire.code</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eCew0LgkEee9erX2IY_lug" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eCew0bgkEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_joYoMGDaEeKhedmo5dwvTw" name="name" visibility="public">
          <ownedComment xmi:id="_xvYYgOeyEeWKHuD1aKU_UQ" annotatedElement="_joYoMGDaEeKhedmo5dwvTw">
            <body>This optional property provides the designation or appellation of the Assessment Instrument. Note that implementations might obtain the Assessment Instrument name from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation.&quot; - HL7 FHIR, Questionnaire.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NGa38GMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NGa38WMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oLknUOevEeWKHuD1aKU_UQ" name="publisher" visibility="public">
          <ownedComment xmi:id="_oLknUeevEeWKHuD1aKU_UQ" annotatedElement="_oLknUOevEeWKHuD1aKU_UQ">
            <body>This optional property indicates the organization responsible for the curation of the Assessment Instrument. This property was added for compatibility with FHIR. The original FHIM model did not include this concept as it was held that this information could be obtained from a knowledge base via the kind of Assessment Instrument, and therefore wouldn't need to be exchanged.&#xD;
&quot;The name of the individual or organization that published the questionnaire.&quot; - HL7 FHIR, Questionnaire.publisher</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oLknU-evEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oLknUuevEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WHfI0LgnEee9erX2IY_lug" name="purpose" visibility="public">
          <ownedComment xmi:id="_WHfI0bgnEee9erX2IY_lug" annotatedElement="_WHfI0LgnEee9erX2IY_lug">
            <body>&quot;Explaination of why this questionnaire is needed and why it has been designed as it has.&quot; - HL7 FHIR, Questionnaire.purpose</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WHfI07gnEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WHfI0rgnEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BORIYOezEeWKHuD1aKU_UQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FGTzIOfCEeWKHuD1aKU_UQ" annotatedElement="_BORIYOezEeWKHuD1aKU_UQ">
            <body>Indicates the current state of the Assessment Instrument publication. Possible values include Draft, Published, and Retired. Note that implementations might obtain the Assessment Instrument publication status from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;The status of this questionnaire. Enables tracking the life-cycle of the content.&quot; - HL7 FHIR, Questionnaire.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BORIY-ezEeWKHuD1aKU_UQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BORIYuezEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7M9BwLg2Eee9erX2IY_lug" name="subjectType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PqRvoLg5Eee9erX2IY_lug" annotatedElement="_7M9BwLg2Eee9erX2IY_lug">
            <body>&quot;The types of subjects that can be the subject of responses created for the questionnaire.&quot; - HL7 FHIR, Questionnaire.subjectType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7M9Bw7g2Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7M9Bwrg2Eee9erX2IY_lug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8UpkQLgjEee9erX2IY_lug" name="title" visibility="public">
          <ownedComment xmi:id="_8UpkQbgjEee9erX2IY_lug" annotatedElement="_8UpkQLgjEee9erX2IY_lug">
            <body>&quot;A short, descriptive, user-friendly title for the questionnaire.&quot; - HL7 FHIR, Questionnaire.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8UpkQ7gjEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8UpkQrgjEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_00bwkLgiEee9erX2IY_lug" name="url" visibility="public">
          <ownedComment xmi:id="_-60KsLgiEee9erX2IY_lug" annotatedElement="_00bwkLgiEee9erX2IY_lug">
            <body>&quot;An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this questionnaire is (or will be) published. The URL SHOULD include the major version of the questionnaire. For more information see Technical and Business Versions.&quot; - HL7 FHIR, Questionnaire.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BMocULgjEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BMocUbgjEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pS1CgGDaEeKhedmo5dwvTw" name="version" visibility="public">
          <ownedComment xmi:id="_MbUMcOevEeWKHuD1aKU_UQ" annotatedElement="_pS1CgGDaEeKhedmo5dwvTw">
            <body>This optional property identifies the version number of the Assessment Instrument, or Questionnaire, that was used. For example, the current version of the Addiction Severity Index is Version 6.&#xD;
&quot;The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.&quot; - HL7 FHIR, Questionnaire.version</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QN60YGMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QN60YWMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rPTRQF6gEeKGzfqSipVsxQ" name="assessmentEvent_assessmentInstrument" memberEnd="_rPdCQF6gEeKGzfqSipVsxQ _rP5HIF6gEeKGzfqSipVsxQ">
        <ownedEnd xmi:id="_rP5HIF6gEeKGzfqSipVsxQ" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_rPTRQF6gEeKGzfqSipVsxQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ef5sgGJ8EeKl3I3Lt5ZAXg" name="SubScore">
        <ownedComment xmi:id="_R46E4GJ-EeKl3I3Lt5ZAXg" annotatedElement="_ef5sgGJ8EeKl3I3Lt5ZAXg">
          <body>This class represents the total of the values associated with a defined subset of the Assessment. Some Assessment Instruments define a intermediate score(s) for related characteristics along with a total score for the overall instrument. For example, an overall mental health Assessment instrument may define a sub-score for depression. Note that many Assessment Instruments contain groupings or sections, which are not necessarily related to sub-scores.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XAEL8GJ-EeKl3I3Lt5ZAXg" name="subScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nqeTwGJ-EeKl3I3Lt5ZAXg" annotatedElement="_XAEL8GJ-EeKl3I3Lt5ZAXg">
            <body>Identifes the domain or concept that is measured by the subscore.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2b7V4GJ-EeKl3I3Lt5ZAXg" name="subScoreValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_-gUqIGJ-EeKl3I3Lt5ZAXg" annotatedElement="_2b7V4GJ-EeKl3I3Lt5ZAXg">
            <body>This attribute holds the numeric value of the subscore.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_ZGl-IGJ_EeKl3I3Lt5ZAXg" name="MorseFallScale">
        <eAnnotations xmi:id="_ZGvvIGJ_EeKl3I3Lt5ZAXg" source="uml2.diagrams"/>
        <ownedComment xmi:id="_d3duUGKOEeKl3I3Lt5ZAXg" annotatedElement="_xDSn0GJ_EeKl3I3Lt5ZAXg">
          <body> 0 - 24	No risk&#xD;
25 - 45	Low to moderate risk&#xD;
46 +	High risk</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_xDSn0GJ_EeKl3I3Lt5ZAXg" name="MorseFallScale">
          <ownedComment xmi:id="_hhruoHB2EeKknILXOCcS7w" annotatedElement="_xDSn0GJ_EeKl3I3Lt5ZAXg">
            <body>&quot;The Morse Fall Scale (MFS) is a rapid and simple method of determining a patient’s likelihood of falling.... The MFS consists of six variables that are quick and easy to score, and it has been shown to have predictive validity and interrater reliability. The MFS is used widely in acute care, hospital, rehabilitation and nursing homes.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_G8GKUGKEEeKl3I3Lt5ZAXg" general="_sXbMYF6fEeKGzfqSipVsxQ"/>
          <ownedAttribute xmi:id="_3gSgcGJ_EeKl3I3Lt5ZAXg" name="kind" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bAjCULhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bAjCUbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_4pWW0GMaEeKxBO-lRPipyg" value="cs=Loinc; code=59453-1; text=Morse Fall Scale panel">
              <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3gSgcWJ_EeKl3I3Lt5ZAXg" name="name" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aebMsLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aebMsbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_5JxmwGJ_EeKl3I3Lt5ZAXg" value="Morse Fall Scale">
              <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="__PW4YGKUEeKl3I3Lt5ZAXg" name="totalScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eIdOcLhPEee9erX2IY_lug"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eIdOcbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_F6MYsGKVEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59460-6; text=Morse Fall risk total #"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__PW4YWKUEeKl3I3Lt5ZAXg" name="totalScoreMeaning" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bu-1oLhPEee9erX2IY_lug"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bu-1obhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_MJfzkGKVEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59461-4; text=Morse Fall risk level"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_KrrXQGKAEeKl3I3Lt5ZAXg" name="HistoryOfFalling">
          <ownedComment xmi:id="_utZiAHB2EeKknILXOCcS7w" annotatedElement="_KrrXQGKAEeKl3I3Lt5ZAXg">
            <body>&quot;History of falling: This is scored as 25 if the patient has fallen during the present hospital admission or if there was an immediate history of physiological falls, such as from seizures or an impaired gait prior to admission. If the patient has not fallen, this is scored 0. Note: If a patient falls for the first time, then his or her score immediately increases by 25.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_ZYDIQGKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_UysDgGKAEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UysDgWKAEeKl3I3Lt5ZAXg" annotatedElement="_UysDgGKAEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CqxKQLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CqxxULhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_XjvO0GKAEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59454-9; text=History of falling"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UysDgmKAEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UysDg2KAEeKl3I3Lt5ZAXg" annotatedElement="_UysDgmKAEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale History Of Falling question, the response must be a member of the HistoryOfFallingType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UysDhWKAEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UysDhGKAEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_TtaAQFv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(HistoryOfFallingType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_uIf1MGKAEeKl3I3Lt5ZAXg" name="SecondaryDiagnosis">
          <ownedComment xmi:id="_DEHUwHB9EeKknILXOCcS7w" annotatedElement="_uIf1MGKAEeKl3I3Lt5ZAXg">
            <body>&quot;Secondary diagnosis: This is scored as 15 if more than one medical diagnosis is listed on the patient’s chart; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_Zz3hkGKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_uIf1MWKAEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_uIf1MmKAEeKl3I3Lt5ZAXg" annotatedElement="_uIf1MWKAEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FOqqYLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FOqqYbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_uIf1M2KAEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59455-6; text=Secondary diagnosis"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_uIf1NGKAEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_uIf1NWKAEeKl3I3Lt5ZAXg" annotatedElement="_uIf1NGKAEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Secondary Diagnosis question, the response must be a member of the SecondaryDiagnosisType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uIf1N2KAEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uIf1NmKAEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_mLS34Fv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(SecondaryDiagnosisType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3sAEYGKDEeKl3I3Lt5ZAXg" name="AmbulatoryAid">
          <ownedComment xmi:id="_s6t-QHCIEeKknILXOCcS7w" annotatedElement="_3sAEYGKDEeKl3I3Lt5ZAXg">
            <body>&quot;Ambulatory aids: This is scored as 0 if the patient walks without a walking aid (even if assisted by a nurse), uses a wheelchair, or is on a bed rest and does not get out of bed at all. If the patient uses crutches, a cane, or a walker, this item scores 15; if the patient ambulates clutching onto the furniture for support, score this item 30.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_aKLv0GKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_3sAEYWKDEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_3sAEYmKDEeKl3I3Lt5ZAXg" annotatedElement="_3sAEYWKDEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I6Mg8LhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I6Mg8bhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_3sAEY2KDEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59456-4; text=Ambulatory aid"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3sAEZGKDEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_3sAEZWKDEeKl3I3Lt5ZAXg" annotatedElement="_3sAEZGKDEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Ambulatory Aid question, the response must be a member of the AmbulatoryAidType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3sAEZ2KDEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3sAEZmKDEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_iWfwkFv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(AmbulatoryAidType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_Wy4_sGKLEeKl3I3Lt5ZAXg" client="_KrrXQGKAEeKl3I3Lt5ZAXg" supplier="_smwBwHB6EeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_hB8NoGKLEeKl3I3Lt5ZAXg" client="_uIf1MGKAEeKl3I3Lt5ZAXg" supplier="_Lq2hEHB9EeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_qdW_MGKLEeKl3I3Lt5ZAXg" client="_3sAEYGKDEeKl3I3Lt5ZAXg" supplier="_-m9zAHCHEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_JemCoGKMEeKl3I3Lt5ZAXg" name="IvOrIvAccess">
          <ownedComment xmi:id="_i35D4HCHEeKknILXOCcS7w" annotatedElement="_JemCoGKMEeKl3I3Lt5ZAXg">
            <body>&quot;Intravenous therapy: This is scored as 20 if the patient has an intravenous apparatus or a heparin lock inserted; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_JemCoWKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_JemComKMEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_JemCo2KMEeKl3I3Lt5ZAXg" annotatedElement="_JemComKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Au56gLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Au56gbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_JemCpGKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59457-2; text=IV or IV access"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JemCpWKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_JemCpmKMEeKl3I3Lt5ZAXg" annotatedElement="_JemCpWKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale IV or IV Access question, the response must be a member of the IvOrIvAccessType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JemCqGKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JemCp2KMEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_dRXCwFv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(IvOrIvAccessType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_QRKioGKMEeKl3I3Lt5ZAXg" name="Gait">
          <ownedComment xmi:id="_DlaNgHCJEeKknILXOCcS7w" annotatedElement="_QRKioGKMEeKl3I3Lt5ZAXg">
            <body>&quot;Gait: A normal gait is characterized by the patient walking with head erect, arms swinging freely at the side, and striding without hesitant. This gait scores 0. With a weak gait (score as 10), the patient is stooped but is able to lift the head while walking without losing balance. Steps are short and the patient may shuffle. With an impaired gait (score 20), the patient may have difficulty rising from the chair, attempting to get up by pushing on the arms of the chair/or by bouncing (i.e., by using several attempts to rise). The patient’s head is down, and he or she watches the ground when walking. Because the patient’s balance is poor, the patient grasps onto the furniture, a support person, or a walking aid for support and cannot walk without this assistance.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_QRKioWKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_QRKiomKMEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_QRKio2KMEeKl3I3Lt5ZAXg" annotatedElement="_QRKiomKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PR1_gLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PR1_gbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_QRKipGKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59458-0; text=Gait"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QRKipWKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_QRKipmKMEeKl3I3Lt5ZAXg" annotatedElement="_QRKipWKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Gait question, the response must be a member of the GaitType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QRKiqGKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QRKip2KMEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_aMC3oFv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(GaitType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_dSlxkGKMEeKl3I3Lt5ZAXg" client="_JemCoGKMEeKl3I3Lt5ZAXg" supplier="_QD2WEHCHEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_k_Va0GKMEeKl3I3Lt5ZAXg" client="_QRKioGKMEeKl3I3Lt5ZAXg" supplier="_3rTzAHCIEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_5W5w4GKMEeKl3I3Lt5ZAXg" name="MentalStatus">
          <ownedComment xmi:id="_1IkUAHCJEeKknILXOCcS7w" annotatedElement="_5W5w4GKMEeKl3I3Lt5ZAXg">
            <body>&quot;Mental status: When using this Scale, mental status is measured by checking the patient’s own self-assessment of his or her own abilities. Ask the patient, “Are you able to go the bathroom alone or do you need assistance?” If the patient’s reply judging his or her own ability is consistent with the ambulatory nursing order, the patient is rated as “normal” and scored 0. If the patient’s response is not consistent with the nursing orders or if the patient’s response is unrealistic, then the patient is considered to overestimate his or her own abilities and to be forgetful of limitations and scored as 15.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_5W5w4WKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_5W5w4mKMEeKl3I3Lt5ZAXg" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_5W5w42KMEeKl3I3Lt5ZAXg" annotatedElement="_5W5w4mKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D5x7ELhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D5x7EbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_5W5w5GKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59459-8; text=Mental status"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5W5w5WKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_5W5w5mKMEeKl3I3Lt5ZAXg" annotatedElement="_5W5w5WKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Mental Status question, the response must be a member of the MentalStatusType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W5w6GKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W5w52KMEeKl3I3Lt5ZAXg" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_X0d8QFv-Eea3D8Ng2ubtNw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(MentalStatusType)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_nvsNIGKNEeKl3I3Lt5ZAXg" client="_5W5w4GKMEeKl3I3Lt5ZAXg" supplier="_fWFfIHCJEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_w2fAUHB0EeKknILXOCcS7w" name="MorseFallScaleQuestion" isAbstract="true">
          <ownedComment xmi:id="_QbBYkHCKEeKknILXOCcS7w" annotatedElement="_w2fAUHB0EeKknILXOCcS7w">
            <body>This class represents a question on the Morse Fall Scale Assessment Instrument.  This abstract class exists primarily to re-define the generic AssessmentInstrument:assessmentInstrumentQuestion property to the MorseFallScale:assessmentInstrumentQuestion.  In other words, of all the possible questions on all the possible assessment instruments, we are explicitly identifying the six Morse Fall Scale questions.  Note that because both this class and its parent AssessmentInstrumentQuestion class are abstract, implementers would likely not instantiate either class, but rather the six concrete sub classes.</body>
          </ownedComment>
          <generalization xmi:id="_-vy5gHB0EeKknILXOCcS7w" general="_420A62FD03B642DFB7AB0068"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_smwBwHB6EeKknILXOCcS7w" name="HistoryOfFallingType">
          <eAnnotations xmi:id="_afS3sHB7EeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_afS3sXB7EeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_afS3snB7EeKknILXOCcS7w" key="LL899-6"/>
          </eAnnotations>
          <ownedComment xmi:id="_K79u4HCKEeKknILXOCcS7w" annotatedElement="_smwBwHB6EeKknILXOCcS7w">
            <body>&quot;History of falling: This is scored as 25 if the patient has fallen during the present hospital admission or if there was an immediate history of physiological falls, such as from seizures or an impaired gait prior to admission. If the patient has not fallen, this is scored 0. Note: If a patient falls for the first time, then his or her score immediately increases by 25.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_uZ4MQHB6EeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TT0nMLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TT0nMbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_kvADkHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA32-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_z6Sg0HB6EeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T6IZQLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T6IZQbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_mu9JIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=25"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Lq2hEHB9EeKknILXOCcS7w" name="SecondaryDiagnosisType">
          <eAnnotations xmi:id="_Lq2hEXB9EeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_mgTxgHCGEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_mgTxgXCGEeKknILXOCcS7w" key="LL900-2"/>
          </eAnnotations>
          <ownedComment xmi:id="_UsHtQHB9EeKknILXOCcS7w" annotatedElement="_Lq2hEHB9EeKknILXOCcS7w">
            <body>&quot;Secondary diagnosis: This is scored as 15 if more than one medical diagnosis is listed on the patient’s chart; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_Lq2hFHB9EeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_igSKULhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_igSKUbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_0RLYAHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA32-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Lq2hFnB9EeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jDtngLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jDtngbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_2c0JIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=15"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_QD2WEHCHEeKknILXOCcS7w" name="IvOrIvAccessType">
          <eAnnotations xmi:id="_QD2WEXCHEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_pLLm4HCHEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_pLMN8HCHEeKknILXOCcS7w" key="LL902-8"/>
          </eAnnotations>
          <ownedComment xmi:id="_QD2WFHCHEeKknILXOCcS7w" annotatedElement="_QD2WEHCHEeKknILXOCcS7w">
            <body>&quot;Intravenous therapy: This is scored as 20 if the patient has an intravenous apparatus or a heparin lock inserted; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_QD2WFXCHEeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VXw04LhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VXw04bhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_p0BcoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA32-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QD2WF3CHEeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V_rwgLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V_rwgbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_rw_foHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=20"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_-m9zAHCHEeKknILXOCcS7w" name="AmbulatoryAidType">
          <eAnnotations xmi:id="_-m9zAXCHEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_h_jRMHCIEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_h_jRMXCIEeKknILXOCcS7w" key="LL901-0"/>
          </eAnnotations>
          <ownedComment xmi:id="_-m9zBHCHEeKknILXOCcS7w" annotatedElement="_-m9zAHCHEeKknILXOCcS7w">
            <body>&quot;Ambulatory aids: This is scored as 0 if the patient walks without a walking aid (even if assisted by a nurse), uses a wheelchair, or is on a bed rest and does not get out of bed at all. If the patient uses crutches, a cane, or a walker, this item scores 15; if the patient ambulates clutching onto the furniture for support, score this item 30.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_-m9zBXCHEeKknILXOCcS7w" name="Bed rest/nurse assist" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LMfTsLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LMfTsbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_Tva9AHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13030-4; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-m9zB3CHEeKknILXOCcS7w" name="Crutches/cane/walker" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NnO30LhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NnO30bhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_WLjoQHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13031-2; value=15"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UbczAHCIEeKknILXOCcS7w" name="Furniture" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OH-NYLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OH-NYbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_Y0YEoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=3; code=LA13032-0; value=30"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3rTzAHCIEeKknILXOCcS7w" name="GaitType">
          <eAnnotations xmi:id="_3rTzAXCIEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_HErJsHCJEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_HErJsXCJEeKknILXOCcS7w" key="LL903-6"/>
          </eAnnotations>
          <ownedComment xmi:id="_3rTzBHCIEeKknILXOCcS7w" annotatedElement="_3rTzAHCIEeKknILXOCcS7w">
            <body>&quot;Gait: A normal gait is characterized by the patient walking with head erect, arms swinging freely at the side, and striding without hesitant. This gait scores 0. With a weak gait (score as 10), the patient is stooped but is able to lift the head while walking without losing balance. Steps are short and the patient may shuffle. With an impaired gait (score 20), the patient may have difficulty rising from the chair, attempting to get up by pushing on the arms of the chair/or by bouncing (i.e., by using several attempts to rise). The patient’s head is down, and he or she watches the ground when walking. Because the patient’s balance is poor, the patient grasps onto the furniture, a support person, or a walking aid for support and cannot walk without this assistance.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_3rTzBXCIEeKknILXOCcS7w" name="Normal/bedrest/immobile" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q_xg8LhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q_xg8bhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_evQHoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13033-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3rTzB3CIEeKknILXOCcS7w" name="Weak" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RjEbQLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RjEbQbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_g-ipsHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13034-6; value=10"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3rTzCXCIEeKknILXOCcS7w" name="Impaired" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QeYrILhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QeYrIbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_cpQrgHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=3; code=LA13035-3; value=20"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_fWFfIHCJEeKknILXOCcS7w" name="MentalStatusType">
          <eAnnotations xmi:id="_fWFfIXCJEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_nsnFMHCJEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_nsnsQHCJEeKknILXOCcS7w" key="LL904-4"/>
          </eAnnotations>
          <ownedComment xmi:id="_z5HeUHCJEeKknILXOCcS7w" annotatedElement="_fWFfIHCJEeKknILXOCcS7w">
            <body>&quot;Mental status: When using this Scale, mental status is measured by checking the patient’s own self-assessment of his or her own abilities. Ask the patient, “Are you able to go the bathroom alone or do you need assistance?” If the patient’s reply judging his or her own ability is consistent with the ambulatory nursing order, the patient is rated as “normal” and scored 0. If the patient’s response is not consistent with the nursing orders or if the patient’s response is unrealistic, then the patient is considered to overestimate his or her own abilities and to be forgetful of limitations and scored as 15.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_fWGGMnCJEeKknILXOCcS7w" name="Oriented to own ability" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YLQ3QLhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YLQ3QbhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_x2s5oHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13036-1; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fWGGNHCJEeKknILXOCcS7w" name="Forgets limitations" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XqPN0LhPEee9erX2IY_lug" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XqPN0bhPEee9erX2IY_lug" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_vnpoIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13037-9; value=15"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_5LPUwLhOEee9erX2IY_lug" client="_xDSn0GJ_EeKl3I3Lt5ZAXg" supplier="_w2fAUHB0EeKknILXOCcS7w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0aK-4GKREeKl3I3Lt5ZAXg" name="assessmentInstrument_item" memberEnd="_0aK-4WKREeKl3I3Lt5ZAXg _0aUI0GKREeKl3I3Lt5ZAXg">
        <ownedEnd xmi:id="_0aUI0GKREeKl3I3Lt5ZAXg" name="" visibility="public" type="_sXbMYF6fEeKGzfqSipVsxQ" association="_0aK-4GKREeKl3I3Lt5ZAXg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0aUI0WKREeKl3I3Lt5ZAXg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0aUI0mKREeKl3I3Lt5ZAXg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5vmygGKREeKl3I3Lt5ZAXg" name="assessmentEvent_subScore" memberEnd="_5vmygWKREeKl3I3Lt5ZAXg _5vwjgGKREeKl3I3Lt5ZAXg">
        <ownedEnd xmi:id="_5vwjgGKREeKl3I3Lt5ZAXg" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_5vmygGKREeKl3I3Lt5ZAXg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Usage" xmi:id="_bDbHIGKTEeKl3I3Lt5ZAXg" client="_420A62FD03B642DFB6BC006E" supplier="_UmgNAI8GEd-XNpj2tjovxA"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_DqIjMHCOEeKknILXOCcS7w" name="Answer">
        <ownedComment xmi:id="_qkCc8HCXEeKknILXOCcS7w" annotatedElement="_DqIjMHCOEeKknILXOCcS7w">
          <body>This class represents a response to an Assessment Instrument question upon the administration of the Assessment Instrument.  It contains a pointer to the question as well as the response itself.  Note that the response might be entered by an interviewer, entered by the interviewee, or populated by a software system (e.g., a system could automatically populate a question such as Date Administered).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_GnWzMHCXEeKknILXOCcS7w" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_GnWzMXCXEeKknILXOCcS7w" annotatedElement="_GnWzMHCXEeKknILXOCcS7w">
            <body>&quot;The answer (or one of the answers) provided by the respondent to the question.&quot; - HL7 FHIR, QuestionnaireResponse.item.answer.value[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GnWzM3CXEeKknILXOCcS7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GnWzMnCXEeKknILXOCcS7w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jZczcbj-Eeen59ms6rVAXg" name="item" visibility="public" type="_WRlbwLjyEeen59ms6rVAXg" association="_jZczcLj-Eeen59ms6rVAXg">
          <ownedComment xmi:id="_JfL0YLj_Eeen59ms6rVAXg" annotatedElement="_jZczcbj-Eeen59ms6rVAXg">
            <body>&quot;Nested groups and/or questions found within this particular answer.&quot; - HL7 FHIR, QuestionnaireResponse.item.answer.item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jZczcrj-Eeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jZczc7j-Eeen59ms6rVAXg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yQGFYLg_Eee9erX2IY_lug" name="QuestionnaireItem" isAbstract="true">
        <ownedComment xmi:id="_vrtcELhKEee9erX2IY_lug" annotatedElement="_yQGFYLg_Eee9erX2IY_lug">
          <body>A question, question-group, or display text element that make up a given Assessment Instrument. This abstract supertype contains that which is common to questions, question-groups and display-text elements.&#xD;
&quot;A particular question, question grouping or display text that is part of the questionnaire.&quot; - HL7 FHIR, Questionnaire.item</body>
        </ownedComment>
        <ownedAttribute xmi:id="_j5rg0Lg8Eee9erX2IY_lug" name="definition" visibility="public">
          <ownedComment xmi:id="_mc8u0Lg8Eee9erX2IY_lug" annotatedElement="_j5rg0Lg8Eee9erX2IY_lug">
            <body>&quot;A reference to an ElementDefinition that provides the details for the item. If a definition is provided, then the following element values can be inferred from the definition: * code (ElementDefinition.code); * type (ElementDefinition.type); * required (ElementDefinition.min); * repeats (ElementDefinition.max); * maxLength (ElementDefinition.maxLength); * options (ElementDefinition.binding). Any information provided in these elements on a Questionnaire Item overrides the information from the definition.&quot; - HL7 FHIR, Questionnaire.item.definition&#xD;
This field is included for comptability with FHIR. It is not expected that FHIM users would utilize this mechanism to define questions.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j5rg0rg8Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j5rg0bg8Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bIEq0bhIEee9erX2IY_lug" name="enableWhen" visibility="public" type="_UNmMALhIEee9erX2IY_lug" association="_bIEq0LhIEee9erX2IY_lug">
          <ownedComment xmi:id="_cDzTQLhIEee9erX2IY_lug" annotatedElement="_bIEq0bhIEee9erX2IY_lug">
            <body>&quot;A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.&quot; - HL7 FHIR, Questionnaire.item.enableWhen</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bIEq0rhIEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bIEq07hIEee9erX2IY_lug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pKkZYLhBEee9erX2IY_lug" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kFFJcLhFEee9erX2IY_lug" annotatedElement="_pKkZYLhBEee9erX2IY_lug">
            <body>&quot;The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).&quot; - HL7 FHIR, Questionnaire.item.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pKkZYrhBEee9erX2IY_lug" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pKkZYbhBEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h3Fo4Lg6Eee9erX2IY_lug" name="linkId" visibility="public">
          <ownedComment xmi:id="_jVV6ILg7Eee9erX2IY_lug" annotatedElement="_h3Fo4Lg6Eee9erX2IY_lug">
            <body>&quot;An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.&quot; - HL7 FHIR, Questionnaire.item.linkId&#xD;
&#xD;
Note that this is a required field in FHIR that is used to link a Questionnaire Response to its corresponding question. In the FHIM, this is handled through a pointer from the QuestionnaireResponse to the AssessmentInstrumentQuestion instance, and would ordinarily not be modeled further, as the FHIM is a logical model and is not concerned with implementation details. Nevertheless, this field is included for compatibility with FHIR, but we made it optional. [In a database, this would hold the primary key of the AssessmentInstrumentQuestion record, while the QuestionnaireResponse record would have a foreign key pointing to this record.]</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h3Fo4rg6Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h3Fo4bg6Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B7WksLg9Eee9erX2IY_lug" name="prefix" visibility="public">
          <ownedComment xmi:id="_D4pX0Lg9Eee9erX2IY_lug" annotatedElement="_B7WksLg9Eee9erX2IY_lug">
            <body>&quot;A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.&quot; - HL7 FHIR, Questionnaire.item.prefix</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B7Wksrg9Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B7Wksbg9Eee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uOpAkGMcEeKxBO-lRPipyg" name="text" visibility="public">
          <ownedComment xmi:id="_VmwYULg9Eee9erX2IY_lug" annotatedElement="_uOpAkGMcEeKxBO-lRPipyg">
            <body>&quot;The name of a section, the text of a question or text content for a display item.&quot; - HL7 FHIR, Questionnaire.item.text</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a3fVULhBEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a3fVUbhBEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q8IrYLhGEee9erX2IY_lug" name="TextItem">
        <ownedComment xmi:id="_76ZAYLkDEeen59ms6rVAXg" annotatedElement="_q8IrYLhGEee9erX2IY_lug">
          <body>This class is concrete Questionnaire Item which contains text to display to the user. This text may be instructions or header information. Note that this class is not used to display the text of a question or grouping of questions - that text is incorporated in the Question and Group classes.</body>
        </ownedComment>
        <generalization xmi:id="_vRnd4LhGEee9erX2IY_lug" general="_yQGFYLg_Eee9erX2IY_lug"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_saFQELhGEee9erX2IY_lug" name="QuestionOrGroup" isAbstract="true">
        <ownedComment xmi:id="_heGHwLkDEeen59ms6rVAXg" annotatedElement="_saFQELhGEee9erX2IY_lug">
          <body>A question or question-group that make up a given Assessment Instrument. This abstract supertype contains that which is common to questions and question-groups. A Question sub-type adds additional properties. A Group sub-type is a concrete class that can be implemented.</body>
        </ownedComment>
        <generalization xmi:id="_v13acLhGEee9erX2IY_lug" general="_yQGFYLg_Eee9erX2IY_lug"/>
        <ownedAttribute xmi:id="_420A62FD03B642E64C7A03D3" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NFEhLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E64C7A03D3">
            <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.&#xD;
&quot;A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).&quot; - HL7 FHIR, Questionnaire.item.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__qjcMLg7Eee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__qjcMbg7Eee9erX2IY_lug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5dRPALhFEee9erX2IY_lug" name="isReadOnly" visibility="public">
          <ownedComment xmi:id="_MIXcMLhGEee9erX2IY_lug" annotatedElement="_5dRPALhFEee9erX2IY_lug">
            <body>&quot;An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.&quot; - HL7 FHIR, Questionnaire.item.readOnly</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5dRPArhFEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5dRPAbhFEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1tB3kLhFEee9erX2IY_lug" name="isRequired" visibility="public">
          <ownedComment xmi:id="_71wwYLhFEee9erX2IY_lug" annotatedElement="_1tB3kLhFEee9erX2IY_lug">
            <body>&quot;An indication, if true, that the item must be present in a &quot;completed&quot; QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.&quot; - HL7 FHIR, Questionnaire.item.required</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1tB3krhFEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1tB3kbhFEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Y_zALhFEee9erX2IY_lug" name="mayRepeat" visibility="public">
          <ownedComment xmi:id="_Bkz94LhGEee9erX2IY_lug" annotatedElement="_5Y_zALhFEee9erX2IY_lug">
            <body>&quot;An indication, if true, that the item may occur multiple times in the response, collecting multiple answers answers for questions or multiple sets of answers for groups.&quot; - HL7 FHIR, Questionnaire.item.repeats</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Y_zArhFEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5Y_zAbhFEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P9hWkLhLEee9erX2IY_lug" name="item" visibility="public" type="_yQGFYLg_Eee9erX2IY_lug" association="_P9XlkLhLEee9erX2IY_lug">
          <ownedComment xmi:id="_WyY8oLhLEee9erX2IY_lug" annotatedElement="_P9hWkLhLEee9erX2IY_lug">
            <body>Pointer to other questions, question-groups, or display-text elements that are nested beneath this question or group.&#xD;
&quot;Text, questions and other groups to be nested beneath a question or group.&quot; - HL7 FHIR, Questionnaire.item.item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_P9hWkbhLEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_P9hWkrhLEee9erX2IY_lug" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UNmMALhIEee9erX2IY_lug" name="EnableWhen">
        <ownedComment xmi:id="_atzwsLhIEee9erX2IY_lug" annotatedElement="_UNmMALhIEee9erX2IY_lug">
          <body>&quot;A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.&quot; - HL7 FHIR, Questionnaire.item.enableWhen</body>
        </ownedComment>
        <ownedAttribute xmi:id="_tLNDoLhJEee9erX2IY_lug" name="answer" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_xp4OYLhJEee9erX2IY_lug" annotatedElement="_tLNDoLhJEee9erX2IY_lug">
            <body>&quot;An answer that the referenced question must match in order for the item to be enabled.&quot; - HL7 FHIR, Questionnaire.item.enableWhen.answer[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tLNDorhJEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tLNDobhJEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f0EqcLhJEee9erX2IY_lug" name="hasAnswer" visibility="public">
          <ownedComment xmi:id="_iFONsLhJEee9erX2IY_lug" annotatedElement="_f0EqcLhJEee9erX2IY_lug">
            <body>&quot;An indication that this item should be enabled only if the specified question is answered (hasAnswer=true) or not answered (hasAnswer=false).&quot; - HL7 FHIR, Questionnaire.item.enableWhen.hasAnswer</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f0EqcrhJEee9erX2IY_lug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f0EqcbhJEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zsgp8bhIEee9erX2IY_lug" name="question" visibility="public" type="_420A62FD03B642DFB7AB0068" association="_zsgp8LhIEee9erX2IY_lug">
          <ownedComment xmi:id="_VrR1gLhJEee9erX2IY_lug" annotatedElement="_zsgp8bhIEee9erX2IY_lug">
            <body>Pointer to another question, the value of which must be true in order to enable this element. Note that in FHIR, this is a string containing the &quot;linkId&quot; of the other question, but FHIM uses a pointer to accomplish this. See the note under Item.linkId.&#xD;
&quot;The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.&quot; - HL7 FHIR, Questionnaire.item.enableWhen.question</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zsgp8rhIEee9erX2IY_lug" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zsgp87hIEee9erX2IY_lug" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bIEq0LhIEee9erX2IY_lug" name="questionnaireItem_enableWhen" memberEnd="_bIEq0bhIEee9erX2IY_lug _bIEq1LhIEee9erX2IY_lug">
        <ownedEnd xmi:id="_bIEq1LhIEee9erX2IY_lug" name="" visibility="private" type="_yQGFYLg_Eee9erX2IY_lug" association="_bIEq0LhIEee9erX2IY_lug"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zsgp8LhIEee9erX2IY_lug" name="enableWhen_question" memberEnd="_zsgp8bhIEee9erX2IY_lug _zsgp9LhIEee9erX2IY_lug">
        <ownedEnd xmi:id="_zsgp9LhIEee9erX2IY_lug" name="" visibility="private" type="_UNmMALhIEee9erX2IY_lug" association="_zsgp8LhIEee9erX2IY_lug"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_njSjcLhKEee9erX2IY_lug" name="Group">
        <ownedComment xmi:id="_TJaEsLkEEeen59ms6rVAXg" annotatedElement="_njSjcLhKEee9erX2IY_lug">
          <body>This class is concrete Questionnaire Item which contains a grouping of questions to ask the user. These groupings may be activated or deactivated together (e.g., don't ask pregnancy-related questions of male respondents).</body>
        </ownedComment>
        <generalization xmi:id="_ofiJQLhKEee9erX2IY_lug" general="_saFQELhGEee9erX2IY_lug"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_P9XlkLhLEee9erX2IY_lug" name="questionOrGroup_item" memberEnd="_P9hWkLhLEee9erX2IY_lug _P9hWk7hLEee9erX2IY_lug">
        <ownedEnd xmi:id="_P9hWk7hLEee9erX2IY_lug" name="" visibility="private" type="_saFQELhGEee9erX2IY_lug" association="_P9XlkLhLEee9erX2IY_lug"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WRlbwLjyEeen59ms6rVAXg" name="ResponseItem">
        <ownedComment xmi:id="_iiqL0LjyEeen59ms6rVAXg" annotatedElement="_WRlbwLjyEeen59ms6rVAXg">
          <body>&quot;A group or question item from the original questionnaire for which answers are provided.&quot; - HL7 FHIR, QuestionnaireResponse.item&#xD;
Note that in FHIR, this construct appears to duplicate the Item construct in the Questionnaire resource (in FHIM called the QuestionnaireItem), apparently in order to convey a minimal amount of information for when the QuestionnaireItem is not available. Ordinarily, we would have just pointed directly to the QuestionnaireItem, but the usage is subtely different between ResponseItem and QuestionnaireItem, so for now, we've modeled this as two separate classes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_GNBrobj1Eeen59ms6rVAXg" name="answer" visibility="public" type="_DqIjMHCOEeKknILXOCcS7w" association="_GNBroLj1Eeen59ms6rVAXg">
          <ownedComment xmi:id="_Nna1ELj_Eeen59ms6rVAXg" annotatedElement="_GNBrobj1Eeen59ms6rVAXg">
            <body>&quot;The respondent's answer(s) to the question.&quot; - HL7 FHIR, QuestionnaireResponse.item.answer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GNBrorj1Eeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GNBro7j1Eeen59ms6rVAXg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LnZUgLjzEeen59ms6rVAXg" name="definition" visibility="public">
          <ownedComment xmi:id="_LnZUgbjzEeen59ms6rVAXg" annotatedElement="_LnZUgLjzEeen59ms6rVAXg">
            <body>&quot;A reference to an ElementDefinition that provides the details for the item. There is no need for this element if the item pointed to by the linkId has a definition listed.&quot; - HL7 FHIR, QuestionnaireResponse.item.definition</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LnZUg7jzEeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LnZUgrjzEeen59ms6rVAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LnZUhLjzEeen59ms6rVAXg" name="linkId" visibility="public">
          <ownedComment xmi:id="_LnZUhbjzEeen59ms6rVAXg" annotatedElement="_LnZUhLjzEeen59ms6rVAXg">
            <body>&quot;The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.&quot; - HL7 FHIR, QuestionnaireResponse.item.linkId&#xD;
&#xD;
Note that this is a required field in FHIR that is used to link a Questionnaire Response to its corresponding question. In the FHIM, this is handled through a pointer from the QuestionnaireResponse to the AssessmentInstrumentQuestion instance, and would ordinarily not be modeled further, as the FHIM is a logical model and is not concerned with implementation details. Nevertheless, this field is included for compatibility with FHIR, but we made it optional. [In a database, this would hold the primary key of the AssessmentInstrumentQuestion record, while the QuestionnaireResponse record would have a foreign key pointing to this record.]</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LnZUh7jzEeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LnZUhrjzEeen59ms6rVAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yzXvUbj0Eeen59ms6rVAXg" name="responseItem" visibility="public" type="_WRlbwLjyEeen59ms6rVAXg" association="_yzXvULj0Eeen59ms6rVAXg">
          <ownedComment xmi:id="_z9eyALj0Eeen59ms6rVAXg" annotatedElement="_yzXvUbj0Eeen59ms6rVAXg">
            <body>&quot;Questions or sub-groups nested beneath a question or group.&quot; - HL7 FHIR, QQuestionnaireResponse.item.item</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yzXvUrj0Eeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yzXvU7j0Eeen59ms6rVAXg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Se_pALj0Eeen59ms6rVAXg" name="subject" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_Se_pAbj0Eeen59ms6rVAXg" annotatedElement="_Se_pALj0Eeen59ms6rVAXg">
            <body>&quot;More specific subject this section's answers are about, details the subject given in QuestionnaireResponse.&quot; - HL7 FHIR, QuestionnaireResponse.item.subject</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Se_pA7j0Eeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Se_pArj0Eeen59ms6rVAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LnZUiLjzEeen59ms6rVAXg" name="text" visibility="public">
          <ownedComment xmi:id="_LnZUibjzEeen59ms6rVAXg" annotatedElement="_LnZUiLjzEeen59ms6rVAXg">
            <body>&quot;Text that is displayed above the contents of the group or as the text of the question being answered.&quot; - HL7 FHIR, QuestionnaireResponse.item.text</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LnZUi7jzEeen59ms6rVAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LnZUirjzEeen59ms6rVAXg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Zxa_sLjyEeen59ms6rVAXg" name="assessmentEvent_responseItem" memberEnd="_ZxkwsLjyEeen59ms6rVAXg _Zxkws7jyEeen59ms6rVAXg">
        <ownedEnd xmi:id="_Zxkws7jyEeen59ms6rVAXg" name="" visibility="private" type="_420A62FD03B642DFB6BC006E" association="_Zxa_sLjyEeen59ms6rVAXg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_tasP4LjzEeen59ms6rVAXg" client="_WRlbwLjyEeen59ms6rVAXg" supplier="_yQGFYLg_Eee9erX2IY_lug"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_yzXvULj0Eeen59ms6rVAXg" name="responseItem_responseItem" memberEnd="_yzXvUbj0Eeen59ms6rVAXg _yzXvVLj0Eeen59ms6rVAXg">
        <ownedEnd xmi:id="_yzXvVLj0Eeen59ms6rVAXg" name="" visibility="private" type="_WRlbwLjyEeen59ms6rVAXg" association="_yzXvULj0Eeen59ms6rVAXg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GNBroLj1Eeen59ms6rVAXg" name="responseItem_answer" memberEnd="_GNBrobj1Eeen59ms6rVAXg _GNBrpLj1Eeen59ms6rVAXg">
        <ownedEnd xmi:id="_GNBrpLj1Eeen59ms6rVAXg" name="" visibility="private" type="_WRlbwLjyEeen59ms6rVAXg" association="_GNBroLj1Eeen59ms6rVAXg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jZczcLj-Eeen59ms6rVAXg" name="answer_responseItem" memberEnd="_jZczcbj-Eeen59ms6rVAXg _jZczdLj-Eeen59ms6rVAXg">
        <ownedEnd xmi:id="_jZczdLj-Eeen59ms6rVAXg" name="" visibility="private" type="_DqIjMHCOEeKknILXOCcS7w" association="_jZczcLj-Eeen59ms6rVAXg"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64447DEE00169" name="OncologyRegistry">
      <eAnnotations xmi:id="_PkETLOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PkqJAOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_x7YZwOTBEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B64447DEE00169">
        <body>The Oncology Registry domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_zRTq4OTBEeaMP8OhjVeyrg">
        <body>The Oncology Registry domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64468715C013C" name="CancerCase">
        <eAnnotations xmi:id="_PQZJOuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PPzTWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64468715C013C">
          <body>This class contains the information for the patient that has cancer such as  patient history, examination, and results of laboratory data.       </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446928B80215" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PP8dQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446928B80215">
            <body>A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990379" name="accessionNumber" visibility="public">
          <ownedComment xmi:id="_PP8dS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990379">
            <body>A unique identifier for the patient consisting of the year in which the patient was first seen at the reporting facility and the consecutive order in which the patient was abstracted.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990398" name="accessionYear" visibility="public">
          <ownedComment xmi:id="_PQGOReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990398">
            <body>ACCESSION YEAR is the year the patient was first seen at the reporting institution for diagnosis and/or treatment of this primary; NOT the year the registrar accession the case.  ACCESSION YEAR relates only to one primary tumor.  A patient with multiple primaries can have a different ACCESSION YEAR on each bstract.                                                        This is used to produce an accession register.  The accession register identifies all primaries first treated or seen at the reporting institution for a given year.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B7E0F0232" name="afipSubmission" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQPYNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B7E0F0232">
            <body>Indicates whether the pathology was sent to the Armed Forces Institute of Pathology (AFIP) for a second opinion.  Possible values are No; Yes; Unknown;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B76E300B6" name="associationWithHiv" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQPYMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B76E300B6">
            <body>Indicates the presence/absence of HIV.  Possible values are Yes; No; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990369" name="classCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PP8dSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990369">
            <body>Identifies the category of case, either Analytic or Nonanalytic.  Possible values are NONANALYTIC; 'ANALYTIC; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B2299034A" name="classOfcase" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PP8dReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B2299034A">
            <body>Classifies cases recorded in the database.  Possible values are  Dx here, 1st tx ew; Dx here, 1st tx here; Dx ew, 1st tx here; Dx ew, 1st tx ew;  Dx/1st tx before ref date; Dx at autopsy; Dx/1st tx in MD office; Pathology report only; Death cert; Unknown;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B7F200375" name="dateCaseCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQPYOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B7F200375">
            <body>The date that: (1) the abstractor decided that the case report was complete, and (2) the case passed all edits that were applied.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64484DCCA0020" name="dateOfCancerConference" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQZJOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64484DCCA0020">
            <body>Indicates the date on which the case was first presented at a cancer conference.  The number of cancer conferences, sites presented, types of presentations, and dates can be analyzed and reported for administration, quality control, and Commission on Cancer survey preparation. Update this item if a patient is presented at a subsequent cancer conference.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447E0C250201" name="presetationAtCancerConference" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQZJNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447E0C250201">
            <body>Documents case presentation at a cancer conference and the type or format of presentation.  The number of cancer conferences, sites presented, and types of presentation can be analyzed and reported for administrative use, quality control, and survey preperation.  Possible values are Not presented; Prospective (diagnostic); Prospective (treatment); Prospective (follow-up); Prospective (combinations); Prospective, NOS; Retrospective; Follow-up; Presentation, NOS; Unknown;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22E6011C" name="reportingSourceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQGOSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22E6011C">
            <body>This a code used by central registries that identifies the source of documents used to abstract the cancer being reported.   Possible values are Hospital inpatient, hospital outpatient clinic; Laboratory only (hospital or private); Physician office/private practitioner; Nursing/convalescent home, hospice; Autopsy only; Death certificate only; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990388" name="sequenceNumber" visibility="public">
          <ownedComment xmi:id="_PQGOQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990388">
            <body>Indicates the sequence of all reportable neoplasms over the lifetime of the patient.   - Codes 00-35 and 99 indicate reportable neoplasms of malignant or in situ behavior, which the CoC requires to be reported.       - Codes 60-88 indicate other neoplasms that the state registry or the hospital cancer committee has defined as reportable (cases reportable-by-agreement).                                                  - Code 00 only if the patient has a single reportable primary.  If the patient develops a subsequent reportable primary tumor, change the code for the first tumor from 00 to 01, and number subsequent tumors sequentially.                                - Code 60 only if the patient has a single primary reportable by agreement only.  If the patient develops a subsequent primary tumor reportable-by-agreement, change the code for the first tumor from 60 to 61, and assign codes to subsequent tumors reportable-by-agreement sequentially.   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B75D10224" name="summaryStageSeer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQGOS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B75D10224">
            <body>Indicates a site-specific description of the extent of disease at diagnosis.  Possible values are In situ; Localized; Regional by direct extension; Regional to lymph nodes; Regional by extension &amp;amp;amp; to nodes; Regional, NOS; Distant metastasis/systemic disease; Unknown; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473179403D7" name="textHistologyTitle" visibility="public">
          <ownedComment xmi:id="_PQZJMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473179403D7">
            <body>Description of histologic type, behavior, and grade in natural language.(Text)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473170201E3" name="textPrimarySiteTitle" visibility="public">
          <ownedComment xmi:id="_PQPYO-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473170201E3">
            <body>Description of primary site in natural language.(Text)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472F5A400EF" name="cancerCase" visibility="public" type="_420A62FD03B6447227470082" isUnique="false" association="_420A62FD03B64472F5A20074">
          <ownedComment xmi:id="_PikeVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472F5A400EF">
            <body>Cancer related Case</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PikeVuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeV-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644698F6A01BE" name="cancerDiagnosis" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B644698F690217">
          <ownedComment xmi:id="_Pg7fm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698F6A01BE">
            <body>The  act or process of identifying or determining the nature and cause of a disease or injury.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pg7fneLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pg7fnuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644731ABC0176" name="cancerStaging" visibility="public" type="_420A62FD03B6447318580112" isUnique="false" association="_420A62FD03B644731ABB02A1">
          <ownedComment xmi:id="_PikeW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644731ABC0176">
            <body>Cancer Staging</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PikeXeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeXuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A108002D4" name="cancerTumor" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A107E0191">
          <ownedComment xmi:id="_PhPBluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A108002D4">
            <body>Evaluation of an abnormal growth, of tissue.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBmOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBmeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB8F001DC" name="lymphNode" visibility="public" type="_420A62FD03B6446BA6D20359" isUnique="false" association="_420A62FD03B6446BB8EF02A3">
          <ownedComment xmi:id="_PhrtjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB8F001DC">
            <body>Masses of lymphoid tissue </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phrtj-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtkOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB8DF000B" name="metastasis" visibility="public" type="_420A62FD03B6446BA70300C5" isUnique="false" association="_420A62FD03B6446BB8DE0078">
          <ownedComment xmi:id="_PhrthuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB8DF000B">
            <body>Transmission of pathogenic microorganisms or cancerous cells.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhrtiOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtieLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA37F002B" name="palliativeProcedure" visibility="public" type="_420A62FD03B6446BA30E030D" isUnique="false" association="_420A62FD03B6446BA37E00F1">
          <ownedComment xmi:id="_Phh8jeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA37F002B">
            <body>The relieving or soothing the symptoms of the patient's disease or disorder.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8j-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8kOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644733B1102C2" name="radiationtreatmentFollowup" visibility="public" type="_420A62FD03B6447326E000F3" isUnique="false" association="_420A62FD03B644733B0A01DC">
          <ownedComment xmi:id="_PikeYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644733B1102C2">
            <body>Radiation Treatment ralated followup</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644692C670026" name="reportingHospital" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B644692C650381">
          <ownedComment xmi:id="_PgyVqOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644692C670026">
            <body>Identifies the hospital which is reporting this cancer case.  This field contains the value of the INSTITUTION ID NUMBER field from the ONCOLOGY SITE PARAMETERS file.  Possible values are 6020009     ROYAL VICTORIA HOSPITAL; 6020012     ST MARY'S HOSPITAL;   6020015     MONTREAL GENERAL HOSPITAL ;  6030010     KWAJALEIN; 6040005     AGUADILLA GENERAL HOSPITAL; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PgyVquLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PgyVq-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD2A900AE" name="tumorStatus" visibility="public" type="_420A62FD03B6446BD245003C" isUnique="false" association="_420A62FD03B6446BD2A8019D">
          <ownedComment xmi:id="_Ph03cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD2A900AE">
            <body>Cancer Tumor Status.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ph03dOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ph03deLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644734694036A" name="subsequentTherapyComment" visibility="public" type="_420A62FD03B64473444A0050" isUnique="false" association="_420A62FD03B64473468B00AA">
          <ownedComment xmi:id="_PiuPVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644734694036A">
            <body>Subsequent Therapy related comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPWeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473855E0359" name="dxWorkup" visibility="public" type="_420A62FD03B6447359D60341" isUnique="false" association="_420A62FD03B64473855A02C8">
          <ownedComment xmi:id="_PiuPZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473855E0359">
            <body>Follow-up after diagnosis of cancer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644749F1800B9" name="abstract" visibility="public" type="_420A62FD03B644749E7D0251" isUnique="false" association="_420A62FD03B644749F1602C9">
          <ownedComment xmi:id="_PjUFROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749F1800B9">
            <body>Summary of pertinent information about the patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2MeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2MuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D7EB0189" name="previousCancerHistory" visibility="public" type="_420A62FD03B64474D7300176" isUnique="false" association="_420A62FD03B64474D7E602C2">
          <ownedComment xmi:id="_PjnnMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7EB0189">
            <body>prior history of any reportable malignancy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjnnNOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjnnNeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447723F10221" name="nonRadiationTreatmentFollowup" visibility="public" type="_420A62FD03B6447700440214" isUnique="false" association="_420A62FD03B6447723E4009C">
          <ownedComment xmi:id="_PjwxLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447723F10221">
            <body>Non Radiation Treatment ralated followup</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjwxL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjwxMOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD121009E" name="treatmentAssessment" visibility="public" type="_420A62FD03B6447DCE0B008E" isUnique="false" association="_420A62FD03B6447DD11F02C2">
          <ownedComment xmi:id="_Pj6iLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD121009E">
            <body>Patient's pre treatment assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pj6iL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pj6iMOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64480974702CE" name="protocol" visibility="public" type="_420A62FD03B6448096E70320" isUnique="false" association="_420A62FD03B64480973C02BF">
          <ownedComment xmi:id="_PkETIOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480974702CE">
            <body>Cancer Treatment Protocol.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PkETIuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PkETI-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bvNC4G7OEeGMPulV_nCvVA" name="cancerTreatmentList" visibility="public" type="_n8bDIG7NEeGMPulV_nCvVA" association="_bvIxcG7OEeGMPulV_nCvVA">
          <ownedComment xmi:id="_epMHwG7OEeGMPulV_nCvVA" annotatedElement="_bvNC4G7OEeGMPulV_nCvVA">
            <body>The act or process of identifying a single course of treatment regimen, for the patient's cancer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bvORAG7OEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bvO4EG7OEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HrLpAG7QEeGMPulV_nCvVA" name="recurrenceList" visibility="public" type="__L36YG7PEeGMPulV_nCvVA" association="_HrHXkG7QEeGMPulV_nCvVA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HrM3IG7QEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HrNeMG7QEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5UeDQN9HEeaqfsYBRmvQmQ" name="followingPhysician" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5UeDQ99HEeaqfsYBRmvQmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5UeDQt9HEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sb1wUN9IEeaqfsYBRmvQmQ" name="primarySurgeon" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sb1wUt9IEeaqfsYBRmvQmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sb1wUd9IEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wIOgsN9IEeaqfsYBRmvQmQ" name="dataEnterer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wIOgst9IEeaqfsYBRmvQmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wIOgsd9IEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446880FB001A" name="RadiationTherapy">
        <eAnnotations xmi:id="_PQi6NuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQi6MOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446880FB001A">
          <body>The treatment of cancer with radiation, especially by selective irradiation with x-rays or other ionizing radiation and by ingestion of radioisotopes.  [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary ] </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B954402F3" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446921FC00AE" name="radiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQi6NOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446921FC00AE">
            <body>Indicates the type of radiation administered to the primary site or any metastatic site. Include all procedures that are part of the first course of treatment, whether delivered at the reporting institution or at other institutions. Possible values are None; Beam radiation; Radioactive implants; Radioisotopes; Beam rad w implants/radioisotopes; Radiation therapy, NOS; Refused radiation therapy; Recommended, unk if given; Unk if administered; etc. </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446883D101C3" name="Chemotherapy">
        <eAnnotations xmi:id="_PQsEIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQi6OeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446883D101C3">
          <body>The treatment of cancer using specific chemical agents or drugs that are selectively destructive to malignant cells and tissues.  [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary]  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B957F0230" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446998CF0357" name="chemotherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQi6PeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446998CF0357">
            <body>Indicates the type of chemotherapy administered  as first course of treatment or subsequent treatment at this and at all other facilities.  If chemotherapy was not administered, then this item records the reason it was not administered to the patient. Chemotherapy consists of a group of anticancer drugs that inhibit the reproduction of cancer cells by interfering with DNA synthesis and mitosis.  Possible values are None; Chemotherapy, NOS; Single agent; Multiagent; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644691F1E0397" name="HormoneTherapy">
        <eAnnotations xmi:id="_PQsEKuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQsEJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644691F1E0397">
          <body>The therapeutic use of hormones &amp;amp;lt;treated for cancer of the prostate by hormonotherapy -Journal of the American Medical Association.  [Source &amp;amp;lt;http://dictionary.reference.com/medical/aboutmwmed.html&amp;amp;gt;: Merriam-Webster's Medical Dictionary]    </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B958E0001" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B644699A4D020C" name="hormoneTherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQsEKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644699A4D020C">
            <body>Indicates the type of hormone therapy administered as first course of treatment or subsequent treatment at this and all other facilities.  If hormone therapy was not administered, then this item records the reason it was not administered to the patient.  Hormone therapy consists of a group of drugs that may affect the long-term control of a cancer's growth.  It is not usually used as a curative measure. Possible values are None; Hormone therapy; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446920A8039E" name="Immunotherapy">
        <eAnnotations xmi:id="_PQ11KuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQ11JOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446920A8039E">
          <body>The treatment of or prophylaxis against disease by attempting to produce active or passive immunity called also immune therap.  [Source &amp;amp;lt;http://dictionary.reference.com/medical/aboutmwmed.html&amp;amp;gt;: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.]       </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B953F01D4" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B644699B0A02F4" name="immunotherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ11KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644699B0A02F4">
            <body>Indicate the type of immunotherapy administered as first course of treatment or subsequent treatment at this and all other facilities.  If immunotherapy was not administered, then this item records the reason it was not administered to the patient. Immunotherapy consists of biological or chemical agents that alter the immune system or change the host's response to the tumor cells.  Possible values are None; Immunotherapy; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644698C39028C" name="CancerDiagnosisEvent">
        <eAnnotations xmi:id="_PRIwFOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQ11LeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698C39028C">
          <body> This class contains the information from the  act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data, of various malignant neoplasms characterized by the proliferation of anaplastic cells that tend to invade surrounding tissue and metastasize to new body sites.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64469943201AA" name="dateOfDiagnosis" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQ_mJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469943201AA">
            <body>Indicates the date of initial diagnosis by a physician for the tumor being reported.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474CDBE0101" name="dateOfFirstContact" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PRIwEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474CDBE0101">
            <body>Date of first contact with the reporting facility for diagnosis and/or treatment of this cancer.  If this is an autopsy-only or death certificate-only case, then the date of death.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64469B1EE03E0" name="diagnosticConfirmation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469B1EE03E0">
            <body>Diagnostic Confirmation specifies the best method of diagnostic confirmation of the cancer being reported at any time in the patient history.  Possible values are Positive Histology; Positive Cytology; Positive Microscopic, method NOS;  Positive lab test;  Direct visualization; Radiography/other imaging techniques; Clinical diagnosis only (other than 5, 6, or 7); Unknown if microscopically confirmed; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B697A004B" name="primarySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B697A004B">
            <body>Identifies the Primary Site                       [The ICD-O topography code for the site of origin.]                                          Possible values are ICDO-3 TOPGRAPHY CODES   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644698F450175" name="siteGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698F450175">
            <body>IThis is theSite/Group that best defines the neoplasm.  Possible values are Va generated list of anatomic sites  in VHIM definition.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994660227" name="dxFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994650208">
          <ownedComment xmi:id="_PhFQluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994660227">
            <body>Identifies the name of the facility where diagnosis was first made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhFQmOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhFQmeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994BA0105" name="facilityReferredFrom" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994B90000">
          <ownedComment xmi:id="_PhFQneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994BA0105">
            <body>Identifies the facility that referred the patient to the reporting facility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhFQn-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhFQoOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994C002F9" name="facilityReferredTo" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994C00014">
          <ownedComment xmi:id="_PhFQpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994C002F9">
            <body>Identifies the facility to which the patient was referred for further care after discharge from the reporting facility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBkeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBkuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8731028E" name="histology" visibility="public" type="_420A62FD03B6446B870E00AD" isUnique="false" association="_420A62FD03B6446B873002FB">
          <ownedComment xmi:id="_PhYLkOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8731028E">
            <body>The microscopic study of the patient s cells and tissues.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8geLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8guLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64469DD890107" name="OtherTreatment">
        <eAnnotations xmi:id="_PRIwHeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRIwF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469DD890107">
          <body>Other treatment that cannot be defined as surgery, radiation, or systemic therapy.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B95850166" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B64469DF0F00CC" name="otherTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRIwG-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469DF0F00CC">
            <body>Identifies other treatment that cannot be defined as surgery, radiation, or systemic therapy according to the defined data elements in the FORDS manual.  Possible values are None; Other; 'Other - Experimental; Other - Double Blind; Other - Unproven; Refusal; Recommended, unknown if administered; Unkown;  etc.    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A0EC602C5" name="TumorEvaluation">
        <eAnnotations xmi:id="_PRvNAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRShEeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A0EC602C5">
          <body> The evaluation of the patient's abnormal growth, of tissue resulting from uncontrolled, progressive multiplication of cells and serving no physiological function; a neoplasm</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B8B9600FB" name="clinicalT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8B9600FB">
            <body>Evaluates the primary tumor and reflects tumor size and/or extension as recorded by the physician.  Possible values are Not recorded by the physician; TX; T0; Ta; Tis; Tispu; T1; T4a; Not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A105D0035" name="csTumorSize" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PRbrCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A105D0035">
            <body>Describes the largest dimension or diameter of the primary tumor, and is always recorded in millimeters.  To convert centimeters to millimeters, multiply the dimension by 10.  If tumor size is given in tenths of millimeters, round down if between .1 and .5 mm, and round up if between .6 and .9 mm.  Answer must be 3 numerics.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA49101D3" name="gradeDifferentiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA49101D3">
            <body>Describes the tumor's resemblance to normal tissue.  Well differentiated (Grade I) is the most like normal tissue, and undifferentiated (Grade IV) is the least like normal tissue. Possible values are Grade I - Well differentiated, NOS; Grade II - Moderately, moderately well, intermediate; Grade III - Poorly differentiated; Grade IV  -  Undifferentiated/anaplastic; T-cell - Lymphomas and leukemias, T-cell; B-cell - Lymphomas and leukemias, B-cell, Pre-B; Null cell -  Leukemias only, Null cell, Non T-non B; Natural killer cell - Lymphomas and leukemias;  Unknown - Not determined, stated or applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A11FA01DD" name="laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRbrBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A11FA01DD">
            <body>Identifies the side of a paired organ or the side of the body on which the reportable tumor originated, applies to the primary site only. Possible values are Not a paired site; Right; Left; One side involved, right/left not specified; Bilateral involvement, side of origin unknown; Paired site, lateral origin unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8CD803C5" name="otherT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8CD803C5">
            <body>Indicates the code that evaluates the primary tumor and identifies the tumor size and/or extension.  Possible values are TX, T0, Ta, Tis, T1, T1A, T2B, T3C, T4D, Not Applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8C6302EB" name="pathologicT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8C6302EB">
            <body>Indicates the appropriate code that evaluates the primary tumor (T) and reflects the tumor size and/or extension as recorded by the physician.  Possible Values are Not recorded by the physician; TX, T0; Ta, Tis; Tispu; Tispd; T1mic; T1; T1a; T1a1; T1a2; T1b; T1b1; T1b2; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644734EC90285" name="serumTumorMarkers" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644734EC90285">
            <body>&quot;Serum Tumor Markers (S): SX  Marker studies not available or not performed S0  Marker study levels within normal limits* S1  LDH &amp;amp;lt; 1.5 X N   AND hCG (mIU/ml) &amp;amp;lt; 5000 AND AFP (ng/ml) &amp;amp;lt; 1000 S2  LDH 1.5-10 X N  OR  hCG (mIu/ml) 5000-50,000 OR AFP (ng/ml) 1000-10,000 S3  LDH &amp;amp;gt; 10 X N OR hCG (mIu/ml) &amp;amp;gt; 50,000 OR AFP (ng/ml) &amp;amp;gt; 10,000 N indicates the upper limit of normal for the LDH assay.  Possible values are Not available; Normal; LDH &amp;amp;lt; 1.5XN, hCG &amp;amp;lt; 5000 mIU/ml, AFP &amp;amp;lt; 1000 ng/ml; LDH 1.5-10XN or hCG 5000-50,000 mIu/ml or AFP 1000-10,000 ng/ml;  LDH &amp;amp;gt; 10XN or hCG &amp;amp;gt; 50,000 mIu/ml or A FP &amp;amp;gt; 10,000 ng/ml; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01A5" name="tumorMarker1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01A5">
            <body>Indicates prognostic indicators.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01D7" name="tumorMarker2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01D7">
            <body>Indicates prognostic indicators.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.     </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01FF" name="tumorMarker3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRbrAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01FF">
            <body>Record LDH prognostic indicators for testicular cancer.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A0FC80059" name="tumorSize" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PRbrC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A0FC80059">
            <body>Describes the largest dimension of the diameter of the primary tumor in millimeters (mm).  Code the exact size of the primary tumor in millimeters (mm).    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A18CC00D0" name="csExtension" visibility="public" type="_420A62FD03B6446A187E013C" isUnique="false" association="_420A62FD03B6446A18CB004C">
          <ownedComment xmi:id="_PhYLieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A18CC00D0">
            <body>contiguous growth (extension) of the primary tumor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhYLi-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhYLjOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A17B102BD" name="extension" visibility="public" type="_420A62FD03B6446A16BB00A7" isUnique="false" association="_420A62FD03B6446A17B00154">
          <ownedComment xmi:id="_PhYLguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17B102BD">
            <body>The method used in determining the size and dimensions of the tumor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhYLhOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhYLheLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A17A40265" name="pathologicExtension" visibility="public" type="_420A62FD03B6446A170E033B" isUnique="false" association="_420A62FD03B6446A17A301FF">
          <ownedComment xmi:id="_PhPBneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17A40265">
            <body>extension caused by or altered by or manifesting disease or pathology.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBn-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBoOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A16BB00A7" name="ExtensionEvaluation">
        <eAnnotations xmi:id="_PRvNCeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRvNBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A16BB00A7">
          <body>Evaluates the method used in determining the size and dimensions of the tumor</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A16F001F8" name="extension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRvNB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A16F001F8">
            <body>Indicates the Seer Extent of Disease coding schema.  Possible values are IN SITU;Tumor confined to lacrimal gland/duct; Invading periosteum of ; fossa of lacrimal gland/duct; Extension to any of the following without bone invasion:Orbital soft tissues, Optic nerve, Globe (eyeball); Adjacent bone; FURTHER contiguous extension; Metastasis; UNKNOWN if extension or metastasis; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A170E033B" name="PathologicExtensionEvaluation">
        <eAnnotations xmi:id="_PR4W8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRvNDOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A170E033B">
          <body>This is the extension caused by or altered by or manifesting disease or pathology; &quot;diseased tonsils&quot;; &quot;a morbid growth&quot;; &quot;pathologic tissue&quot;; &quot;pathological bodily processes&quot; Source: The American Heritage  Stedman's Medical Dictionary  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A17280144" name="pathologicExtension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRvND-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17280144">
            <body>Indicates the farthest documented pathologic extension of tumor from the prostate, either by contiguous extension or distant metastasis.  Possible Values are 00 IN SITU: Noninvasive; intraepithelial; Involvement of one lobe, NOS (B) (pT2a);  More than one lobe involved (B) (pT2b); Localized, NOS; confined to prostate, NOS; Intracapsular involvement only; Stage B, NOS, (pT2, | NOS); Into prostatic apex/arising in prostatic apex, NOS; Arising in prostatic apex; Extending into prostatic apex; Invasion into (but not beyond) prostatic capsule (C1); No extracapsular ; extension but margins involved; Extension to periprostatic tissue (C1):; Extracapsular extension (beyond prostatic capsule),  NOS, Through capsule, NOS;  Unilateral extracapsular extension (pT3a);  Bilateral extracapsular extension (pT3a); Extension to seminal vesicle(s) (C2) (pT3b); Extracapsular extension and margins involved; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A187E013C" name="CsExtensionEvaluation">
        <eAnnotations xmi:id="_PR4W-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PR4W9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A187E013C">
          <body>Identifies contiguous growth (extension) of the primary tumor within the organ of origin or its direct extension into neighboring organs.  Possible values are Not applicable; Further contiguous extension; No evidence of primary tumor; Unknown extension; primary tumor cannot be assessed; not stated in patient record; etc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A18AB0385" name="csExtension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PR4W9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A18AB0385">
            <body>Identifies contiguous growth (extension) of the primary tumor within the organ of origin or its direct extension into neighboring organs.  Possible values are Not applicable; Further contiguous extension; No evidence of primary tumor; Unknown extension; primary tumor cannot be assessed; not stated in patient record; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B870E00AD" name="Histology">
        <eAnnotations xmi:id="_PSVC5-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PR4W_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B870E00AD">
          <body>This class contains information from the microscopic study of the patient's cells and tissues.      </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B87B100E4" name="histologyIcdO3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B87B100E4">
            <body>&quot;Identifies the microscopic anatomy of cells for primaries diagnosed in 2001 or later.  This field also contains the BEHAVIOR CODE which records the behavior of the tumor being reported.  The fifth digit of the morphology code is the behavior code.  Possible values are  CYST, EMBRYONIC; CYST, NEUROGLIAL-LINED; CYST, EPITHELIAL INCLUSION; CYST, COLLOID; SUSPICIOUS FOR MALIGNANT CELLS; HAMARTOMA; NEOPLASM, BENIGN; NEOPLASM, UNCERTAIN BENIGN OR MALIGNANT; NEOPLASM, IN SITU; NEOPLASM, MALIGNANT; TUMOR CELLS, BENIGN; TUMOR CELLS, UNCERTAIN BENIGN OR MALIGNANT; TUMOR CELLS IN SITU; TUMOR CELLS, MALIGNANT; IN SITU TUMOR, SMALL CELL TYPE; MALIGNANT TUMOR, SMALL CELL TYPE; IN SITU TUMOR, GIANT CELL TYPE; etc. &quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88510300" name="siteSpecificFactorOne" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH9eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88510300">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Size of Lymph Nodes; For Liver - Alpha Fetoprotein (AFP); For Breast - Estrogen Receptor Assay (ERA); etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B887701D9" name="siteSpecificFactorTwo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B887701D9">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Extracapsular Extension, Lymph Nodes for Head and Neck; For Liver - Fibrosis Score; For Breast - Progesterone Receptor Assay (PRA); etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B888F0350" name="siteSpecificFactorThree" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B888F0350">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels I-III, Lymph Nodes of Head and Neck; For Breast - Number of Positive Ipsilateral Axillary Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88A90022" name="siteSpecificFactorFour" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSL48uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88A90022">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels IV-V, Lymph Nodes of Head and Neck; For Breast - Immunohistochemistry (IHC) of Regional Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88BD03BA" name="siteSpecificFactorFive" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSVC4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88BD03BA">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places. Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels VI-VIII, Lymph Nodes of Head and Neck; For Breast - Molecular Studies of Regional Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88D10337" name="siteSpecificFactorSix" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSVC5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88D10337">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Parapharyngeal, Parotid, Preauricular, and Sub-Occipital Lymph Nodes, Lymph Nodes for Head and Neck; For Breast - Size of Tumor--Invasive Component; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B92AF0126" name="CancerTreatment">
        <eAnnotations xmi:id="_PSez5OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSVC6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B92AF0126">
          <body>This class contains the information for the patient s administration or application of remedies to a patient or for a disease or injury; medicinal or surgical management; therapy  1st occurence of each treatment type is the 1st course of treatment.  following occurences are subsequent treatments for that treatment type.    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B93B3009E" name="treatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PSez4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B93B3009E">
            <body>Indicates the date on which this treatment was initiated.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B9D960025" name="treatmentHospital" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446B9D9302FC">
          <ownedComment xmi:id="_Phh8huLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B9D960025">
            <body>Indicates the name of the institution providing treatment.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8iOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8ieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B9E1F02C1" name="CancerSurgery">
        <eAnnotations xmi:id="_PSxu0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSez5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B9E1F02C1">
          <body>Surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue related to cancer  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446BC1E00308" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446DD095013D" name="numberOfNodesRemoved" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn92OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DD095013D">
            <body>Indicates the number of regional lymph nodes removed.  Possible values are 00-99; 00 for No nodes removed 01 for 1 node removed 02 for 2 nodes removed ...90 for 90 or more nodes removed 95 for No nodes removed, aspiration performed 96 for Node removal as a sampling, number unknown 97 for Node removal as dissection, number unknown 98 for Nodes surgically removed, number unknown 99 for Unknown; not stated; death certificate only.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DBBAE03AF" name="scopeOfLymphNodeSurgery" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn90uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DBBAE03AF">
            <body>Indentifies the removal, biopsy, or aspiration of regional lymph node(s) at the time of surgery of the primary site or during a separate surgical event.  Possible values are None; Bx/aspiration, NOS; Sentinel Bx; Nodes removed, number unk; 1-3 nodes removed; 4 or more nodes removed; sentinel + 3, 4 or 5, timing not stated; Sentinel + 3, 4, or 5, diff times; Unknown/NA; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BC1B402F1" name="surgeryOfPrimary" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSez6-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC1B402F1">
            <body>Indicates the surgical procedure(s) performed to the primary site.     Possible values are None; no surgery of primary site; autopsy ONLY; Local tumor destruction, NOS; Local tumor excision, NOS; etc.            </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BC2BE033A" name="surgicalMargins" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSez7uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC2BE033A">
            <body>Records the final status of the surgical margins after resection of the primary tumor.  Possible values are No residual tumor; Residual tumor, NOS; Microscopic residual tumor; Macroscopic residual tumor; Margins not evaluable; No primary site surgery; Unknown or NA; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DC61B0078" name="surgicalProcedureOtherSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn91eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DC61B0078">
            <body>Identifies the code for surgery of other regional site(s), distant site(s) or distant lymph node(s).  Possible values are None; Nonprimary surg proc performed; Nonprimary surg proc/other regional sites; Nonprimary surg proc/distant lymph node(s); Nonprimary surg proc/distant site; Combination of codes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA30E030D" name="PalliativeProcedure">
        <eAnnotations xmi:id="_PSxu2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSxu1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA30E030D">
          <body>The relieving or soothing the symptoms of the patient's disease or disorder without effecting a cure. Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BA336031F" name="palliativeProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSxu1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA336031F">
            <body> Identifies any procedure performed in an effort to palliate or alleviate symptoms. Palliative procedures are performed to relieve symptoms.  Possible Values are No palliative care; Surgery; Radiation; Chemotherapy/hormone therapy/systemic drugs; Pain management;  1, 2, and/or 3 w/o 4;  1, 2, and/or 3 with 4; Palliative care, type unknown; Unknown, not stated; etc.                                  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA3B401DF" name="palliativeProcAtFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446BA3AD0384">
          <ownedComment xmi:id="_Phh8lOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA3B401DF">
            <body>Indicates the name of the institution providing treatment.                        </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhrtgeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA6D20359" name="LymphNodeEvaluation">
        <eAnnotations xmi:id="_PTEpx-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSxu3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA6D20359">
          <body>LymphNodeEvaluation Evaluation of the patient's masses of lymphoid tissue that are surrounded by a capsule of connective tissue, are distributed along the lymphatic vessels, and contain numerous lymphocytes which filter the flow of lymph passing through the node called also lymph gland  Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE410297" name="lymphNodesSeer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSxu3-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE410297">
            <body>&quot;Identifies SEER lymph node involvement. Possible values are number between 0 and 9 - No lymph node involvement; One positive ipsilateral node &amp;amp;lt;3 cm in greatest diameter; One positive ipsilateral node 3 and &amp;amp;lt;6 cm in greatest diameter; Multiple positive ipsilateral nodes &amp;amp;lt;6 cm; Ipsilateral, node size not stated; Bilateral and/or contralateral; positive nodes &amp;amp;lt;6 cm or size not stated;  Any positive node(s), at least one &amp;amp;gt;6 cm; Other than above; Lymph Nodes, NOS; UNKNOWN; not stated;  etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE760009" name="csRegionalLymphNodes" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE760009">
            <body>&quot;Identifies the regional lymph nodes involved with cancer at the time of diagnosis. 2 numerics; 01 - 99; None; Possible values are No regional lymph node involvement;  Lymph nodes, NOS; Unknown; regional lymph nodes cannot be assessed; not stated in patient record; Not applicable; site/histology specific codes; etc&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE9A01C3" name="regionalNodesPositive" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE9A01C3">
            <body>Indicates the exact number of regional lymph nodes examined by the pathologist and found to contain metastases. Possible values are  All nodes examined are negative; 1-89 nodes are positive (Code exact number of nodes positive);  90 or more nodes are positive;  95  Positive aspiration of lymph node(s) was performed;  97  Positive nodes are documented, but the number is unspecified;  98  No nodes were examined;  99  It is unknown whether nodes are positive; not applicable; not stated in patient record; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBF6B039A" name="regionalNodesExamined" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBF6B039A">
            <body>Indicates the total number of regional lymph nodes examined by the pathologist.  Possible values are No nodes were examined; 1-89 nodes were examined;   90 or more nodes were examined;  95  No regional nodes were removed, but aspiration of regional nodes was performed;  96  Regional lymph node removal was documented as a sampling, and the number  of nodes is unknown/not stated;  97  Regional lymph node removal was documented as a dissection, and the number of nodes is unknown/not stated;  98  Regional lymph nodes were surgically removed, but the number of lymph nodes is unknown/not stated and not documented as a sam pling or dissection; nodes were examined but the number is unknown;  99  It is unknown whether nodes were examined; not applicable or negative; not stated in patient record; etc  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBA3C0067" name="clinicalN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f2-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBA3C0067">
            <body>Identifies the absence or presence of regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded by the physician.  Possible values are Not recorded by the physician.; NX; N0; N1; N1b; N2c; N3; Not Applicable.                                      </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBC98005B" name="pathologicN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTEpwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBC98005B">
            <body>Identifies the absence or presence of regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded by the physician.  Not recorded by the physician; NX, N0; N0(i-); N0(i+); N0(mol-); N0(mol+); N1mi; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBCC6002F" name="otherN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTEpxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBCC6002F">
            <body>Indicates the code that classifies the regional lymph nodes and describes the absence or presence and the extent of node metastases.  Possible values are NX, NO, N1A, N1B, N2, N2A, N2B, N2C, N3, Not Applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA70300C5" name="MetastasisEvaluation">
        <eAnnotations xmi:id="_PTYLyuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PTEpyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA70300C5">
          <body>Transmission of pathogenic microorganisms or cancerous cells from an original site to one or more sites elsewhere in the body, usually by way of the blood vessels or lymphatics</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BB91A0331" name="clinicalM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB91A0331">
            <body>Idenifiies the presence or absence of distant  metastasis (M) as recorded by the physicain. Possible values are Not recorded by the physician; MX, M0; M1; M1a; M1b; M1c; not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7CC03A9" name="csMetastasisAtDx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOay-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7CC03A9">
            <body>Identifies the distant site(s) of metastatic involvement at time of diagnosis.  Possible values are 00 No; Distant lymph node(s); Distant metastases except code 10 Distant metastasis, NOS Carcinomatosis; (40) + (10); Unknown; distant metastasis cannot be assessed,not stated in patient record; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB9480066" name="pathologicM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB9480066">
            <body>Identifies the presence or absence of distant metastasis (M) as recorded by the physician.  Possible values are MX, M0; M1; M1a; M1b; M1c; Not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB96B0283" name="otherM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLyOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB96B0283">
            <body>Indicates the code that identifies the presence or absence of distant metastases. Possible values are MX, M0, M1, M1A, M1B, M1C, Not Applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA78901A4" name="metastasis1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOawuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA78901A4">
            <body>Identifies only the site(s) of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7A303A0" name="metastasis2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOaxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7A303A0">
            <body>Identifies the second site of distant metastasis identified during initial diagnosis and workup.  Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7A60214" name="metastasis3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOayOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7A60214">
            <body>Identifies the third site of distant metastasis identified during initial diagnosis and workup.  Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BC32F0210" name="HemaTransEndocrineProc">
        <eAnnotations xmi:id="_PThVt-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PThVseLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC32F0210">
          <body>The treatment of Endocrine gland disease by the use of blood or blood derivatives, as in transfusion. [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary ]  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446BC41B03AA" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446BC346017D" name="hemaTransEndocrineProc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PThVteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC346017D">
            <body>Identifies systemic therapeutic procedures administered as part of subsequent course of treatment at this and all other facilities.  If none of these procedures were administered, then this item records the reason they were not performed.  These include bone marrow transplants, stem cell harvests, surgical and/or radiation endocrine therapy.  Possible values are  Bone marrow transplant, NOS; Bone marrow transplant - autologous; Bone marrow transplant - allogeneic;  Stem cell harvest; Endocrine surgery and/or radiation; Refused by pt; ETC.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BD245003C" name="TumorStatus">
        <eAnnotations xmi:id="_PT0QoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PThVuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD245003C">
          <body> Contains the status of the patient's tumor.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446DCD460301" name="cancerStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DCD460301">
            <body>Indicates the presence or absence of clincial evidence of cancer as of the DATE OF LAST CONTACT OR DEATH.  Possible values are No evidence of this tumor; Evidence of this tumor; Unknown/not stated if this tumor present etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DDD9F0132" name="lastTumorStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGu-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DDD9F0132">
            <body>Indicates the code that summarizes the cancer status.Possible values are No evidence of this tumor;  Evidence of this tumor; Unknown/not stated if this tumor present; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD255037F" name="multipleTumors" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PThVveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD255037F">
            <body>Indicates the existence and (if known) number of multiple tumors at an anatomic site.  If there are NOT multiple tumors at this site, this field  is BLANK.  If there ARE multiple tumors at this site, the exact number of tumors is entered; if known, or a 1 if the exact number if not known.  Possible values are blank; 1 etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446E08A8037D" name="surgicalApproach" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGuOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446E08A8037D">
            <body>Indicates the method used to approach the organ of origin and/or primary tumor.  The approach for surgery of the primary site only. Possible values are No surgery performed; Open approach, endoscopy not used; Open approach, assisted by laparoscope; Laparoscopic approach only; Laparoscopy NOS (unknown if with or without open approach; Video assisted Thoracoscopy (VAT); Thoracoscopy NOS; Endoscopy NOS; Unknown approach, not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DCD14011F" name="tumorStatusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PTrGsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DCD14011F">
            <body>The date on which the tumor status was evaluated.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BD44602F7" name="Recurrence">
        <eAnnotations xmi:id="_PUHyoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PT0QpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD44602F7">
          <body>The reappearance, of the patient's cancer,  after previous removal or remission of the cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BD5360003" name="distantSite1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BoeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD5360003">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                               </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD54E036F" name="distantSite2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD54E036F">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                               </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD5510233" name="distantSite3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-Bp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD5510233">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                              </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DE6990050" name="otherTypeOfFirstRecurrence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DE6990050">
            <body>Identifies the OTHER TYPE OF FIRST RECURRENCE. The term &quot;recurrence&quot; means the return or reappearance of the cancer after a disease-free intermission or remission.  The patient may have more than one site of recurrence (i.e., both regional and distant metastases).  Code regional in the data field TYPE OF FIRST RECURRENCE, and distant in this field.  If the patient has only one site of recurrence or has been disease-free since treatment, code 00.  Possible values are  Local recurrence, NOS; Trocar site;  Local recurrence of invasive tumor; Regional recurrence, NOS; Regional recurrence of in situ tumor, NOS; Distant recurrence in lung; None, disease-free; In situ recurrence of invasive tumor; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD4F50335" name="recurrenceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT0QquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD4F50335">
            <body>Identifies the type of first recurrence after a period of documented disease-free intermission or remission.  Possible values are  Local recurrence, NOS; Trocar site;  Local recurrence of invasive tumor; Regional recurrence, NOS; Regional recurrence of in situ tumor, NOS; Distant recurrence in lung; None, disease-free; In situ recurrence of invasive tumor; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD4B40042" name="recurrenceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PT0Qp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD4B40042">
            <body>The date of the first recurrence.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447227470082" name="CancerPatientSummary">
        <eAnnotations xmi:id="_PUkemeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PUHyrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447227470082">
          <body>Epsiode of Cancer in this patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64472278A0128" name="id " visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PUHyr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472278A0128">
            <body>A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447232FC0258" name="alcoholHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8mOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447232FC0258">
            <body>Code the patient's past or current consumption of alcoholic beverages including wine or beer.  Possible values are Yes; No; Unknown; No history of alcohol use; Current use of alcohol; Past history of alcohol use; Alcohol usage unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726B8A010C" name="asbestosExposure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726B8A010C">
            <body>Identifies if the patient was exposed to asbestos. Possible values are  Yes; No; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726C780262" name="comments" visibility="public">
          <ownedComment xmi:id="_PUatm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726C780262">
            <body>This is a comment on the follow-up.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723C200022" name="dateFollowupDue" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PUQ8kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723C200022">
            <body>The date of next scheduled follow-up.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726D18001E" name="entryStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUkekuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726D18001E">
            <body>Indicates whether entry is complete.  Possible values are complete; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723D6A021B" name="familyHistoryOfCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723D6A021B">
            <body>Identifies whether the patient has a family history of any reportable malignancy.  'Possible values are No; Yes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447E3CDC0004" name="isDeceased" visibility="public">
          <eAnnotations xmi:id="_PUkel-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PUkeleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447E3CDC0004">
            <body>&quot;An indication that the subject is dead.&quot;&quot;  HL7 V3 RIM Ballot 8   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lYOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lYeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474724502AD" name="qualityOfSurvival" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474724502AD">
            <body>Identifies the code describing the patient's quality of survival.  Possible values are Normal; Symptomatic &amp;amp;amp; Ambulatory; More than 50% Ambulatory; Less than 50% Ambulatory; Bedridden; Not applicable, dead; Unknown or unspecified; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447232BD0171" name="tobaccoHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8leLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447232BD0171">
            <body>Code the patient's past or current use of tobacco.  Possible values are Yes; No; Unknown; Never used; Cigarette smoker, current; Cigar/Pipe smoker, current; Snuff/Chew/Smokeless, current; Combination use, current; Previous use; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447472E101AD" name="usualOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8m-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447472E101AD">
            <body>Indicates the patient's usual occupation (that is, the kind of work performed during most of the patient's working life before diagnosis of this tumor). &quot;retired&quot; is not recorder  patient's current or most recent occupation or any known occupation is used  If usual occupation is not available or is unknown.   This is the OCCUPATION field of SNOMED.  Possible values are ABLE SEAMAN; ABRASIVE WHEEL MOULDER ; ADMINISTRATION MANAGER; ADVERTISING COPYWRITER; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472332A000F" name="cancerDeath" visibility="public" type="_420A62FD03B644722EB10045" isUnique="false" association="_420A62FD03B6447233290022">
          <ownedComment xmi:id="_Ph-ohOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472332A000F">
            <body>Cancer related Death</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHyYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447228B80000" name="cancerPatient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6447228B60102">
          <ownedComment xmi:id="_Ph-ofeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447228B80000">
            <body>The patient who is the subject of the cancer patient episode of Care.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ph-of-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ph-ogOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726A3700BE" name="familyHistory" visibility="public" type="_420A62FD03B644726A1901E7" isUnique="false" association="_420A62FD03B644726A36008B">
          <ownedComment xmi:id="_PiHydOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A3700BE">
            <body>Cancer Family History</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiRjYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiRjYuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447276DF024E" name="followup" visibility="public" type="_420A62FD03B644726DAF03B4" isUnique="false" association="_420A62FD03B6447276DE0379">
          <ownedComment xmi:id="_PiRjZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447276DF024E">
            <body>Followup History</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PibUYeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PibUYuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474B1D501CF" name="modality" visibility="public" type="_420A62FD03B64474B1390199" isUnique="false" association="_420A62FD03B64474B1CE016B">
          <ownedComment xmi:id="_Pjd2NuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B1D501CF">
            <body>A method of treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2OOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2OeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644722EB10045" name="CancerDeathEvent">
        <eAnnotations xmi:id="_PU3ZgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PUkenOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644722EB10045">
          <body>This class contains informatin about cancer related death.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644722ED3031F" name="isCauseOfDeathCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644722ED3031F">
            <body>causeOfDeathCancer  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723043018D" name="icdCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723043018D">
            <body>icdCauseOfDeath  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644747727011A" name="placeOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644747727011A">
            <body> This is the place of death.  These codes include states of the United States as well as foreign countries.  Possible values are SEER Geocodes.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723BB4027F" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PUtoi-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723BB4027F">
            <body>The date and tine of death.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723CB70097" name="careCenterAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B644723CAA023D">
          <ownedComment xmi:id="_PiHyZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723CB70097">
            <body>Care center at death .</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHyaeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472696A01C8" name="autopsy" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6447269690202">
          <ownedComment xmi:id="_PiHybeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472696A01C8">
            <body>Autopsy of cancer related death</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHycOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644726A1901E7" name="FamilyHistory">
        <eAnnotations xmi:id="_PVAjfOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVAjdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A1901E7">
          <body>Contains information Identifying the patient's family member with cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644726AC70147" name="familyMemberCancerAnatomicLocation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVAjeuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726AC70147">
            <body>The location of the family member's cancer, from the COMMON CANCERS File.  Possible values are Brain; Gallbladder; Breast; COLON &amp;amp;amp; RECTUM; ESOPHAGUS;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726A970062" name="familyMemberWithCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVAjd-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A970062">
            <body>Identifies the family member with cancer.  Possible value FATHER; MOTHER; BROTHER; SISTER; UNCLE; AUNT; NIECE; NEPHEW; DISTANT RELATION; IN-LAWS; HUSBAND; WIFE; CHILD; NOT KNOWN; GRANDMOTHER; GRANDFATHER; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644726DAF03B4" name="PatientFollowupHistory">
        <eAnnotations xmi:id="_PVdPYuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVAjf-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726DAF03B4">
          <body>Contains information pertinent patient followup history. e.g. follow-up status, vital status, the source from which the latest follow-up information was obtained. etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447272490277" name="dateOfLastContactOrDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PVKUdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447272490277">
            <body>The date of last contact with the patient or the date of death.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447274EC0228" name="followupSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVdPYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447274EC0228">
            <body>Indicates the source from which the latest follow-up information was obtained.  Possible values are Reported hospitalization; Readmission; Physician; Patient; Department of Motor Vehicles; Medicare/Medicaid file; Death certificate; Other; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472721F003C" name="followupStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVKUcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472721F003C">
            <body>Indicates the  patient's followup status.  Possible values are Inactive; Active; LTF; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447274E80345" name="vitalStatus" visibility="public">
          <ownedComment xmi:id="_PVKUeOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447274E80345">
            <body>Indicates the vital status of the patient as of the date entered in DATE OF LAST CONTACT OR DEATH.  Possivle values are Dead; Alive; etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472EA4F0116" name="followupRegistry" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64472EA490316">
          <ownedComment xmi:id="_PibUZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472EA4F0116">
            <body>Cancer followup registry</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PibUaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeUOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473805200D1" name="lastFollowupContact" visibility="public" type="_420A62FD03B64248829E032E" isUnique="false" association="_420A62FD03B6447380510206">
          <ownedComment xmi:id="_PiuPXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473805200D1">
            <body>The Patient's last follow-up contact.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPX-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447318580112" name="CancerStaging">
        <eAnnotations xmi:id="_PV57VOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVdPb-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447318580112">
          <body>This class contains information related to cancer staging that describes the extent or severity of an individual s cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473188B035A" name="clinicalStagedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473188B035A">
            <body>Identifies the person who recorded the AJCC staging elements and the stage group in the patient's medical record.  Possible values are Not staged; Managing MD; Pathologist; Pathologist &amp;amp;amp; managing MD; Committee chair, liaison MD, registry advisor; Registrar;  Registrar &amp;amp;amp; MD;  Another facility;  NA; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447318F4030B" name="clinicalStageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447318F4030B">
            <body>Identifies the anatomic extent of disease based on the T , N, and M elements as recorded by the physician.  Possible values are Stage 0; Stage 0A; Stage 0is; Stage I,Stage IA; Stage IA1;Stage IA2; Stage IIB; Stage IVC; Not applicable; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6448060A80232" name="lymphaticVesselInvasion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxa-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448060A80232">
            <body>Identifies whether lymphatic vessel invasion was involved.  Possible values are Lymphatic vessel invasion cannot be assessed; No lymphatic vessel invasion; Lymphatic vessel invasion; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644731A230072" name="pathologicStagedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644731A230072">
            <body>Identifies the person who recorded the pathologic AJCC staging elements and the stage group in the patient's medical record. Possible values are Not staged; Managing MD; Pathologist; Pathologist &amp;amp;amp; managing MD; Committee chair, liaison MD, registry advisor; Registrar; Registrar &amp;amp;amp; MD; Another facility; NA; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447319FE035E" name="pathologicStageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447319FE035E">
            <body>Identifies the anatomic extent of disease based on the T, N, and M elements as recorded by the physician.  Possible values are Stage 0; Stage 0a; Stage 0s; Stage Ois; Stage II; Stage IIA; Stage IVB; Stage IVC; Not Applicable; unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447C5A3802F0" name="physiciansStage" visibility="public">
          <ownedComment xmi:id="_PVwxaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447C5A3802F0">
            <body>Indicates information regarding the physician's stage  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447319960318" name="stageGroupingAjcc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447319960318">
            <body>This field is set by either the CLINCICAL STAGE GROUP (38) or PATHOLOGIC STAGE GROUP (88) field depending on which takes precedence.  It consists of the more general stage group values of 0, I, II, III, IV, Unk/Uns or NA.  G302  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6448060A80250" name="venousInvasion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PV57UuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448060A80250">
            <body>Indicates whether venous invasion was involved.  Possible values are Venous invasion cannot be assessed; No venous invasion; Microscopic venous invasion; Macroscopic venous invasion; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aD4DQN9JEeaqfsYBRmvQmQ" name="stagingPhysician" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aD4DQt9JEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aD4DQd9JEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447326E000F3" name="RadiationTreatmentEvaluation">
        <eAnnotations xmi:id="_PWWnQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PV57V-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447326E000F3">
          <body>Contains information pertinent to the followup of the radiation treatment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474D1810188" name="boostDosage" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWDsW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1810188">
            <body>Additional boost dosage delivered to that part of the treatment volume encompassed by the boost fields or devices. The unit of measure is centiGray (cGy).  Possible values are 00000 thru (5 9 s) 99999.  (Manually entered)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447600010156" name="boostTreatmentModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2ReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447600010156">
            <body>Identifies the dominant modality of radiation therapy used to deliver the most clinically significant boost dose to the primary volume of interest during the first course of treatment. This is accomplished with external beam fields of reduced size (relative to the regional treatment fields), implants, stereotactic radiosurgery, conformal therapy, or IMRT. External beam boosts may consist of two or more successive phases with progressively smaller fields generally coded as a single entry. Posible values are  Neutrons (w or w/o X-Ray/electrons); Megavoltage, NOS; Brachytherapy, High-Dose-Rate (HDR); Photons (2-5 MV); etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D1220069" name="dateRadiationTherapyEnded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PWDsVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1220069">
            <body>The date on which the patient completes or receives the last radiation treatment at any facility.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474BF3E0031" name="locationOfRadiationTx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWDsUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474BF3E0031">
            <body>Identifies the location of the facility where radiation therapy was administered during the first course of treatment.  Possible values are No radiation tx; All radiation tx at this fac; Regional tx at this fac, boost elsewhere; Boost at this fac, regional elsewhere; All radiation tx elsewhere; Other; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447C580C01C4" name="numberOfTxsToThisVolume" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWM2S-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447C580C01C4">
            <body>Indicates the total number of treatment sessions (fractions) administered during the first course of treatment.  Number between 0 and 99.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644761380009F" name="radiationSurgerySequence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2SOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644761380009F">
            <body>Indicates the sequencing of radiation and surgical procedures given as part of the first course of treatment.  Possible values are No rad and/or surgery; Rad before surgery; Rad after surgery; Rad both before/after surgery; Intraoperative rad; Intraoperative rad w rad before/after surgery; Sequence unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474BED9025C" name="radiationTreatmentVolume" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PV57WuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474BED9025C">
            <body>Identifies the volume or anatomic target of the most clinically significant regional radiation therapy delivered to the patient during the first course of treatment.  Possible values are Eye/orbit; Chest/lung (NOS); Lung (limited); Esophagus; Breast/lymph nodes; Chest Wall;  Lower extended field; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D1540089" name="regionalDoseCgy" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWDsWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1540089">
            <body>The dominant or most clinically significant total dose of regional radiation therapy delivered to the patient during the first course of treatment.  The unit of measure is centiGray (cGy).  Possible values are 0000 thru 9999 (Manually entered)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644760001011A" name="regionalTreatmentModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2QuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644760001011A">
            <body>Iidentifies the dominant modality of radiation therapy used to deliver the most clinically significant regional dose to the primary volume of interest during the first course of treatment.  Posible values are  Neutrons (w or w/o X-Ray/electrons); Megavoltage, NOS; Brachytherapy, High-Dose-Rate (HDR); Photons (2-5 MV); etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473444A0050" name="SubsequentTherapyComment">
        <eAnnotations xmi:id="_PWWnTOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PWWnROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473444A0050">
          <body>This class contains subsequent therapy related comments.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473449B03DC" name="chemoTherapyPlannedGiven" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWWnR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473449B03DC">
            <body>Indicates whether the patient received chemotherapy.  Possible values Yes; No, not recommended; Patient refused chemotherapy; Chemotherapy planned, but not given; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473461D011A" name="hormoneTherapyPlannedGiven" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWWnSuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473461D011A">
            <body>Indicates whether the patient received hormonal therapy. Possible values are Yes; No, not recommended; Patient refused hormone therapy; Hormone therapy planned, but not given; Unknown;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447359D60341" name="DiagnosticWorkup">
        <eAnnotations xmi:id="_PXGOLeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PWgYQeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447359D60341">
          <body>This class contains information pertinent to the diagnostic followup of a cancer patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473890B019A" name="dateOfBloodInSptumPerPT" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWpiO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473890B019A">
            <body>The date of the presence of blood in the patient's sputum (as reported by the patient).  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lauLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0la-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744BCA026C" name="dateOfChangeInBowelHabits" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWzTMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744BCA026C">
            <body>The date of a change in bowel habits (as reported by the patient).  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lbuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lb-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644735A34036E" name="dateOfFirstSymptoms" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWgYRuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644735A34036E">
            <body>The date on which the patient was first seen with symptoms or had abnormal test results which began the workup which led to the diagnosis of cancer.  This date would be before or equal to the DATE DX.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lYuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lY-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745FE3017A" name="dateOfIncreasedCough" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWzTO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745FE3017A">
            <body>The date on which the patient experienced increased coughing.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lcuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lc-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474601D026E" name="dateOfFever" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PW9ENuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9ENOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474601D026E">
            <body>The date on which the patient experienced a fever.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lduLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0ld-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474609E02C3" name="dateOfNightSweats" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PW9EQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474609E02C3">
            <body>The date on which the patient experienced night sweats.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0leuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0le-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644736FEF020F" name="dateStartOfWorkupOrdered" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWgYS-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYSeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644736FEF020F">
            <body>The date the physician placed consult to specialty clinic OR ordered diagnostic procedures or tests.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lZOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lZeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473702701A1" name="dateWorkupStarted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWpiMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYTuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473702701A1">
            <body>The date when the patient was seen in the specialty clinic OR had diagnostic procedures or tests performed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lZuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lZ-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473872300E4" name="bloodInSputumPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWpiNuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473872300E4">
            <body>Indicates the presence of blood in the patient's sputum as reported by the patient. Possible values are No; Yes; unknown/Not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0laOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0laeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744B0001A4" name="changeInBowelHabitsPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWpiQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744B0001A4">
            <body>Indicates all changes in bowel habits as reported by the patient.   Possible values are No; 'Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lbOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lbeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745F8D013A" name="increasedCough" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWzTNuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745F8D013A">
            <body>Indicates whether the patient experienced increased coughing.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lcOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lceLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745FFD0344" name="fever" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PW9EMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745FFD0344">
            <body>Indicates whether the patient experienced a fever.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0ldOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0ldeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474608B00DB" name="nightSweats" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PW9EO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474608B00DB">
            <body>Indicates whether the patient experienced night sweats.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0leOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0leeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447463180293" name="sporadicPolyps" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOK-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PXGOKeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447463180293">
            <body>Indicates the existence of sporadic polyps.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lgOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lgeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447462DB010F" name="ulcerativeColitis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOJuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PXGOJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447462DB010F">
            <body>Indicates whether the patient was affected by ulcerative colitis (UC).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lfuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lf-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447460BB0365" name="weightLossPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447460BB0365">
            <body>Indicates the weight loss as reported by the patient.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lfOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lfeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447450560158" name="resultBariumEnema" visibility="public" type="_420A62FD03B644744DF9016C" isUnique="false" association="_420A62FD03B6447450550070">
          <ownedComment xmi:id="_PjK7ReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447450560158">
            <body>Result of Barium Enema</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7R-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7SOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CC6D0307" name="resultBronchoscopy" visibility="public" type="_420A62FD03B64473CBBA03BE" isUnique="false" association="_420A62FD03B64473CC6C0369">
          <ownedComment xmi:id="_PjBKQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CC6D0307">
            <body>Result of Bronchoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjBKROLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjBKReLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745D860347" name="resultColonoscopy" visibility="public" type="_420A62FD03B644745BFA0398" isUnique="false" association="_420A62FD03B644745D850205">
          <ownedComment xmi:id="_PjUFNuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745D860347">
            <body>result of Colonoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFOOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFOeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745E5C0312" name="resultDyspnea" visibility="public" type="_420A62FD03B644745DF40128" isUnique="false" association="_420A62FD03B644745E5A03CE">
          <ownedComment xmi:id="_PjUFPeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745E5C0312">
            <body>Result of Dyspnea</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFP-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFQOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473C78101B0" name="resultChestXRay" visibility="public" type="_420A62FD03B64473C6C50034" isUnique="false" association="_420A62FD03B64473C7800123">
          <ownedComment xmi:id="_Pi4AVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C78101B0">
            <body>Result of Chest C-Ray</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AWOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AWeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447456730311" name="resultCtOfAbdomenPelvis" visibility="public" type="_420A62FD03B644745656014C" isUnique="false" association="_420A62FD03B6447456720193">
          <ownedComment xmi:id="_PjK7U-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447456730311">
            <body>Result of  Ct Of Abdomen Pelvis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFMeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFMuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CB4802B5" name="resultCtScanOfThorax" visibility="public" type="_420A62FD03B64473C7CE0279" isUnique="false" association="_420A62FD03B64473CB4702BE">
          <ownedComment xmi:id="_Pi4AXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CB4802B5">
            <body>Result of Ct Scan Of Thorax</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AX-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744D8F0246" name="resultFobt" visibility="public" type="_420A62FD03B644744CED0026" isUnique="false" association="_420A62FD03B644744D8E032B">
          <ownedComment xmi:id="_PjBKUOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D8F0246">
            <body>Result of Fecal Occult Blood Test</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7QOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7QeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CDD7009A" name="resultMediastinoscopy" visibility="public" type="_420A62FD03B64473CCFF02CB" isUnique="false" association="_420A62FD03B64473CDD60053">
          <ownedComment xmi:id="_PjBKSeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CDD7009A">
            <body>Result of Mediastinoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjBKS-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjBKTOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64587EA0603B4" name="resultPetScan" visibility="public" type="_420A62FD03B64587E8C20227" isUnique="false" association="_420A62FD03B64587EA06011F">
          <ownedComment xmi:id="_PkETJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587EA0603B4">
            <body>Result of Pet Scan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PkETKeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PkETKuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447455730019" name="resultSigmoidoscopy" visibility="public" type="_420A62FD03B6447454E303CA" isUnique="false" association="_420A62FD03B6447455720072">
          <ownedComment xmi:id="_PjK7TOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447455730019">
            <body>Result of Sigmoidoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7TuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7T-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473C6C50034" name="ChestXRay">
        <eAnnotations xmi:id="_PXP_LeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXP_JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C6C50034">
          <body>A Phtograph of chest taken by X-Ray.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473C70700A7" name="chestXRay" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXP_KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C70700A7">
            <body>Indicates the results of the diagnostic test CHEST X-RAY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473C7610345" name="dateOfChestXRay" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXP_K-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C7610345">
            <body>The date of the diagnostic test CHEST X-RAY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473C7CE0279" name="CtScanOfThorax">
        <eAnnotations xmi:id="_PXZJGuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXZJEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C7CE0279">
          <body>Cat scan of thorax. An image produced by a CAT scanner. Also called CT scan.   [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]         </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CAD400E2" name="ctScanOfThorax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXZJFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CAD400E2">
            <body>Indicates the results of the diagnostic test CT SCAN.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CB2603D9" name="dateOfCtScanOfThorax" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXZJGOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CB2603D9">
            <body>The date of the diagnostic test CT SCAN.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473CBBA03BE" name="Bronchoscopy">
        <eAnnotations xmi:id="_PXi6F-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXZJHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CBBA03BE">
          <body>An examination used for inspection of the interior of the tracheo-bronchial tree, performance of endobronchial diagnostic tests, taking of specimens for biopsy and culture and removal of foreign bodies.   [Source: On-line Medical Dictionary,   1997-98 Academic Medical Publishing &amp;amp;amp; CancerWEB ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CBFE00CC" name="bronchoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXi6EuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CBFE00CC">
            <body>Indicates the results of the diagnostic test BRONCHOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.     </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CC390167" name="dateOfBronchoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXi6FeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CC390167">
            <body>The date of the diagnostic test BRONCHOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473CCFF02CB" name="Mediastinoscopy">
        <eAnnotations xmi:id="_PXsrFOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXi6GuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CCFF02CB">
          <body>Examination of the mediastinum through an incision above the sternum   [Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc. ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CD5002BD" name="mediastinoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXi6HeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CD5002BD">
            <body>Indicates the results of the diagnostic test MEDIASTINOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CDAE03DB" name="dateOfMediastinoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXsrEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CDAE03DB">
            <body>The date of the diagnostic test MEDIASTINOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644744CED0026" name="FecalOccultBloodTest">
        <eAnnotations xmi:id="_PX11AeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXsrF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744CED0026">
          <body>Fecal Occult Blood Testing</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644744D010364" name="fecalOccultBloodTest" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXsrGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D010364">
            <body>Indicates thee results of the diagnostic test FECAL OCCULT BLOOD TEST (FOBT).  Possbile values are Not done; Positive (3-card sample);  Negative (3-card sample); Positive (6-card sample); Negative (6-card sample); Unknown/not documented; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744D18030D" name="dateOfFobt" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXsrHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D18030D">
            <body>The date of the diagnostic test FECAL OCCULT BLOOD TEST (FOBT).  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644744DF9016C" name="BariumEnema">
        <eAnnotations xmi:id="_PX_mAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX11BOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744DF9016C">
          <body>The administration of barium in enema form for radiographic study of the lower intestinal tract. Also called contrast enema.  [Source: The American Heritage  Stedman's Medical Dictionary]       </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644744E130354" name="bariumEnema" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PX11B-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744E130354">
            <body>The results of the diagnostic test BARIUM ENEMA.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744E370085" name="dateOfBariumEnema" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PX11CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744E370085">
            <body>The date off the diagnostic test BARIUM ENEMA.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447454E303CA" name="Sigmoidoscopy">
        <eAnnotations xmi:id="_PX_mDOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX_mBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447454E303CA">
          <body>The process of using a sigmoidoscope called also proctosigmoidoscopy  sig moid o scop ic /-d&amp;amp;amp;-'sk p-ik/ adjective   [Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.]     </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447454FE007F" name="sigmoidoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PX_mB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447454FE007F">
            <body>Indicates the results of the diagnostic test SIGMOIDOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474555E010A" name="dateOfSigmoidoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PX_mCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474555E010A">
            <body>The date of the diagnostic test SIGMOIDOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745656014C" name="CtOfAbdomenPelvis">
        <eAnnotations xmi:id="_PYJXB-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX_mD-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745656014C">
          <body>Cat scan of abdoment Pelvis. An image produced by a CAT scanner. Also called CT scan.   [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]         </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474579103A8" name="ctOfAbdomenPelvis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYJXAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474579103A8">
            <body>Indicates the results of the diagnostic test CT OF ABDOMEN/PELVIS.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447457B10354" name="dateOfCtOfAbdomenPelvis" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PYJXBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447457B10354">
            <body>The date of the diagnostic test CT OF ABDOMEN/PELVIS.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745BFA0398" name="Colonoscopy">
        <eAnnotations xmi:id="_PYSg9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYJXCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745BFA0398">
          <body>Visual examination of the colon (with a colonoscope) from the cecum to the rectum; requires sedation  [Source: WordNet   2.0,   2003 Princeton University ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644745C1003DF" name="colonoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYJXDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745C1003DF">
            <body>Indicates the results of the diagnostic test COLONOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745C3F02BA" name="dateOfColonoscopy" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_PYSg8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745C3F02BA">
            <body>The date of the diagnostic test COLONOSCOPY.  If this test was not done, record a '0'.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745DF40128" name="Dyspnea">
        <eAnnotations xmi:id="_PYlb4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYSg9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745DF40128">
          <body>Difficulty in breathing, often associated with lung or heart disease and resulting in shortness of breath. Also called air hunger.  [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644745E0503E0" name="dyspnea" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYSg-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745E0503E0">
            <body>Indicates whether the patient experienced dyspnea.  Possible values are No; Yes; Unknown/not documented; etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745EE2015D" name="dateOfDyspnea" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PYSg_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745EE2015D">
            <body>Record the date on which the patient was affected by dyspnea.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644749E7D0251" name="Abstract">
        <eAnnotations xmi:id="_PYlb6eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYlb5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749E7D0251">
          <body>This class has information related to abstract status.  The abstract is a summary of pertinent information about the patient, the cancer, the treatment, and outcome</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644749EC700B2" name="abstractStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYlb5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749EC700B2">
            <body>Indicates the status of the abstract data entry.  Possible values are Incomplete; Minimal data; Partial; Complete; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BKmckN9JEeaqfsYBRmvQmQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BKmckt9JEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BKmckd9JEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474B1390199" name="Modality">
        <eAnnotations xmi:id="_PYvM5OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYlb7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B1390199">
          <body>This class contains attribures that identify whether more than one method of treatment were used or not.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474B14A03A6" name="clinicalMultiModality" visibility="public">
          <ownedComment xmi:id="_PYlb7-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B14A03A6">
            <body>The first method of therapy is other than cancer-directed surgery.  The patient is first treated with radiation therapy, chemotherapy, hormone therapy, immunotherapy, &quot;other&quot; therapy, or any combination of these therapies. The stage is based on a pathologic resection of the primary done after at least one of the other therapies has started.  The other therapy may or may not be complete.  This stage should supplement the clinical AJCC stage, not replace it.  Possible values are Yes; No;   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474B16A0261" name="multiModality" visibility="public">
          <ownedComment xmi:id="_PYvM4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B16A0261">
            <body>MULTIMODALITY THERAPY determines whether the pTNM category will have a &quot;y Prefix&quot; (eg yT1 N0M0).  The &quot;y Prefix&quot; indicates those cases in which classification is performed during or following initial multimodality therapy.  The ypTNM categorizes the extent of tumor actually present at the time of that examination.  The &quot;y&quot; category is not an estimate of the extent of tumor prior to multimodality therapy. Possible values are Yes; No;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474D7300176" name="CancerHistory">
        <eAnnotations xmi:id="_PYvM7OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYvM5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7300176">
          <body>This class contains information that Identifies whether the patient has a prior history of any reportable malignancy.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474D7A400D2" name="previousHistoryOfCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYvM6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7A400D2">
            <body>Identifies whether the patient has a prior history of any reportable malignancy. Possible values are No; Yes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MyH7YG7VEeGMPulV_nCvVA" name="reportableMalignancyListEntry" visibility="public" type="_F93ZUG7VEeGMPulV_nCvVA" association="_MyDp8G7VEeGMPulV_nCvVA">
          <ownedComment xmi:id="_SoOMEG7VEeGMPulV_nCvVA" annotatedElement="_MyH7YG7VEeGMPulV_nCvVA">
            <body>An order, arrangement, or significance in which the reportable Malignancy takes place. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MyJJgG7VEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MyJwkG7VEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474D9CB0193" name="ReportableMalignancy">
        <eAnnotations xmi:id="_PZCH0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PY496OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D9CB0193">
          <body>The reportable malignancy of the patient's cancer.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474DA61035B" name="CancerNumber" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PY496-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474DA61035B">
            <body>Indicates the reportable malignancy associated with this patient's PREVIOUS HISTORY OF CANCER.ICDO.   Possible values are ICDO-3 TOPOGRAPHY CODES  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447700440214" name="CancerTreatmentEvaluation">
        <eAnnotations xmi:id="_PZL43eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZCH1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447700440214">
          <body>Contains information pertinent to the followup of the all the treatments other than Radiation Treatment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64477232602BF" name="crohnsDisease" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL42-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZL42eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477232602BF">
            <body>Indicates the appropriate code for whether Crohn's disease/ulcerative colitis was a pre-existing condition.  Possible Values are No; Yes; Unknown; etc.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0liuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0li-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64477114E025D" name="familialAdenomatousPolyposis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZCH3uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477114E025D">
            <body>Idetifies whether the patient was affected by FAP (Familial adenomatous polyposis).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lhOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lheLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447711210136" name="gleasonsScore" visibility="public">
          <eAnnotations xmi:id="_PZCH2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447711210136">
            <body>Indicates the Gleason's score.  Possible values are unknown, not reported or not applicable,  99; etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lguLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lg-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644771207035D" name="hnpcc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL40eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644771207035D">
            <body>Indicates whether the patient is affected by hereditary nonpolyposis colon cancer (HNPCC) syndrome.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lhuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lh-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64477145A000F" name="inflammatoryBowelDisease" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL41uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZL41OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477145A000F">
            <body>Record whether the patient was affected by inflammatory bowel disease (IBD).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0liOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lieLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D52401D7" name="division" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64474D5180139">
          <ownedComment xmi:id="_Pjd2PeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D52401D7">
            <body>The division to which this primary belongs.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2P-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2QOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447DCE0B008E" name="PatientTreatmentAssessment">
        <eAnnotations xmi:id="_PZezw-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZL44OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DCE0B008E">
          <body>Contains information pertinent to patient's pre treatment assessment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0ED00E9" name="dateFirstSurgicalProcedure" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PZVp2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0ED00E9">
            <body>The earliest date on which any first course surgical procedure was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0490378" name="dateOfNoTreatment" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PZVp1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0490378">
            <body>The date on which it is decided not to treat the patient.  If the physician decides not to treat the patient, record the date of this decision as the DATE OF NO TREATMENT.  The physician may decide not to treat the patient because of co-morbid conditions, advanced disease, or because the accepted management of the cancer is to observe until the disease progresses or until the patient becomes symptomatic.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64484DC500061" name="readmissionWithinThirtyDaysSurgery" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZezweLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64484DC500061">
            <body>Records a readmission to the same hospital within 30 days of discharge following a hospitalization for surgical resection of the primary site.  Possible values are No surgery/not readmitted; Unplanned readmission; Planned readmission; Planned and unplanned readmission; Unknown if surgery or readmission; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0440277" name="reasonForNoRadiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZVp0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0440277">
            <body>Indicates the reason that no regional radiation  therapy was administered to the primary site.  Possible values are Radiation administered; Not part of 1st course; Contraindicated; Patient died prior to tx; Not administered, no reason; Refused by patient; Unknown if administered; Unknown, death cert/autopsy cases; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD03E01D8" name="reasonNoSurgeryOfPrimary" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZL44-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD03E01D8">
            <body>Indicates the reason for no SURGERY OF PRIMARY SITE, SCOPE OF LYMPH NODE SURGERY, and SURGERY OF OTHER SITES/NODES.  Codes 1-2 and 6-9 are valid only when the field SURGERY OF PRIMARY SITE is coded 00, SCOPE OF LYMPH NODE SURGERY is coded 0, and SURGERY OF OTHER SITES/NODES is coded 0.  Possible values are Surgery performed; Not part of 1st course; Contraindicated/risk factors; Patient died prior to surgery; No reason in record; Refused by patient; Unknown if performed; Unknown/dx at autopsy/death cert; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6448096E70320" name="CancerProtocol">
        <eAnnotations xmi:id="_PZxutOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZok0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448096E70320">
          <body>This class contains attributes pertinent to a systemic plan of the cancer treatment.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64480972C0243" name="yearPutOnProtocol" visibility="public">
          <ownedComment xmi:id="_PZxusuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480972C0243">
            <body>Indicates the year in which the patient was entered into a protocol.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64587E8C20227" name="PetScan">
        <eAnnotations xmi:id="_Pgokp-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Pgfav-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E8C20227">
          <body>Positron emission tomography: PET. A highly specialized imaging technique that uses short-lived radioactive substances to produce three-dimensional colored images of those substances functioning within the body. These images are called PET scans and the technique is termed PET scanning.  [Source: Medical Dictionary - MedicineNet.com]  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64587E909023D" name="petScan" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PgokouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E909023D">
            <body>Indicates the results of the diagnostic test PET SCAN. Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64587E91002D4" name="dateOfPetScan" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PgokpeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E91002D4">
            <body>The date of the diagnostic test PET SCAN.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644692C650381" memberEnd="_420A62FD03B644692C670026 _420A62FD03B644692C67029D">
        <ownedEnd xmi:id="_420A62FD03B644692C67029D" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B644692C650381"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644698F690217" memberEnd="_420A62FD03B644698F6A01BE _420A62FD03B644698F6A01C0">
        <ownedEnd xmi:id="_420A62FD03B644698F6A01C0" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B644698F690217"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994650208" memberEnd="_420A62FD03B6446994660227 _420A62FD03B64469946602B3">
        <ownedEnd xmi:id="_420A62FD03B64469946602B3" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994650208"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994B90000" memberEnd="_420A62FD03B6446994BA0105 _420A62FD03B6446994BA0192">
        <ownedEnd xmi:id="_420A62FD03B6446994BA0192" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994B90000"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994C00014" memberEnd="_420A62FD03B6446994C002F9 _420A62FD03B6446994C0037B">
        <ownedEnd xmi:id="_420A62FD03B6446994C0037B" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994C00014"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A107E0191" memberEnd="_420A62FD03B6446A108002D4 _420A62FD03B6446A108002DE">
        <ownedEnd xmi:id="_420A62FD03B6446A108002DE" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B6446A107E0191"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A17A301FF" memberEnd="_420A62FD03B6446A17A40265 _420A62FD03B6446A17A4026F">
        <ownedEnd xmi:id="_420A62FD03B6446A17A4026F" name="" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A17A301FF"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A17B00154" memberEnd="_420A62FD03B6446A17B102BD _420A62FD03B6446A17B102C8">
        <ownedEnd xmi:id="_420A62FD03B6446A17B102C8" name="" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A17B00154"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A18CB004C" memberEnd="_420A62FD03B6446A18CC00D0 _420A62FD03B6446A18CC00D2">
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          <body>This class represents those properties which are common to all orders.  This class is &quot;owned&quot; by the Common package so as to avoid package interdependencies.  Information that is specific to given order types (e.g., Lab, Pharmacy) are contained in subtypes to this class.  These subtype classes are in the the respective domain packages (e.g., the LabRequest class is in the Lab package).</body>
        </ownedComment>
        <generalization xmi:id="_df2uIAezEeikM77QF_3UkA" general="_Dc-MgEIdEee2bJNtigJtLg"/>
        <ownedAttribute xmi:id="_njwJ0OO3EeCbbuWBGGTBrA" name="advanceBeneficiaryNoticeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fdRtQAcqEeGfLeiV6Brugg" annotatedElement="_njwJ0OO3EeCbbuWBGGTBrA">
            <body>&quot;This field indicates the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element is introduced to satisfy CMS Medical Necessity requirements for outpatient services. This element indicates (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service&quot; - HL7 Version 2.8, ORC-20</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rHU-QOO3EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rHYBkOO3EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n64CAMSjEeG325TcQ8YAGA" name="advanceBeneficiaryNoticeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_u0V0MMSjEeG325TcQ8YAGA" annotatedElement="_n64CAMSjEeG325TcQ8YAGA">
            <body>&quot;Contains the date the patient gave consent to pay for potentially uninsured services or the date that the Advanced Beneficiary Notice Code was collected.&quot; - HL7 Version 2.8, ORC-32.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rrRxgMSjEeG325TcQ8YAGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rrS_oMSjEeG325TcQ8YAGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WKyoAOO5EeCbbuWBGGTBrA" name="advanceBeneficiaryNoticeOverrideReason" visibility="public">
          <ownedComment xmi:id="_WKyoAeO5EeCbbuWBGGTBrA" annotatedElement="_WKyoAOO5EeCbbuWBGGTBrA">
            <body>&quot;This field contains the reason why the patient did not sign an Advanced Beneficiary Notice.&quot; - HL7 Version 2.8, ORC-26</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WKyoA-O5EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WKyoAuO5EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JcqWoMSkEeG325TcQ8YAGA" name="alternatePlacerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_JcqWocSkEeG325TcQ8YAGA" annotatedElement="_JcqWoMSkEeG325TcQ8YAGA">
            <body>&quot;This field enables a shorter number to be communicated that is unique within other identifiers.&quot; - HL7 Version 2.8, ORC-53.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JcqWo8SkEeG325TcQ8YAGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JcqWosSkEeG325TcQ8YAGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hdyrMId-EeeJXvOkPl8Bfw" name="basedOn" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <ownedComment xmi:id="_hdyrMYd-EeeJXvOkPl8Bfw" annotatedElement="_hdyrMId-EeeJXvOkPl8Bfw">
            <body>&quot;The proposal that is partly or wholly fulfilled by the performance of this act.&quot; - HL7 CIMI Order.basedOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hdyrM4d-EeeJXvOkPl8Bfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hdyrMod-EeeJXvOkPl8Bfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UxCjsMX-EeGsb4KXw2Babg" name="billingInformation" visibility="public" type="_SsqRIMX-EeGsb4KXw2Babg" association="_Uw9rMMX-EeGsb4KXw2Babg">
          <ownedComment xmi:id="_nkgX0MYAEeGsb4KXw2Babg" annotatedElement="_UxCjsMX-EeGsb4KXw2Babg">
            <body>&quot;Used to provide billing information, on the ordered service, to the filling application.&quot; - HL7 Version 2.8, BLG Segment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxDKwMX-EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxDx0MX-EeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jQbR8AcuEeGfLeiV6Brugg" name="callbackPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_pQHjgAcuEeGfLeiV6Brugg" annotatedElement="_jQbR8AcuEeGfLeiV6Brugg">
            <body>&quot;Contains the telephone number to call for clarification of a request or other information regarding the order.&quot; - HL7 Version 2.8, ORC-14.&#xD;
&quot;Contains the telephone number for reporting a status or a result&quot; - HL7 Version 2.8, OBR-17.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pR3pILynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pR3pIbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Oya20OO6EeCbbuWBGGTBrA" name="confidentialityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OhGOEAcsEeGfLeiV6Brugg" annotatedElement="_Oya20OO6EeCbbuWBGGTBrA">
            <body>&quot;This field contains information about the level of security and/or sensitivity surrounding the order (e.g., highly sensitive, not sensitive, sensitive, etc.).&quot; - HL7 Version 2.8, ORC-28</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qU-r8LynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qU-r8bynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mBZaMActEeGfLeiV6Brugg" name="dangerCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vcO88ActEeGfLeiV6Brugg" annotatedElement="_mBZaMActEeGfLeiV6Brugg">
            <body>&quot;Contains the code and/or text indicating any known or suspected patient or specimen hazards, e.g., patient with active tuberculosis or blood from a hepatitis patient.&quot; - HL7 Version 2.8, OBR-12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qBCfkActEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qBDGoActEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6421B8C940052" name="dateTimeBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHAa3uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421B8C940052">
            <body>This optional property is used by some types of orders which are requesting a repeating or continuous action to convey the first date (and optionally, time) upon which the action should occur. For example a clinician may order a drug to be administered in an inpatient stay. This drug might be administered every 4 hours beginning on a certain date/time. For one-time orders, such as an imaging request or most lab orders, this property is not used. Note that FHIR allows the data type to be a dateTime, a Period, or a Timing. When FHIR uses a dateTime, this property is the equivalent. When FHIR uses a Period, this property is the start time. When FHIR uses a Timing, this property is not used, rather the occurrenceTiming property should be used.&#xD;
&#xD;
&quot;This field may be specified by the requester, in which case it indicates the earliest date/time at which the services should be started. In many cases, however, the start date/time will be implied or will be defined by other fields in the service request record (e.g., urgency STAT). In such a case, this field will be empty. The filling service will often record a value in this field after receipt of the service request, however, and compute an end time on the basis of the start date/time for the filling service's internal use.&quot; - HL7 Version 2.8, TQ1-7&#xD;
&quot;The date or time(s) at which the activity or service is desired to occur.&quot; - HL7 FHIR, Request.occurrence[x]&#xD;
&quot;When the activity should start.&quot; - HL7 CIMI Order.startDateTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_urnEUFpXEeaTlpPFsokSJQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_urnEUVpXEeaTlpPFsokSJQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423B035A0205" name="dateTimeCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NHAa0OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NG2p1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423B035A0205">
            <body>The date/time this order is considered complete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pLOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642408DBC031C" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHJkxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642408DBC031C">
            <body>This optional property is used by some types of orders which are requesting a repeating or continuous action to convey the last date (and optionally, time) upon which the action should occur. For example a clinician may order a drug to be administered in an inpatient stay. This drug might be administered every 4 hours for three days. In this example, this property would contain the date/time three days after the begin date/time. For one-time orders, such as an imaging request or most lab orders, this property is not used. Note that FHIR allows the data type to be a dateTime, a Period, or a Timing. When FHIR uses a dateTime, this property is not used, as the single FHIR dateTime corresponds to the dateTimeStart property. When FHIR uses a Period, this property is the end time. When FHIR uses a Timing, this property is not used, rather the occurrenceTiming property should be used.&#xD;
&#xD;
&quot;When filled in by the requester of the service, this field should contain the latest date/time that the service should be performed. If it has not been performed by the specified time, it should not be performed at all. The requester may not always fill in this value, yet the filling service may fill it in on the basis of the instruction it receives and the actual start time. Regardless of the value of the end date/time, the service should be stopped at the earliest of the date/times specified by either the duration or the end date/time.&quot; - HL7 Version 2.8, TQ1-8&#xD;
&quot;The date or time(s) at which the activity or service is desired to occur.&quot; - HL7 FHIR, Request.occurrence[x]&#xD;
&quot;When the activity should end.&quot; - HL7 CIMI Order.stopDateTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v0O5QFpXEeaTlpPFsokSJQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v0O5QVpXEeaTlpPFsokSJQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BUKOkId5EeeJXvOkPl8Bfw" name="dateTimeNeeded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_BUKOkYd5EeeJXvOkPl8Bfw" annotatedElement="_BUKOkId5EeeJXvOkPl8Bfw">
            <body>&quot;Point in time when order must be performed.&quot; - HL7 CIMI Order.neededNoLaterThan</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BUKOk4d5EeeJXvOkPl8Bfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BUKOkod5EeeJXvOkPl8Bfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A015A" name="dateTimeOrdered" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_MCwvnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MCwvmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A015A">
            <body>The date/time upon which the Order was authorized (signed) and released by the ordering provider.&#xD;
&quot;For draft requests, indicates the date of initial creation. For requests with other statuses, indicates the date of activation.&quot; - HL7 FHIR, Request.authoredOn&#xD;
&#xD;
&quot;Date prescription was written.&quot; - NCPDP Telecommunication (Field 414-DE, Data Dictionary 201104).&#xD;
&quot;The date (and perhaps time) when the prescription was initially written or authored on.&quot; - HL7 FHIR, MedicationRequest.authoredOn</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWXeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWXuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ep2kgZkGEeCFEfqQZ7sMZg" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_ep2kgJkGEeCFEfqQZ7sMZg">
          <ownedComment xmi:id="_5A9_oBUwEeGk2cucW4LtoA" annotatedElement="_ep2kgZkGEeCFEfqQZ7sMZg">
            <body>A (set of) specific confirmed or suspected patient diagnosis associated with a Health Care Order indicating the health care basis for the Healthcare Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ep2kgpkGEeCFEfqQZ7sMZg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ep2kg5kGEeCFEfqQZ7sMZg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kFoz8Ac0EeGfLeiV6Brugg" name="duplicateProcedureReason" visibility="public">
          <ownedComment xmi:id="_xyNRoAc0EeGfLeiV6Brugg" annotatedElement="_kFoz8Ac0EeGfLeiV6Brugg">
            <body>&quot;This field is used to document why the procedure found in OBR-44 - Procedure Code is a duplicate of one ordered/charged previously for the same patient within the same date of service and has been determined to be medically necessary.&quot; - HL7 Version 2.8, OBR-48.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tyyPkLynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tyyPkbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ScDqoJNjEeCyufOLCDZkFA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_Sb22UJNjEeCyufOLCDZkFA">
          <ownedComment xmi:id="_GlJwABCUEeGYNskcagX10g" annotatedElement="_ScDqoJNjEeCyufOLCDZkFA">
            <body>Pointer to the Encounter during which the Order was created.&#xD;
&quot;The encounter or episode of care that establishes the context for making this request.&quot; - HL7 FHIR, Request.context&#xD;
&#xD;
&quot;A link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider.&quot; - HL7 FHIR, MedicationRequest.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ScE4wJNjEeCyufOLCDZkFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ScE4wZNjEeCyufOLCDZkFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v4ihEMoSEeGas4Yp_oUthg" name="healthcarePromise" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_v4ePoMoSEeGas4Yp_oUthg">
          <ownedComment xmi:id="_Vr4KcMoTEeGas4Yp_oUthg" annotatedElement="_v4ihEMoSEeGas4Yp_oUthg">
            <body>Points to the Healthcare Promises (if any) created in response to the Healthcare Order.  Note that since both the HealthcareOrder and HealthcarePromise are abstract classes, this association is available to all subclasses, such that LabPromise would point to LabOrder, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v4jvMMoSEeGas4Yp_oUthg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v4kWQMoSEeGas4Yp_oUthg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E6tyYAcbEeGfLeiV6Brugg" name="isEscortRequired" visibility="public">
          <ownedComment xmi:id="_5QnZYAczEeGfLeiV6Brugg" annotatedElement="_E6tyYAcbEeGfLeiV6Brugg">
            <body>Indicates whether &quot;the patient needs to be escorted to the diagnostic service department.&quot; - HL7 Version 2.8, OBR-42</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-YgkAcbEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-ZHoAcbEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lSyK4JkHEeCFEfqQZ7sMZg" name="isInpatientOrder" visibility="public">
          <ownedComment xmi:id="_UGw2EAcsEeGfLeiV6Brugg" annotatedElement="_lSyK4JkHEeCFEfqQZ7sMZg">
            <body>&quot;This field indicates whether the order is to be executed in an inpatient setting or an outpatient setting.&quot; - HL7 Version 2.8, ORC-29</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vjA3ELynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vjA3EbynEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_Ya3RcCR-EeeGzeZ-iJyMXQ" name="occurrenceTiming" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_Ya3RcSR-EeeGzeZ-iJyMXQ" annotatedElement="_Ya3RcCR-EeeGzeZ-iJyMXQ">
            <body>This optional property is used by some types of orders to convey a series of occurrences upon which the action should take place. Note that FHIR has a single occurrence property which can be implemented using one of three data types: a dateTime, a Period, or a Timing. This FHIM property is the equivalent of the FHIR occurrence property utilizing the Timing datatype. The FHIM dateTimeStart and dateTimeEnd properties relate to the FHIR occurrence property using the dateTime or Period datatypes.&#xD;
&quot;The date or time(s) at which the activity or service is desired to occur.&quot; - HL7 FHIR, Request.occurrence[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ya3RcyR-EeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ya3RciR-EeeGzeZ-iJyMXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sQmiMOOxEeCbbuWBGGTBrA" name="orderAction" visibility="public" type="_420A62FD03B6420BCF080009" association="_sQdYQOOxEeCbbuWBGGTBrA">
          <ownedComment xmi:id="_VA6cUBUxEeGk2cucW4LtoA" annotatedElement="_sQmiMOOxEeCbbuWBGGTBrA">
            <body>A record of action has been taken on an order, including the signature and verification required to release to the service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQmiMeOxEeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQmiMuOxEeCbbuWBGGTBrA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sn_XAOO2EeCbbuWBGGTBrA" name="orderingOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_Sn8TsOO2EeCbbuWBGGTBrA">
          <ownedComment xmi:id="_0iQ04AcoEeGfLeiV6Brugg" annotatedElement="_Sn_XAOO2EeCbbuWBGGTBrA">
            <body>Identifies the Organization that created or orginated the Healthcare Order. Used to identify the ordering organization, especially when the ordering organization is different than the performing organization. For example if the VA orders a lab test from Quest Diagnostics, this field would identify the VA.&#xD;
&quot;This field identifies the organization that the enterer belonged to at the time he/she enters/maintains the order, such as medical group or department.&quot; - HL7 V2 ORC 17</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sn_XAeO2EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sn_XAuO2EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fmX3MIlDEd-pqcFAwb-XNw" name="patientLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_fmOGMIlDEd-pqcFAwb-XNw">
          <ownedComment xmi:id="_h6yw4IlDEd-pqcFAwb-XNw" annotatedElement="_fmX3MIlDEd-pqcFAwb-XNw">
            <body>The physical location of the patient.  This information is used to communicate to the performing Service where the Patient might be found, which is particularly important for services that involve the patient (e.g., a Lab Test ordered requires a blood draw).&#xD;
&quot;Specifies the location of the patient to whom the pharmaceutical substance is to be delivered.&quot; - HL7 Version 2.8, RXO-34.&#xD;
&quot;Specifies the address, either mailing or physical, to which the prescription should be mailed or delivered.&quot; - HL7 Version 2.8, RXO-35.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fmX3MYlDEd-pqcFAwb-XNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fmX3MolDEd-pqcFAwb-XNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A015B" name="placerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MC55gOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A015B">
            <body>&quot;This field is the placer application's order number.&quot; - HL7 Version 2.8, ORC-2&#xD;
&quot;This field is identical to ORC-2-Placer Order Number....  It identifies an order uniquely among all orders from a particular ordering application.&quot; - HL7 Version 2.8, OBR-2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lfVUgPTqEdy4NNd432ztnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lfVUgfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X-gg4PjMEeCmc6EQPl3F9g" name="placerSupplementalInfo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u8W8sPjMEeCmc6EQPl3F9g" annotatedElement="_X-gg4PjMEeCmc6EQPl3F9g">
            <body>&quot;Contains supplemental service information sent from the placer system to the filler system for the universal procedure code reported in OBR-4 Universal Service ID.  This field will be used to provide ordering information detail that is not available in other specific fields in the OBR segment.&quot; - HL7 Version 2.8, OBR-46.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xcAZALynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xcAZAbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FKoUUAc0EeGfLeiV6Brugg" name="plannedPatientTransportComment" visibility="public">
          <ownedComment xmi:id="_KIac8Ac0EeGfLeiV6Brugg" annotatedElement="_FKoUUAc0EeGfLeiV6Brugg">
            <body>Contains &quot;comments on special requirements for the transport of the patient to the diagnostic service department.&quot; - HL7 Version 2.8, OBR-43</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yUHswLynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yUHswbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u5hhANzCEeWL2f9XaFHwGQ" name="precautionProtocolInvoked" visibility="public" type="_rZKqsNs4EeW2RplReLPV6w" association="_u5cBcNzCEeWL2f9XaFHwGQ">
          <ownedComment xmi:id="_biOfsNzDEeWL2f9XaFHwGQ" annotatedElement="_u5hhANzCEeWL2f9XaFHwGQ">
            <body>Pointer to a list of zero-to-many procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u5j9QNzCEeWL2f9XaFHwGQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u5j9QdzCEeWL2f9XaFHwGQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4aBxgO3KEeCFZuasLkncZQ" name="reasonForStudy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_l7FUgO3LEeCFZuasLkncZQ" annotatedElement="_4aBxgO3KEeCFZuasLkncZQ">
            <body>&quot;This is required for some studies to obtain proper reimbursement.&quot; - HL7 Version 2.8, OBR-31.  Used to link various tests or procedures together in order to provide a more complete picture of a patient's condition.  Also used for billing purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mrL7wO3LEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mrMi0O3LEeCFZuasLkncZQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wsp5EAmDEeGe4v7RnpTDUQ" name="relevantClinicalInformation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_gTZJ0AmDEeGe4v7RnpTDUQ" annotatedElement="_Wsp5EAmDEeGe4v7RnpTDUQ">
            <body>&quot;Contains the additional clinical information about the patient or specimen.  This field is used to report the suspected diagnosis and clinical findings on requests for interpreted diagnostic studies.  Examples include reporting the amount of inspired carbon dioxide for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.&quot; - HL7 Version 2.8, OBR-13.  Possible values include (from HL7 Table 916): Patient was fasting prior to the procedure; The patient indicated they did not fast prior to the procedure; Not Given – Patient was not asked at the time of the procedure; Fasting not asked of the patient at time of procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_84v3kMncEeG_ScqIlDrcqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_84xFsMncEeG_ScqIlDrcqg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BaqREIlEEd-pqcFAwb-XNw" name="remarks" visibility="public">
          <ownedComment xmi:id="_fJjHEO62Ed-crcWiXVDZrQ" annotatedElement="_BaqREIlEEd-pqcFAwb-XNw">
            <body>General textual comments about this Order.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0PnwILynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0PoXMLynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Hk0kOGpEeaHnLXha23s2A" name="resultCopiesTo" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_DafO0OGqEeaHnLXha23s2A" annotatedElement="_5Hk0kOGpEeaHnLXha23s2A">
            <body>&quot;Identifies the people who are to receive copies of the results.&quot; - HL7 Version 2.8, OBR-28.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-EBgcOGpEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-ELRcOGpEeaHnLXha23s2A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xo5mAPjNEeCmc6EQPl3F9g" name="resultHandling" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_E5XxIPjOEeCmc6EQPl3F9g" annotatedElement="_xo5mAPjNEeCmc6EQPl3F9g">
            <body>&quot;Information regarding the handling of the result.  For example, an order may specify that the result (e.g., an x-ray film) should be given to the patient for return to the requestor....  If this field is not populated then routine handling is implied.&quot; - HL7 Version 2.8, OBR-49    Note that the HL7 V2 value set only contains values pertinent to Radiology (e.g., give film to patient).  However, it is envisioned that other scenarios might be handled by this property.  This property is optional.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_JGYPjOEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_JGYfjOEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JtydgJNkEeCyufOLCDZkFA" name="setOfOrders" visibility="public" type="_TN9LgPDqEd-lSvs7gQOGZw" association="_JtxPYJNkEeCyufOLCDZkFA">
          <ownedComment xmi:id="_-w4fQBCPEeGYNskcagX10g" annotatedElement="_JtydgJNkEeCyufOLCDZkFA">
            <body>An aggregation of Orders that are assembled so that they might be managed as a group.  The member Orders will generally be for a single Patient, and commonly issued by a single Provider, but otherwise these orders will have no other inherent relationships between themselves.  This concept is different from an Order Set, Panel, or Battery, in that the SetOfOrders is composed after the orders have been created; wheras the latter concepts are defined before the order is created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JtzEkJNkEeCyufOLCDZkFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JtzroJNkEeCyufOLCDZkFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w9NjcBRSEeGQfutgOfQGQw" name="standingOrder" visibility="public" type="_vW0NYBRSEeGQfutgOfQGQw" association="_w9KgIBRSEeGQfutgOfQGQw">
          <ownedComment xmi:id="_G7PlUBU1EeGk2cucW4LtoA" annotatedElement="_w9NjcBRSEeGQfutgOfQGQw">
            <body>An order that is created by policy, and which is not tied to a single patient, but which is generated for a patient when certain conditions are met.  For example, a policy might exist that persons deploying to a particular region must have a particular vaccination administered beforehand.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w9P_sBRSEeGQfutgOfQGQw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w9QmwBRSEeGQfutgOfQGQw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A016D" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MC55iOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A016D">
            <body>A code specifying the current state of the Order. Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete.&#xD;
&quot;Specifies the status of an order....  The purpose of this field is to report the status of an order either upon request (solicited), or when the status changes (unsolicited).  It does not initiate action.  It is assumed that the order status always reflects the status as it is known to the sending application at the time that the message is sent.  Only the filler can originate the value of this field.&quot; - HL7 Version 2.8, ORC-5&#xD;
&quot;The current state of the request.&quot; - HL7 FHIR, Request.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_67duwPXCEdytsOh7tTzTwg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_67duwfXCEdytsOh7tTzTwg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U5Eh0EtBEdyGhN1DL5AQjA" name="statusModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8qOWsO62Ed-crcWiXVDZrQ" annotatedElement="_U5Eh0EtBEdyGhN1DL5AQjA">
            <body>&quot;This field is a modifier or refiner of the ORC-5-Order status field. This field may be used to provide additional levels of specificity or additional information for the defined order status codes.&quot; - HL7 Version 2.8, ORC-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7S27EPXCEdytsOh7tTzTwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7S27EfXCEdytsOh7tTzTwg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3S-u0Fi2EeWPFcZL8Pri7w" name="suggestedPrecaution" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vCm-oFi3EeWPFcZL8Pri7w" annotatedElement="_3S-u0Fi2EeWPFcZL8Pri7w">
            <body>This property indicates the kind of precaution(s) that the orderer suggests be taken in order to prevent transmission of infectious disease.  Possible values include: blood-borne pathogen precaution, airborne pathogen precaution, droplet precaution, contact precautions, etc. This property categorizes the precaution protocol that ought to be invoked.  The actual protocol invoked may be indicated in the PrecautionProtocol class.  Note that a precaution will in some cases be ordered, in which case a separate instance of the HealthcareOrder would be created.  This property is not intended to order a precaution but to suggest one that might be taken while fulfilling the subject order.  For a system that implements a Boolean flag to indicate that the patient is to be in an isolation protocol, one approach would be to set that flag based on the content of this property.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v3ms8Fi3EeWPFcZL8Pri7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v3nUAFi3EeWPFcZL8Pri7w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1JHIkAcfEeGfLeiV6Brugg" name="transportationArrangementResponsibility" visibility="public">
          <ownedComment xmi:id="_Ve2rYAchEeGfLeiV6Brugg" annotatedElement="_1JHIkAcfEeGfLeiV6Brugg">
            <body>Indicates &quot;who is responsible for arranging transport to the planned diagnostic service.  Examples: Requester, Provider, Patient.&quot; - HL7 Version 2.8, OBR-40.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zlt4oAmPEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zlt4oQmPEeGe4v7RnpTDUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P9cRQAchEeGfLeiV6Brugg" name="transportationMode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bmjCYAchEeGfLeiV6Brugg" annotatedElement="_P9cRQAchEeGfLeiV6Brugg">
            <body>&quot;Identifies how (or whether) to transport a patient, when applicable.&quot; - HL7 Version 2.8, OBR-30.  Possible values include (from HL7 Table 124): Cart - patient travels on cart or gurney; The examining device goes to patient's location; Patient walks to diagnostic service; Wheelchair.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JxNKwAmNEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JxNKwQmNEeGe4v7RnpTDUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uYHV4AcfEeGfLeiV6Brugg" name="wasTransportArranged" visibility="public">
          <ownedComment xmi:id="_o1N98AczEeGfLeiV6Brugg" annotatedElement="_uYHV4AcfEeGfLeiV6Brugg">
            <body>Indicates &quot;whether transport arrangements are known to have been made.&quot; - HL7 Version 2.8, OBR-41</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3vUKILynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3vUKIbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G4eUwAVGEeiuXpuGM4C-xQ" name="timing" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_G4eUwQVGEeiuXpuGM4C-xQ" annotatedElement="_G4eUwAVGEeiuXpuGM4C-xQ">
            <body>&quot;The proposed timing for the request.&quot; - HL7 CIMI, Request.timing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G4eUwwVGEeiuXpuGM4C-xQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G4eUwgVGEeiuXpuGM4C-xQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G4eUxAVGEeiuXpuGM4C-xQ" name="expectedPerformer" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_G4eUxQVGEeiuXpuGM4C-xQ" annotatedElement="_G4eUxAVGEeiuXpuGM4C-xQ">
            <body>&quot;Persons who are expected to or intended to perform this action, e.g., the person who will perform the surgery.&quot; - HL7 CIMI, Request.expectedPerformer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G4eUxwVGEeiuXpuGM4C-xQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G4eUxgVGEeiuXpuGM4C-xQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G4nesAVGEeiuXpuGM4C-xQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_G4nesQVGEeiuXpuGM4C-xQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_G4nesgVGEeiuXpuGM4C-xQ" annotatedElement="_G4nesAVGEeiuXpuGM4C-xQ">
            <body>&quot;This field describes the urgency of the request.  If this field is blank, the default is R&quot; (Routine) - HL7 Version 2.8, TQ1-9&#xD;
&quot;Indicates how quickly the [request] should be addressed with respect to other requests.&quot; - HL7 FHIR, Request.priority&#xD;
&quot;Indicates how quickly the Medication Request should be addressed with respect to other requests.&quot; - HL7 FHIR, MedicationRequest.category&#xD;
&quot;How quickly the action must be initiated. Includes concepts such as stat, urgent, routine.&quot; - HL7 CIMI, Request.priority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G4netAVGEeiuXpuGM4C-xQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G4neswVGEeiuXpuGM4C-xQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BCF080009" name="OrderAction">
        <eAnnotations xmi:id="_NHmQtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHTVxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCF080009">
          <body>A record of an action that has been taken on an order, which has the effect of changing the state (Act Status) of the Order. This class incorporates the notion that the act of changing an Order is itself a kind of Order. For example, Dr. Smith may order blood thinners to be administered to a patient, but Dr. Jones later suspends that order in preparation for an upcoming surgery. After the surgery, the order may then be resumed. Thus the order to suspend the original order is an order. This mechanism has the side effect of duplicating the authoring information for new orders - the author of the order is listed both in the Order instance and in the New Order Action instance which created the order. Implementations may choose mechanisms to avoid this duplication, but logically, we consider these two separate albeit simultaneous actions.&#xD;
It is noted that this class is roughly equivalent to an ORC segment in HL7 version 2 where the Order Action code (ORC-1) reflects an event request (e.g., New, Suspend, Cancel).</body>
        </ownedComment>
        <generalization xmi:id="_eOfVwAezEeikM77QF_3UkA" general="_Dc-MgEIdEee2bJNtigJtLg"/>
        <ownedAttribute xmi:id="_420A62FD03B64228C5C400FC" name="actionCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHTVyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64228C5C400FC">
            <body>Indicates the action that was ordered (e.g., New, Hold, Discontinue, etc),&#xD;
&quot;Determines the function of the order segment.... Depending on the message, the action of the control code may refer to an order or an individual service. For example, the code CA in an OMP message cancels the order. The same code in an RDS message, cancels the dispense. Very detailed explanatory notes are given at the end of this section.&quot; HL7 2.9, ORC-1. HL7 Table 119 contains 56 possible values for this field.&#xD;
Note that the FHIM Order Action is equivalent to the ORC-1 action in only those situations where the order event is being requested (e.g., New, Suspend, Resume, Cancel). For other situations, such as acknowlegements between computer systems, the ORC-1 action has no equivelent in the FHIM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Rt_SoLyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Rt_SobyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EXhTEP82EeCDQancQavJ_w" name="comment" visibility="public">
          <ownedComment xmi:id="_4xvBQBCEEeGYNskcagX10g" annotatedElement="_EXhTEP82EeCDQancQavJ_w">
            <body>Contains any remarks about the Order Action</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TJY5oLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TJY5obyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642407F67011A" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHTVx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642407F67011A">
            <body>&quot;Contains the date/time that the changes to the request took effect or are supposed to take effect....&quot; - HL7 Version 2.8, ORC-15</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UrMqoLyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UrMqobyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BCF1700FB" name="orderActionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHdGweLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCF1700FB">
            <body>&quot;Contains the date and time of the event that initiated the current transaction as reflected in ORC-1 Order Control Code.&quot; - HL7 Version 2.8, ORC-9</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WWJJgLyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WWJJgbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BCFE600DA" name="reasonForAction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHdGx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCFE600DA">
            <body>&quot;This field contains a coded explanation of the reason for the order event described by the order control code &quot; - HL7 Version 2.8, ORC-16</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XmglMLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XmglMbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KmSxcOO2EeCbbuWBGGTBrA" name="reasonForActionNarrative" visibility="public">
          <ownedComment xmi:id="_bOJ24AcpEeGfLeiV6Brugg" annotatedElement="_KmSxcOO2EeCbbuWBGGTBrA">
            <body>&quot;This field contains the explanation (in text form) of the reason for the order event described by the order control code&quot; - HL7 Version 2.8, ORC-16</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YVFicLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YVFicbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD2220295" name="releaseStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHdGyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD2220295">
            <body>This optional field tracks the status of the order action within the ordering workflow. This is different from the order status. Valid values include: Unreleased, Pre-release, Rejected, Signature Needed, Co-signature needed, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ang4ELyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ang4EbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h0XBARUuEeGk2cucW4LtoA" name="chartReview" visibility="public" type="_d4VQUBUuEeGk2cucW4LtoA" association="_h0XBABUuEeGk2cucW4LtoA">
          <ownedComment xmi:id="_dJUjUBUwEeGk2cucW4LtoA" annotatedElement="_h0XBARUuEeGk2cucW4LtoA">
            <body>Identifies a chart review that was performed on this Order Action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h0XBAhUuEeGk2cucW4LtoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h0XBAxUuEeGk2cucW4LtoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ap_mgP84EeCDQancQavJ_w" name="detectedIssueEvent" visibility="public" type="_420A62FD03B6420BD5E80118" association="_Ap-YYP84EeCDQancQavJ_w">
          <ownedComment xmi:id="_wisLwBUwEeGk2cucW4LtoA" annotatedElement="_Ap_mgP84EeCDQancQavJ_w">
            <body>Identifies any issues that were detected (aka Order Checks) during the creation of the Order Action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ap_mgf84EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AqANkP84EeCDQancQavJ_w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KUK0weO4EeCbbuWBGGTBrA" name="orderingFacility" visibility="public" type="_420A62FD03B64242CAB30303" association="_KUK0wOO4EeCbbuWBGGTBrA">
          <ownedComment xmi:id="_j8r3cBCkEeGYNskcagX10g" annotatedElement="_KUK0weO4EeCbbuWBGGTBrA">
            <body>&quot;This field contains the name of the facility placing the order.&quot; - HL7 Version 2.8, ORC-21&#xD;
&quot;This field contains the address of the facility placing the order.&quot; - HL7 Version 2.8, ORC-22&#xD;
&quot;This field contains the telephone number of the facility placing the order.&quot; - HL7 Version 2.8, ORC-23</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KUN4EOO4EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KUN4EeO4EeCbbuWBGGTBrA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642446E970374" name="trigger" visibility="public" type="_420A62FD03B642309DCD0072" isUnique="false" association="_420A62FD03B642446E960098">
          <ownedComment xmi:id="_NL6wDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642446E970374">
            <body>A patient-related event that automatically triggers an order action.  For example, if the patient is scheduled for surgery, an particular Order Action might be placed on hold (i.e., &quot;held&quot;) four hours before surgery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NL6wD-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NL6wEOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSThgMXxEeGsb4KXw2Babg" name="enteringLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_sR9jQMXxEeGsb4KXw2Babg">
          <ownedComment xmi:id="_X8jT4MXyEeGsb4KXw2Babg" annotatedElement="_sSThgMXxEeGsb4KXw2Babg">
            <body>&quot;Specifies the location (e.g., nurse station, ancillary service location, clinic, floor) where the person who entered the request was physically located when the order was entered. &quot; - HL7 Version 2.8, ORC-13</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSdSgMXxEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSd5kMXxEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BD5E80118" name="DetectedIssueEvent">
        <eAnnotations xmi:id="_NHwBtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHmQt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD5E80118">
          <body>&quot;An observation identifying a potential adverse outcome as a result of an Act or combination of Acts.  Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria.  Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation.  Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).&quot; - HL7 Version 3&#xD;
&quot;Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.&quot; - HL7 FHIR, DetectedIssue</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wZj78Ls8Eeeo-pbyiB8NZw" name="author" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_1ErAMLs8Eeeo-pbyiB8NZw" annotatedElement="_wZj78Ls8Eeeo-pbyiB8NZw">
            <body>&quot;Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review.&quot; - HL7 FHIR, DetectedIssue.author</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wZj78rs8Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wZj78bs8Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gCgDYLs7Eeeo-pbyiB8NZw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wTUmgLs7Eeeo-pbyiB8NZw" annotatedElement="_gCgDYLs7Eeeo-pbyiB8NZw">
            <body>&quot;Identifies the general type of issue identified.&quot; - HL7 FHIR, DetectedIssue.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gCgDYrs7Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gCgDYbs7Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cfpyQLs8Eeeo-pbyiB8NZw" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_gee_ULs8Eeeo-pbyiB8NZw" annotatedElement="_cfpyQLs8Eeeo-pbyiB8NZw">
            <body>&quot;The date or date-time when the detected issue was initially identified.&quot; - HL7 FHIR, DetectedIssue.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cfpyQrs8Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cfpyQbs8Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD61E0238" name="detectedIssue" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHmQveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD61E0238">
            <body>Indicates the issue that was detected (also called an &quot;order check&quot;).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W04wcLynEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1B6YLynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nMpD8Ls9Eeeo-pbyiB8NZw" name="detectedIssueMitigation" visibility="public" type="_f8kvoLs9Eeeo-pbyiB8NZw" association="_nMfS8Ls9Eeeo-pbyiB8NZw">
          <ownedComment xmi:id="_oBqncLs9Eeeo-pbyiB8NZw" annotatedElement="_nMpD8Ls9Eeeo-pbyiB8NZw">
            <body>&quot;Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.&quot; - HL7 FHIR, DetectedIssue.mitigation</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nMpD8bs9Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nMpD8rs9Eeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Uu-3cP87EeCDQancQavJ_w" name="detectedIssueOrderRevision" visibility="public" type="_OmE_gP87EeCDQancQavJ_w" association="_Uu8bMP87EeCDQancQavJ_w">
          <ownedComment xmi:id="_Q9cagBCJEeGYNskcagX10g" annotatedElement="_Uu-3cP87EeCDQancQavJ_w">
            <body>Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Uu_egP87EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UvAFkP87EeCDQancQavJ_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BvIpoP84EeCDQancQavJ_w" name="detectedIssueOverride" visibility="public" type="_420A62FD03B6420BD7420292" association="_BvG0cP84EeCDQancQavJ_w">
          <ownedComment xmi:id="_Sio2sBCJEeGYNskcagX10g" annotatedElement="_BvIpoP84EeCDQancQavJ_w">
            <body>Provides a record that the Detected Issue (or &quot;Order Check&quot;) was acknowledged and was disregarded.  For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order.  If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BvJ3wP84EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BvJ3wf84EeCDQancQavJ_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WQEgALs7Eeeo-pbyiB8NZw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_YLiuMLs7Eeeo-pbyiB8NZw" annotatedElement="_WQEgALs7Eeeo-pbyiB8NZw">
            <body>&quot;Business identifier associated with the detected issue record.&quot; - HL7 FHIR, DetectedIssue.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WQEgArs7Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WQEgAbs7Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O3lkoLs9Eeeo-pbyiB8NZw" name="reference" visibility="public">
          <ownedComment xmi:id="_Qyz7MLs9Eeeo-pbyiB8NZw" annotatedElement="_O3lkoLs9Eeeo-pbyiB8NZw">
            <body>&quot;The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.&quot; - HL7 FHIR, DetectedIssue.reference</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O3lkors9Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O3lkobs9Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422DFB88019D" name="severity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHmQuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422DFB88019D">
            <body>The clinical danger level associated with this detected issue. Those having a High danger level will require a justification for override and release. Valid values are High, Moderate, or Low.&#xD;
&quot;Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.&quot; - HL7 FHIR, DetectedIssue.severity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WH5HkLynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WH5HkbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f-K9ALs7Eeeo-pbyiB8NZw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_iUIu0Ls7Eeeo-pbyiB8NZw" annotatedElement="_f-K9ALs7Eeeo-pbyiB8NZw">
            <body>&quot;Indicates the status of the detected issue.&quot; - HL7 FHIR, DetectedIssue.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f-K9Ars7Eeeo-pbyiB8NZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f-K9Abs7Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD8510255" name="text" visibility="public">
          <ownedComment xmi:id="_NHwBsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD8510255">
            <body>Contains the actual text of the detected issue.&#xD;
&quot;A textual explanation of the detected issue.&quot; - HL7 FHIR, DetectedIssue.detail</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZshE4LynEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZshE4bynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BD7420292" name="DetectedIssueOverride">
        <eAnnotations xmi:id="_NHwBvOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHwBt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD7420292">
          <body>Provides a record that the Detected Issue (or &quot;Order Check&quot;) was acknowledged and was disregarded.  For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order.  If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ipNUoOGqEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_ipNUoeGqEeaHnLXha23s2A" annotatedElement="_ipNUoOGqEeaHnLXha23s2A">
            <body>The person who overrode the Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ipNUo-GqEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ipNUouGqEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD74C02AA" name="overrideReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHwBuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD74C02AA">
            <body>Contains a justification for overriding the Detected Issue and releasing the Order Action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mhsnkLynEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mhsnkbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642309DCD0072" name="OrderPatientEvent">
        <eAnnotations xmi:id="_NIpZneLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NIpZmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642309DCD0072">
          <body>A patient-related event that automatically triggers an Order Action.  For example, if the patient is scheduled for surgery, an particular Order Action might be placed on hold (i.e., &quot;held&quot;) four hours before surgery.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Sod04OGqEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_Sod04eGqEeaHnLXha23s2A" annotatedElement="_Sod04OGqEeaHnLXha23s2A">
            <body>Identifies the clinician who recorded that the Patient Event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sod04-GqEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sod04uGqEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423A146101DB" name="patientRelatedEventCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NIpZm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423A146101DB">
            <body>Identifies the patient-related event that automatically triggers an order action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dezOQLyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dezOQbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642446E960098" name="orderAction_trigger" memberEnd="_420A62FD03B642446E970374 _420A62FD03B642446E97039D">
        <ownedEnd xmi:id="_420A62FD03B642446E97039D" name="" visibility="public" type="_420A62FD03B6420BCF080009" isUnique="false" association="_420A62FD03B642446E960098"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_TN9LgPDqEd-lSvs7gQOGZw" name="SetOfOrders">
        <ownedComment xmi:id="_qIXjIBCPEeGYNskcagX10g" annotatedElement="_TN9LgPDqEd-lSvs7gQOGZw">
          <body>An aggregation of Orders that are assembled so that they might be managed as a group. The member Orders will generally be for a single Patient, and commonly issued by a single Provider, but otherwise these orders will have no other inherent relationships between themselves. This concept is different from an Order Set, Panel, or Battery, in that the Set Of Orders is composed after the orders have been created; wheras the latter concepts are defined before the order is created.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_q6MXUfDqEd-lSvs7gQOGZw" name="healthcareOrder" visibility="public" type="_420A62FD03B64589572B02E8" aggregation="shared" association="_q6MXUPDqEd-lSvs7gQOGZw">
          <ownedComment xmi:id="_F9a-cBCQEeGYNskcagX10g" annotatedElement="_q6MXUfDqEd-lSvs7gQOGZw">
            <body>An Order that is a member of a Set of Orders.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q6MXUvDqEd-lSvs7gQOGZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q6MXU_DqEd-lSvs7gQOGZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cPyYYPDqEd-lSvs7gQOGZw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_cPyYYfDqEd-lSvs7gQOGZw" annotatedElement="_cPyYYPDqEd-lSvs7gQOGZw">
            <body>&quot;Contains a unique identifier for the Placer Group as referenced by the Placer application, the Filler application, or both.&quot; - HL7 Version 2.8, ORC-4&#xD;
&quot;A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription. E.g., an order set for a given patient contains a set of medication orderables. Each child orderable in the order set may contain a group identifier which is the identifier of the order set itself (the requisition).&quot; - HL7 CIMI Order.groupIdentifier&#xD;
Note that both v2 and CIMI link related orders together via the use of a shared grouping identifier, whereas the FHIM considers a Set of Orders to be a stand-alone concept in its own right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cPyYY_DqEd-lSvs7gQOGZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cPyYYvDqEd-lSvs7gQOGZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_85MpcMKyEeCnJaPxQitB6A" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_85MpccKyEeCnJaPxQitB6A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_85MpcsKyEeCnJaPxQitB6A" annotatedElement="_85MpcMKyEeCnJaPxQitB6A">
            <body>A code (e.g., routine, emergency), specifying the urgency under which the Set Of Orders is requested to happen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_85MpdMKyEeCnJaPxQitB6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_85Mpc8KyEeCnJaPxQitB6A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0T3yYMKyEeCnJaPxQitB6A" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0T3yYcKyEeCnJaPxQitB6A" annotatedElement="_0T3yYMKyEeCnJaPxQitB6A">
            <body>A code specifying the status of the Set Of Orders. Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete). Note that operationally, this status will likely represent the aggregate statuses of the member Orders. For example, in a set of five Orders, if four orders are &quot;Completed&quot; and one is &quot;Active&quot;, this status would likely be &quot;Active&quot;.  When all five Orders are &quot;Completed&quot;, this status might change to &quot;Completed&quot;. The FHIM does not dictate how this status should be computed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0T3yY8KyEeCnJaPxQitB6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0T3yYsKyEeCnJaPxQitB6A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q6MXUPDqEd-lSvs7gQOGZw" name="setOfOrders_healthcareOrder" memberEnd="_q6MXUfDqEd-lSvs7gQOGZw _q6MXVPDqEd-lSvs7gQOGZw">
        <ownedEnd xmi:id="_q6MXVPDqEd-lSvs7gQOGZw" name="" visibility="public" type="_TN9LgPDqEd-lSvs7gQOGZw" association="_q6MXUPDqEd-lSvs7gQOGZw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q6MXVfDqEd-lSvs7gQOGZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q6MXVvDqEd-lSvs7gQOGZw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sn8TsOO2EeCbbuWBGGTBrA" name="healthcareOrder_orderingLocation" memberEnd="_Sn_XAOO2EeCbbuWBGGTBrA _SoCaUOO2EeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_SoCaUOO2EeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Sn8TsOO2EeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SoCaUeO2EeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SoCaUuO2EeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KUK0wOO4EeCbbuWBGGTBrA" name="orderAction_orderingFacility" memberEnd="_KUK0weO4EeCbbuWBGGTBrA _KUN4EuO4EeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_KUN4EuO4EeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_KUK0wOO4EeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KUQ7YOO4EeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KUQ7YeO4EeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3r94oOO5EeCbbuWBGGTBrA" name="Promise">
        <eAnnotations xmi:id="_EaGNwKwQEeG4dfTp_XT2yg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MV7rsAoZEeGTP7iPaRFP_g" annotatedElement="_3r94oOO5EeCbbuWBGGTBrA">
          <body>This abstract class contains those properties which are common to all Promise classes (e.g., LabPromise, PharmacyPromise, etc.).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Promise can be looked at as the Order from the filler's point of view.&#xD;
&quot;An order from the perspective of a fulfillment system.&quot; - HL7 CIMI, Promise</body>
        </ownedComment>
        <generalization xmi:id="_IF4kcEI1Eee2bJNtigJtLg" general="_Dc-MgEIdEee2bJNtigJtLg"/>
        <ownedAttribute xmi:id="_JJcFgAcvEeGfLeiV6Brugg" name="chargeToPracticeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lSVp4AcvEeGfLeiV6Brugg" annotatedElement="_JJcFgAcvEeGfLeiV6Brugg">
            <body>&quot;This field is the charge to the ordering entity for the studies performed when applicable. The first component is a dollar amount when known by the filler.  The second is a charge code when known by the filler (results only)&quot; - HL7 Version 2.8, OBR-23.  This property contains the charge code, if available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_paRIkAcvEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_paaSgAcvEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ObmisAcvEeGfLeiV6Brugg" name="chargeToPracticeCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_n2SNUAcvEeGfLeiV6Brugg" annotatedElement="_ObmisAcvEeGfLeiV6Brugg">
            <body>&quot;This field is the charge to the ordering entity for the studies performed when applicable. The first component is a dollar amount when known by the filler.  The second is a charge code when known by the filler (results only).&quot; - HL7 Version 2.8, OBR-23.  This property contains the dollar amount, if available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oYzrkAcvEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oYzrkQcvEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qaO2EEVoEeKmiJoj9rWMSg" name="dateAccepted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__odHUEVoEeKmiJoj9rWMSg" annotatedElement="_qaO2EEVoEeKmiJoj9rWMSg">
            <body>The date/time on which the ordered service was accepted by the filler.  In other words, the creation date of the Promise record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8nVpALynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8nVpAbynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C60B0338" name="discontinueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NZLv9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C60B0338">
            <body>The date (and optionally, time) upon which the order was canceled or otherwise invalidated by a clinician (who may or may not be the same clinician who created the order). A discontinue order has immediate effect – in contrast, an order for the patient to stop taking a medication in five days will generally be a modification to the end-date of the original order. Once an order has been discontinued, no more actions can be taken upon it. Depending on the system, the order to discontinue an existing order may be considered an order in its own right, or may be considered an order action.&#xD;
HL7 CIMI, Promise.orderDiscontinueDate</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tzkZQLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tzkZQbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Pvl0OO5EeCbbuWBGGTBrA" name="expectedAvailabilityDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FL4AkAcrEeGfLeiV6Brugg" annotatedElement="_8Pvl0OO5EeCbbuWBGGTBrA">
            <body>&quot;Specifies the date/time the filler expects the services to be available.  For example when a prescription is ready for pickup or when a supply will be sent or picked up, or for when a laboratory result is expected to be available.&quot; - HL7 Version 2.8, ORC-27</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9lO0oLynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9lO0obynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8ZrjMApAEeGJyqUYQ0j7Rw" name="fillerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ZHE7wApBEeGJyqUYQ0j7Rw" annotatedElement="_8ZrjMApAEeGJyqUYQ0j7Rw">
            <body>A unique identifier of the order from the filling organization's point of view.  Note that different terms have been historically been used for the filler order id in different domains.  For example, in Pharmacy, the &quot;filler order id&quot; is typically called a &quot;prescription number&quot;.  Similarly in Lab, it is typically called an &quot;accession number&quot;.&#xD;
&quot;This field is the order number associated with the filling application....&quot; - HL7 Version 2.8, ORC-3 and OBR-3.&#xD;
&quot;This field is equivalent in uniqueness to the pharmacy/treatment supplier filler order number.  At some sites, this may be the pharmacy/treatment supplier (internal) sequential form.  At other sites, this may be an external number.&quot; - HL7 Version 2.8, RXD-7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-bP2oLynEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-bP2obynEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7IAaMPjMEeCmc6EQPl3F9g" name="fillerSupplementalInfo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u5QeoAmREeGe4v7RnpTDUQ" annotatedElement="_7IAaMPjMEeCmc6EQPl3F9g">
            <body>&quot;Contains supplemental service information sent from the filler system to the placer system for the procedure code reported in OBR-4 Universal Service ID.  This field will be used to report ordering information detail that is not available in other specific fields in the OBR segment.  Typically it will reflect the same information as was sent to the filler system in OBR-46-Placer supplemental service information unless the order was modified, in which case the filler system will report what was actually performed using this field....&quot; - HL7 Version 2.8, OBR-47.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CF7YoLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CF7YobyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CDV50F6REeaNPrAIaCcL-A" name="healthcareOrder" visibility="public" type="_420A62FD03B64589572B02E8" association="_CDMv4F6REeaNPrAIaCcL-A">
          <ownedComment xmi:id="_F_CTUF6REeaNPrAIaCcL-A" annotatedElement="_CDV50F6REeaNPrAIaCcL-A">
            <body>Points to the Healthcare Order in response to which the Healthcare Promise was created.  Note that since both the HealthcareOrder and HealthcarePromise are abstract classes, this association is available to all subclasses, such that LabPromise would point to LabOrder, etc.&#xD;
&quot;The order that is partly or wholly enacted by the performance of this act.&quot; - HL7 CIMI, Promise.fulfillsOrder</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CDV50V6REeaNPrAIaCcL-A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CDV50l6REeaNPrAIaCcL-A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C90801F1" name="orderModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NZVg8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C90801F1">
            <body>The method by which the ordering clinician (or the ordering system on behalf of the ordering clinician) communicated the order to the fulfilling person or organization (or the fulfilling system on behalf of the fulfilling person or organization). Examples include: Duplicate (i.e., an error), Electronically Entered, Policy, Service Correction, Telephoned, Verbal, Written, etc.&#xD;
&#xD;
&quot;Code indicating the origin of the prescription.&quot; - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104).  Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.&#xD;
HL7 CIMI, Promise.orderModality</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wnpqcLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wny0YLzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_vgS38PXuEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(OrderModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vfNoANzCEeWL2f9XaFHwGQ" name="precautionProtocolInvoked" visibility="public" type="_rZKqsNs4EeW2RplReLPV6w" association="_vfMZ4NzCEeWL2f9XaFHwGQ">
          <ownedComment xmi:id="_0xE4UNzEEeWL2f9XaFHwGQ" annotatedElement="_vfNoANzCEeWL2f9XaFHwGQ">
            <body>Pointer to a list of zero-to-many procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vfOPENzCEeWL2f9XaFHwGQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vfO2INzCEeWL2f9XaFHwGQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VHctsLTlEd2sMvQnSCqOzA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Xn1yMMDrEd2cYoIY7XWEQw" annotatedElement="_VHctsLTlEd2sMvQnSCqOzA">
            <body>&quot;Describes the urgency of the request. If this field is blank, the default is [Routine]&quot; - HL7 Version 2.8, TQ1-9.  Possible values include (from HL7 Table 122): Stat; ASAP; Routine; Preop; Callback; Timing critical*; As needed.  *Note that the Timing Critical has a syntax that allows more information, e.g., Timing Critical within 15 minutes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u9EVoNOWEd2aQZomWdBJLg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u9EVodOWEd2aQZomWdBJLg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f8TL0FjZEeaP4po7GWeqSg" name="promisingOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_f8NFMFjZEeaP4po7GWeqSg">
          <ownedComment xmi:id="_E7AVcFjpEeaP4po7GWeqSg" annotatedElement="_f8TL0FjZEeaP4po7GWeqSg">
            <body>Identifies the Organization to which the Healthcare Order was sent for performance. Used to identify the performing organization, especially when the ordering organization is different than the performing organization. For example if the VA orders a lab test from Quest Diagnostics, this field would contain Quest Diagnostics.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f8TL0VjZEeaP4po7GWeqSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f8TL0ljZEeaP4po7GWeqSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eCP24PjKEeCmc6EQPl3F9g" name="scheduledDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_UECE0PjLEeCmc6EQPl3F9g" annotatedElement="_eCP24PjKEeCmc6EQPl3F9g">
            <body>&quot;The date/time the filler scheduled an observation, when applicable (e.g., action code in OBR-11-specimen action code = &quot;S&quot;).  This is a result of a request to schedule a particular test and provides a way to inform the placer of the date/time a study is scheduled (result only).&quot; - HL7 Version 2.8, OBR.36</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kq8pMPjKEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kq8pMfjKEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F_ljMAcwEeGfLeiV6Brugg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F_ljMQcwEeGfLeiV6Brugg" annotatedElement="_F_ljMAcwEeGfLeiV6Brugg">
            <body>&quot;Contains the status of results for this order.&quot; - HL7 Version 2.8, OBR-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_ljMwcwEeGfLeiV6Brugg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_ljMgcwEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O7_KQJNwEeCyufOLCDZkFA" name="statusChangeDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FBMKoAmIEeGe4v7RnpTDUQ" annotatedElement="_O7_KQJNwEeCyufOLCDZkFA">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EkP1MLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EkP1MbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5PJgOOaEd-8X4J7aT-aiQ" name="statusModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6fLA0LslEeGZTLDYkoM_Sw" annotatedElement="_s5PJgOOaEd-8X4J7aT-aiQ">
            <body>&quot;This field is a modifier or refiner of the ORC-5-Order status field. This field may be used to provide additional levels of specificity or additional information for the defined order status codes.&quot; - HL7 Version 2.8, ORC-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5PJguOaEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5PJgeOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ap-YYP84EeCDQancQavJ_w" name="orderAction_detectedIssueEvent" memberEnd="_Ap_mgP84EeCDQancQavJ_w _AqA0oP84EeCDQancQavJ_w">
        <ownedEnd xmi:id="_AqA0oP84EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_Ap-YYP84EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BvG0cP84EeCDQancQavJ_w" name="detectedIssueEvent_dectectedIssueOverride" memberEnd="_BvIpoP84EeCDQancQavJ_w _BvLs8P84EeCDQancQavJ_w">
        <ownedEnd xmi:id="_BvLs8P84EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BD5E80118" association="_BvG0cP84EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OmE_gP87EeCDQancQavJ_w" name="DetectedIssueOrderRevision">
        <ownedComment xmi:id="_P2ARUBCJEeGYNskcagX10g" annotatedElement="_OmE_gP87EeCDQancQavJ_w">
          <body>Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VGyTcP87EeCDQancQavJ_w" name="resultingOrderAction" visibility="public" type="_420A62FD03B6420BCF080009" association="_VGweQP87EeCDQancQavJ_w">
          <ownedComment xmi:id="_Iw-WEBCOEeGYNskcagX10g" annotatedElement="_VGyTcP87EeCDQancQavJ_w">
            <body>Identifies a new Order Action record that was created as a revision to a previously proposed Order Action due to information presented by a Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VGzhkP87EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VG0IoP87EeCDQancQavJ_w" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uu8bMP87EeCDQancQavJ_w" name="detectedIssueEvent_detectedIssueOrderRevision" memberEnd="_Uu-3cP87EeCDQancQavJ_w _UvBTsP87EeCDQancQavJ_w">
        <ownedEnd xmi:id="_UvBTsP87EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BD5E80118" association="_Uu8bMP87EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VGweQP87EeCDQancQavJ_w" name="detectedIssueOrderRevision_orderAction" memberEnd="_VGyTcP87EeCDQancQavJ_w _VG3L8P87EeCDQancQavJ_w">
        <ownedEnd xmi:id="_VG3L8P87EeCDQancQavJ_w" name="" visibility="public" type="_OmE_gP87EeCDQancQavJ_w" association="_VGweQP87EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sQdYQOOxEeCbbuWBGGTBrA" name="healthcareOrder_orderAction" memberEnd="_sQmiMOOxEeCbbuWBGGTBrA _sQmiM-OxEeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_sQmiM-OxEeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_sQdYQOOxEeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQmiNOOxEeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQmiNeOxEeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fmOGMIlDEd-pqcFAwb-XNw" name="healthcareOrder_patientLocation" memberEnd="_fmX3MIlDEd-pqcFAwb-XNw _fmX3M4lDEd-pqcFAwb-XNw">
        <ownedEnd xmi:id="_fmX3M4lDEd-pqcFAwb-XNw" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_fmOGMIlDEd-pqcFAwb-XNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sb22UJNjEeCyufOLCDZkFA" name="healthcareOrder_encounter" memberEnd="_ScDqoJNjEeCyufOLCDZkFA _ScGt8JNjEeCyufOLCDZkFA">
        <ownedEnd xmi:id="_ScGt8JNjEeCyufOLCDZkFA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Sb22UJNjEeCyufOLCDZkFA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ScHVAJNjEeCyufOLCDZkFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ScH8EJNjEeCyufOLCDZkFA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JtxPYJNkEeCyufOLCDZkFA" name="healthcareOrder_setOfOrders" memberEnd="_JtydgJNkEeCyufOLCDZkFA _Jt0SsJNkEeCyufOLCDZkFA">
        <ownedEnd xmi:id="_Jt0SsJNkEeCyufOLCDZkFA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_JtxPYJNkEeCyufOLCDZkFA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jt05wJNkEeCyufOLCDZkFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jt05wZNkEeCyufOLCDZkFA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ep2kgJkGEeCFEfqQZ7sMZg" name="healthcareOrder_diagnosisList" memberEnd="_ep2kgZkGEeCFEfqQZ7sMZg _ep2khJkGEeCFEfqQZ7sMZg">
        <ownedEnd xmi:id="_ep2khJkGEeCFEfqQZ7sMZg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_ep2kgJkGEeCFEfqQZ7sMZg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ep2khZkGEeCFEfqQZ7sMZg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ep2khpkGEeCFEfqQZ7sMZg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vW0NYBRSEeGQfutgOfQGQw" name="StandingOrder">
        <ownedComment xmi:id="_GWy0cBU1EeGk2cucW4LtoA" annotatedElement="_vW0NYBRSEeGQfutgOfQGQw">
          <body>An order that is created by policy, and which is not tied to a single patient, but which is generated for a patient when certain conditions are met.  For example, a policy might exist that persons deploying or traveling to a particular region must have a particular vaccination administered beforehand. Note that this class is a placeholder for such Standing Orders. It exists so that a Healthcare Order might be able to reference the Standing Order that caused the Healthcare Order to be created. However, details regarding what information makes up a well-formed Standing Order, or the circumstances under which a Standing Order is created, managed, invoked, or retired are not in scope for this iteration and will be fleshed out in a future interation.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-UBzkBRSEeGQfutgOfQGQw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_JKENUBU1EeGk2cucW4LtoA" annotatedElement="_-UBzkBRSEeGQfutgOfQGQw">
            <body>A unique identifier for the Standing Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6_xMLyoEea_DaXmJ278Kw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6_xMbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ETzksBRTEeGQfutgOfQGQw" name="text" visibility="public">
          <ownedComment xmi:id="_QMGssBU1EeGk2cucW4LtoA" annotatedElement="_ETzksBRTEeGQfutgOfQGQw">
            <body>Contains a textual representation of the Standing Order.  Note that this will be fleshed out in a future iteration.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ncTZMLyoEea_DaXmJ278Kw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ncTZMbyoEea_DaXmJ278Kw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_w9KgIBRSEeGQfutgOfQGQw" name="healthcareOrder_standingOrder" memberEnd="_w9NjcBRSEeGQfutgOfQGQw _w9TDABRSEeGQfutgOfQGQw">
        <ownedEnd xmi:id="_w9TDABRSEeGQfutgOfQGQw" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_w9KgIBRSEeGQfutgOfQGQw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_d4VQUBUuEeGk2cucW4LtoA" name="ChartReview">
        <ownedComment xmi:id="_XAj1UBUwEeGk2cucW4LtoA" annotatedElement="_d4VQUBUuEeGk2cucW4LtoA">
          <body>A chart review is the examination of a representative sample of medical charts and ledgers to identify patterns of errors or areas where quality may be improved.  This class identifies who reviewed the medical record and when.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hkMNUOGqEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_hkMNUeGqEeaHnLXha23s2A" annotatedElement="_hkMNUOGqEeaHnLXha23s2A">
            <body>Identifies the practitioner who performed the chart review.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hkMNU-GqEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hkMNUuGqEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h0XBABUuEeGk2cucW4LtoA" name="orderAction_chartReview" memberEnd="_h0XBARUuEeGk2cucW4LtoA _h0XBBBUuEeGk2cucW4LtoA">
        <ownedEnd xmi:id="_h0XBBBUuEeGk2cucW4LtoA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_h0XBABUuEeGk2cucW4LtoA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sR9jQMXxEeGsb4KXw2Babg" name="orderAction_enteringLocation" memberEnd="_sSThgMXxEeGsb4KXw2Babg _sSiyEMXxEeGsb4KXw2Babg">
        <ownedEnd xmi:id="_sSiyEMXxEeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_sR9jQMXxEeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_SsqRIMX-EeGsb4KXw2Babg" name="BillingInformation">
        <ownedComment xmi:id="_nCTCoMYAEeGsb4KXw2Babg" annotatedElement="_SsqRIMX-EeGsb4KXw2Babg">
          <body>&quot;Used to provide billing information, on the ordered service, to the filling application.&quot; - HL7 Version 2.8, BLG Segment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_tNOJQMX_EeGsb4KXw2Babg" name="accountId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_1U6pIMX_EeGsb4KXw2Babg" annotatedElement="_tNOJQMX_EeGsb4KXw2Babg">
            <body>&quot;Identifies the account to be billed.&quot; - HL7 Version 2.8, BLG-3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y4XuMMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y4YVQMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X4xUMMX_EeGsb4KXw2Babg" name="chargeCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ceBoEMX_EeGsb4KXw2Babg" annotatedElement="_X4xUMMX_EeGsb4KXw2Babg">
            <body>&quot;Identifies someone or something other than the patient to be billed for this service.&quot; - HL7 Version 2.8, BLG-2.  Possible values include (from HL7 Table 122): Charge; Contract; Credit; Department; Grant; No Charge; Professional; Research.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zQ9NUMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zQ90YMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DuGVMMYAEeGsb4KXw2Babg" name="chargeCategoryReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DuGVMcYAEeGsb4KXw2Babg" annotatedElement="_DuGVMMYAEeGsb4KXw2Babg">
            <body>&quot;Explains the choice of and provides the clinical rationale for the selected charge type in [chargeCategory]&quot; - HL7 Version 2.8, BLG-4.  Possible values include (from HL7 Table 475): Allergy; Intolerance; Treatment Failure; Patient Request; No Exception.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DuGVM8YAEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DuGVMsYAEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBGgAMX-EeGsb4KXw2Babg" name="whenToCharge" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6iCqwMX-EeGsb4KXw2Babg" annotatedElement="_xBGgAMX-EeGsb4KXw2Babg">
            <body>&quot;Specifies when to charge for the ordered service.&quot; - HL7 Version 2.8, BLG-1.  Possible values include (from HL7 Table 100): On discharge; On receipt of order; At time service is completed; At time service is started; At a designated date/time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0JjpQMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0JkQUMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uw9rMMX-EeGsb4KXw2Babg" name="healthcareOrder_billingInformation" memberEnd="_UxCjsMX-EeGsb4KXw2Babg _UxE_8MX-EeGsb4KXw2Babg">
        <ownedEnd xmi:id="_UxE_8MX-EeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Uw9rMMX-EeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_v4ePoMoSEeGas4Yp_oUthg" name="healthcareOrder_healthcarePromise" memberEnd="_v4ihEMoSEeGas4Yp_oUthg _v4oAoMoSEeGas4Yp_oUthg">
        <ownedEnd xmi:id="_v4oAoMoSEeGas4Yp_oUthg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_v4ePoMoSEeGas4Yp_oUthg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rZKqsNs4EeW2RplReLPV6w" name="PrecautionProtocol">
        <ownedComment xmi:id="_-t_QkNzIEeWL2f9XaFHwGQ" annotatedElement="_rZKqsNs4EeW2RplReLPV6w">
          <body>Identifies a set of pre-defined procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist. Such set of procedures, or protocol, may be defined by jurisdictional authorities (such as the Centers for Disease Control, or a local health department), or may be defined by the healthcare provider organization. In either case, it is anticipated that such a protocol would be identified by an Id rather than a Code, as it is intended that this class will identify a specific protocol invoked as opposed to a classification of protocols.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JAdrkId8EeeJXvOkPl8Bfw" name="description" visibility="public">
          <ownedComment xmi:id="_Yd6RAId8EeeJXvOkPl8Bfw" annotatedElement="_JAdrkId8EeeJXvOkPl8Bfw">
            <body>A summary of the protocol that can be or has been invoked.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M60oUId8EeeJXvOkPl8Bfw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M60oUYd8EeeJXvOkPl8Bfw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8H1cwNy_EeWL2f9XaFHwGQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_8H1cwdy_EeWL2f9XaFHwGQ" annotatedElement="_8H1cwNy_EeWL2f9XaFHwGQ">
            <body>A unique identifier for the Precaution Protocol.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8H1cw9y_EeWL2f9XaFHwGQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8H1cwty_EeWL2f9XaFHwGQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_u5cBcNzCEeWL2f9XaFHwGQ" name="healthcareOrder_precautionProtocolInvoked" memberEnd="_u5hhANzCEeWL2f9XaFHwGQ _u5lLYNzCEeWL2f9XaFHwGQ">
        <ownedEnd xmi:id="_u5lLYNzCEeWL2f9XaFHwGQ" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_u5cBcNzCEeWL2f9XaFHwGQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vfMZ4NzCEeWL2f9XaFHwGQ" name="healthcarePromise_precautionProtocolInvoked" memberEnd="_vfNoANzCEeWL2f9XaFHwGQ _vfPdMNzCEeWL2f9XaFHwGQ">
        <ownedEnd xmi:id="_vfPdMNzCEeWL2f9XaFHwGQ" name="" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_vfMZ4NzCEeWL2f9XaFHwGQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_f8NFMFjZEeaP4po7GWeqSg" name="healthcareOrder_promisingLocation" memberEnd="_f8TL0FjZEeaP4po7GWeqSg _f8ZScFjZEeaP4po7GWeqSg">
        <ownedEnd xmi:id="_f8ZScFjZEeaP4po7GWeqSg" name="" visibility="private" type="_3r94oOO5EeCbbuWBGGTBrA" association="_f8NFMFjZEeaP4po7GWeqSg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CDMv4F6REeaNPrAIaCcL-A" name="healthcarePromise_healthcareOrder" memberEnd="_CDV50F6REeaNPrAIaCcL-A _CDV5016REeaNPrAIaCcL-A">
        <ownedEnd xmi:id="_CDV5016REeaNPrAIaCcL-A" name="" visibility="private" type="_3r94oOO5EeCbbuWBGGTBrA" association="_CDMv4F6REeaNPrAIaCcL-A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_f8kvoLs9Eeeo-pbyiB8NZw" name="DetectedIssueMitigation">
        <ownedComment xmi:id="_merxwLs9Eeeo-pbyiB8NZw" annotatedElement="_f8kvoLs9Eeeo-pbyiB8NZw">
          <body>&quot;Indicates an action that has been taken or is committed to to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.&quot; - HL7 FHIR, DetectedIssue.mitigation</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MzJSkLs7Eeeo-pbyiB8NZw" name="action" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4b2h8Ls9Eeeo-pbyiB8NZw" annotatedElement="_MzJSkLs7Eeeo-pbyiB8NZw">
            <body>&quot;Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.&quot; - HL7 FHIR, DetectedIssue.mitigation.action</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U6f0MLs7Eeeo-pbyiB8NZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U6f0Mbs7Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8HPOkLs9Eeeo-pbyiB8NZw" name="author" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_8HPOkbs9Eeeo-pbyiB8NZw" annotatedElement="_8HPOkLs9Eeeo-pbyiB8NZw">
            <body>&quot;Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.&quot; - HL7 FHIR, DetectedIssue.mitigation.author</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8HPOk7s9Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8HPOkrs9Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8HPOlLs9Eeeo-pbyiB8NZw" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_8HPOlbs9Eeeo-pbyiB8NZw" annotatedElement="_8HPOlLs9Eeeo-pbyiB8NZw">
            <body>&quot;Indicates when the mitigating action was documented.&quot; - HL7 FHIR, DetectedIssue.mitigation.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8HPOl7s9Eeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8HPOlrs9Eeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nMfS8Ls9Eeeo-pbyiB8NZw" name="detectedIssueEvent_detectedIssueMitigation" memberEnd="_nMpD8Ls9Eeeo-pbyiB8NZw _nMpD87s9Eeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_nMpD87s9Eeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6420BD5E80118" association="_nMfS8Ls9Eeeo-pbyiB8NZw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436137790312" name="PatientEducation">
      <eAnnotations xmi:id="_NOwBm-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NOwBoOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6437B871C002E" name="PatientEducationTopic">
        <eAnnotations xmi:id="_MBkcxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MBarw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6437B871C002E">
          <body>This class captures information about counselling or education can be or has been provided to the Patient or to the Patient's representative. Patient Education may be in the form of written instructions – either pre-defined materials, or personalized instructions – as well as multimedia-based instructions, oral counseling, or some combination of these. This class represents the Topic portion of the Topic/Context pattern, and as such is intended to convey the concept of Patient Education independent of the context in which is used such as Performance. Note also that the subject of patient education (e.g., diverticulitis) is conveyed by the kind property that this class inherits from Intervention. In this example, the kind of Patient Education is Diverticulitis Education.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BDiYkHbNEea0e6yP60BtjQ" name="educationBarrier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BDiYkXbNEea0e6yP60BtjQ" annotatedElement="_BDiYkHbNEea0e6yP60BtjQ">
            <body>Cognitive or sensory barriers to receiving counseling. It is noted that this property is in the Patient Education Topic class rather than the Patient Education performed class because educational materials could be designed for specific barriers. For example, a braille version of an education material might be designed for blind persons. When combined with a performance context, this property means the educational barrier encountered with the patient, when combined with a proposed or planned context, this property means the educational barrier for which the material is designed to overcome.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D-1FAHbNEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D-1sEHbNEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gPcCEDfrEeKnE98EkGeXFQ" name="educationalMaterial" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_y_mqgM5QEeSoLYfuQMb72Q" annotatedElement="_gPcCEDfrEeKnE98EkGeXFQ">
            <body>This property identifies any pre-defined written materials provided to the Patient. In many cases, Patient Education is accomplished by the provision of standardized materials produced based on the Patient's condition or based on a Procedure that the Patient has undergone. For example, there is a standardized Discharge Instructions for Diverticulitis. Use this property to identify any pre-printed materials or instructuctional videos provided to the patient. Use the communicationSummary property to identify any other personalized instructions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gPcCEzfrEeKnE98EkGeXFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gPcCEjfrEeKnE98EkGeXFQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8vCBAHbNEea0e6yP60BtjQ" name="educationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8vCBAXbNEea0e6yP60BtjQ" annotatedElement="_8vCBAHbNEea0e6yP60BtjQ">
            <body>The communication method used to provide the patient counseling. It is noted that this property is in the Patient Education Topic class rather than the Patient Education performed class because educational materials could be designed to be conveyed in a particular manner, for example, written materials are meant to be read while multimedia materials are meant to be watched. When combined with a performance context, this property means the communications method engaged with the patient, when combined with a proposed or planned context, this property means the communications method for which the material is intended.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8vCBA3bNEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8vCBAnbNEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A30C7803E1" name="patientEducationPerformed_location" memberEnd="_420A62FD03B643A30C84030C _420A62FD03B643A30C840334">
        <eAnnotations xmi:id="_KoY1IE1dEd-ZC8uuCl8MVA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643A30C840334" name="" visibility="public" type="__JpFIAXOEeebQs_lQM5n6g" isUnique="false" association="_420A62FD03B643A30C7803E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Zp0M8E1dEd-ZC8uuCl8MVA" name="patientEducationPerformed_encounter" memberEnd="_Zp0M8U1dEd-ZC8uuCl8MVA _Zp9W4E1dEd-ZC8uuCl8MVA">
        <ownedEnd xmi:id="_Zp9W4E1dEd-ZC8uuCl8MVA" name="" visibility="public" type="__JpFIAXOEeebQs_lQM5n6g" association="_Zp0M8E1dEd-ZC8uuCl8MVA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_T0DvQPR3EeaL1vtd_d-dUA" name="PatientEducationPerformedStmt">
        <ownedComment xmi:id="_lk-pEAUTEee0I6zDzuEapA" annotatedElement="_T0DvQPR3EeaL1vtd_d-dUA">
          <body>This class represents a Patient Education Event that has occurred. The Clinical Statement Topic/Context pattern separates those properties that are common to actions whether recommended, planned, or performed from their context (i.e., recommended, planned, or performed). The clinical statement then combines these information for a given Topic/Context. Thus this class combines the PatientEducaiton Topic with the Performed Context to describe an instance where a PatientEducation was performed. This class captures information about counselling or education provided to (or an attempt to provide to) the Patient or to the Patient's representative and provides a means to note how well the Patient understood the information provided. Patient Education may be in the form of written instructions – either pre-defined materials, or personalized instructions – as well as multimedia-based instructions, oral counseling, or some combination of these. In the case of pre-defined written mulitmedia materials, the educationalMaterial property of the PatientEducationTopic may be used to identify the kind of material provided rather than reproducing the text of that material in the PatientEducationPerformed class. When personalized written instructions are provided, the text of such instructions can be placed in the textProvided property of the PatientEducationPerformed class. The textProvided property may also be used to store a summary of an oral conversation with the Patient.</body>
        </ownedComment>
        <generalization xmi:id="_1czAcPR3EeaL1vtd_d-dUA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_GubgUPR4EeaL1vtd_d-dUA" name="performance" visibility="public" type="__JpFIAXOEeebQs_lQM5n6g" association="_GuWAwPR4EeaL1vtd_d-dUA">
          <ownedComment xmi:id="_6OecoAUTEee0I6zDzuEapA" annotatedElement="_GubgUPR4EeaL1vtd_d-dUA">
            <body>Pointer to the Performed Context, which when combined with the Patient Education Topic describes a Patient Education Event that has occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GuejoPR4EeaL1vtd_d-dUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GuejofR4EeaL1vtd_d-dUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qJq8QAUTEee0I6zDzuEapA" name="patientEducation" visibility="public" type="_420A62FD03B6437B871C002E" association="_qJiZYAUTEee0I6zDzuEapA">
          <ownedComment xmi:id="_BKSYMAUUEee0I6zDzuEapA" annotatedElement="_qJq8QAUTEee0I6zDzuEapA">
            <body>Pointer to the Patient Education Topic, which when combined with the Performed Context describes a Patient Education Event that has occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qJt_kAUTEee0I6zDzuEapA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qJt_kQUTEee0I6zDzuEapA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GuWAwPR4EeaL1vtd_d-dUA" name="PatientEducationPerformedStmt_performance" memberEnd="_GubgUPR4EeaL1vtd_d-dUA _GugY0PR4EeaL1vtd_d-dUA">
        <ownedEnd xmi:id="_GugY0PR4EeaL1vtd_d-dUA" name="" visibility="private" type="_T0DvQPR3EeaL1vtd_d-dUA" association="_GuWAwPR4EeaL1vtd_d-dUA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gug_4PR4EeaL1vtd_d-dUA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gug_4fR4EeaL1vtd_d-dUA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qJiZYAUTEee0I6zDzuEapA" name="PatientEducationPerformedStmt_patientEducation" memberEnd="_qJq8QAUTEee0I6zDzuEapA _qJwb0AUTEee0I6zDzuEapA">
        <ownedEnd xmi:id="_qJwb0AUTEee0I6zDzuEapA" name="" visibility="private" type="_T0DvQPR3EeaL1vtd_d-dUA" association="_qJiZYAUTEee0I6zDzuEapA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qJxC4AUTEee0I6zDzuEapA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qJxC4QUTEee0I6zDzuEapA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__JpFIAXOEeebQs_lQM5n6g" name="PatientEducationPerformed">
        <ownedComment xmi:id="_XdcnQAhAEee_toNtDpbL8w" annotatedElement="__JpFIAXOEeebQs_lQM5n6g">
          <body>This class represents the provision of counselling or education to the Patient or to the Patient's representative which is in additional to the properties inherited from the generic Performance Context class of which this class is a sub type. This class represents the Context portion of the Topic/Context pattern, and as such is intended to convey any information captured during the performance of patient education that is not captured in the Patient Education Topic class (which contains those properties that are independent of the context in which they are used).</body>
        </ownedComment>
        <generalization xmi:id="_A9kg4AXPEeebQs_lQM5n6g" general="_Wv-bwN2XEeaby7vXKhx5Xg"/>
        <ownedAttribute xmi:id="_FN1kQM5LEeSoLYfuQMb72Q" name="communicationSummary" visibility="public">
          <ownedComment xmi:id="_O-HykM5LEeSoLYfuQMb72Q" annotatedElement="_FN1kQM5LEeSoLYfuQMb72Q">
            <body>This property contains the contents of any personalized materials provided to the Patient, or a summary of any oral communications with the Patient. Note that the identification of pre-defined materials should be accomplished using the predefinedEducationalMaterials property rather than reproducing the content of such materials here.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pLycgM5PEeSoLYfuQMb72Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pLzDkM5PEeSoLYfuQMb72Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6437B922A02A4" name="levelOfUnderstanding" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBkcyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6437B922A02A4">
            <body>A qualitative assessment of how well the Patient (or Patient's representative) understood the material presented. Example values include: Poor, Fair, Good, Group - no assessment, Refused, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_USttwHbOEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_USttwXbOEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pOu3kAXPEeebQs_lQM5n6g" name="percentageComplete" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ci9OgAg5Eee_toNtDpbL8w" annotatedElement="_pOu3kAXPEeebQs_lQM5n6g">
            <body>If the Patient Education was not completed as planned, this optional property is used to indicate an approximate proportion of the amount that was completed compared to the whole of the education topic planned.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pOu3kwXPEeebQs_lQM5n6g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pOu3kgXPEeebQs_lQM5n6g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-t_6AHbLEea0e6yP60BtjQ" name="professionalTime" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_P_ZJUHbMEea0e6yP60BtjQ" annotatedElement="_-t_6AHbLEea0e6yP60BtjQ">
            <body>The amount of time spent preparing for and performing the patient education. This information may be used for workload or billing purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VhHakHbOEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VhIBoHbOEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zp0M8U1dEd-ZC8uuCl8MVA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_Zp0M8E1dEd-ZC8uuCl8MVA">
          <ownedComment xmi:id="_62n_UBHaEeCBuOUrBnIXmQ" annotatedElement="_Zp0M8U1dEd-ZC8uuCl8MVA">
            <body>Pointer to the Encounter or visit during which the education or counseling was provided, if applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zp0M8k1dEd-ZC8uuCl8MVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zp0M801dEd-ZC8uuCl8MVA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A30C84030C" name="location" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643A30C7803E1">
          <ownedComment xmi:id="_NOdGseLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A30C84030C">
            <body>Pointer to the location at which the patient education or counseling was provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NOm3oeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NOm3ouLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6418FEF4E01D8" name="Pharmacy">
      <eAnnotations xmi:id="_NjUjdOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NjwoQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_Y8yIAF7yEeCcBvMgXNMeOQ">
        <body>XOr</body>
      </ownedComment>
      <ownedComment xmi:id="_3uG54MduEeCVr54V6VtSNQ">
        <body>XOr</body>
      </ownedComment>
      <ownedComment xmi:id="_xJnYwNNlEeGRnPi2MLPE0g">
        <body>Note that the FHIM is being refactored to harmonize with CIMI and FHIR and that this package is in between modeling styles. The Pharmacy Request, Pharmacy Promise and Dispense Event classes will become Clinical Statements; common attributes among them will be removed.</body>
      </ownedComment>
      <ownedComment xmi:id="_90aQYNNlEeGRnPi2MLPE0g">
        <body>Important!  Much more detail is available on Medications in the Common Product package. OrderablePharmacyItem and DispensedDrug both point to other constructs in that package. Please see the Common Product package for more details, such as lot number, ingredients, manufacturer, etc.</body>
      </ownedComment>
      <ownedComment xmi:id="_mxgaAE5sEeSkCZQ0odaC4w" annotatedElement="_420A62FD03B641928F4302E4">
        <body>Note: May need to add intended quantities from Telecom Claim segment (i.e., might not be able to assume they're the same as quanity ordered</body>
      </ownedComment>
      <ownedComment xmi:id="_-1p_APVXEeWSF-Rwv3QnNw">
        <body>Notice: The use of any code system referenced in the FHIM model is governed by the license requirements of the specific code system noted. Please refer to the code system authority for use restrictions.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641928F4302E4" name="PharmacyDispense" isAbstract="true">
        <eAnnotations xmi:id="_NYSYF-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NYJOKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641928F4302E4">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise. This class includes medications placed in a medication cart for a caregiver (usually a nurse) to administer to the patient during scheduled rounds, as well as other inpatient settings, outpatient, retail and even mail-order settings.&#xD;
It is noted that in the typical Pharmacy workflow, the prescription will be “filled”, for example the pharmacist places 30 tablets into a bottle, then “dispensed” when the patient picks up the medication or the medication leaves the pharmacy’s control. The FHIM combines these notions under a single Pharmacy Dispense as it is presumed that information exchanges for interoperability between systems generally only occur after the dispense, therefore the notion of a fill does not need to be tracked separately.&#xD;
&quot;Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.&quot; - HL7 FHIR, MedicationDispense</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1MBPsNOQEeGputPQx0HXoA" name="actualStrength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_ItYWgNOREeGputPQx0HXoA" annotatedElement="_1MBPsNOQEeGputPQx0HXoA">
            <body>&quot;Use when [DispensedDrug] does not specify the strength.  This is the numeric part of the strength, of a single dosage unit of the dispensed product&quot; - HL7 Version 2.8, RXD-16.&#xD;
&quot;Use when [DispensedDrug] does not specify the strength.  This is the unit of the strength, of a single dosage unit of the dispensed product&quot; - HL7 Version 2.8, RXD-17.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e2mDoLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e2mDobzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446E0D6303E4" name="dateTimeDispensed" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_d_bxEEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NYSYEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446E0D6303E4">
            <body>Indicates when the pharmaceutical/treatment left the control of the pharmacy. This may be when the medication was picked up or mailed (outpatient), or delivered to a ward (inpatient). Note that this differs from the &quot;fill date/time&quot; in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up. Once delivered to the patient or another caregiver, the medication is then considered &quot;dispensed.&quot;&#xD;
Dispense = &quot;to make up and distribute (medicine), esp. on prescription.&quot; - Random House Unabridged Dictionary.&#xD;
&quot;Indicates when the pharmaceutical/treatment is dispensed from the pharmacy or treatment supplier.&quot; - HL7 Version 2.8, RXD-3.&#xD;
&quot;The time the dispensed product was provided to the patient or their representative.&quot; - HL7 FHIR, MedicationDispense.whenHandedOver</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aTl6YPUiEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aTl6YfUiEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2KrlEEtEEdyGhN1DL5AQjA" name="dateTimeFilled" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_2KrlEUtEEdyGhN1DL5AQjA" annotatedElement="_2KrlEEtEEdyGhN1DL5AQjA">
            <body>Indicates when the pharmaceutical/treatment was removed from inventory and prepared for delivery to the patient.  Note that this differs from the &quot;dispense date/time&quot; in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up, where as the dispense date/time is when the mediation leaves the control of the pharmacy.  Once delivered to the patient or another caregiver, the medication is then considered &quot;dispensed.&quot;&#xD;
&quot;The time when the dispensed product was packaged and reviewed.&quot; - HL7 FHIR, MedicationDispense.whenPrepared</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bGjoYPUiEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bGjoYfUiEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6419901DD0065" name="daysSupply" visibility="public">
          <ownedComment xmi:id="_NbkVmeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419901DD0065">
            <body>The length of time in days that the quantity dispensed will last if consumed at the rate prescribed.  For example if the patient is instructed to take 2 pills a day, 60 pills will last 30 days.&#xD;
&quot;Estimated number of days the prescription will last.&quot; - NCPDP Telecommunication (Field 405-D5, Data Dictionary 201104).&#xD;
&quot;The amount of medication expressed as a timing amount.&quot; - HL7 FHIR, MedicationDispense.daysSupply</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mf0qsPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mf0qsfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3X-dkNQXEeG6j-OawvA6JA" name="dispenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PHBs0NQYEeG6j-OawvA6JA" annotatedElement="_3X-dkNQXEeG6j-OawvA6JA">
            <body>Categorizes the dispense, primarily along the lines of whether the fill was an original or refill and whether it was a full or partial fill. This property also indicates whether the fill was a manufacturer sample or trial quantity. This property is used to document the circumstances under which the fill occurred. In NCPDP SCRIPT, this information is conveyed in a Response Segment in response to a Prescription Fill Status request. In NCPDP Telecommunication, this property is limited to only Partial Fill or Completion of Partial Fill.&#xD;
&quot;This is the type of dispensing event that occurred.&quot; - HL7 Version 2.8, RXA-26 and RXO-27.  Valid values (from HL7 Table 0484) include: Trial Quantity Balance; Compassionate Fill; New/Renew - Full Fill; New/Renew - Part Fill; Refill - Part Fill; Refill - Full Fill; Manufacturer Sample; Trial Quantity; Non-Prescription Fill.&#xD;
&quot;Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.&quot; - HL7 FHIR, MedicationDispense.type&#xD;
&quot;Code indicating the quantity dispensed is a partial fill or the completion of a partial fill….&quot; - NCPDP Telecommunication (Field 343-HD, Data Dictionary 201104).  Possible values include: Partial Fill; Completion of Partial Fill.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gZbvYLzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gZbvYbzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_-PhBUPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DispenseType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0pIdsNOTEeGputPQx0HXoA" name="dispenseMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7YHeMNOTEeGputPQx0HXoA" annotatedElement="_0pIdsNOTEeGputPQx0HXoA">
            <body>This optional property is included for compatibility to HL7 version 2. It is meant to convey how the medication was supplied, probably for pricing or workflow purposes. No specific federal requirements or uses for this field have been identified.&#xD;
&quot;Contains the method by which treatment is dispensed.&quot; - HL7 Version 2.8, RXD-24.  Possible values (from HL7 Table 321) include: Traditional; Unit Dose; Floor Stock; Automatic Dispensing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W07q0FW8Eea8trdE1wM1gQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W0-HEFW8Eea8trdE1wM1gQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_D3TwQPUyEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DispenseMethod)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__AhaMEuNEdyGhN1DL5AQjA" name="dispenseNotes" visibility="public">
          <ownedComment xmi:id="_1bv1cL-vEd2cYoIY7XWEQw" annotatedElement="__AhaMEuNEdyGhN1DL5AQjA">
            <body>&quot;Contains free text notes to the person dispensing the medication/treatment (may include the ordering provider's original notes, as well as any notes from the formulary or the pharmacy or treatment supplier).  This may contain free text describing a custom IV, mixture, or salve for example.&quot; - HL7 Version 2.8, RXD-9.&#xD;
&quot;Extra information about the dispense that could not be conveyed in the other attributes.&quot; - HL7 FHIR, MedicationDispense.note</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oGy4QE-TEd6jZ6Xjdfhi0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oG8pQE-TEd6jZ6Xjdfhi0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pW4VENONEeGputPQx0HXoA" name="dispensingInstructions" visibility="public">
          <ownedComment xmi:id="_pW4VEdONEeGputPQx0HXoA" annotatedElement="_pW4VENONEeGputPQx0HXoA">
            <body>&quot;Contains pharmacy or treatment supplier-generated special instructions to the provider dispensing/administering the order.&quot; - HL7 Version 2.8, RXD-15.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pW4VE9ONEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pW4VEtONEeGputPQx0HXoA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wbEHcF7eEeCcBvMgXNMeOQ" name="fillSequenceNumber" visibility="public">
          <ownedComment xmi:id="_Zwf_4BIbEeGplcxjJOwMxw" annotatedElement="_wbEHcF7eEeCcBvMgXNMeOQ">
            <body>This property enumerates how the current fill relates to the number of times that the medication request (prescription) has been filled. It is noted that this concept exists in both NCPDP and in HL7 version 2, yet the numbering is different in these two standards: NCPDP uses zero for the original fill then increments for each refill, while HL7 version 2 uses one for the original fill then increments for each refill. Implementers are cautioned to be cognizant of how this data is locally stored and how it is represented in the target standard.&#xD;
&quot;This field starts with 1 the first time that medication/treatment is delivered/dispensed for this order.  Increments by one with each additional issuance.&quot; - HL7 Version 2.8, RXD-1.&#xD;
&quot;The code indicating whether the prescription is an original or a refill.&quot; - NCPDP Telecommunication (Field 403-D3, Data Dictionary 201104).  Note that while the NCPDP Telecommunication structure treats this field as a code, it contains a number from 0-99, where zero is the original fill, and 1-99 are refills.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i05sQLzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i05sQbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NWgcYDubEeCQ7Mi7IS1BrQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_dxavoDubEeCQ7Mi7IS1BrQ" annotatedElement="_NWgcYDubEeCQ7Mi7IS1BrQ">
            <body>The unique identifier for this dispense, also known as a &quot;Fill Id&quot;.&#xD;
&quot;Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.&quot; - HL7 FHIR, MedicationDispense.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jVc0kLzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jVmlkLzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n_hlkCaxEeOyp-Ce3y08Wg" name="isCompound" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AuFKACayEeOyp-Ce3y08Wg" annotatedElement="_n_hlkCaxEeOyp-Ce3y08Wg">
            <body>Indicates whether the dispensed medication was locally created by combining two or more products (one of which may be distilled water, which is a product). Common examples include mixing medications in flavored syrup for children, reconstituting a dried medication in distilled water, or mixing a medication into a cream for topical application. Note that this property is marked as derived in that it could be calculated based on whether the DispensedDrug is a LocallyManufacturedProduct.&#xD;
&quot;Code indicating whether or not the prescription is a compound.&quot; - NCPDP Telecommunication (Field 406-D6, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure treats this as a code, but the values are essentially Yes (Compound), No (Not a compound), and Not Specified.  Note also that this property could be derived from the medication dispensed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kTTj8LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kTTj8bzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L8abINONEeGputPQx0HXoA" name="needsHumanReview" visibility="public">
          <ownedComment xmi:id="_L8abIdONEeGputPQx0HXoA" annotatedElement="_L8abINONEeGputPQx0HXoA">
            <body>Indicates whether &quot;the application receiving the dispense order needs to warn the person dispensing/administering the drug or treatment to pay attention to the text in [Dispensing Instructions].&quot; - HL7 Version 2.8, RXD-14.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L8abI9ONEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L8abItONEeGputPQx0HXoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Tln68Ca2EeOyp-Ce3y08Wg" name="productSelectionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_W_OUACa2EeOyp-Ce3y08Wg" annotatedElement="_Tln68Ca2EeOyp-Ce3y08Wg">
            <body>&quot;Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed.&quot; - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).  Possible values include: Substitution Not Allowed by Prescriber; Substitution Not Allowed-Brand Drug Mandated by Law; Substitution Allowed-Patient Requested Product Dispensed; Substitution Allowed-Pharmacist Selected Product Dispensed; Substitution Allowed-Generic Drug Not in Stock; Substitution Allowed-Brand Drug Dispensed as a Generic; Substitution Allowed-Generic Drug Not Available in Marketplace; Substitution Allowed By Prescriber but Plan Requests Brand; Override; No Product Selection Indicated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mXKSELzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mXKSEbzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_PWlJgPXuEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProductSubstitutionStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641991130035F" name="quantityDispensed" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NYJOK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641991130035F">
            <body>The quanitity of the medication dispensed to this patient in fulfillment of a request.&#xD;
&quot;Quantity dispensed expressed in metric decimal units.&quot; - NCPDP Telecommunication (Field 442-E7, Data Dictionary 201104).&#xD;
&quot;The amount of medication that has been dispensed. Includes unit of measure.&quot; - HL7 FHIR, MedicationDispense.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O_pXEEuTEdyGhN1DL5AQjA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O_pXEUuTEdyGhN1DL5AQjA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_La7GUGYVEeC_U5wVHbS9Yw" name="specialPackaging" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZypPICa8EeOyp-Ce3y08Wg" annotatedElement="_La7GUGYVEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating the type of dispensing dose.&quot; - NCPDP Telecommunication (Field 429-DT, Data Dictionary 201104).  Possible values include: Not Unit Dose; Manufacturer Unit Dose; Pharmacy Unit Dose; Pharmacy Unit Dose Patient Compliance Packaging; Pharmacy Multi-drug Patient Compliance Packaging; Remote Device Unit Dose; Remote Device Multi- drug Compliance; Manufacturer Unit of Use Package (not unit dose); Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nhy5MLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nhy5MbzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ILhXcPUyEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(SpecialPackagingIndicator)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ssDgoPagEeCbn6MPgQ_rxg" name="substitutionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RDeGcNOLEeGputPQx0HXoA" annotatedElement="_ssDgoPagEeCbn6MPgQ_rxg">
            <body>If the Pharmacist has changed the kind of medication to be dispensed to the patient from the one originally ordered by the prescriber, this property provides a categorization of the kind of substitution that was made.&#xD;
&quot;Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values.&quot; - HL7 Version 2.8, RXD-11.&#xD;
&quot;Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values.&quot; - HL7 Version 2.8, RXE-9.&#xD;
&quot;Product/Service Substitution, coded&quot; - NCPDP Script (Field 4457, Data Dictionary 201104)&#xD;
&quot;Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed.&quot; - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).&#xD;
&#xD;
-----&#xD;
Possible values include (from HL7 Table 167): &#xD;
No substitute was dispensed.  This is equivalent to the default (null) value; &#xD;
A generic substitution was dispensed; &#xD;
A therapeutic substitution was dispensed; &#xD;
No product selection indicated; &#xD;
Substitution not allowed by prescriber; &#xD;
Substitution allowed - patient requested product dispensed; &#xD;
Substitution allowed - pharmacist selected product dispensed; &#xD;
Substitution allowed - generic drug not in stock; &#xD;
Substitution allowed - brand drug dispensed as a generic; &#xD;
Substitution not allowed - brand drug mandated by law; &#xD;
Substitution allowed - generic drug not available in marketplace.&#xD;
-----&#xD;
Possible values include (From NCPDP ECL):&#xD;
No Product Selection Indicated&#xD;
Substitution Not Allowed by Prescriber&#xD;
Substitution Allowed - Patient Requested Product Dispensed&#xD;
Substitution Allowed - Pharmacist Selected Product Dispensed&#xD;
Substitution Allowed - Generic Drug Not in Stock&#xD;
Substitution Allowed - Brand Drug Dispensed as a Generic Override&#xD;
Substitution Not Allowed - Brand Drug Mandated by Law&#xD;
Substitution Allowed - Generic Drug Not Available in Marketplace&#xD;
Substitution Allowed By Prescriber but Plan Requests Brand - Patient's Plan Requested Brand Product To Be Dispensed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oImagLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oImagbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zfDvkNKIEeGtfrdPU3R3yA" name="dispensedDrug" visibility="public" type="_aN6pMGRXEeCsvJrE4KlOMA" association="_ze1tINKIEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_GNtnENKJEeGtfrdPU3R3yA" annotatedElement="_zfDvkNKIEeGtfrdPU3R3yA">
            <body>Pointer to the medication or pharmacy-stocked item that the Pharmacy actually supplied to the Patient or the Patient’s caregiver. This will normally be the same as the one ordered by the prescriber, but may be different under certain pre-defined conditions. For example, the provider may have ordered a brand-name drug, but indicated that a generic substitution is authorized, and the pharmacy may have substituted a generic drug. Other situations include changes due to inventory at hand, for example the prescriber may have ordered 10 mg tablets, but only 5 mg tablets were available. Note that the ordering application will typically indicate a Medicinal Product using a code like RxNorm, while the dispensing system will typically be more specific by indicating the Packaged Medicinal Product, using a code like the National Drug Code to specify the container from which the medication was dispensed, for pricing, inventory tracking, and recall-management purposes.&#xD;
&quot;Identifies the medical substance or treatment ordered to be given to the patient; it is equivalent to [the Ordered Item].&quot; - HL7 Version 2.8, RXD-2.&#xD;
&quot;Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.&quot; - HL7 FHIR, MedicationDispense.medication[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zfFkwNKIEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zfFkwdKIEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YUyHoGnZEeCyXraDASYTcQ" name="dispenseRecipient" visibility="public" type="_0KbgMGnWEeCyXraDASYTcQ" association="_YUsBAGnZEeCyXraDASYTcQ">
          <ownedComment xmi:id="_0Mp5gCagEeOyp-Ce3y08Wg" annotatedElement="_YUyHoGnZEeCyXraDASYTcQ">
            <body>Pointer to the person who picked up (i.e., took custody of) the dispensed medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YU1K8GnZEeCyXraDASYTcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YU1K8WnZEeCyXraDASYTcQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U_A5gNOMEeGputPQx0HXoA" name="dispenseToLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_U-mp0NOMEeGputPQx0HXoA">
          <ownedComment xmi:id="_rpl0ANOMEeGputPQx0HXoA" annotatedElement="_U_A5gNOMEeGputPQx0HXoA">
            <body>&quot;Contains the inpatient or outpatient location where the drug or treatment was dispensed (if applicable).  The default (null) value is the current census location for the patient.&quot; - HL7 Version 2.8, RXD-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U_DVwNOMEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U_D80NOMEeGputPQx0HXoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dBBoIC2IEeGWR8bvqgjcQA" name="dispensingDevice" visibility="public" type="_420A62FD03B6425C004E004C" association="_dA3QEC2IEeGWR8bvqgjcQA">
          <ownedComment xmi:id="_3ZMIgE5tEeSkCZQ0odaC4w" annotatedElement="_dBBoIC2IEeGWR8bvqgjcQA">
            <body>Pointer to information about the automated equipment which was used to fill the prescription.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dBCPMC2IEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dBCPMS2IEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FefsYNNUEeGRnPi2MLPE0g" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_Fed3MNNUEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_EjJwUNQWEeG6j-OawvA6JA" annotatedElement="_FefsYNNUEeGRnPi2MLPE0g">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXD-30.&#xD;
&quot;Specifies the address of the dispensing facility or the patient's location where the dispensing will occur.&quot; - HL7 Version 2.8, RXD-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FefsYdNUEeGRnPi2MLPE0g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FegTcNNUEeGRnPi2MLPE0g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nV7GQPXoEeW1BuvtDtBQzQ" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" association="_nV4qAPXoEeW1BuvtDtBQzQ">
          <ownedComment xmi:id="_IslI8PXpEeW1BuvtDtBQzQ" annotatedElement="_nV7GQPXoEeW1BuvtDtBQzQ">
            <body>Pointer to the Pharmacy Promise under which this Dispense event was authorized. Through Pharmacy Promise the Dispense also has visibility of the original Request, or prescription.&#xD;
&quot;Indicates the medication order that is being dispensed against.&quot; - HL7 FHIR, MedicationDispense.authorizingPrescription</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nV7GQfXoEeW1BuvtDtBQzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nV7GQvXoEeW1BuvtDtBQzQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KJf9IOGtEeaHnLXha23s2A" name="dispenser" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_KJf9IeGtEeaHnLXha23s2A" annotatedElement="_KJf9IOGtEeaHnLXha23s2A">
            <body>Pointer to the person who dispensed the prescription.  The dispenser is the person who facilitated the release of the medication from the pharmacy's control, as opposed to the filler who is the person who measured out and packaged the medication.  For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser.  The person playing the filler role and the person playing the dispenser role may be the same person.&#xD;
&quot;Contains the provider ID of the person dispensing the pharmaceutical.&quot; - HL7 Version 2.8, RXD-10.&#xD;
&quot;The individual responsible for dispensing the medication.&quot; - HL7 FHIR, MedicationDispense.dispenser</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KJf9I-GtEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KJf9IuGtEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bL5uMOGtEeaHnLXha23s2A" name="filler" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_bL5uMeGtEeaHnLXha23s2A" annotatedElement="_bL5uMOGtEeaHnLXha23s2A">
            <body>Pointer to the person who filled the prescription.  The filler is the person who measured out and packaged the medication, as opposed to the dispenser who is the person who facilitated the release of the medication from the pharmacy's control.  For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser.  The person playing the filler role and the person playing the dispenser role may be the same person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bL5uM-GtEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bL5uMuGtEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b4-2oOGtEeaHnLXha23s2A" name="pharmacist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_b4-2oeGtEeaHnLXha23s2A" annotatedElement="_b4-2oOGtEeaHnLXha23s2A">
            <body>Pointer to the Person (in the Role of Pharmacist) who is responsible for fulfillment of the medication order and providing oversight.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b4-2o-GtEeaHnLXha23s2A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b4-2ouGtEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641B4BDD30213" name="PharmacyPromise">
        <eAnnotations xmi:id="_NY41B-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_YyMfwJX0EeCD7vwmJe8BlA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_NYl6HeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4BDD30213">
          <body>This class contains information about a Pharmacy Order, commonly referred to as a prescription.  This class represents the prescription from the perspective of the filling system (i.e., the pharmacy) whereas the Pharmacy Request represents the prescription from the ordering system (i.e., the prescriber).  This class is a subtype of the more general Healthcare Promise, which describes properties common to all types or Orders from the filling system perspective– this class adds those properties which are specific to medication orders.  This class is called Pharmacy Promise rather than Pharmacy Order following the HL7 V3 convention to use the term Promise to indicate that it is from the filling system’s perspective.  There are many properties which are identical to the Order; this is because the pharmacy may change the order, within prescribed limits, for example substituting a generic drug for a brand-named one.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64592C9DB00DB" name="appointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZLv8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZB-_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C9DB00DB">
            <body>Date and time of the appointment for this clinic location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGGOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGGeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641990EA80281" name="expirationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZob5uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZob5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641990EA80281">
            <body>The date after which the order may no longer be filled.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGHOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGHeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA620331" name="isHospitalSuppliedSelfAdministered" visibility="public">
          <ownedComment xmi:id="_NB8t4L-0Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64592CA620331">
            <body>A flag indicating that the medication given to the patient is to be self administered and is to be supplied by the hospitals pharmacy while they are an inpatient. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A60BMC14EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A60oQC14EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA5101FC" name="isSelfAdministered" visibility="public">
          <ownedComment xmi:id="_QbqbsL-0Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64592CA5101FC">
            <body>A flag indicating that the medication given to the patient is to be self administered.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__--EAC13EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__--EAS13EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641A2638F029A" name="lastDispenseDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZyM4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZob8eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A2638F029A">
            <body>The most recent date (and optionally time) that the medication was distributed to a patient, patient care-giver, or the location at which the patient is receiving care.&#xD;
&quot;Date/time of the most recent refill or dose dispensed.&quot; - HL7 Version 2.8, RXE-18.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGIOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGIeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QyjjIHOAEeaZZ59GOtQfLA" name="needsHumanReview" visibility="public">
          <ownedComment xmi:id="_QyjjIXOAEeaZZ59GOtQfLA" annotatedElement="_QyjjIHOAEeaZZ59GOtQfLA">
            <body>This optional property is included for compatibility with HL7 version 2. It is used in version 2 messaging to convey that a warning is present in the dispensing instructions field and that downstream applications are expected to alert the human user to the presence of the warning.&#xD;
&quot;Yes - Indicates that a warning is present. The application receiving the encoded order needs to warn the person administering the drug or treatment to pay attention to the text in RXE-21-pharmacy/treatment special dispensing instructions. No - Indicates no warning &quot; - HL7 Version 2.8, RXE-20.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QyjjI3OAEeaZZ59GOtQfLA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QyjjInOAEeaZZ59GOtQfLA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5RMssHLyEeaOoaRAWXA_qQ" name="numberOfRefillsOrDosesDispensed" visibility="public">
          <ownedComment xmi:id="_5RMssXLyEeaOoaRAWXA_qQ" annotatedElement="_5RMssHLyEeaOoaRAWXA_qQ">
            <body>&quot;Number of refills remaining.&quot; - HL7 Version 2.8, RXE-17.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RMss3LyEeaOoaRAWXA_qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RMssnLyEeaOoaRAWXA_qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6419908A90067" name="numberOfRefillsRemaining" visibility="public">
          <ownedComment xmi:id="_NZyM5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419908A90067">
            <body>Indicates the number of times the order may be filled without additional authorization. It is calculated by substracting the number of fills already completed from the number of fills authorized by the prescriber.&#xD;
&quot;This field is conditional because it is required when a prescription is dispensed to an outpatient. It is not relevant to inpatient treatment orders.&quot; - HL7 Version 2.8, RXD-8.&#xD;
&quot;Number of refills remaining.&quot; - HL7 Version 2.8, RXE-16.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tq7mgPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tq7mgfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641A342230296" name="requestedAdministrationTime" visibility="public" type="_420A62FD03B642387187004E" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_NZB--uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZB--OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A342230296">
            <body>Specifies when the service is to be performed and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGFuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGF-LjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C9C9009F" name="requestedDuration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_NZVg-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C9C9009F">
            <body>The duration of an order as requested by the ordering clinician.  The duration would be expressed as a number of days, weeks, hours, etc.  Note that this length of time might be determined by a business rule of the facilty.  For example, most facilties will have a limit of 7 days for antibiotics, and 3 days for schedule 1 drugs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PGIJAC17EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PGIwEC17EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA80029C" name="scheduleType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NdXFUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CA80029C">
            <body>&quot;This describes the type of schedule for the dispensing of the medication(s) that make up the order.  PRE-OP orders are usually considered to be ON-CALL orders, and orders dispensed as MULTI-DOSE CONTAINERS are usually considered to be FILL ON REQUEST orders. C=Continuous, O=One Time, P=PRN, R=Fill On Request, OC=On Call.&quot; (VistA)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ibh-0C14EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ibh-0S14EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T4mYMHLqEeaOoaRAWXA_qQ" name="substitutionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_T4mYMXLqEeaOoaRAWXA_qQ" annotatedElement="_T4mYMHLqEeaOoaRAWXA_qQ">
            <body>If the Pharmacist has changed the kind of medication to be dispensed to the patient from the one originally ordered by the prescriber, this property provides a categorization of the kind of substitution that was made.&#xD;
&quot;Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values.&quot; - HL7 Version 2.8, RXD-11.&#xD;
&quot;Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values.&quot; - HL7 Version 2.8, RXE-9.&#xD;
&quot;Product/Service Substitution, coded&quot; - NCPDP Script (Field 4457, Data Dictionary 201104)&#xD;
&quot;Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed.&quot; - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).&#xD;
&#xD;
-----&#xD;
Possible values include (from HL7 Table 167): &#xD;
No substitute was dispensed.  This is equivalent to the default (null) value; &#xD;
A generic substitution was dispensed; &#xD;
A therapeutic substitution was dispensed; &#xD;
No product selection indicated; &#xD;
Substitution not allowed by prescriber; &#xD;
Substitution allowed - patient requested product dispensed; &#xD;
Substitution allowed - pharmacist selected product dispensed; &#xD;
Substitution allowed - generic drug not in stock; &#xD;
Substitution allowed - brand drug dispensed as a generic; &#xD;
Substitution not allowed - brand drug mandated by law; &#xD;
Substitution allowed - generic drug not available in marketplace.&#xD;
-----&#xD;
Possible values include (From NCPDP ECL):&#xD;
No Product Selection Indicated&#xD;
Substitution Not Allowed by Prescriber&#xD;
Substitution Allowed - Patient Requested Product Dispensed&#xD;
Substitution Allowed - Pharmacist Selected Product Dispensed&#xD;
Substitution Allowed - Generic Drug Not in Stock&#xD;
Substitution Allowed - Brand Drug Dispensed as a Generic Override&#xD;
Substitution Not Allowed - Brand Drug Mandated by Law&#xD;
Substitution Allowed - Generic Drug Not Available in Marketplace&#xD;
Substitution Allowed By Prescriber but Plan Requests Brand - Patient's Plan Requested Brand Product To Be Dispensed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zUCYMLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zUCYMbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FA280229" name="dispense" visibility="public" type="_420A62FD03B641928F4302E4" isUnique="false" association="_420A62FD03B64586FA270029">
          <ownedComment xmi:id="_NhFHsOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FA280229">
            <body>Pointer to information about the provision of a medication to a Patient or care provider under the authority of the owning Pharmacy Promise. In other words, this is a collection of dispensing events associated with the (pharmacy systems's view of the ) Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhFHsuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhFHs-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I_RhYXLuEeaOoaRAWXA_qQ" name="dosage" visibility="public" type="_HqoJ8HE-EeaIzczSuyGEmQ" association="_I_RhYHLuEeaOoaRAWXA_qQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I_RhYnLuEeaOoaRAWXA_qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I_RhY3LuEeaOoaRAWXA_qQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592BE3A0349" name="patientReportedMedication" visibility="public" type="_420A62FD03B641B4BE0F00E3" isUnique="false" association="_420A62FD03B64592BE390136">
          <ownedComment xmi:id="_NhYCruLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592BE3A0349">
            <body>Pointer to information about medication(s) which the patient reports to be using.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhhzoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhhzouLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BN3fMPaeEeCbn6MPgQ_rxg" name="pharmacyInferredDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_BN1C8PaeEeCbn6MPgQ_rxg">
          <ownedComment xmi:id="_PWBtYE50EeSkCZQ0odaC4w" annotatedElement="_BN3fMPaeEeCbn6MPgQ_rxg">
            <body>Many claims require a diagnosis in order to be adjudicated, especially in workers compensation situations or where multiple payers are involved.  In those cases and where the pharmacy does not have a diagnosis supplied by the prescriber, the pharmacy may infer a diagnosis based on the medication or services ordered.  See field 6813 of the NCPDP SCRIPT DRU segment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BN4GQPaeEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BN4tUPaeEeCbn6MPgQ_rxg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_afl3UXpgEd-44ra0dfiJCw" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_afl3UHpgEd-44ra0dfiJCw">
          <ownedComment xmi:id="_e7T0sHpgEd-44ra0dfiJCw" annotatedElement="_afl3UXpgEd-44ra0dfiJCw">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
&quot;Specifies the address of the dispensing facility.&quot; - HL7 Version 2.8, RXO-33.&#xD;
&quot;Contains the telecommunication contact information for the pharmacy.&quot; - HL7 Version 2.8, RXO-36.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afl3UnpgEd-44ra0dfiJCw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afl3U3pgEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UxG2oNNbEeGRnPi2MLPE0g" name="pharmacyGeneratedOrderModification" visibility="public" type="_CtWV8PaTEeCbn6MPgQ_rxg" association="_UxDMQNNbEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_yOL74E5wEeSkCZQ0odaC4w" annotatedElement="_UxG2oNNbEeGRnPi2MLPE0g">
            <body>Pointer to information concerning any changes made to the original order by the pharmacist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxHdsNNbEeGRnPi2MLPE0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxIEwNNbEeGRnPi2MLPE0g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eIc3YHLqEeaOoaRAWXA_qQ" name="promisedItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_eITtcHLqEeaOoaRAWXA_qQ">
          <ownedComment xmi:id="_O9alsHLsEeaOoaRAWXA_qQ" annotatedElement="_eIc3YHLqEeaOoaRAWXA_qQ">
            <body>Pointer to the medication or pharmacy-stocked item that the Pharmacy has agreed to supply to the Patient. This will normally be the same as the one ordered by the prescriber, but may be different under certain pre-defined conditions. For example, the provider may have ordered a brand-name drug, but indicated that a generic substitution is authorized, and the pharmacy may have substituted a generic drug. Other situations include changes due to inventory at hand, for example the prescriber may have ordered 10 mg tablets, but only 5 mg tablets were available.&#xD;
&quot;Identifies the medical substance or treatment that has been ordered to be given to the patient, as encoded by the pharmacy or treatment supplier&quot; - HL7 Version 2.8, RXE-2.&#xD;
&quot;This field accommodates the identification of any codes that might be associated with the pharmaceutical substance. Common codes include: the Generic Product Identifier (GPI), Generic Code Number_Sequence Number (GCN_SEQNO), National Drug Code (NDC).&quot; - HL7 Version 2.8, RXE-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eIc3YXLqEeaOoaRAWXA_qQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eIc3YnLqEeaOoaRAWXA_qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HwvEccd5EeCVr54V6VtSNQ" name="returnToStock" visibility="public" type="_wwMFEKDYEeC1WJi4dBiHRA" association="_HwvEcMd5EeCVr54V6VtSNQ">
          <ownedComment xmi:id="_WSeeEEqCEeSqlerh7YvyAA" annotatedElement="_HwvEccd5EeCVr54V6VtSNQ">
            <body>Pointer to information about the reversal of a provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HwvEcsd5EeCVr54V6VtSNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HwvEc8d5EeCVr54V6VtSNQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zu294OGsEeaHnLXha23s2A" name="finisher" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_Zu294eGsEeaHnLXha23s2A" annotatedElement="_Zu294OGsEeaHnLXha23s2A">
            <body>A pharmacy personnel who reviews the order and makes any required changes that are allowed under the usual and customary boundaries. The end result of this activity is an order that can be fulfilled. This role also called verifier, or perfecter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zu294-GsEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zu294uGsEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641B4BE0F00E3" name="PatientReportedMedication">
        <eAnnotations xmi:id="_NZB-8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NY41CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4BE0F00E3">
          <body>Contains information about a medication which the patient reports to be using. This includes over-the-counter, vitamins, herbal products, and non-prescribed medications. This information is used by the orderer and/or the pharmacy to perform drug-drug interaction checks and to ascertain whether the patient is utilizing the appropriate mix of medications for their condition(s).</body>
        </ownedComment>
        <generalization xmi:id="_i8rloIy4EeaPWbBiMJSPyg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64592C5ED0136" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NY41DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C5ED0136">
            <body>The time period during which the patient was using the medication. This property is a TimeInterval, which contains a start and end date. It is expected that the start date may be unknown, and that the end date will be blank if the patient is still using the medication. Therefore either or both of the dates may be blank.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6OEykFXQEea8trdE1wM1gQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6OGAsFXQEea8trdE1wM1gQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592AB8302C8" name="dosage" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_NY41EOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AB8302C8">
            <body>The amount of the described medication being that the patient is &quot;taking&quot; or using at each instance in time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_soOgkFXTEea8trdE1wM1gQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_soOgkVXTEea8trdE1wM1gQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v8P2EFXTEea8trdE1wM1gQ" name="isDiscontinued" visibility="public">
          <ownedComment xmi:id="_WphYIFXUEea8trdE1wM1gQ" annotatedElement="_v8P2EFXTEea8trdE1wM1gQ">
            <body>Indicates whether the patient has discontinued using the medication. This property could be calculated if an end date is known, but may be set independently if the end date is not known. This property is useful for separating historical from current records.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0qGsUFXTEea8trdE1wM1gQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0qHTYFXTEea8trdE1wM1gQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hL7Q8cdvEeCVr54V6VtSNQ" name="orderablePharmacyItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_hL7Q8MdvEeCVr54V6VtSNQ">
          <ownedComment xmi:id="_tYJRwEqFEeSqlerh7YvyAA" annotatedElement="_hL7Q8cdvEeCVr54V6VtSNQ">
            <body>Pointer to the medicinal product that the patient reported that he/she is taking.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hL7Q8sdvEeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hL7Q88dvEeCVr54V6VtSNQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64476CF8400B2" name="OutpatientMedicationDispense">
        <eAnnotations xmi:id="_Nb3QgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NbkVleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476CF8400B2">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an outpatient or retail setting.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B64476CFD202A8" general="_420A62FD03B641928F4302E4"/>
        <ownedAttribute xmi:id="_420A62FD03B6447DA30D007B" name="deliveryModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NbuGl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA30D007B">
            <body>This optional property indicates whether the medication dispensed was or will be: a) mailed to the patient, b) picked up at the pharmacy, or c) given to a clinician to take to the patient (e.g., a visiting nurse). This property is anticipated to be used primarily for workflow or tracking purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDvQEPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDvQEfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Jh2PIGuXEeCZQ_Ui4wPHHw" name="paymentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dSL4gE5vEeSkCZQ0odaC4w" annotatedElement="_Jh2PIGuXEeCZQ_Ui4wPHHw">
            <body>&quot;The type of prescription benefit plan that adjudicated and paid for the prescription.&quot; - NCPDP Telecommunication (Field A29-ZS, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MovqsHbZEeawNf15z5vkJQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mow40HbZEeawNf15z5vkJQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1iFXIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ReportedPaymentType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sera4GuWEeCZQ_Ui4wPHHw" name="salesTransactionId" visibility="public">
          <ownedComment xmi:id="_uB1kICbvEeOyp-Ce3y08Wg" annotatedElement="_sera4GuWEeCZQ_Ui4wPHHw">
            <body>&quot;A reference identifier assigned to the sale transaction as assigned by the merchant.&quot; - NCPDP Telecommunication (Field 681-ZF, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5vsbQPaOEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5vsbQfaOEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645786888034C" name="salesTransactionTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NbuGnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NbuGmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645786888034C">
            <body>The actual date and time the medication was released for inventory purposes and copay billing if applicable. (VistA)    In the commercial world, &quot;release date&quot; typically corresponds to the date/time that the patient took possession of the medication.  Need to verifiy the VistA usage.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGLuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3EOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C23201BE" name="wasPatientCounseled" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NbuGn-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C23201BE">
            <body>Captures whether or not the Patient (or Patient's representative) received counseling regarding the dispensed medication. Note that this property is a code in order to capture situations where the patient refused counselling. Thus the valid values for this field are currently defined as: Yes, the patient was counselled, No, the patient, was not counselled, or the Patient refused counselling. Note also that this property could potentially be calculated based on the presence of an associated Patient Education record. The PatientEducation.levelOfUnderstanding property includes Refused as a possible value.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Na-rYPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Na-rYfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_js9_wHpfEeCYy4DzyFpAzQ" name="couponRedemption" visibility="public" type="_B95dEHpfEeCYy4DzyFpAzQ" association="_js68cHpfEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_qwGSYCPVEeOWt_Gp5Q0GJA" annotatedElement="_js9_wHpfEeCYy4DzyFpAzQ">
            <body>Pointer to information about the patient's use of a manufacturers coupon to reduce the patient's out-of-pocket cost for the prescription.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_js9_wXpfEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jtBDEHpfEeCYy4DzyFpAzQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S9kRAHbUEea0e6yP60BtjQ" name="patientEducation" visibility="public" type="_420A62FD03B6437B871C002E" association="_S9jC4HbUEea0e6yP60BtjQ">
          <ownedComment xmi:id="_UmQtIHbUEea0e6yP60BtjQ" annotatedElement="_S9kRAHbUEea0e6yP60BtjQ">
            <body>Pointer to information about counselling or education provided to the Patient or to the Patient's representative.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S9k4EHbUEea0e6yP60BtjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S9k4EXbUEea0e6yP60BtjQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64476CFDE0039" name="InpatientMedicationDispense">
        <eAnnotations xmi:id="_Nb3QiuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nb3QhOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476CFDE0039">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an inpatient setting.  This class includes medications placed in a medication cart for a caregiver (usually a nurse) to administer to the patient during scheduled rounds. This class also includes medications administered by the healthcare team in an ambulatory setting. Note that while this class does not currently contain any properties in addition to those defined in the Pharmacy Dispense supertype, it functions to make the class concrete, as the Pharmacy Dispense class is abstract.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B64476D01303A6" general="_420A62FD03B641928F4302E4"/>
        <ownedAttribute xmi:id="_420A62FD03B64592E9C201A6" name="ward" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64592E9C2007D">
          <ownedComment xmi:id="_NiIQlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E9C201A6">
            <body>Pointer to the Service Delivery Location to which the medication was directed. In other words, this property indicates the location of patient so that the medication is sent to the correct location.&#xD;
&quot;Identification of the facility/location where the medication was shipped to, as part of the dispense event.&quot; - HL7 FHIR, MedicationDispense.destination</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NiIQluLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NiIQl-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592AF50014B" name="PharmacyRequest">
        <eAnnotations xmi:id="_NdDjV-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_08nSwE75EeSJI4YBId-MmA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_Nc6ZZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AF50014B">
          <body>This class contains information about a Pharmacy Order, commonly referred to as a prescription.  This class is a subtype of the more general Healthcare Order, which describes properties common to all types or Orders – this class adds those properties which are specific to medication orders.  It can be said that this represent the prescription from the perspective of the ordering system whereas the Pharmacy Promise represents the prescription from the filling system (i.e., the pharmacy).  This class is called Pharmacy Request rather than Pharmacy Order following the HL7 V3 convention to use the term Request instead of Order.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rnuEkHFYEeaVJbp4PC8L9A" name="allowSubstitutions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rnuEkXFYEeaVJbp4PC8L9A" annotatedElement="_rnuEkHFYEeaVJbp4PC8L9A">
            <body>This optional property indicates whether the prescriber has authorized the pharmacy to fill the order with a generic drug when the prescriber used a brand-name drug, or to fill the order with a therapeutically equivalent drug.&#xD;
&quot;Following are the values: N=Substitutions are NOT authorized; G=Allow generic substitutions; T=Allow therapeutic substitutions&quot; - HL7 Version 2.8, RXO-9.&#xD;
&quot;True if the prescriber allows a different drug to be dispensed from what was prescribed.&quot; - HL7 FHIR, MedicationOrder.substitution.allowed&#xD;
&quot;Indicates the reason for the substitution, or why substitution must or must not be performed.&quot; - HL7 FHIR, MedicationOrder.substitution.reason</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rnuEk3FYEeaVJbp4PC8L9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rnuEknFYEeaVJbp4PC8L9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n7qnMAP7EeGeisexxvNAWA" name="areRefillsAuthorizedAsNeeded" visibility="public">
          <ownedComment xmi:id="_NGzbUE75EeSJI4YBId-MmA" annotatedElement="_n7qnMAP7EeGeisexxvNAWA">
            <body>Indicates whether the prescriber has authorized additional fills of this order as needed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1cO8UFtDEeaxDokgI-Y3eA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1cPjYFtDEeaxDokgI-Y3eA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C90006" name="dispensingInstructions" visibility="public">
          <ownedComment xmi:id="_NIMtpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C90006">
            <body>&quot;Identifies the ordering provider's instructions to the pharmacy or the non-pharmacy treatment provider (e.g., respiratory therapy).&quot; - HL7 Version 2.8, RXO-6.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5fXokIkOEd-lPoUWU4L5Vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5fhZkIkOEd-lPoUWU4L5Vw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C90038" name="expirationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NIV3leLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C90038">
            <body>The date after which the order may no longer be filled.&#xD;
&quot;This indicates the validity period of a prescription (stale dating the Prescription).&quot; - HL7 FHIR, MedicationOrder.dispenseRequest.validityPeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4MIIgLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4MIIgbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E02DB" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NIV3m-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E02DB">
            <body>Specifies when the service is to be performed and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4yLb4LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4yLb4bzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AzUJkKMxEeSjK-UNpoDZuQ" name="frequencyCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AzUJkaMxEeSjK-UNpoDZuQ" annotatedElement="_AzUJkKMxEeSjK-UNpoDZuQ">
            <body>Specifies when the service is to be performed and how frequently. This optional property allows for the frequency to be expressed as a code (or possibly a string), in order to accomodate non-numeric expressions, such as every morning, or during the afternoon shift.  Added for Davita, 1/23/2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AzUJk6MxEeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AzUJkqMxEeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C9006A" name="intendedDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NIfokuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C9006A">
            <body>The period of time over which the supplied medication or product is expected to be used, or the length of time the dispense is expected to last.&#xD;
&quot;Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.&quot; - HL7 FHIR, MedicationOrder.dispenseRequest.expectedSupplyDuration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_59CsgLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_59NEkLzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u85sMKMxEeSjK-UNpoDZuQ" name="intendedDurationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u85sMaMxEeSjK-UNpoDZuQ" annotatedElement="_u85sMKMxEeSjK-UNpoDZuQ">
            <body>The period of time over which the supplied medication or product is expected to be used, or the length of time the dispense is expected to last. This optional property allows for the intended duration to be expressed as a code (or possibly a string), in order to accomodate non-numeric expressions.  Added for Davita, 1/23/2015.&#xD;
&quot;Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.&quot; - HL7 FHIR, MedicationOrder.dispenseRequest.expectedSupplyDuration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u85sM6MxEeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u85sMqMxEeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DkRUQNUpEeGzd-o9XtejuA" name="neededNoLaterThan" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jOBwQNUpEeGzd-o9XtejuA" annotatedElement="_DkRUQNUpEeGzd-o9XtejuA">
            <body>&quot;Conditional composite for the facility to relay to the long term care pharmacy the timeframe when medication is needed for delivery.  When a facility transmits either a new medication order (NEWRX) or request for the re-supply of a medication (RESUPP) to a pharmacy, it would optionally indicate the time by which the medication is needed. The facility could also provide a textual reason why the medication is needed by the time specified. The long term care pharmacy would then use this information to determine whether a special delivery is required, or whether the order could go out with the next scheduled delivery.&quot; - NCPDP Script (Field I006)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8sBj0FtDEeaxDokgI-Y3eA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8sCK4FtDEeaxDokgI-Y3eA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_31ccMMuREeGZENvAz6pEGw" name="needsHumanReview" visibility="public">
          <ownedComment xmi:id="_-KaaMMuREeGZENvAz6pEGw" annotatedElement="_31ccMMuREeGZENvAz6pEGw">
            <body>This optional property is included for compatibility with HL7 version 2. It is used in version 2 messaging to convey that a warning is present in the dispensing instructions field and that downstream applications are expected to alert the human user to the presence of the warning.&#xD;
Indicates whether &quot;the pharmacist or non-pharmacist treatment supplier filling the order needs to pay special attention to the text in the [Dispensing Instructions]. A warning is present.&quot; - HL7 Version 2.8, RXO-16.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7f2RYMuREeGZENvAz6pEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7f24cMuREeGZENvAz6pEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642703FB801D7" name="numberOfRefillsAuthorized" visibility="public">
          <ownedComment xmi:id="_NJGFg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642703FB801D7">
            <body>&quot;Defines the number of times the requested dispense amount can be given to the patient, subject to local regulation. Refers to outpatient only.&quot; - HL7 Version 2.8, RXO-13.&#xD;
&quot;The total original number of refills.  Outpatient only&quot; - HL7 Version 2.8, RXE-12.&#xD;
&quot;An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does NOT include the original order dispense. This means that if an order indicates dispense 30 tablets plus &quot;3 repeats&quot;, then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.&quot; - HL7 FHIR, MedicationOrder.dispenseRequest.numberOfRepeatsAllowed&#xD;
&quot;Number of refills authorized by the prescriber.&quot; - NCPDP Telecommunication (Field 415-DF, Data Dictionary 201104).  Note that while the NCPDP Telecommunication structure treats this field as a code, it contains a number from 0-99, where zero means no refills authorized, and 1-98 are the number of refills authorized, and 99 means unlimited refills authorized.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hi1NAMuQEeGZENvAz6pEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hi3CMMuQEeGZENvAz6pEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L9m8UCf-EeC-JKXSDMHR6A" name="patientInstructions" visibility="public">
          <eAnnotations xmi:id="_L9m8USf-EeC-JKXSDMHR6A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_L9m8Uif-EeC-JKXSDMHR6A" annotatedElement="_L9m8UCf-EeC-JKXSDMHR6A">
            <body>The complete textual representation of the &quot;sig&quot; (from the Latin &quot;signare&quot; meaning &quot;to sign or mark&quot;), for the prescription.  Contains all relevant information about the dosage instructions for the medication prescribed. For example, the sig might say &quot;take twice daily with food&quot;.&#xD;
&#xD;
&quot;Identifies the ordering provider's instructions to the patient or to the provider administering the drug or treatment.&quot; - HL7 Version 2.8, RXO-7.&#xD;
&quot;Identifies the ordering provider's instructions to the patient or to the provider on how to deliver or comply with the ordered procedure.&quot; - HL7 CIMI Order.patientInstructions</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L9m8VCf-EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L9m8Uyf-EeC-JKXSDMHR6A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Yz7RYL2aEeG_PZtvUC92nw" name="pharmacyOrderCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5RK_0L2aEeG_PZtvUC92nw" annotatedElement="_Yz7RYL2aEeG_PZtvUC92nw">
            <body>This optional property is used to group related medication orders. It is included for compatibility with HL7 version 2.&#xD;
&quot;Defines the general category of pharmacy order which may be used to determine the processing path the order will take.... This field may also be used for grouping of related orders for processing and/or reports.  For example, Medication Administration Records often group large volume solutions, medications and small volume solutions differently based upon site-specific workflow.&quot; - HL7 Version 2.8, RXA-26, RXD-32, and RXO-27.  Valid values (from HL7 Table 0480) include: Medication; IV Large Volume Solutions; Other solution as medication orders.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d1BzwL2aEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d1E3EL2aEeG_PZtvUC92nw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_e4O1kPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PharmacyOrder)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-t2t8HOHEeaZZ59GOtQfLA" name="pharmacyOrderSetting" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TWTYoHOIEeaZZ59GOtQfLA" annotatedElement="_-t2t8HOHEeaZZ59GOtQfLA">
            <body>&quot;Indicates where type of medication order and where the medication is expected to be consumed or administered.&quot; - HL7 FHIR, MedicationOrder.category  Possible values include: Inpatient, Outpatient, Community</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJOu0HOIEeaZZ59GOtQfLA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJOu0XOIEeaZZ59GOtQfLA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431E057801C3" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nc6Za-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E057801C3">
            <body>The date on which the patient is to begin (or began, if historical) consuming the ordered medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8tmvoLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8tmvobzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431E057801F6" name="stopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NdDjUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E057801F6">
            <body>The date on which the Patient is to discontinue consuming (or did discontinue consumption of) the ordered medication.&#xD;
&quot;The date (and perhaps time) when the prescription was stopped.&quot; - HL7 FHIR, MedicationOrder.dateEnded</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9R_PELzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9R_PEbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592B03A00C6" name="deliverToLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64592B0390162">
          <ownedComment xmi:id="_NhYCp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592B03A00C6">
            <body>&quot;Specifies the location of the patient to whom the pharmaceutical substance is to be delivered.&quot; - HL7 Version 2.8, RXO-34.&#xD;
&quot;Specifies the address, either mailing or physical, to which the prescription should be mailed or delivered.&quot; - HL7 Version 2.8, RXO-35.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhYCqeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhYCquLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NgioUCf2EeC-JKXSDMHR6A" name="drugCoverageStatus" visibility="public" type="_L_H44Cf2EeC-JKXSDMHR6A" association="_NggMECf2EeC-JKXSDMHR6A">
          <ownedComment xmi:id="_NOQwoE5pEeSkCZQ0odaC4w" annotatedElement="_NgioUCf2EeC-JKXSDMHR6A">
            <body>Pointer to a set of (zero to many) coverage statuses for the prescribed drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgkdgCf2EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgkdgSf2EeC-JKXSDMHR6A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3LduYBd7EeC9Abp3tFVARg" name="drugUseEvaluation" visibility="public" type="_ItpdgAMJEeC6TLUcQZx_GQ" association="_3LbSIBd7EeC9Abp3tFVARg">
          <ownedComment xmi:id="__xk6UE5uEeSkCZQ0odaC4w" annotatedElement="_3LduYBd7EeC9Abp3tFVARg">
            <body>Pointer to the results of a Drug Use Evaluation (DUE) or a Drug Utilization Review (DUR).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3LeVcBd7EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Le8gBd7EeC9Abp3tFVARg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_otOpYYnEEd-_v4Q8joL6LQ" name="orderedItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_otOpYInEEd-_v4Q8joL6LQ">
          <ownedComment xmi:id="_8rxoIMrEEeG4_uv2Hb_AVQ" annotatedElement="_otOpYYnEEd-_v4Q8joL6LQ">
            <body>Pointer to the medication or pharmacy-stocked item that the prescribing clinician has ordered to be supplied to the Patient.&#xD;
&quot;Identifies the treatment product or treatment ordered to be given to the patient.... Examples ... include medications and certain devices or supplies, e.g., inhaler spacers, blood glucose monitors, syringes, infusion sets, which might require prescription.&quot; - HL7 Version 2.8, RXO-1.&#xD;
&quot;This field accommodates the identification of any codes that might be associated with the pharmaceutical substance. Common codes include: the Generic Product Identifier (GPI), Generic Code Number_Sequence Number (GCN_SEQNO), National Drug Code (NDC).&quot; - HL7 Version 2.8, RXO-24.&#xD;
&quot;Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.&quot; - HL7 FHIR, MedicationRequest.medication</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_otOpYonEEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_otOpY4nEEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6Q1WIBd2EeC9Abp3tFVARg" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_6Qy54Bd2EeC9Abp3tFVARg">
          <ownedComment xmi:id="_5ZzS8E79EeSJI4YBId-MmA" annotatedElement="_6Q1WIBd2EeC9Abp3tFVARg">
            <body>Pointer to information concerning a prior authorization already issued by a payer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Q2kQBd2EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Q3LUBd2EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TcfcMNEuEeG6d5ozG3gSdw" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_TcDXUNEuEeG6d5ozG3gSdw">
          <ownedComment xmi:id="_UkowANEuEeG6d5ozG3gSdw" annotatedElement="_TcfcMNEuEeG6d5ozG3gSdw">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.&#xD;
&quot;Contains the identifier of the condition or problem for which the drug/treatment was prescribed.  May repeat if multiple indications are relevant.&quot; - HL7 Version 2.8, RXD-21.&#xD;
&quot;Can be the reason or the indication for writing the prescription.&quot; - HL7 FHIR, MedicationOrder.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TcjGkNEuEeG6d5ozG3gSdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TcjtoNEuEeG6d5ozG3gSdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BcvVQNEyEeG6d5ozG3gSdw" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_Bcs5ANEyEeG6d5ozG3gSdw">
          <ownedComment xmi:id="_EOXvYNEyEeG6d5ozG3gSdw" annotatedElement="_BcvVQNEyEeG6d5ozG3gSdw">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
&quot;Specifies the address of the dispensing facility.&quot; - HL7 Version 2.8, RXO-33.&#xD;
&quot;Contains the telecommunication contact information for the pharmacy.&quot; - HL7 Version 2.8, RXO-36.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bcv8UNEyEeG6d5ozG3gSdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bcv8UdEyEeG6d5ozG3gSdw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vH4qkOGkEeaHnLXha23s2A" name="prescriberAgent" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_7HP_kOGkEeaHnLXha23s2A" annotatedElement="_vH4qkOGkEeaHnLXha23s2A">
            <body>A person who has been designated to act on behalf of the prescriber.  For example, a physician's assistant may be authorized to telephonically authorize refill requests for the prescriber.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zBv4EOGkEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zBv4EeGkEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_764o4M2fEeSo7MqZXqyeFA" name="deliverTo" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_760XcM2fEeSo7MqZXqyeFA">
          <ownedComment xmi:id="_OH7BEM2gEeSo7MqZXqyeFA" annotatedElement="_764o4M2fEeSo7MqZXqyeFA">
            <body>Pointer to the clinical provider or agency to which the mediction will be delivered.  Added 3/18/2015 to handle the designation in the order of a specialty drug of the provider which should receive for example.  For example, an IV medication would not be sent to the patient's home but to the home infusion agency that will administer the medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7653AM2fEeSo7MqZXqyeFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_766eEM2fEeSo7MqZXqyeFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IbCL4XLuEeaOoaRAWXA_qQ" name="dosage" visibility="public" type="_HqoJ8HE-EeaIzczSuyGEmQ" association="_IbCL4HLuEeaOoaRAWXA_qQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IbCL4nLuEeaOoaRAWXA_qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IbCL43LuEeaOoaRAWXA_qQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5SagsOGrEeaHnLXha23s2A" name="supervisor" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_5SagseGrEeaHnLXha23s2A" annotatedElement="_5SagsOGrEeaHnLXha23s2A">
            <body>&quot;Supervisor information may be needed based upon state law. A supervisor is the supervising physician under whose authority the prescription is being prescribed by the primary care provider.&quot; - NCPDP Script, PVD Segment&#xD;
Pointer to the person who is managerially responsible for the prescriber. Usually used in long-term care settings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5Sags-GrEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5SagsuGrEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592CB8B0303" name="InfusionPromise">
        <eAnnotations xmi:id="_NdqAR-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NdXFV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CB8B0303">
          <body>An inpatient request for intravenous medication to be administered for this patient.</body>
        </ownedComment>
        <generalization xmi:id="_nVglgC14EeCcBZN8gPxxdg" general="_420A62FD03B641B4BDD30213"/>
        <ownedAttribute xmi:id="_420A62FD03B641A343D1026D" name="infusionRate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NdgPQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A343D1026D">
            <body>Infusion: &quot;Introduction of a solution into the body through a vein for therapeutic purposes.&quot;  (American Heritage Stedman's Medical Dictionary).  This is the rate at which the solution is introduced into the body. Expressed as volume/time (e.g., 500 ml/hr)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R1_7ILzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R1_7IbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yfwsYDh5EeC17O99ZX8o-w" name="infusionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jnHAoDh6EeC17O99ZX8o-w" annotatedElement="_yfwsYDh5EeC17O99ZX8o-w">
            <body>The site of the patient's body at which the infusion takes place. Note that there is a question, in cases where the patient is receiving multiple infusions simultaneously, whether this code should include something about the specific line, or whether there needs to be another attribtue.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S_3GMLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S_3GMbzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_irHRIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InfusionSite)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CBD9029B" name="ivType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NdgPSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CBD9029B">
            <body>Categorizes the intravenous infusion to occur. Possible values include Admixture, Piggyback, or Syringe.    (May need a better name)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TgOoULzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TgOoUbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CD2B0251" name="requestedIvLimitation" visibility="public">
          <ownedComment xmi:id="_NdqAQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CD2B0251">
            <body>This is the maximum length of time or the maximum volume to administer, for IV fluid orders. The value may be in milliliters, liters, hours, or days.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oL6SEGZBEeapcp40aqsBlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oL6SEWZBEeapcp40aqsBlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586FA270029" name="pharmacyPromise_dispense" memberEnd="_420A62FD03B64586FA280229 _420A62FD03B64586FA28022B">
        <ownedEnd xmi:id="_420A62FD03B64586FA28022B" name="" visibility="public" type="_420A62FD03B641B4BDD30213" isUnique="false" association="_420A62FD03B64586FA270029"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592B0390162" name="pharmacyRequest_orderLocation" memberEnd="_420A62FD03B64592B03A00C6 _420A62FD03B64592B03A00D6">
        <ownedEnd xmi:id="_420A62FD03B64592B03A00D6" name="" visibility="public" type="_420A62FD03B64592AF50014B" isUnique="false" association="_420A62FD03B64592B0390162"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592BE390136" name="pharmacyPromise_patientReportedMedication" memberEnd="_420A62FD03B64592BE3A0349 _420A62FD03B64592BE3A0359">
        <ownedEnd xmi:id="_420A62FD03B64592BE3A0359" name="" visibility="public" type="_420A62FD03B641B4BDD30213" isUnique="false" association="_420A62FD03B64592BE390136"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592E9C2007D" name="inpatientMedicationDispense_ward" memberEnd="_420A62FD03B64592E9C201A6 _420A62FD03B64592E9C201B6">
        <ownedEnd xmi:id="_420A62FD03B64592E9C201B6" name="" visibility="public" type="_420A62FD03B64476CFDE0039" isUnique="false" association="_420A62FD03B64592E9C2007D"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_afl3UHpgEd-44ra0dfiJCw" name="pharmacyPromise_pharmacy" memberEnd="_afl3UXpgEd-44ra0dfiJCw _afl3VHpgEd-44ra0dfiJCw">
        <ownedEnd xmi:id="_afl3VHpgEd-44ra0dfiJCw" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_afl3UHpgEd-44ra0dfiJCw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_otOpYInEEd-_v4Q8joL6LQ" name="pharmacyRequest_orderedItem" memberEnd="_otOpYYnEEd-_v4Q8joL6LQ _otYaYInEEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_otYaYInEEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_otOpYInEEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ItpdgAMJEeC6TLUcQZx_GQ" name="DrugUseEvaluation">
        <ownedComment xmi:id="_VBt3MAMJEeC6TLUcQZx_GQ" annotatedElement="_ItpdgAMJEeC6TLUcQZx_GQ">
          <body>This class represents the results of a Drug Use Evaluation (DUE) or a Drug Utilization Review (DUR). Both phrases refer to an analysis of the use of the prescribed drug in the context of the patient’s overall drug and substance exposures, and disease state which would potentially cause that medication to be contra-indicated. This process may include the evaluating the prescribed drug against the patient’s allergies or intolerances. The phrases are distinct because one (the DUE) generally occurs during the ordering/dispense process, while the other (DUR) generally is performed after the drug has been dispensed. Note that some institutions use these phrases interchangeably. While this process is traditionally called DUE or DUR, this process often includes all kinds of Medical Products (including Medical Foods, etc.). Hence some institutions use the term Medication or Medical Product instead of the use of Drug.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VM0CIBd8EeC9Abp3tFVARg" name="acknowledgementReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EqbB0NUaEeGzd-o9XtejuA" annotatedElement="_VM0CIBd8EeC9Abp3tFVARg">
            <body>&quot;Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict.&quot; For example, &quot;Tolerated course of medication in October 2007&quot; - NCPDP Script (Field 7998, Data Dictionary 201104). Note that this property is supported by NCPDP Script, but not by NCPDP Telecommunications.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LYDAQLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LYDAQbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A5cAoOGlEeaHnLXha23s2A" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_HEz9wOGlEeaHnLXha23s2A" annotatedElement="_A5cAoOGlEeaHnLXha23s2A">
            <body>Pointer to the medical professional who performed the Drug Use Evaluation.&#xD;
Note that neither NCPDP SCRIPT nor NCPDP Telecom contain this information directly in their Drug Use segments, but this data may correspond to the Provider (SCRIPT 4705, Telecommunication 444-E9) in the respective Provider segments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E6IO4OGlEeaHnLXha23s2A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E6IO4eGlEeaHnLXha23s2A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MFfRQBd8EeC9Abp3tFVARg" name="clinicalSignifanceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3y-OQNUZEeGzd-o9XtejuA" annotatedElement="_MFfRQBd8EeC9Abp3tFVARg">
            <body>&quot;Code identifying the significance or severity level of a clinical event as contained in the originating database.&quot; - NCPDP Script (Field 7997, Data Dictionary 201104). Note that this property is supported by NCPDP Script, but not by NCPDP Telecommunications.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MeLh4LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MeLh4bzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_mFz2kPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ClinicalSignificance)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PwhtsBd-EeC9Abp3tFVARg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QrEoIEprEeSqlerh7YvyAA" annotatedElement="_PwhtsBd-EeC9Abp3tFVARg">
            <body>The date and time upon which the Drug Use Evaluation was performed. Because a DUR or DUE may occur multiple times in a single day, the use of the time is required.&#xD;
Note that neither NCPDP SCRIPT nor NCPDP Telecom contain this information directly in their Drug Use segments, but this date may correspond to the Service Date (SCRIPT I006, Telecommunication 457-EP).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NqBp8LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NqBp8bzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__VSbkJtZEeClAtaO_zSM7g" name="levelOfEffort" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jLvhANUYEeGzd-o9XtejuA" annotatedElement="__VSbkJtZEeClAtaO_zSM7g">
            <body>&quot;Code indicating the level of effort as determined by the complexity of decision-making or resources utilized by a pharmacist to perform a professional service.&quot; - NCPDP Telecommunication (Field 474-8E, Data Dictionary 201104). NCPDP leaves the definitions of these levels to the discretion of the trading partners. NCPDP suggests several possible schemes, one of which is: 1=Straightforward, 2=Low Complexity, 3=Moderate Complexity, 4=High Complexity, Comprehensive.  Note that this property is supported by NCPDP Telecommunications, but not by NCPDP Script.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OPtJ4LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OPtw8LzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uEOeoPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DurPpsLevelOfEffort)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__MPY0Bd5EeC9Abp3tFVARg" name="professionalServiceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PilYcCT1EeGLU77N-kQBww" annotatedElement="__MPY0Bd5EeC9Abp3tFVARg">
            <body>Categorizes the action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist's professional service.&#xD;
&quot;Code identifying pharmacist intervention when a conflict code has been identified or service has been rendered.&quot; - NCPDP Telecommunication (Field 440-E5, Data Dictionary 201104).  Possible values include: Patient assessment; Coordination of care; Dosing evaluation/determination; Dosage evaluated; Formulary enforcement; Generic product selection; Prescriber consulted; Medication administration; Overriding benefit; Medication review; Previous patient tolerance; Patient education/instruction; Patient medication history; Patient monitoring; Patient consulted; Perform laboratory test; Pharmacist consulted other source; Recommend laboratory test; Self-care consultation; Literature search/review; Therapeutic product interchange; Other Acknowledgement; No intervention.&#xD;
&quot;Action taken in response to a conflict.&quot; - NCPDP Script (Field 7881, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O0t7cLzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O03scLzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Oc3PIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueProfessionalService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o-n8kBd4EeC9Abp3tFVARg" name="reasonForService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jXrwECT0EeGLU77N-kQBww" annotatedElement="_o-n8kBd4EeC9Abp3tFVARg">
            <body>Categorizes the type of drug utilization conflict detected by the prescriber or the pharmacist or the reason for the pharmacist's professional service.  Examples include: Drug-Drug Interaction, Dose Range Conflict, Ingredient Duplication, etc.&#xD;
&quot;Code identifying the type of utilization conflict detected by the prescriber or the pharmacist or the reason for the pharmacist s professional service.&quot; - NCPDP Telecommunication (Field 439-E4, Data Dictionary 201104).&#xD;
&quot;For further explanation, conflict, or clarification of services related to drug use evaluation.... Code identifying the type of conflict detected.  When this composite is used, DUE Reason For Service Code is mandatory.&quot; - NCPDP Script (Field 7880, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EYYyUIy3EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EYYyUYy3EeaPWbBiMJSPyg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_WM2ZoPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueReasonForService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LZFJIBd6EeC9Abp3tFVARg" name="serviceResultCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NK8LoCT1EeGLU77N-kQBww" annotatedElement="_LZFJIBd6EeC9Abp3tFVARg">
            <body>&quot;Action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist’s professional service.&quot; - NCPDP Telecommunication (Field 441-E6, Data Dictionary 201104).&#xD;
&quot;Action taken in response to a conflict.&quot; - NCPDP Script (Field 7882, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E4sqEIy3EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E4sqEYy3EeaPWbBiMJSPyg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_bCvKgPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueResultOfService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EvfJgBd7EeC9Abp3tFVARg" name="coAgent" visibility="public" type="_qZnzkBd7EeC9Abp3tFVARg" association="_Evd7YBd7EeC9Abp3tFVARg">
          <ownedComment xmi:id="_Kg9nQC19EeGWR8bvqgjcQA" annotatedElement="_EvfJgBd7EeC9Abp3tFVARg">
            <body>Pointer to another drug, disease state, or even a procedure that would alter the efficacy, action, or applicability of the medication under consideration, and therefore would potentially cause that medication to be contra-indicated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EvfwkBd7EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EvfwkRd7EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6Qy54Bd2EeC9Abp3tFVARg" name="pharmacyRequest_priorAuthorization" memberEnd="_6Q1WIBd2EeC9Abp3tFVARg _6Q5AgBd2EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_6Q5AgBd2EeC9Abp3tFVARg" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_6Qy54Bd2EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Q6OoBd2EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Q6OoRd2EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Evd7YBd7EeC9Abp3tFVARg" name="drugUseEvaluation_coAgent" memberEnd="_EvfJgBd7EeC9Abp3tFVARg _Evg-sBd7EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_Evg-sBd7EeC9Abp3tFVARg" name="" visibility="public" type="_ItpdgAMJEeC6TLUcQZx_GQ" association="_Evd7YBd7EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Evg-sRd7EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EvhlwBd7EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qZnzkBd7EeC9Abp3tFVARg" name="CoAgent">
        <ownedComment xmi:id="_JJ_NQC19EeGWR8bvqgjcQA" annotatedElement="_qZnzkBd7EeC9Abp3tFVARg">
          <body>A co-agent is another drug, disease state, or even a procedure that would alter the efficacy, action, or applicability of the medication under consideration, and therefore would potentially cause that medication to be contra-indicated. Because of the gamut of possible concepts involved, there are many potential code systems from which the concept may be drawn. Therefore the co-agent code references a Concept Domain, not a Value-Set [Per the HL7 Binding Semantics Vocabulary project, this is called a domain binding]. For example, if a patient currently taking a drug containing nitrates, a new prescription for Cialis would be contra-indicated.  Similarly, a new prescription for a beta blocker should not be given to a patient with asthma.&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease conflicting with the prescribed drug or prompting pharmacist professional service).&quot; - NCPDP Telecommunication (Field 476-H6, Data Dictionary 201104).&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug.&quot; - NCPDP Script (Field 7883, Data Dictionary 201104)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uzKVACf1EeC-JKXSDMHR6A" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_J7T8gC19EeGWR8bvqgjcQA" annotatedElement="_uzKVACf1EeC-JKXSDMHR6A">
            <body>A co-agent is another drug, disease state, or even a procedure that would alter the efficacy, action, or applicability of the medication under consideration, and therefore would potentially cause that medication to be contra-indicated. Because of the gamut of possible concepts involved, there are many potential code systems from which the concept may be drawn. Therefore the co-agent code references a Concept Domain, not a Value-Set [Per the HL7 Binding Semantics Vocabulary project, this is called a domain binding]. For example, if a patient currently taking a drug containing nitrates, a new prescription for Cialis would be contra-indicated.  Similarly, a new prescription for a beta blocker should not be given to a patient with asthma.&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease conflicting with the prescribed drug or prompting pharmacist professional service).&quot; - NCPDP Telecommunication (Field 476-H6, Data Dictionary 201104).&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug.&quot; - NCPDP Script (Field 7883, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2sNDULzTEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2sNDUbzTEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_M6hMMPXtEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CoAgentKind)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3LbSIBd7EeC9Abp3tFVARg" name="pharmacyRequest_drugUseEvaluation" memberEnd="_3LduYBd7EeC9Abp3tFVARg _3LgxsBd7EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_3LgxsBd7EeC9Abp3tFVARg" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_3LbSIBd7EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3LhYwBd7EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3LhYwRd7EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_L_H44Cf2EeC-JKXSDMHR6A" name="DrugCoverageStatus">
        <ownedComment xmi:id="_El4lkE5pEeSkCZQ0odaC4w" annotatedElement="_L_H44Cf2EeC-JKXSDMHR6A">
          <body>This class is used to convey information regarding whether and how a prescribed medication is covered under a payer's formulary. This class is only used for prescribed drugs which are expected to be paid for by a third party such as an insurance company. This class is not used when a patient is paying for medications out of pocket.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TVjT4Cf2EeC-JKXSDMHR6A" name="drugCoverageCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4pMKEE5oEeSkCZQ0odaC4w" annotatedElement="_TVjT4Cf2EeC-JKXSDMHR6A">
            <body>&quot;Code identifying the coverage status of the prescribed drug.&quot; - NCPDP Script (Field 7885, Data Dictionary 201104).  Possible values include: Approved, Differential Co-Pay, Non Formulary, Not Reimbursed, Preferred, Prior Authorization Required, Signed Prescription, Step Therapy Required, Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Iup8ILzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Iup8IbzUEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_wZIPUPXsEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(FormularyCoverage)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NggMECf2EeC-JKXSDMHR6A" name="pharmacyRequest_drugCoverageStatus" memberEnd="_NgioUCf2EeC-JKXSDMHR6A _Ngm5wCf2EeC-JKXSDMHR6A">
        <ownedEnd xmi:id="_Ngm5wCf2EeC-JKXSDMHR6A" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_NggMECf2EeC-JKXSDMHR6A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ngng0Cf2EeC-JKXSDMHR6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgoH4Cf2EeC-JKXSDMHR6A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_b9CpcEj4EeCSVeZMaVcw1Q" name="MedicationList">
        <eAnnotations xmi:id="_yPlr0E75EeSJI4YBId-MmA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_yPlr0U75EeSJI4YBId-MmA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_1q46IEp8EeSqlerh7YvyAA" annotatedElement="_b9CpcEj4EeCSVeZMaVcw1Q">
          <body>This class represents a list of medications that the patient is taking.  This list may contain information from prescription data (Pharmacy Requests), pharmacy data (Pharmacy Promises) and/or Patient-Reported Medications.  Because the list may be an aggregation of data from multiple sources, duplicate information may potentially exist.  Note that this class could be populated as a result of a medication reconciliation process. Details of such a process are not yet modeled in the FHIM.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_e_BMsEj4EeCSVeZMaVcw1Q" name="patientReportedMedication" visibility="public" type="_420A62FD03B641B4BE0F00E3" aggregation="shared" association="_e-9iUEj4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_BzPMAEp9EeSqlerh7YvyAA" annotatedElement="_e_BMsEj4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medication(s) which the patient reports to be using.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e_DB4Ej4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e_Do8Ej4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gQ3PEEj4EeCSVeZMaVcw1Q" name="pharmacyRequest" visibility="public" type="_420A62FD03B64592AF50014B" aggregation="shared" association="_gQ1Z4Ej4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_SYuXkEp9EeSqlerh7YvyAA" annotatedElement="_gQ3PEEj4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medications which the patient has received or is receiving, as reported by an ordering physician.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQ4dMEj4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQ5EQEj4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hKC50Ej4EeCSVeZMaVcw1Q" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" aggregation="shared" association="_hKBrsEj4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_KDl4oEp9EeSqlerh7YvyAA" annotatedElement="_hKC50Ej4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medications which the patient has received or is receiving, as reported by a pharmacy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hKDg4Ej4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hKDg4Uj4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e-9iUEj4EeCSVeZMaVcw1Q" name="medicationList_patientReportedMedication" memberEnd="_e_BMsEj4EeCSVeZMaVcw1Q _e_GsQEj4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_e_GsQEj4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_e-9iUEj4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e_HTUEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e_HTUUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gQ1Z4Ej4EeCSVeZMaVcw1Q" name="medicationList_pharmacyRequest" memberEnd="_gQ3PEEj4EeCSVeZMaVcw1Q _gQ6SYEj4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_gQ6SYEj4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_gQ1Z4Ej4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQ65cEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQ65cUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hKBrsEj4EeCSVeZMaVcw1Q" name="medicationList_pharmacyPromise" memberEnd="_hKC50Ej4EeCSVeZMaVcw1Q _hKEH8Ej4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_hKEH8Ej4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_hKBrsEj4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hKEvAEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hKEvAUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0KbgMGnWEeCyXraDASYTcQ" name="DispenseRecipient">
        <ownedComment xmi:id="_084ckCagEeOyp-Ce3y08Wg" annotatedElement="_0KbgMGnWEeCyXraDASYTcQ">
          <body>Identifies the Person who picked up (i.e., took custody of) the dispensed medication, if that person is someone other than the patient. Note that this class points to the Person picking up the medication, and that the Person class contains the name, address, and identification of that individual. Note also that the Person Id property uses the Id data type, which can be used for any kind of identification that the Pharmacy accepts. Therefore, the Id can accommodate the use of a Personal Identification Verification (PIV) card or a Common Access Card (CAC) or any other kind of identification accepted by the Pharmacy. The Id datatype also includes an Id Type field, which indicates whether the Id was a driver’s license, a passport, a PIV or CAC card, etc.&#xD;
&quot;Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.&quot; - HL7 FHIR, MedicationDispense.receiver</body>
        </ownedComment>
        <ownedAttribute xmi:id="_AUH4EJXYEeCD7vwmJe8BlA" name="relationshipToPatient" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K0RmoCahEeOyp-Ce3y08Wg" annotatedElement="_AUH4EJXYEeCD7vwmJe8BlA">
            <body>Indicates how the Person who picked up the medication is related to the intended recipient (i.e., the patient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5l-s0LzTEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5l-s0bzTEeasQoRN2Ou_5g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_9rMzgPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PersonalRelationshipRoleType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X_G8IJXXEeCD7vwmJe8BlA" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_X_D40JXXEeCD7vwmJe8BlA">
          <ownedComment xmi:id="_2xZtsEplEeSqlerh7YvyAA" annotatedElement="_X_G8IJXXEeCD7vwmJe8BlA">
            <body>Pointer to the Person who is playing the Role of DispenseRecipient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X_J_cJXXEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X_J_cZXXEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YUsBAGnZEeCyXraDASYTcQ" name="pharmacyDispense_dispenseRecipient" memberEnd="_YUyHoGnZEeCyXraDASYTcQ _YU4OQGnZEeCyXraDASYTcQ">
        <ownedEnd xmi:id="_YU4OQGnZEeCyXraDASYTcQ" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_YUsBAGnZEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YU4OQWnZEeCyXraDASYTcQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YU4OQmnZEeCyXraDASYTcQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_js68cHpfEeCYy4DzyFpAzQ" name="outpatientMedicationDispense_couponRedemption" memberEnd="_js9_wHpfEeCYy4DzyFpAzQ _jtBDEXpfEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_jtBDEXpfEeCYy4DzyFpAzQ" name="" visibility="public" type="_420A62FD03B64476CF8400B2" association="_js68cHpfEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jtBDEnpfEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jtBDE3pfEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X_D40JXXEeCD7vwmJe8BlA" name="dispenseRecipient_asPerson" memberEnd="_X_G8IJXXEeCD7vwmJe8BlA _X_J_cpXXEeCD7vwmJe8BlA">
        <ownedEnd xmi:id="_X_J_cpXXEeCD7vwmJe8BlA" name="" visibility="public" type="_0KbgMGnWEeCyXraDASYTcQ" association="_X_D40JXXEeCD7vwmJe8BlA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X_NCwJXXEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X_NCwZXXEeCD7vwmJe8BlA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pyJDcJXYEeCD7vwmJe8BlA" name="MailOrderDispense">
        <ownedComment xmi:id="_Ln6jYEqDEeSqlerh7YvyAA" annotatedElement="_pyJDcJXYEeCD7vwmJe8BlA">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an mail-order setting.  This class adds shipping information to the properties defined in the parent Outpatient Medication Dispense class.</body>
        </ownedComment>
        <generalization xmi:id="_rR4-8JXYEeCD7vwmJe8BlA" general="_420A62FD03B64476CF8400B2"/>
        <ownedAttribute xmi:id="_1EndQJXYEeCD7vwmJe8BlA" name="carrier" visibility="public">
          <ownedComment xmi:id="_AO3LAEqEEeSqlerh7YvyAA" annotatedElement="_1EndQJXYEeCD7vwmJe8BlA">
            <body>A carrier is “an individual or company, as a railroad or steamship line, engaged in transporting passengers or goods for profit” (dictionary.com).  This property identifies the shipping organization that took custody of the medication in order to deliver it to the patient.  This property is currently modeled as a string although it is conceivable that it could be modeled as a code or an id if one wanted to have a controlled list of carriers.  Since such a list is not readily available, and because there are many smaller carriers, we chose to leave this as a string.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QmCmsHbZEeawNf15z5vkJQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QmDNwHbZEeawNf15z5vkJQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vM2YoJXYEeCD7vwmJe8BlA" name="dateTimeMailed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vM2YoZXYEeCD7vwmJe8BlA" annotatedElement="_vM2YoJXYEeCD7vwmJe8BlA">
            <body>The date and time that a shipping organization (e.g., US Postal Service, Federal Express) took custody of the medication from the Pharmacy in order to deliver it to the patient. This date/time effectively becomes the dispense date/time as this is when the medication leaves the control of the Pharmacy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vM2Yo5XYEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vM2YopXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8uupQJXYEeCD7vwmJe8BlA" name="dateTimeReceived" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_8uupQZXYEeCD7vwmJe8BlA" annotatedElement="_8uupQJXYEeCD7vwmJe8BlA">
            <body>The date and time that the shipping organization delivered the medication to the patient, as reported by the shipping organization.  This property is optional, as not all deliveries require delivery confirmation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8uupQ5XYEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8uupQpXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xW0V0JXYEeCD7vwmJe8BlA" name="trackingId" visibility="public">
          <ownedComment xmi:id="_cUHwEEqFEeSqlerh7YvyAA" annotatedElement="_xW0V0JXYEeCD7vwmJe8BlA">
            <body>An identifier issued by the shipping organization used to determine the shipment as it progresses through the various steps of the delivery process.  It is used primarily for the patient or mail order pharmacy to inquire on the status of the delivery.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5xgDIJXYEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5xgDIZXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wwMFEKDYEeC1WJi4dBiHRA" name="ReturnToStock">
        <ownedComment xmi:id="_ULHwAEqCEeSqlerh7YvyAA" annotatedElement="_wwMFEKDYEeC1WJi4dBiHRA">
          <body>This class contains information about the reversal of a provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.  In inpatient settings, returns often occur when an as-needed (PRN) medication is dispensed to a medication cart and the patient does not need the medication, or a medication order is changed after the cart was prepared; in either casethe cart is returned to the pharmacy at the end of the shift and remaining medication is returned to stock.  In outpatient settings, returns rarely occur after control of the medication has left the pharmacy, however, if the patient never picks up the medication, it will be returned to stock after some set period of time.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-a9n4Md4EeCVr54V6VtSNQ" name="dateReturned" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_oTSQME74EeSJI4YBId-MmA" annotatedElement="_-a9n4Md4EeCVr54V6VtSNQ">
            <body>The date (and optionally, time) that the pharmaceutical products were returned to stock.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-vwNkLzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-vwNkbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CJmc0Md5EeCVr54V6VtSNQ" name="quantityReturned" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_zq7d4E74EeSJI4YBId-MmA" annotatedElement="_CJmc0Md5EeCVr54V6VtSNQ">
            <body>The amount of the pharmaceutical product that was returned to stock.  For example, 3 tablets.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Hf_MLzUEeasQoRN2Ou_5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Hf_MbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hL7Q8MdvEeCVr54V6VtSNQ" name="patientReportedMedication_orderablePharmacyItem" memberEnd="_hL7Q8cdvEeCVr54V6VtSNQ _hL7Q9MdvEeCVr54V6VtSNQ">
        <ownedEnd xmi:id="_hL7Q9MdvEeCVr54V6VtSNQ" name="" visibility="public" type="_420A62FD03B641B4BE0F00E3" association="_hL7Q8MdvEeCVr54V6VtSNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hMFB8MdvEeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hMFB8cdvEeCVr54V6VtSNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HwvEcMd5EeCVr54V6VtSNQ" name="pharmacyPromise_returnToStock" memberEnd="_HwvEccd5EeCVr54V6VtSNQ _HwvEdMd5EeCVr54V6VtSNQ">
        <ownedEnd xmi:id="_HwvEdMd5EeCVr54V6VtSNQ" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_HwvEcMd5EeCVr54V6VtSNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hw41cMd5EeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hw41ccd5EeCVr54V6VtSNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CtWV8PaTEeCbn6MPgQ_rxg" name="PharmacyGeneratedOrderModification">
        <ownedComment xmi:id="_njyOsE5wEeSkCZQ0odaC4w" annotatedElement="_CtWV8PaTEeCbn6MPgQ_rxg">
          <body>The pharmacist has the authority to make certain changes to the clinician’s order without having to seek a replacement order from the prescriber.  This class contains information concerning any such changes.  For example, if the prescriber cited a brand name drug, but also indicated that a generic drug could be substituted for it, this class will point to a new copy of the order with the generic drug instead of the brand-name drug.  Another potential change might be where the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets.  In this case, the sig may need to be changed from “take 1 tablet…” to “take 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.  Again, this class is used to hold this new information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_OftBUPahEeCbn6MPgQ_rxg" name="reason" visibility="public">
          <ownedComment xmi:id="_Sa7eQE5zEeSkCZQ0odaC4w" annotatedElement="_OftBUPahEeCbn6MPgQ_rxg">
            <body>This property provides an optional textual description why the pharmacist changed the original prescriber's order.  In most cases, the substitution code will be sufficient, but in some cases the pharmacist may wish to document a more detailed reason.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G2jcIE5zEeSkCZQ0odaC4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G2jcIU5zEeSkCZQ0odaC4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3EhwUPagEeCbn6MPgQ_rxg" name="revisedSig" visibility="public">
          <ownedComment xmi:id="_JbTRoAP6EeGeisexxvNAWA" annotatedElement="_3EhwUPagEeCbn6MPgQ_rxg">
            <body>If the pharmacist has changed the instructions to the patient (i.e., the &quot;sig&quot;) from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets, the sig may need to be changed from “take 1 tablet…” to “take 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BuHlMPahEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BuIMQPahEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C435034B" name="revisedAdministrationInstructions" visibility="public">
          <ownedComment xmi:id="_NZVg--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C435034B">
            <body>If the pharmacist has changed the instructions to the person administering the medication (usually a nurse in an inpatient situation) from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets, the sig may need to be changed from “give 1 tablet…” to “give 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IicWME5zEeSkCZQ0odaC4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IicWMU5zEeSkCZQ0odaC4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592D1F703C9" name="revisedPatientInstructions" visibility="public">
          <eAnnotations xmi:id="_NZ7W0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZyM7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D1F703C9">
            <body>If the pharmacist has changed any &quot;additional instructions&quot; to the patient from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated that the medication should be taken with milk, but the pharmacist made a therapeutic substitution to different medication the new instructions may now say &quot;take on an empty stomach&quot; to reflect the characteristics of the new medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGJOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGJeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VmltINNbEeGRnPi2MLPE0g" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" association="_Vmj38NNbEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_-_nnAE5wEeSkCZQ0odaC4w" annotatedElement="_VmltINNbEeGRnPi2MLPE0g">
            <body>Pointer to a new Pharmacy Promise record created as a result of a change made to the original order by the pharmacist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VmmUMNNbEeGRnPi2MLPE0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VmmUMdNbEeGRnPi2MLPE0g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BN1C8PaeEeCbn6MPgQ_rxg" name="pharmacyPromise_pharmacyInferredDiagnosis" memberEnd="_BN3fMPaeEeCbn6MPgQ_rxg _BN57cPaeEeCbn6MPgQ_rxg">
        <ownedEnd xmi:id="_BN57cPaeEeCbn6MPgQ_rxg" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_BN1C8PaeEeCbn6MPgQ_rxg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dA3QEC2IEeGWR8bvqgjcQA" name="pharmacyDispense_dispensingDevice" memberEnd="_dBBoIC2IEeGWR8bvqgjcQA _dBLZIC2IEeGWR8bvqgjcQA">
        <ownedEnd xmi:id="_dBLZIC2IEeGWR8bvqgjcQA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_dA3QEC2IEeGWR8bvqgjcQA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TcDXUNEuEeG6d5ozG3gSdw" name="pharmacyRequest_indication" memberEnd="_TcfcMNEuEeG6d5ozG3gSdw _TcomINEuEeG6d5ozG3gSdw">
        <ownedEnd xmi:id="_TcomINEuEeG6d5ozG3gSdw" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_TcDXUNEuEeG6d5ozG3gSdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Bcs5ANEyEeG6d5ozG3gSdw" name="pharmacyRequest_pharmacy" memberEnd="_BcvVQNEyEeG6d5ozG3gSdw _BcyYkNEyEeG6d5ozG3gSdw">
        <ownedEnd xmi:id="_BcyYkNEyEeG6d5ozG3gSdw" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_Bcs5ANEyEeG6d5ozG3gSdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ze1tINKIEeGtfrdPU3R3yA" name="pharmacyDispense_dispensedDrug" memberEnd="_zfDvkNKIEeGtfrdPU3R3yA _zfPVwNKIEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_zfPVwNKIEeGtfrdPU3R3yA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_ze1tINKIEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fed3MNNUEeGRnPi2MLPE0g" name="pharmacyDispense_pharmacy" memberEnd="_FefsYNNUEeGRnPi2MLPE0g _FehhkNNUEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_FehhkNNUEeGRnPi2MLPE0g" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_Fed3MNNUEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UxDMQNNbEeGRnPi2MLPE0g" name="pharmacyPromise_pharmacyGeneratedOrderModification" memberEnd="_UxG2oNNbEeGRnPi2MLPE0g _UxLIENNbEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_UxLIENNbEeGRnPi2MLPE0g" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_UxDMQNNbEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Vmj38NNbEeGRnPi2MLPE0g" name="pharmacyGeneratedOrderModification_pharmacyPromise" memberEnd="_VmltINNbEeGRnPi2MLPE0g _VmniUNNbEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_VmniUNNbEeGRnPi2MLPE0g" name="" visibility="public" type="_CtWV8PaTEeCbn6MPgQ_rxg" association="_Vmj38NNbEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_U-mp0NOMEeGputPQx0HXoA" name="pharmacydispense_dispenseToLocation" memberEnd="_U_A5gNOMEeGputPQx0HXoA _U_I1UNOMEeGputPQx0HXoA">
        <ownedEnd xmi:id="_U_I1UNOMEeGputPQx0HXoA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_U-mp0NOMEeGputPQx0HXoA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_760XcM2fEeSo7MqZXqyeFA" name="pharmacyRequest_deliverTo" memberEnd="_764o4M2fEeSo7MqZXqyeFA _767FIM2fEeSo7MqZXqyeFA">
        <ownedEnd xmi:id="_767FIM2fEeSo7MqZXqyeFA" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_760XcM2fEeSo7MqZXqyeFA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_jitLMPVXEeWSF-Rwv3QnNw" client="_0KbgMGnWEeCyXraDASYTcQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_XyDLQKRMEeGZ6ueex_Me0w?FHIM_Vocab/PersonVocab/PersonalRelationshipRoleType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_zKZ40PVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_2uNAEPTxEeWvwZaMZtWyqQ?FHIM_Vocab/PharmacyVocab/DueProfessionalService?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_0z0tsPVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_gmLuIPTzEeWvwZaMZtWyqQ?FHIM_Vocab/PharmacyVocab/DueReasonForService?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_2FKZwPVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_RF6zUPT1EeWvwZaMZtWyqQ?FHIM_Vocab/PharmacyVocab/DueResultOfService?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_4_eOwPVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Y83rMPUmEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/DurPpsLevelOfEffort?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_6fYiUPVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_r9X9IPUlEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/ClinicalSignificance?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_uECmgPVYEeWSF-Rwv3QnNw" client="_420A62FD03B64592CB8B0303">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_HBCosPUvEeWDHO3eL5eRfg?FHIM_Vocab/PharmacyVocab/InfusionSite?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_AgabMPVZEeWSF-Rwv3QnNw" client="_420A62FD03B64476CF8400B2">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_vPTJQPUXEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/ReportedPaymentType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_Df2n0PVZEeWSF-Rwv3QnNw" client="_420A62FD03B641928F4302E4">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_MdiIkPUZEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/DispenseType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_FyicIPVZEeWSF-Rwv3QnNw" client="_420A62FD03B641928F4302E4">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_BsJ0MPUaEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/DispenseMethod?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_L1pOEPVZEeWSF-Rwv3QnNw" client="_420A62FD03B641928F4302E4">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_2W4IkPUaEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/SpecialPackagingIndicator?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_ZyXAkPVZEeWSF-Rwv3QnNw" client="_420A62FD03B64592AF50014B">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_bpNnkPUkEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/PharmacyOrder?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nV4qAPXoEeW1BuvtDtBQzQ" name="pharmacyDispense_pharmacyPromise" memberEnd="_nV7GQPXoEeW1BuvtDtBQzQ _nV7GQ_XoEeW1BuvtDtBQzQ">
        <ownedEnd xmi:id="_nV7GQ_XoEeW1BuvtDtBQzQ" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_nV4qAPXoEeW1BuvtDtBQzQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_pA6EkPXsEeW1BuvtDtBQzQ" client="_L_H44Cf2EeC-JKXSDMHR6A">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_gAn04PTxEeWvwZaMZtWyqQ?FHIM_Vocab/PharmacyVocab/FormularyCoverage?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_QmSTUPXtEeW1BuvtDtBQzQ" client="_qZnzkBd7EeC9Abp3tFVARg">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_UBl3EPTxEeWvwZaMZtWyqQ?FHIM_Vocab/PharmacyVocab/CoAgentKind?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_M4mEIPXuEeW1BuvtDtBQzQ" client="_420A62FD03B641928F4302E4">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_jf2aUPXtEeW1BuvtDtBQzQ?FHIM_Vocab/PharmacyVocab/ProductSubstitutionStatus?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_tfjvQPXuEeW1BuvtDtBQzQ" client="_420A62FD03B641B4BDD30213">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ksGWoPUfEeWp_Mwb77TLSQ?FHIM_Vocab/PharmacyVocab/OrderModality?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HqoJ8HE-EeaIzczSuyGEmQ" name="Dosage">
        <ownedComment xmi:id="_IqZ2oBSqEeertqFtRTH1nw" annotatedElement="_HqoJ8HE-EeaIzczSuyGEmQ">
          <body>&quot;Indicates how the medication is/was taken or should be taken by the patient.&quot; - HL7 FHIR, Dosage&#xD;
&quot;Describes the medication dosage information details e.g. dose, rate, site, route, etc.&quot; - HL7 FHIR, MedicationAdministration.dosage</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ABVSkBSrEeertqFtRTH1nw" name="additionalInstruction" visibility="public">
          <ownedComment xmi:id="_ABVSkRSrEeertqFtRTH1nw" annotatedElement="_ABVSkBSrEeertqFtRTH1nw">
            <body>Contains any special instructions needed for this order.  This would include the physician's reason for ordering a PRN.&#xD;
&quot;Identifies the ordering provider's instructions to the patient or to the provider administering the drug or treatment.&quot; - HL7 Version 2.8, RXO-7.&#xD;
&quot;Supplemental instruction - e.g. &quot;with meals&quot;.&quot; - HL7 FHIR, Dosage.additionalInstruction</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ABVSkxSrEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ABVSkhSrEeertqFtRTH1nw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VJil8BSsEeertqFtRTH1nw" name="asNeeded" visibility="public">
          <ownedComment xmi:id="_YTVBYBSsEeertqFtRTH1nw" annotatedElement="_VJil8BSsEeertqFtRTH1nw">
            <body>&quot;Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).&quot; - HL7 FHIR, Dosage.asNeeded[x]</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJil8xSsEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJil8hSsEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jWIPYHE4EeaIzczSuyGEmQ" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_n2l68BSsEeertqFtRTH1nw" annotatedElement="_jWIPYHE4EeaIzczSuyGEmQ">
            <body>&quot;Contains the site of the administration route. When using a post-coordinated code table in this field, (the Adminstration Site Modifier) may be used to modify the meaning of this field.&quot; - HL7 Version 2.8, RXR-2&#xD;
&quot;Contains a modifier which modifies the meaning of (the Adminstration Site code)&quot; - HL7 Version 2.8, RXR-6&#xD;
&quot;Body site to administer to.&quot; - HL7 FHIR, Dosage.site&#xD;
&quot;A coded specification of the anatomic site where the medication first entered the body. For example, &quot;left arm&quot;.&quot; - HL7 FHIR, MedicationAdministration.dosage.site</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ow2ysHE4EeaIzczSuyGEmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ow2ysXE4EeaIzczSuyGEmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E01CD" name="dose" visibility="public" type="_420A62FD03B641886F63021A">
          <eAnnotations xmi:id="_cv1xcEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIMtp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E01CD">
            <body>&quot;The measured quantity of a therapeutic agent to be taken at one time.&quot; (MedlinePlus/Merriam-Webster). Note that this property is currently modeled as a single property of type Physical Quanity Interval, rather than having two properties for the low dosage and high dosage.&#xD;
&quot;Indicates the manner in which the medication/treatment is aggregated for dispensing, e.g., tablets, capsules, suppositories.&quot; - HL7 Version 2.8, RXA-8&#xD;
&quot;This field is the ordered amount.  In a variable dose order, this is the minimum ordered amount.  In a non-varying dose order, this is the exact amount of the order.&quot; - HL7 Version 2.8, RXO-2.&#xD;
&quot;In a variable dose order, this is the maximum ordered amount.  In a non-varying dose order, this field is not used.&quot; - HL7 Version 2.8, RXO-3.&#xD;
&quot;Indicates the units for the give amount.&quot; - HL7 Version 2.8, RXO-4.&#xD;
&quot;Amount of medication per dose.&quot; - HL7 FHIR, Dosage.dose[x]&#xD;
&quot;The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.&quot; - HL7 FHIR, MedicationAdministration.dosage.dose</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9ZOU8LzTEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9ZOU8bzTEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E0213" name="doseForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <eAnnotations xmi:id="_wKP7sEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIMtquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E0213">
            <body>Dosage form: &quot;A term for the physical characteristics of a drug product - e.g., tablet, capsule or solution - which contains the drug substance and almost invariably other ingredients, such as excipient, fillers, flavours, preservatives, emulsifiers, etc.&quot; - Segens Medical Dictionary.&#xD;
Indicates the form of the material making up a single dose (as opposed to how the dose is packaged). Possible values include Tablet, Drop, Lozenge, Cream, etc. Note that this property is marked as derived, because it may be known from the ordered drug. This property has historically been included in messaging standards because the sender and the recipient may not be using the same (typically proprietary) coding systems. Currently RxNorm would likely be used for inter-organizational communications, in which case the dose form would already be known.&#xD;
&quot;Indicates the manner in which the treatment is aggregated for dispensing, e.g., tablets, capsules, suppositories.&quot; - HL7 Version 2.8, RXO-5.&#xD;
&quot;Drug form, in a code. Dosage form code. Pharmaceutical Dosage Form.&quot; - NCPDP Script (Field 7992, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vQpYYMrHEeG4_uv2Hb_AVQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vQp_cMrHEeG4_uv2Hb_AVQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qtsZABSuEeertqFtRTH1nw" name="maxDosePerAdministration" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_qtsZARSuEeertqFtRTH1nw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_qtsZAhSuEeertqFtRTH1nw" annotatedElement="_qtsZABSuEeertqFtRTH1nw">
            <body>&quot;Upper limit on medication per administration.&quot; - HL7 FHIR, Dosage.maxDosePerAdministration</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qtsZBBSuEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qtsZAxSuEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fu43MBSwEeertqFtRTH1nw" name="maxDosePerLifetime" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_fu43MRSwEeertqFtRTH1nw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_oM5lUBSwEeertqFtRTH1nw" annotatedElement="_fu43MBSwEeertqFtRTH1nw">
            <body>&quot;Upper limit on medication per lifetime of the patient.&quot; - HL7 FHIR, Dosage.maxDosePerLifetime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fu43NBSwEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fu43MxSwEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Eb7HMBSuEeertqFtRTH1nw" name="maxDosePerPeriod" visibility="public" type="_2xsJQM_6Ed-YeMSrwW6svA">
          <eAnnotations xmi:id="_Eb7HMRSuEeertqFtRTH1nw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Eb7HMhSuEeertqFtRTH1nw" annotatedElement="_Eb7HMBSuEeertqFtRTH1nw">
            <body>&quot;The total daily dose being dispensed as expressed in terms of the actual dispense units.&quot; - HL7 Version 2.8, RXD-12.&#xD;
&quot;The total daily dose for this particular pharmaceutical as expressed in terms of actual dispense units.&quot; - HL7 Version 2.8, RXE-19.&#xD;
&quot;Upper limit on medication per unit of time.&quot; - HL7 FHIR, Dosage.maxDosePerPeriod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Eb7HNBSuEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Eb7HMxSuEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lvkL8HE4EeaIzczSuyGEmQ" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__1pVEBSsEeertqFtRTH1nw" annotatedElement="_lvkL8HE4EeaIzczSuyGEmQ">
            <body>&quot;Identifies the specific method requested for the administration of the drug or treatment to the patient.&quot; - HL7 Version 2.8, RXR-4&#xD;
&quot;Technique for administering medication.&quot; - HL7 FHIR, Dosage.method&#xD;
&quot;A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.&quot; - HL7 FHIR, MedicationAdministration.dosage.method</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oAHSQHE4EeaIzczSuyGEmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oAHSQXE4EeaIzczSuyGEmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H6mU4BSrEeertqFtRTH1nw" name="patientInstruction" visibility="public">
          <ownedComment xmi:id="_H6mU4RSrEeertqFtRTH1nw" annotatedElement="_H6mU4BSrEeertqFtRTH1nw">
            <body>&quot;Instructions in terms that are understood by the patient or consumer.&quot; - HL7 FHIR, Dosage.patientInstruction</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H6mU4xSrEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H6mU4hSrEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642703D310317" name="rate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NI8UiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642703D310317">
            <body>Indicates the speed at which the medication has been (or is to be) introduced into the patient. This property utilizes the FHIM RateQuantity datatype, which is expressed as a physical Quantity divided by a Time Quantity. In other words, it pre-supposes that the data will be expressed as a single amount to be administered over time. In the case where a clinician wishes to specify a quantity of medication that is based on the patient’s weight, e.g., 1 microgram per Kg of body weight per minute, it is presumed that the quantity of medication would first be calculated (i.e., 50 micrograms for a patient weighing 50 Kg), thus this property would resolve to 50 micrograms / minute. Note that this property should not be used to specify the duration of the administration. If the clinician wishes the medication to be administered over two hours, the duration property should be used.&#xD;
&#xD;
&quot;Amount of medication per unit of time. Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.&quot; - HL7 FHIR, Dosage.rate&#xD;
&quot;Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.&quot; - HL7 FHIR, MedicationAdministration.dosage.rate[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8DScwLzTEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8DScwbzTEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592BCD10203" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_AjkTgEcQEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nc6ZaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592BCD10203">
            <body>&quot;This field is the route of administration.&quot; - HL7 Version 2.8, RXR-1&#xD;
&quot;The method of introducing the therapeutic material into or onto the subject.&quot; - HL7 Version 3&#xD;
&quot;How drug should enter body.&quot; - HL7 FHIR, Dosage.route&#xD;
&quot;A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.&quot; - HL7 FHIR, MedicationAdministration.dosage.route&#xD;
&quot;The path by which the vaccine product is taken into the body.&quot;  - HL7 FHIR, Immunization.route</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzI_8LzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzI_8bzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PZY3IBSqEeertqFtRTH1nw" name="sequence" visibility="public">
          <eAnnotations xmi:id="_PZY3IRSqEeertqFtRTH1nw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZY3IhSqEeertqFtRTH1nw" annotatedElement="_PZY3IBSqEeertqFtRTH1nw">
            <body>&quot;Indicates the order in which the dosage instructions should be applied or interpreted.&quot; - HL7 FHIR, Dosage.sequence</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PZY3JBSqEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PZY3IxSqEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qlIzwHE4EeaIzczSuyGEmQ" name="text" visibility="public">
          <ownedComment xmi:id="_zzigABSqEeertqFtRTH1nw" annotatedElement="_qlIzwHE4EeaIzczSuyGEmQ">
            <body>This property contains the dosage instructions as ordered by the prescriber. Also called &quot;sig&quot; which is an abbreviation for either the latin term &quot;signa&quot;, which means &quot;write&quot; or &quot;label&quot;, or the latin term &quot;signetur&quot;, which means &quot;let it be labeled (according to prescription).&quot;&#xD;
&quot;Free text dosage instructions e.g. SIG.&quot; - HL7 FHIR, Dosage.text&#xD;
&quot;Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.&quot; - HL7 FHIR, MedicationAdministration.dosage.text</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qlIzwnE4EeaIzczSuyGEmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qlIzwXE4EeaIzczSuyGEmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592D00701B8" name="timing" visibility="public" type="_AllZ0BWVEeeKharB8T6q_A">
          <ownedComment xmi:id="_NdDjVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D00701B8">
            <body>&quot;When medication should be administered.&quot; - HL7 FHIR, Dosage.timing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FKD0ALzUEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FKD0AbzUEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nqY84BSqEeertqFtRTH1nw" name="--" visibility="private"/>
        <ownedAttribute xmi:id="_420A62FD03B645940F2C03A7" name="quantityGiven" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Ne2TEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645940F2C03A7">
            <body>&quot;Contains the amount administered.&quot; - HL7 Version 2.8, RXA-6&#xD;
&quot;This field is conditional because it is required if the administered amount code does not imply units.  This field must be in simple units that reflect the actual quantity of the substance administered.  It does not include compound units.&quot; - HL7 Version 2.8, RXA-7&#xD;
&quot;The amount of the therapeutic agent or other substance given at one administration event.&quot; - HL7 Version 3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qspIkJC2EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qspvoJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gwmVUGYTEeC_U5wVHbS9Yw" name="quantityOrdered" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_gwmVUWYTEeC_U5wVHbS9Yw" annotatedElement="_gwmVUGYTEeC_U5wVHbS9Yw">
            <body>&quot;This field is the ordered amount.  In a variable dose order, this is the minimum ordered amount.  In a non-varying dose order, this is the exact amount of the order.&quot; - HL7 Version 2.8, RXO-2.&#xD;
&quot;In a variable dose order, this is the maximum ordered amount.  In a non-varying dose order, this field is not used.&quot; - HL7 Version 2.8, RXO-3.&#xD;
This property carries both the low (aka minimum), and high (aka maximum) amounts.  For example, given the order &quot;Acetaminophen 300 mg / codeine 30 mg (Tylenol 3).  Take 2-3 tablets every 4-6 hours as needed for pain for 7 days&quot;, this property would contain 2 (low) and 3 (high).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__90YoLzTEeasQoRN2Ou_5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__90YobzTEeasQoRN2Ou_5g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aLWPoLyPEeGK2djLWlLFew" name="strength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_GzXR0LyQEeGK2djLWlLFew" annotatedElement="_aLWPoLyPEeGK2djLWlLFew">
            <body>&quot;Use when (the administeredDrug) does not specify the strength.  This is the numeric part of the strength&quot; - HL7 Version 2.8, RXA-13&#xD;
&quot;Use when (the administeredDrug) does not specify the strength.  This is the unit of the strength.&quot; - HL7 Version 2.8, RXA-14</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kk7jcJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kk8KgJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7aG2IL01EeGHr5yhv0QPSw" name="strengthVolume" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_7aG2Ib01EeGHr5yhv0QPSw" annotatedElement="_7aG2IL01EeGHr5yhv0QPSw">
            <body>&quot;Defines the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML, (this field contains 5)&quot; - HL7 Version 2.8, RXA-23&#xD;
&quot;Indicates the volumetric unit associated&quot; (with the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML, this field contains ML) - HL7 Version 2.8, RXA-24</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_last0JC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_latU4JC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eITtcHLqEeaOoaRAWXA_qQ" name="pharmacyPromise_promisedItem" memberEnd="_eIc3YHLqEeaOoaRAWXA_qQ _eIc3Y3LqEeaOoaRAWXA_qQ">
        <ownedEnd xmi:id="_eIc3Y3LqEeaOoaRAWXA_qQ" name="" visibility="private" type="_420A62FD03B641B4BDD30213" association="_eITtcHLqEeaOoaRAWXA_qQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IbCL4HLuEeaOoaRAWXA_qQ" name="pharmacyRequest_dosage" memberEnd="_IbCL4XLuEeaOoaRAWXA_qQ _IbCL5HLuEeaOoaRAWXA_qQ">
        <ownedEnd xmi:id="_IbCL5HLuEeaOoaRAWXA_qQ" name="" visibility="private" type="_420A62FD03B64592AF50014B" association="_IbCL4HLuEeaOoaRAWXA_qQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I_RhYHLuEeaOoaRAWXA_qQ" name="pharmacyPromise_dosage" memberEnd="_I_RhYXLuEeaOoaRAWXA_qQ _I_RhZHLuEeaOoaRAWXA_qQ">
        <ownedEnd xmi:id="_I_RhZHLuEeaOoaRAWXA_qQ" name="" visibility="private" type="_420A62FD03B641B4BDD30213" association="_I_RhYHLuEeaOoaRAWXA_qQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_S9jC4HbUEea0e6yP60BtjQ" name="outpatientMedicationDispense_patientEducation" memberEnd="_S9kRAHbUEea0e6yP60BtjQ _S9lfIHbUEea0e6yP60BtjQ">
        <ownedEnd xmi:id="_S9lfIHbUEea0e6yP60BtjQ" name="" visibility="private" type="_420A62FD03B64476CF8400B2" association="_S9jC4HbUEea0e6yP60BtjQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S9lfIXbUEea0e6yP60BtjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S9mGMHbUEea0e6yP60BtjQ" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57D1024D" name="HealthConcern">
      <eAnnotations xmi:id="_NlQdFOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NlQdGeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_CziCALa2Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B6420A57D1024D">
        <body>Problem&amp;amp;amp;nbsp;List</body>
      </ownedComment>
      <ownedComment xmi:id="_8Vkx4LZ8EeGWl-7OlqBMDw">
        <body>Note: we still need to model such concepts as &quot;rule-out&quot;.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_W61_oLO_EeS3iYN4R_wsuw" name="HealthRisk">
        <ownedComment xmi:id="_RWyo0MQ0EeSThJ7NwJgY1w" annotatedElement="_W61_oLO_EeS3iYN4R_wsuw">
          <body>&quot;Risks may represent clinically significant potential concerns to the patient’s health.  They are captured in order to monitor and mitigate the manifestation of a future concern. Risks may be raised based on clinical evidences or they may capture a provider’s judgment.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <generalization xmi:id="_UWZdYHm2EeW-j_oLISFbOQ" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_R3GgkMQ0EeSThJ7NwJgY1w" name="description" visibility="public">
          <ownedComment xmi:id="_YPOgQMQ0EeSThJ7NwJgY1w" annotatedElement="_R3GgkMQ0EeSThJ7NwJgY1w">
            <body>&quot;Names or describes the risk&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jXHasMQ0EeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jXIBwMQ0EeSThJ7NwJgY1w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qmi10MQ0EeSThJ7NwJgY1w" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qmi10cQ0EeSThJ7NwJgY1w" annotatedElement="_qmi10MQ0EeSThJ7NwJgY1w">
            <body>&quot;Date/time at which the risk is identified.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_26GSIMQ0EeSThJ7NwJgY1w" name="levelOfRisk" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_26GSIcQ0EeSThJ7NwJgY1w" annotatedElement="_26GSIMQ0EeSThJ7NwJgY1w">
            <body>&quot;A risk is clinically significant but the level may be low, medium or high depending on care team judgment.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YchJ8OU9EeWlUtxA-8RVeQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YchJ8eU9EeWlUtxA-8RVeQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_XemJIOU9EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(risk-probability)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__VUK8MQ0EeSThJ7NwJgY1w" name="resolvedTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__VUK8cQ0EeSThJ7NwJgY1w" annotatedElement="__VUK8MQ0EeSThJ7NwJgY1w">
            <body>&quot;The date the risk is no longer a threat to the health of the patient. &quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0VIZcMLFEeGVnuEDZNmvgw" name="ConcernStatusChangeEvent">
        <ownedComment xmi:id="_0VIZccLFEeGVnuEDZNmvgw" annotatedElement="_0VIZcMLFEeGVnuEDZNmvgw">
          <body>This class contains a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.</body>
        </ownedComment>
        <generalization xmi:id="_qdxAEOCKEeS8tqKBj1EYvQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_Ge1XgMLLEeGVnuEDZNmvgw" name="comment" visibility="public">
          <ownedComment xmi:id="_Ng3osJpxEeOswd2lHBTpDQ" annotatedElement="_Ge1XgMLLEeGVnuEDZNmvgw">
            <body>Remarks concerning the status change.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KjSrcMLLEeGVnuEDZNmvgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KjTSgMLLEeGVnuEDZNmvgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0VIZcsLFEeGVnuEDZNmvgw" name="entryDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_0VIZc8LFEeGVnuEDZNmvgw" annotatedElement="_0VIZcsLFEeGVnuEDZNmvgw">
            <body>The date and time that the Observation/Condition Log Entry record was created.&#xD;
&#xD;
&quot;The date and time that this allergy was last statused by the [Intolerance Condition Log Entry Author] in the [Intolerance Condition Log Entry Service Delivery Location]&quot; - HL7 Version 2.8, IAM-20.&#xD;
&quot;The date and time that this allergy was inactivated by the [Intolerance Condition Log Entry Author].&quot; - HL7 Version 2.8, IAM-22.&#xD;
&quot;The date and time that this allergy entry was created by the [Intolerance Condition Log Entry Author].&quot; - HL7 Version 2.8, IAM-24.&#xD;
&quot;The date and time that this allergy was modified by the [Intolerance Condition Log Entry Author]&quot; - HL7 Version 2.8, IAM-26.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WuRO4ByaEeOR-a0_xUg6BQ" name="fromStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WuRO4RyaEeOR-a0_xUg6BQ" annotatedElement="_WuRO4ByaEeOR-a0_xUg6BQ">
            <body>Contains the previous status of the Observation/Condition before the change documented by the current instance.  This provides a history of status changes over time.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_AuHB0Od_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OLEqcMLLEeGVnuEDZNmvgw" name="reason" visibility="public">
          <ownedComment xmi:id="_OLEqccLLEeGVnuEDZNmvgw" annotatedElement="_OLEqcMLLEeGVnuEDZNmvgw">
            <body>Indicates the reason why the status of the associated Observation/Condition record was changed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QJZ_YMLLEeGVnuEDZNmvgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QJamcMLLEeGVnuEDZNmvgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0VIZdMLFEeGVnuEDZNmvgw" name="toStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0VIZdcLFEeGVnuEDZNmvgw" annotatedElement="_0VIZdMLFEeGVnuEDZNmvgw">
            <body>Contains the status of the Observation/Condition as of the entry date.  This provides a history of status changes over time.&#xD;
&quot;Contains the current status of the problem at this particular date/time (e.g., active, active-improving, active-stable, active-worsening, inactive, resolved, etc.).&quot; - HL7 Version 2.8, PRB-14.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_B3Xv8Od_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0VIZgsLFEeGVnuEDZNmvgw" name="visit" visibility="public" type="_420A62FD03B64213F5B40316" association="_0V4AUsLFEeGVnuEDZNmvgw">
          <ownedComment xmi:id="_0VIZg8LFEeGVnuEDZNmvgw" annotatedElement="_0VIZgsLFEeGVnuEDZNmvgw">
            <body>&quot;Uniquely identifies the episode of care to which this problem applies.&quot; - HL7 Version 2.8, PRB-5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0VIZhcLFEeGVnuEDZNmvgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0VIZhMLFEeGVnuEDZNmvgw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6421F8AD00244" name="HealthConcern">
        <eAnnotations xmi:id="_NkEKROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NjwoReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421F8AD00244">
          <body>This class represents what has historically been called a &quot;problem&quot; in a &quot;problem list&quot;, but it broader than the notion of a problem. A Health Concern is anything that a clinician wishes to track about the Patient, including items which the patient might not consider to be a &quot;problem&quot;, such as the fact that the patient smokes. The concern may evolve over time, perhaps first being listed as a symptom or a group of symptoms, then a provisional diagnosis, then an actual diagnosis, then it may be resolved or go into remission. Note that Health Concerns can be linked to each other, so one Concern might be the symptom, another Concern might be the named condition or diagnosis which is the cause of the symptom. In this case, the two Concerns would be linked together with a causes/caused by relationship. The community has had difficulty naming this concept, as the distinction between observations and conditions is artificial and unreproducible, and the word &quot;problem&quot; does not always apply. FHIR calls this concept a Condition. CIMI calls it an Assertion. In the end it is an observation, or a collection of observations that may change over time.&#xD;
&#xD;
&quot;This class is used to track a patient's health concern observed by various providers at various points in time and locations. The name and nature of the concern is derived from the first health concern observation made, which could be an indication of a negative assertion for an health concern, if necessary (e.g. not a diabetic).&quot; - HL7 v3.&#xD;
&quot;A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.&quot; - HL7 FHIR, Condition&#xD;
&quot;Clinical Assertions assert the existence of clinical conditions, diseases, symptoms, etc. in the patient.&quot; - HL7 CIMI, Assertion</body>
        </ownedComment>
        <generalization xmi:id="_hnvQAOCJEeS8tqKBj1EYvQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_hrMwQPyzEd-ACpYDrl8Uqw" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_mGY7UAMYEeC6TLUcQZx_GQ" annotatedElement="_hrMwQPyzEd-ACpYDrl8Uqw">
            <body>The age of the patient or subject at onset of the Condition.  Note that this property could potentially be derived.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JmYFsN79EeSx5bpydj26Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JmYswN79EeSx5bpydj26Wg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C_cVILtBEeeo-pbyiB8NZw" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SsxwsLtBEeeo-pbyiB8NZw" annotatedElement="_C_cVILtBEeeo-pbyiB8NZw">
            <body>&quot;The anatomical location where this condition manifests itself.&quot; - HL7 FHIR, Condition.bodySite</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MmWlALtBEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MmWlAbtBEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-RwsQOZUEeGuIoEQ4Mvu0w" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-RwsQeZUEeGuIoEQ4Mvu0w" annotatedElement="_-RwsQOZUEeGuIoEQ4Mvu0w">
            <body>This property provides a categorization of the Condition. Because there are (currently) different generalizations (i.e., subtypes) of Concern, it is likely that the potential categorizations may differ from one subtype to another. It is therefore likely that the subtypes may redefine this property to bind to specific value sets. For now, this property is bound to the Problem Type value set. For Health Concern, the possible values include: Symptom, Behavior (e.g., smoking), a diagnosed disease, a suspected disease, a disease to be ruled out, etc.&#xD;
&#xD;
&quot;Indicates the kind of problem. This field can be used to categorize problems so that they may be managed and viewed independently within different applications (e.g., admission, final, post-operative, pre-operative, outpatient, discharge, etc.).&quot; - HL7 Version 2.8, PRB-10. Note that HL7 does not provide any suggested values for this code.&#xD;
&quot;A category assigned to the condition.&quot; - HL7 FHIR, Condition.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nVDGUIgqEeedq9AzSGovhA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nVDtYIgqEeedq9AzSGovhA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Fnp6MN-pEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ASPk4JppEeOswd2lHBTpDQ" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ASPk4ZppEeOswd2lHBTpDQ" annotatedElement="_ASPk4JppEeOswd2lHBTpDQ">
            <body>&quot;The degree of confidence that this condition is correct.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;Contains a qualitative representation of the certainty of a problem&quot; (e.g., high, low, medium, etc.) - HL7 Version 2.8, PRB-19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bw2Q4JppEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bw238JppEeOswd2lHBTpDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6421FAEE100EC" name="chronicity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NjwoSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421FAEE100EC">
            <body>&quot;Contains the perseverance of a problem (e.g., acute, chronic, etc.).&quot; - HL7 Version 2.8, PRB-12.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OGIzEBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OGJaIBgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L3L90JpgEeOswd2lHBTpDQ" name="clinicalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L3L90ZpgEeOswd2lHBTpDQ" annotatedElement="_L3L90JpgEeOswd2lHBTpDQ">
            <body>&quot;The clinical status of the condition.&quot; - HL7 FHIR, Condition.clinicalStatus. Possible values include: Active; Recurrence; Inactive; Remission; Resolved.&#xD;
&quot;Indicates the verification status for the allergy&quot; - HL7 Version 2.8, IAM-17. HL7 Version 2 has the following suggested values (table 438): Unconfirmed; Pending; Suspect; Confirmed or verified; Confirmed but inactive; Erroneous; Doubt raised.&#xD;
&quot;Contains the verification status of a problem (e.g., confirmed, differential, provisional, rule-out, etc.).&quot; - HL7 Version 2.8, PRB-13. Note that HL7does not provide any suggested values for this code.&#xD;
&quot;The physiological state of the condition with respect to whether it is actually of concern. Values may typicall include: Active, Relapse, Remission, Resolved, Confirmed, Ruled out, Unknown.&quot; - HL7 CIMI, BaseAssertion.clinicalStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_keiMMIgqEeedq9AzSGovhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_keiMMYgqEeedq9AzSGovhA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_oMZB8N-bEeSLwbHBnRFGvw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OgOOYBgcEeSfB8OsSP5QtQ" name="concernContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qfShUBgcEeSfB8OsSP5QtQ" annotatedElement="_OgOOYBgcEeSfB8OsSP5QtQ">
            <body>Describes whether the condition exists or doesn't exist.  Other values are potentially possible including rule in / rule out.  Align with SNOMED situation with explicit context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vsv9UBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vswkYBgfEeSGA92rpTJu_w" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_6zr2wN-nEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ConcernContex)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yYESQOCMEeS8tqKBj1EYvQ" name="concernStatusChangeEvent" visibility="public" type="_0VIZcMLFEeGVnuEDZNmvgw" association="_yYDEIOCMEeS8tqKBj1EYvQ">
          <ownedComment xmi:id="_7NW38OCMEeS8tqKBj1EYvQ" annotatedElement="_yYESQOCMEeS8tqKBj1EYvQ">
            <body>Pointer to a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yYE5UOCMEeS8tqKBj1EYvQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yYFgYOCMEeS8tqKBj1EYvQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IZhS8N-rEeSQwMSQTXiDlA" name="conditionCourse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IZhS89-rEeSQwMSQTXiDlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IZhS8t-rEeSQwMSQTXiDlA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_PAZgUN-rEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ConditionCourse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fJKhEHyhEeOHq5zPTCjDoQ" name="dateAbated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fJKhEXyhEeOHq5zPTCjDoQ" annotatedElement="_fJKhEHyhEeOHq5zPTCjDoQ">
            <body>Date upon which this particular Condition is no longer an active concern.&#xD;
&quot;Contains the date/time that the problem was actually resolved.&quot; - HL7 Version 2.8, PRB-9&#xD;
&quot;The date or estimated date that the condition resolved or went into remission. This is called &quot;abatement&quot; because of the many overloaded connotations associated with &quot;remission&quot; or &quot;resolution&quot; - Conditions are never really resolved, but they can abate.&quot; - HL7 FHIR, Condition.abatement[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fJKhE3yhEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fJKhEnyhEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lygBwBF6EeKu1LfuaJwFHw" name="dateDiagnosed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iuP7sBF8EeKu1LfuaJwFHw" annotatedElement="_lygBwBF6EeKu1LfuaJwFHw">
            <body>Date and time the health problem was diagnosed. Added for Public Health Reporting Initiative, 10/5/2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KEDnYLtBEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KEDnYbtBEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_V368wAWSEdy1j7oicBJA7Q" name="dateLastModified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xfYM0AMYEeC6TLUcQZx_GQ" annotatedElement="_V368wAWSEdy1j7oicBJA7Q">
            <body>The date and time that the Problem being described was last modified.  It is assumed that the status of the problem is valid as of the last modified date.  Note that this property could potentially be derived from the HealthConcernLifeCycle entries.&#xD;
&quot;Indicates the effective date/time of the current problem life cycle status.&quot; - HL7 Version 2.8, PRB-15</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KiqO8LtBEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KiqO8btBEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hybbsEUXEeCUY8hq_icSiw" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hybbsUUXEeCUY8hq_icSiw" annotatedElement="_hybbsEUXEeCUY8hq_icSiw">
            <body>Date when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself. Note that this date may be inprecise (e.g., &quot;sometime in 2006&quot;).&#xD;
&quot;Contains the actual date of the first reaction.&quot; - HL7 Version 2.8, IAM-11&#xD;
&quot;Contains the date/time when the problem began.&quot; - HL7 Version 2.8, PRB-16.&#xD;
&quot;Estimated or actual date or date-time the condition began, in the opinion of the clinician.&quot; - HL7 FHIR, Condition.onset[x]&#xD;
Note that FHIR can be a dateTime, Age, Period, Range, or a string. FHIM currently only supports a dateTime.&#xD;
&quot;Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence.&quot; - HL7 FHIR, FamilyMemberHistory.condition.onset[x]&#xD;
Note that in FHIR the datatype can be a Age, Range, Period, or string. FHIM currently models this as a date.&#xD;
&quot;Estimated or actual date, date-time, or age when allergy or intolerance was identified.&quot; - HL7 FHIR, AllergyIntolerance.onset[x]&#xD;
Note that FHIR can be a dateTime, Age, Period, Range, or a string. FHIM currently only supports a dateTime.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hybbs0UXEeCUY8hq_icSiw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hybbskUXEeCUY8hq_icSiw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__0thkMIJEeGx0M-CyAbegA" name="dateOfOnsetText" visibility="public">
          <ownedComment xmi:id="__0thkcIJEeGx0M-CyAbegA" annotatedElement="__0thkMIJEeGx0M-CyAbegA">
            <body>Textual description of the time period when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself.&#xD;
&#xD;
&quot;Contains a text description of the time period of the first reaction when an exact date is not known (e.g., adolescence, childhood, spring 1990).&quot; - HL7 Version 2.8, IAM-12&#xD;
&quot;This field allows for a textual representation of the time when the problem began.&quot; - HL7 Version 2.8, PRB-17</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__0thk8IJEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__0thksIJEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Qc0UIXiaEd-xd69YcOIcPA" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" aggregation="composite" association="_Qc0UIHiaEd-xd69YcOIcPA">
          <ownedComment xmi:id="_giVw8LZ7EeGWl-7OlqBMDw" annotatedElement="_Qc0UIXiaEd-xd69YcOIcPA">
            <body>Provides a list of diagnoses that are related to the Health Concern</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qc0UIniaEd-xd69YcOIcPA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qc0UI3iaEd-xd69YcOIcPA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iNHSEbtBEeeo-pbyiB8NZw" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_iNHSELtBEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_k5QvQLtBEeeo-pbyiB8NZw" annotatedElement="_iNHSEbtBEeeo-pbyiB8NZw">
            <body>&quot;Encounter during which the condition was first asserted.&quot; - HL7 FHIR, Condition.context</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iNRDELtBEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iNRDEbtBEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dwIegbtDEeeo-pbyiB8NZw" name="evidence" visibility="public" type="_c0J-cLtDEeeo-pbyiB8NZw" association="_dwIegLtDEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_dD8RcLtEEeeo-pbyiB8NZw" annotatedElement="_dwIegbtDEeeo-pbyiB8NZw">
            <body>&quot;Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.&quot; - HL7 FHIR, Condition.evidence</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dwIegrtDEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dwIeg7tDEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KooLkF6tEeOE8tMbJPicWQ" name="externalCause" visibility="public" type="_PrVaEAgpEeKpi5AGmkKVpg" association="_KojTEF6tEeOE8tMbJPicWQ">
          <ownedComment xmi:id="_xTx-EJ10EeO_7b9hT5majA" annotatedElement="_KooLkF6tEeOE8tMbJPicWQ">
            <body>Pointer to the Accident, Injury, or Exposure that caused the Health Concern.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Koqn0F6tEeOE8tMbJPicWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KorO4F6tEeOE8tMbJPicWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IsFqULZ3EeGWl-7OlqBMDw" name="familyPrognosisAwareness" visibility="public">
          <ownedComment xmi:id="_IsFqUbZ3EeGWl-7OlqBMDw" annotatedElement="_IsFqULZ3EeGWl-7OlqBMDw">
            <body>&quot;Indicates the individual's family or significant other's comprehension of the actual problem/prognosis.&quot; - HL7 Version 2.8, PRB-24&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lpea0MRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LpfB4MRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zr0aUHiaEd-xd69YcOIcPA" name="healthConcern" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hvLOAAMZEeC6TLUcQZx_GQ" annotatedElement="_Zr0aUHiaEd-xd69YcOIcPA">
            <body>Identifies the Health Concern or Problem being described. This property is a code, which should come from an approved subset of SNOMED-CT, e.g., the &quot;VA-KP Problem List Subset.&quot;&#xD;
Note that there is a separate class for Family History Concerns, which is a generalization of the Health Concern class. Therefore, this property should never contain a concept that has &quot;Family History Of&quot; built into it (i.e., a pre-coordinated concept), such as &quot;Family History of Diabetes&quot;. When such infomation needs to be conveyed, this property should contain &quot;Diabetes,&quot; and the FamiliyHistoryConcern subclass will indicate that the Diabetes was observed in a family member and will identify the relationship of that family member (e.g., Father, Mother) to the patient. Thus, in effect, we are creating a structure that explicity post-coordinates the concept of Family History Of with the concept of the disease that the family member had.&#xD;
&#xD;
&quot;Identifies the problem. This is the identifier from an institution's master list of problems.&quot; - HL7 Version 2.8, PRB-3&#xD;
&quot;Category for the risk.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Identification of the condition, problem or diagnosis.&quot; - HL7 FHIR, Condition.code&#xD;
&quot;The actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system.&quot; - HL7 FHIR, FamilyMemberHistory.condition.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K6A_ALtBEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K6A_AbtBEeeo-pbyiB8NZw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_QejnwN-oEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Problem)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OiGQQLtSEeeo-pbyiB8NZw" name="note" visibility="public" type="_420A62FD03B642C044DB02ED">
          <ownedComment xmi:id="_xkzBENVIEeeaHvV-nCCy9A" annotatedElement="_OiGQQLtSEeeo-pbyiB8NZw">
            <body>&quot;Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.&quot; - HL7 FHIR, Condition.note&#xD;
&quot;This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible.&quot; - HL7 FHIR, FamilyMemberHistory.note&#xD;
&quot;Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.&quot; - HL7 FHIR, AllergyIntolerance.note</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e93fILtSEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e93fIbtSEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_juQn8A3gEeSr7IwJ9lGnGA" name="observation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_juQA4A3gEeSr7IwJ9lGnGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_juR2EA3gEeSr7IwJ9lGnGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_juR2EQ3gEeSr7IwJ9lGnGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7vLYINVNEeeaHvV-nCCy9A" name="outcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H5bHcNVOEeeaHvV-nCCy9A" annotatedElement="_7vLYINVNEeeaHvV-nCCy9A">
            <body>&quot;Indicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relation.&quot; - HL7 FHIR, FamilyMemberHistory.condition.outcome</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BWzH8NVOEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BWzH8dVOEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZRVawLZ2EeGWl-7OlqBMDw" name="patientsProblemAwareness" visibility="public">
          <ownedComment xmi:id="_eV_ncLZ2EeGWl-7OlqBMDw" annotatedElement="_ZRVawLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the individual's comprehension of the problem (e.g., full, marginal, partial, etc.).&quot; - HL7 Version 2.8, PRB-21.  Note that HL7 does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JiaAoMRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jie5IMRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kJWYLZ2EeGWl-7OlqBMDw" name="patientsPrognosisAwareness" visibility="public">
          <ownedComment xmi:id="_4kJWYbZ2EeGWl-7OlqBMDw" annotatedElement="_4kJWYLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the individual's comprehension of the prognosis for the problem (e.g., full, marginal, partial, etc.).&quot; - HL7 Version 2.8, PRB-23.  Note that HL7 does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J9-iUMRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J9_wcMRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B93UQLZ2EeGWl-7OlqBMDw" name="probability" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ln37cLZ2EeGWl-7OlqBMDw" annotatedElement="_B93UQLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains a quantitative or numeric representation of the certainty that the problem exists for this patient.  This field has a valid range of 0 to 1.  For example, a healthcare provider may be 75% (.75) sure that the problem has been correctly identified.&quot; - HL7 Version 2.8, PRB-20</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sUEKQBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sUEKQRgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xIXFEQ0KEeCQj9C1UPZeDw" name="problemManagementDiscipline" visibility="public" type="_sEx2cA0KEeCQj9C1UPZeDw" association="_xIXFEA0KEeCQj9C1UPZeDw">
          <ownedComment xmi:id="_TceLELZ0EeGWl-7OlqBMDw" annotatedElement="_xIXFEQ0KEeCQj9C1UPZeDw">
            <body>Pointer to the category of caregiver with responsibility for managing this specific problem.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xIXFEg0KEeCQj9C1UPZeDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xIXFEw0KEeCQj9C1UPZeDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kUe_ILZ2EeGWl-7OlqBMDw" name="prognosis" visibility="public">
          <ownedComment xmi:id="_xR7F8LZ2EeGWl-7OlqBMDw" annotatedElement="_kUe_ILZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the prognosis for the individual's problem (e.g., good, poor, etc.).&quot; - HL7 Version 2.8, PRB-22.  Note that HL7does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NAOT4BgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NAQJEBgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3RKLIQ0REeCQj9C1UPZeDw" name="responsibleClinic" visibility="public" type="_420A62FD03B64242CAB30303" association="_3RKLIA0REeCQj9C1UPZeDw">
          <ownedComment xmi:id="_yVV4gLZ7EeGWl-7OlqBMDw" annotatedElement="_3RKLIQ0REeCQj9C1UPZeDw">
            <body>Identifies the organization/location responsible for treating the Health Concern.  Used primarily in inpatient situations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3RKLIg0REeCQj9C1UPZeDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3RKLIw0REeCQj9C1UPZeDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XHo9sN5vEeaSVd0Fmxi4nQ" name="responsibleProvider" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <ownedComment xmi:id="_mmJ6IN5vEeaSVd0Fmxi4nQ" annotatedElement="_XHo9sN5vEeaSVd0Fmxi4nQ">
            <body>Identifies the provider responsible for treating the Health Concern.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eJqO8N5vEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eJqO8d5vEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T-pjsLZ3EeGWl-7OlqBMDw" name="sensitivity" visibility="public">
          <ownedComment xmi:id="_T-pjsbZ3EeGWl-7OlqBMDw" annotatedElement="_T-pjsLZ3EeGWl-7OlqBMDw">
            <body>&quot;Contains information about the level of security and/or sensitivity surrounding the problem (e.g., highly sensitive, not sensitive, sensitive, etc.).&quot; - HL7 Version 2.8, PRB-25.  Note that HL7does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.&#xD;
Note that this property may be removed or altered based on the outcome of the Security and Privacy modeling.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z58YUBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z58_YBgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TJmP8JpqEeOswd2lHBTpDQ" name="severity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TJmP8ZpqEeOswd2lHBTpDQ" annotatedElement="_TJmP8JpqEeOswd2lHBTpDQ">
            <body>&quot;Indicates the general severity of the allergy.&quot; - HL7 Version 2.8, AL1.4 and IAM-4.  HL7 Version 2 has the following suggested values (table 128): Severe; Moderate; Mild; Unknown.&#xD;
&quot;Indicates the severity of the Problem.&quot; - HL7 Version 2.8, PRB-26.  Note that HL7 does not suggest values for this code.&#xD;
&quot;A subjective assessment of the severity of the condition as evaluated by the clinician.&quot; - HL7 FHIR, Condition.severity. Possible values include: Mild; Moderate; Severe.&#xD;
&quot;Intensity of a symptom or condition. The criteria for this value differ by condition.&quot; - HL7 CIMI, Assertion.severity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TJmP85pqEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TJmP8ppqEeOswd2lHBTpDQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_WRBJoOd_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemSeverity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aAs00btCEeeo-pbyiB8NZw" name="stage" visibility="public" type="_Y9kj4LtCEeeo-pbyiB8NZw" association="_aAs00LtCEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_fJvyQLtCEeeo-pbyiB8NZw" annotatedElement="_aAs00btCEeeo-pbyiB8NZw">
            <body>&quot;Clinical stage or grade of a condition. May include formal severity assessments.&quot; - HL7 FHIR, Condition.stage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aAs00rtCEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aAs007tCEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PfFWwIgqEeedq9AzSGovhA" name="verificationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PfPHwIgqEeedq9AzSGovhA" annotatedElement="_PfFWwIgqEeedq9AzSGovhA">
            <body>&quot;The verification status to support the clinical status of the condition.&quot; - HL7 FHIR, Condition.verificationStatus. Possibe values include: Provisional; Differential; Confirmed; Refuted; Entered-in-Error; Unknown.&#xD;
&quot;The state of knowledge concerning the presence of a putative condition; e.g., confirmed, refuted, provisional, suspected.&quot; - HL7 CIMI, BaseAssertion.verificationStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R395sIgqEeedq9AzSGovhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R395sYgqEeedq9AzSGovhA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hc0b8PHtEeGWjrqT5CRABg" name="wasCauseOfDeath" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_X5d0kPHtEeGWjrqT5CRABg" annotatedElement="_Hc0b8PHtEeGWjrqT5CRABg">
            <body>If the patient is deceased, this property indicates whether the Health Concern (aka Problem) was (one of) the cause(s) of death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L9FiIPHtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L9GJMPHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6426EB2830219" name="healthConcernList_patient" memberEnd="_420A62FD03B6426EB284004E _420A62FD03B6426EB2840058">
        <eAnnotations xmi:id="_PsJLIHwvEdy0iblkc0Q98A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NkqALuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426EB2830219">
          <body>The patient whose problems are being  observed and documented.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6426EB2840058" name="" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" isUnique="false" association="_420A62FD03B6426EB2830219"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Qc0UIHiaEd-xd69YcOIcPA" name="healthConcern_diagnosisList" memberEnd="_Qc0UIXiaEd-xd69YcOIcPA _Qc0UJHiaEd-xd69YcOIcPA">
        <ownedEnd xmi:id="_Qc0UJHiaEd-xd69YcOIcPA" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_Qc0UIHiaEd-xd69YcOIcPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_55AJkPc4Ed-hU-zq4VwY5Q" name="HealthConcernList">
        <eAnnotations xmi:id="_FwLRIJ1yEeO_7b9hT5majA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_FwLRIZ1yEeO_7b9hT5majA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_jLuYkLZ8EeGWl-7OlqBMDw" annotatedElement="_55AJkPc4Ed-hU-zq4VwY5Q">
          <body>This class provides a list of a patient's &quot;health concerns&quot;, otherwise known as &quot;problems&quot;.  Such a list is traditionally called a &quot;problem list&quot;.  This list is made up of entries, some of which may have been collected from other provider organizations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Ru8KkAe5EeCPOdVNW49Akw" name="healthConcernEntry" visibility="public" type="_GvZT0Ae5EeCPOdVNW49Akw" aggregation="composite" association="_Ru5HQAe5EeCPOdVNW49Akw">
          <ownedComment xmi:id="_zLjSULZ8EeGWl-7OlqBMDw" annotatedElement="_Ru8KkAe5EeCPOdVNW49Akw">
            <body>An entry in a patient's &quot;problem list&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ru8KkQe5EeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ru8Kkge5EeCPOdVNW49Akw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426EB284004E" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6426EB2830219">
          <ownedComment xmi:id="_NkzxIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426EB284004E">
            <body>The patient whose problems are being  observed and documented.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NkzxJOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NkzxJeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GvZT0Ae5EeCPOdVNW49Akw" name="HealthConcernListEntry">
        <ownedComment xmi:id="_x2KzwLZ8EeGWl-7OlqBMDw" annotatedElement="_GvZT0Ae5EeCPOdVNW49Akw">
          <body>An entry in a patient's &quot;problem list&quot;.  This class allows for entries to be prioritized, and potentially de-duplicated if multiple entries are received from different sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ShuSYQe5EeCPOdVNW49Akw" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_ShuSYAe5EeCPOdVNW49Akw">
          <ownedComment xmi:id="_G_w5ILZ8EeGWl-7OlqBMDw" annotatedElement="_ShuSYQe5EeCPOdVNW49Akw">
            <body>A record of a &quot;health concern&quot;, or &quot;problem&quot; which can be anything that a clinician wishes to track about the patient, including items which the patient might not consider to be a &quot;problem&quot;, such as the fact that the patient smokes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ShxVsAe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ShxVsQe5EeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kUJV0HiYEd-xd69YcOIcPA" name="priority" visibility="public">
          <ownedComment xmi:id="_kUJV0XiYEd-xd69YcOIcPA" annotatedElement="_kUJV0HiYEd-xd69YcOIcPA">
            <body>Provides an indication of the importance of this Health Concern (or &quot;Problem&quot;) entry vis a vis other entries.&#xD;
&#xD;
&quot;Prioritizes this problem on a list that is maintained for the individual.&quot; - HL7 Version 2.8, PRB-6</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QCM1IA0NEeCQj9C1UPZeDw" name="ranking" visibility="public">
          <ownedComment xmi:id="_QCM1IQ0NEeCQj9C1UPZeDw" annotatedElement="_QCM1IA0NEeCQj9C1UPZeDw">
            <body>&quot;Contains a user-defined prioritization of a problem (e.g., numeric ranking, or the use of words such as &quot;primary,&quot; &quot;secondary,&quot; etc.).&quot; - HL7 Version 2.8, PRB-18</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ru5HQAe5EeCPOdVNW49Akw" name="healthConcernList_healthConcernEntry" memberEnd="_Ru8KkAe5EeCPOdVNW49Akw _Ru_N4Ae5EeCPOdVNW49Akw">
        <ownedEnd xmi:id="_Ru_N4Ae5EeCPOdVNW49Akw" name="" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" association="_Ru5HQAe5EeCPOdVNW49Akw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ru_N4Qe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ru_N4ge5EeCPOdVNW49Akw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ShuSYAe5EeCPOdVNW49Akw" name="healthConcernEntry_healthConcern" memberEnd="_ShuSYQe5EeCPOdVNW49Akw _ShxVsge5EeCPOdVNW49Akw">
        <ownedEnd xmi:id="_ShxVsge5EeCPOdVNW49Akw" name="" visibility="public" type="_GvZT0Ae5EeCPOdVNW49Akw" association="_ShuSYAe5EeCPOdVNW49Akw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ShxVswe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sh0ZAAe5EeCPOdVNW49Akw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sEx2cA0KEeCQj9C1UPZeDw" name="ProblemManagementDiscipline">
        <ownedComment xmi:id="_UzTbILZ0EeGWl-7OlqBMDw" annotatedElement="_sEx2cA0KEeCQj9C1UPZeDw">
          <body>&quot;Indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.).&quot; - HL7 Version 2.8, PRB-11</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zPl3UA0KEeCQj9C1UPZeDw" name="discipline" visibility="public">
          <ownedComment xmi:id="_zPl3UQ0KEeCQj9C1UPZeDw" annotatedElement="_zPl3UA0KEeCQj9C1UPZeDw">
            <body>&quot;Indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.).&quot; - HL7 Version 2.8, PRB-11.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xIXFEA0KEeCQj9C1UPZeDw" name="healthConcern_problemManagementClassification" memberEnd="_xIXFEQ0KEeCQj9C1UPZeDw _xIXFFA0KEeCQj9C1UPZeDw">
        <ownedEnd xmi:id="_xIXFFA0KEeCQj9C1UPZeDw" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_xIXFEA0KEeCQj9C1UPZeDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xIXFFQ0KEeCQj9C1UPZeDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xIXFFg0KEeCQj9C1UPZeDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3RKLIA0REeCQj9C1UPZeDw" name="healthConcern_responsibleClinic" memberEnd="_3RKLIQ0REeCQj9C1UPZeDw _3RT8IA0REeCQj9C1UPZeDw">
        <ownedComment xmi:id="_eXKaoOCKEeS8tqKBj1EYvQ" annotatedElement="_3RKLIA0REeCQj9C1UPZeDw">
          <body>Identifies the organization/location responsible for treating the Health Concern.  Used primarily in inpatient situations.</body>
        </ownedComment>
        <ownedEnd xmi:id="_3RT8IA0REeCQj9C1UPZeDw" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_3RKLIA0REeCQj9C1UPZeDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3RT8IQ0REeCQj9C1UPZeDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3RT8Ig0REeCQj9C1UPZeDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_RPmE8PHqEeGWjrqT5CRABg" name="SocialHistoryConcern">
        <ownedComment xmi:id="_jz4fgPHqEeGWjrqT5CRABg" annotatedElement="_RPmE8PHqEeGWjrqT5CRABg">
          <body>Subjective information that addresses occupational and recreational aspects of the patient's personal life that have the potential to be clinically significant such as sexual history, smoking history and alcohol consumption.</body>
        </ownedComment>
        <generalization xmi:id="_W42McPHqEeGWjrqT5CRABg" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_h5kkgAPpEeKAxseXcMhbEg" name="timeSpan" visibility="public" type="_420A62FD03B642387187004E"/>
        <ownedAttribute xmi:id="_1mzpsOCNEeS8tqKBj1EYvQ" name="healthConcern" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1mzpseCNEeS8tqKBj1EYvQ" annotatedElement="_1mzpsOCNEeS8tqKBj1EYvQ">
            <body>Identifies the Social History Health Concern or Problem being described.  This property is re-defined to &quot;bind&quot; to the SocialHistoryType valueset rather than the generic Problem valueset to which the supertype health concern property is bound.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1mzpsuCNEeS8tqKBj1EYvQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>SocialHistoryType</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YQmCgPHqEeGWjrqT5CRABg" name="FamilyHistoryConcern">
        <ownedComment xmi:id="_jWtEgOCPEeS8tqKBj1EYvQ" annotatedElement="_YQmCgPHqEeGWjrqT5CRABg">
          <body>A type of Health Concern that embodies a risk that the patient may be particularly susceptible to a given disease due to the fact that a relative of the patient had experienced the condition.  For example, if a female patient's mother had breast cancer, then the patient may have a higher risk of breast cancer.  While this class is generally used for conditions to which the patient may be genetically pre-disposed, such as breast cancer, and therefore will generally reference blood relatives, it may also be used to document environmental risks that the patient shares with extended family members.</body>
        </ownedComment>
        <generalization xmi:id="_aM1FsPHqEeGWjrqT5CRABg" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_PejvsPHrEeGWjrqT5CRABg" name="details" visibility="public">
          <ownedComment xmi:id="_YxmBUPHrEeGWjrqT5CRABg" annotatedElement="_PejvsPHrEeGWjrqT5CRABg">
            <body>Textual description about the problems, diagnoses, and genetic markers found in genetic relatives. This field may be used to capture unstructured or structured family history information recorded in clinical records.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CVyIEBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CVyIERJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-EpDABJWEeKEjrc2hUE4_Q" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BWX5gBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BWYgkBJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eCQpsPHrEeGWjrqT5CRABg" name="geneticMarkerDescription" visibility="public">
          <ownedComment xmi:id="_eCQpsfHrEeGWjrqT5CRABg" annotatedElement="_eCQpsPHrEeGWjrqT5CRABg">
            <body>Description of risk-related genetic markers identified in this individual.  For example, Patient has had individual genome analysis that revealed BRACA 1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C0_MkBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C0_zoBJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_knp-cPHtEeGWjrqT5CRABg" name="medicalHistory" visibility="public">
          <ownedComment xmi:id="_toS4gPHtEeGWjrqT5CRABg" annotatedElement="_knp-cPHtEeGWjrqT5CRABg">
            <body>Details about problems or diagnoses for this genetic relative.  Note that this might be implemented as a Document Section.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n46T0PHtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n4664PHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SsKesPHsEeGWjrqT5CRABg" name="relative" visibility="public" type="_MKlBAPHsEeGWjrqT5CRABg" association="_SsFmMPHsEeGWjrqT5CRABg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SsLFwPHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SsLs0PHsEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bhUsEPHtEeGWjrqT5CRABg" name="wasCauseOfDeath" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_bhUsEfHtEeGWjrqT5CRABg" annotatedElement="_bhUsEPHtEeGWjrqT5CRABg">
            <body>If the patient's relative is deceased, this property indicates whether the Health Concern (aka Problem) was (one of) the cause(s) of death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bhUsE_HtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bhUsEvHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MKlBAPHsEeGWjrqT5CRABg" name="Relative">
        <ownedAttribute xmi:id="_VfY0QPHsEeGWjrqT5CRABg" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_VfVJ4PHsEeGWjrqT5CRABg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VfaCYPHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VfapcPHsEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f-AIMPHsEeGWjrqT5CRABg" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f-AIM_HsEeGWjrqT5CRABg" annotatedElement="_f-AIMPHsEeGWjrqT5CRABg">
            <body>Indicates how the person is related to the person identified in the owning Person class.  Examples include Spouse, Child, Parent, Legal Guardian, etc.&#xD;
&quot;The type of relationship this person has to the patient (father, mother, brother etc.).&quot; - HL7 FHIR, FamilyMemberHistory.relationship</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f-AINfHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f-AINPHsEeGWjrqT5CRABg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_lO18oN-kEeSzEeYgFgxEPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PersonalRelationshipRoleType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tuS_sNU_EeeaHvV-nCCy9A" name="name" visibility="public">
          <ownedComment xmi:id="_40NuwNVAEeeaHvV-nCCy9A" annotatedElement="_tuS_sNU_EeeaHvV-nCCy9A">
            <body>A free-text designation of the person to whom the patient is related. This property could potentially be derived if this class points to the related person's record. However, there may be cases where the related person does not have a record in the same system, or when the patient doesn't know the information needed to populate such a record. For example, the patient may only know that their mother's aunt had some condition, and not even know that person's name.&#xD;
&quot;This will either be a name or a description; e.g. Aunt Susan, my cousin with the red hair.&quot; - HL7 FHIR, FamilyMemberHistory.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xdDJYNU_EeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xdDJYdU_EeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zh9XUNVBEeeaHvV-nCCy9A" name="gender" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Zh9XUdVBEeeaHvV-nCCy9A" annotatedElement="_Zh9XUNVBEeeaHvV-nCCy9A">
            <body>Indicates the sex of the person to whom the patient is related. This property could potentially be derived if this class points to the related person's record. However, there may be cases where the related person does not have a record in the same system, or when the patient doesn't know the information needed to populate such a record.&#xD;
&quot;Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes.&quot; - HL7 FHIR, FamilyMemberHistory.gender</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zh9XU9VBEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zh9XUtVBEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_31K3INVBEeeaHvV-nCCy9A" name="birthdate" visibility="public">
          <ownedComment xmi:id="_31K3IdVBEeeaHvV-nCCy9A" annotatedElement="_31K3INVBEeeaHvV-nCCy9A">
            <body>Indicates the date of birth of the person to whom the patient is related. This property could potentially be derived if this class points to the related person's record. However, there may be cases where the related person does not have a record in the same system, or when the patient doesn't know the information needed to populate such a record.&#xD;
&quot;The actual or approximate date of birth of the relative.&quot; - HL7 FHIR, FamilyMemberHistory.born[x]&#xD;
FHIR allows this property to be a Period, date, or string. FHIM currently models this as a string. If the related person's birth date is known, then it is assumed that enough information must exist to instantiate a Person record, and the birthdate of that record would be used instead.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_31K3I9VBEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_31K3ItVBEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RfdEANVCEeeaHvV-nCCy9A" name="age" visibility="public">
          <ownedComment xmi:id="_RfdEAdVCEeeaHvV-nCCy9A" annotatedElement="_RfdEANVCEeeaHvV-nCCy9A">
            <body>Indicates the age of of the person to whom the patient is related at the time the condition occurred. This property could potentially be derived if the birthdate of the related person is known.&#xD;
&quot;The age of the relative at the time the family member history is recorded.&quot; - HL7 FHIR, FamilyMemberHistory.age[x]&#xD;
FHIR allows this property to be a Age, range, or string. FHIM currently models this as a string.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfdEA9VCEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfdEAtVCEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eGCxENVCEeeaHvV-nCCy9A" name="isAgeEstimated" visibility="public">
          <ownedComment xmi:id="_eGCxEdVCEeeaHvV-nCCy9A" annotatedElement="_eGCxENVCEeeaHvV-nCCy9A">
            <body>&quot;If true, indicates that the age value specified is an estimated value.&quot; - HL7 FHIR, FamilyMemberHistory.estimatedAge</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eGCxE9VCEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eGCxEtVCEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tcU-kNVCEeeaHvV-nCCy9A" name="isDeceased" visibility="public">
          <ownedComment xmi:id="_tcU-kdVCEeeaHvV-nCCy9A" annotatedElement="_tcU-kNVCEeeaHvV-nCCy9A">
            <body>Indicates whether the the person to whom the patient is related is dead. This property could potentially be derived if this class points to the related person's record. However, there may be cases where the related person does not have a record in the same system, or when the patient doesn't know enoutgh information needed to populate such a record.&#xD;
&quot;Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.&quot; - HL7 FHIR, FamilyMemberHistory.deceased[x]&#xD;
FHIR allows this property to be a boolean, Age, Range, date, or string. FHIM currently models this as a boolean.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tcU-k9VCEeeaHvV-nCCy9A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tcU-ktVCEeeaHvV-nCCy9A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SsFmMPHsEeGWjrqT5CRABg" name="familyHistoryConcern_relative" memberEnd="_SsKesPHsEeGWjrqT5CRABg _SsPXMPHsEeGWjrqT5CRABg">
        <ownedEnd xmi:id="_SsPXMPHsEeGWjrqT5CRABg" name="" visibility="public" type="_YQmCgPHqEeGWjrqT5CRABg" association="_SsFmMPHsEeGWjrqT5CRABg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VfVJ4PHsEeGWjrqT5CRABg" name="relative_asPerson" memberEnd="_VfY0QPHsEeGWjrqT5CRABg _VfeT0PHsEeGWjrqT5CRABg">
        <ownedEnd xmi:id="_VfeT0PHsEeGWjrqT5CRABg" name="" visibility="public" type="_MKlBAPHsEeGWjrqT5CRABg" association="_VfVJ4PHsEeGWjrqT5CRABg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nwG14APwEeKAxseXcMhbEg" name="SubstanceUse">
        <generalization xmi:id="_uZEG4APwEeKAxseXcMhbEg" general="_RPmE8PHqEeGWjrqT5CRABg"/>
        <ownedAttribute xmi:id="_6Si4UPLDEeGRdKC0XX0sWg" name="frequencyOfUse" visibility="public" type="_420A62FD03B641886F63021C"/>
        <ownedAttribute xmi:id="_iULjQAPxEeKAxseXcMhbEg" name="substance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PrVaEAgpEeKpi5AGmkKVpg" name="ExternalCause">
        <ownedComment xmi:id="_d8Os0AgpEeKpi5AGmkKVpg" annotatedElement="_PrVaEAgpEeKpi5AGmkKVpg">
          <body>Identifies the Accident, Injury, or Exposure that caused the Health Concern.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KojTEF6tEeOE8tMbJPicWQ" name="healthConcern_externalCause" memberEnd="_KooLkF6tEeOE8tMbJPicWQ _KotEEF6tEeOE8tMbJPicWQ">
        <ownedEnd xmi:id="_KotEEF6tEeOE8tMbJPicWQ" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_KojTEF6tEeOE8tMbJPicWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_juQA4A3gEeSr7IwJ9lGnGA" name="healthConcern_observation" memberEnd="_juQn8A3gEeSr7IwJ9lGnGA _juSdIA3gEeSr7IwJ9lGnGA">
        <ownedEnd xmi:id="_juSdIA3gEeSr7IwJ9lGnGA" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_juQA4A3gEeSr7IwJ9lGnGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_iAwQAN-kEeSzEeYgFgxEPA" client="_MKlBAPHsEeGWjrqT5CRABg">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_XyDLQKRMEeGZ6ueex_Me0w?FHIM_Vocab/PersonVocab/PersonalRelationshipRoleType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_-fqZQN-nEeSQwMSQTXiDlA" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_0q6CAN-kEeSzEeYgFgxEPA?FHIM_Vocab/ProblemListVocab/ConcernContext?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0V4AUsLFEeGVnuEDZNmvgw" name="observationStatusChangeEvent_visit" memberEnd="_0VIZgsLFEeGVnuEDZNmvgw _0V4AU8LFEeGVnuEDZNmvgw">
        <ownedEnd xmi:id="_0V4AU8LFEeGVnuEDZNmvgw" name="" visibility="public" type="_0VIZcMLFEeGVnuEDZNmvgw" association="_0V4AUsLFEeGVnuEDZNmvgw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0V4AVcLFEeGVnuEDZNmvgw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0V4AVMLFEeGVnuEDZNmvgw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_fCUbAOCLEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_XyxkAKRMEeGZ6ueex_Me0w?FHIM_Vocab/ProblemListVocab/ProblemType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yYDEIOCMEeS8tqKBj1EYvQ" name="healthConcern_concernStatusChangeEvent" memberEnd="_yYESQOCMEeS8tqKBj1EYvQ _yYGHcOCMEeS8tqKBj1EYvQ">
        <ownedEnd xmi:id="_yYGHcOCMEeS8tqKBj1EYvQ" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_yYDEIOCMEeS8tqKBj1EYvQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_fGJgMOCNEeS8tqKBj1EYvQ" client="_RPmE8PHqEeGWjrqT5CRABg">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_X7pMIKRMEeGZ6ueex_Me0w?FHIM_Vocab/ProblemListVocab/SocialHistoryType?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_m0xYwOCNEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_qL-NsN-TEeSF_8LAIPpUEQ?FHIM_Vocab/ProblemListVocab/ProblemStatus?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_nWflwOCNEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_XzA0kKRMEeGZ6ueex_Me0w?FHIM_Vocab/ProblemListVocab/Problem?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_uCQ6MOCNEeS8tqKBj1EYvQ" name="EmploymentConcen">
        <ownedComment xmi:id="_pZ5ygOCOEeS8tqKBj1EYvQ" annotatedElement="_uCQ6MOCNEeS8tqKBj1EYvQ">
          <body>A type of Health Concern that arises from the patient's occupation or place of employment.</body>
        </ownedComment>
        <generalization xmi:id="_leJ5MOCPEeS8tqKBj1EYvQ" general="_420A62FD03B6421F8AD00244"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_RRV84Od6EeSlqtEJq7r6DQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_074LUN-mEeSzEeYgFgxEPA?FHIM_Vocab/ProblemListVocab/ConditionCourse?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_p5LOQOd6EeSlqtEJq7r6DQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_XyiTcKRMEeGZ6ueex_Me0w?FHIM_Vocab/ProblemListVocab/ProblemSeverity?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_V_REYOU9EeWlUtxA-8RVeQ" client="_W61_oLO_EeS3iYN4R_wsuw">
        <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_L-mioOU7EeWlUtxA-8RVeQ?FHIM_Vocab/ProblemListVocab/risk-probability?"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iNHSELtBEeeo-pbyiB8NZw" name="healthConcern_encounter" memberEnd="_iNHSEbtBEeeo-pbyiB8NZw _iNRDErtBEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_iNRDErtBEeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6421F8AD00244" association="_iNHSELtBEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y9kj4LtCEeeo-pbyiB8NZw" name="Stage">
        <ownedComment xmi:id="_giqtALtCEeeo-pbyiB8NZw" annotatedElement="_Y9kj4LtCEeeo-pbyiB8NZw">
          <body>&quot;Clinical stage or grade of a condition. May include formal severity assessments.&quot; - HL7 FHIR, Condition.stage</body>
        </ownedComment>
        <ownedAttribute xmi:id="_i9l3ULtCEeeo-pbyiB8NZw" name="summary" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oEv-YLtCEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oEv-YbtCEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sIe5kbtCEeeo-pbyiB8NZw" name="assessment" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_sIe5kLtCEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_yo3dYLtCEeeo-pbyiB8NZw" annotatedElement="_sIe5kbtCEeeo-pbyiB8NZw">
            <body>&quot;Reference to a formal record of the evidence on which the staging assessment is based.&quot; - HL7 FHIR, Condition.stage.assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sIoDgLtCEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sIoqkLtCEeeo-pbyiB8NZw" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aAs00LtCEeeo-pbyiB8NZw" name="healthConcern_stage" memberEnd="_aAs00btCEeeo-pbyiB8NZw _aAs01LtCEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_aAs01LtCEeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6421F8AD00244" association="_aAs00LtCEeeo-pbyiB8NZw"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_sIe5kLtCEeeo-pbyiB8NZw" name="stage_assessment" memberEnd="_sIe5kbtCEeeo-pbyiB8NZw _sIp4sLtCEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_sIp4sLtCEeeo-pbyiB8NZw" name="" visibility="private" type="_Y9kj4LtCEeeo-pbyiB8NZw" association="_sIe5kLtCEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_c0J-cLtDEeeo-pbyiB8NZw" name="Evidence">
        <ownedComment xmi:id="_ck6MELtEEeeo-pbyiB8NZw" annotatedElement="_c0J-cLtDEeeo-pbyiB8NZw">
          <body>&quot;Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.&quot; - HL7 FHIR, Condition.evidence</body>
        </ownedComment>
        <ownedAttribute xmi:id="_h2IOELtEEeeo-pbyiB8NZw" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pH6ZoLtEEeeo-pbyiB8NZw" annotatedElement="_h2IOELtEEeeo-pbyiB8NZw">
            <body>&quot;A manifestation or symptom that led to the recording of this condition.&quot; - HL7 FHIR, Condition.evidence.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mxGTQLtEEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mxGTQbtEEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q-FRELtEEeeo-pbyiB8NZw" name="detail" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_q-FREbtEEeeo-pbyiB8NZw" annotatedElement="_q-FRELtEEeeo-pbyiB8NZw">
            <body>&quot;Links to other relevant information, including pathology reports.&quot; - HL7 FHIR, Condition.evidence.detail</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q-FRE7tEEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q-FRErtEEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dwIegLtDEeeo-pbyiB8NZw" name="healthConcern_evidence" memberEnd="_dwIegbtDEeeo-pbyiB8NZw _dwIehLtDEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_dwIehLtDEeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6421F8AD00244" association="_dwIegLtDEeeo-pbyiB8NZw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64361379100A0" name="Prosthetics">
      <eAnnotations xmi:id="_PJ11QOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PJ11ReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643626754017A" name="ProstheticsPromise">
        <eAnnotations xmi:id="_PH5UhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PHdPpuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643626754017A">
          <body>The act of accepting the role of fulfiller. This is the act of accepting  a prosthetic request. The ProthetictPromise act identifies a fulfiller promise for a prosteitic transaction.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6438B7D93008F" name="accessionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PHmZl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B7D93008F">
            <body>The date that a transaction was entered to a system. It may be the date the transaction was initiated.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B2A3EE0395" name="deliveryDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PHmZlOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHmZkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B2A3EE0395">
            <body>The date that the order was closed. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqlOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqleLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1B8DE033B" name="description" visibility="public">
          <eAnnotations xmi:id="_PHwKkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHmZmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B8DE033B">
            <body>A textual representation of the nature and characteristics of the item.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqluLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhql-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B703900D1" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PHwKnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B703900D1">
            <body>A unique identifier for the Act (HL7 3.0)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1B8A80275" name="transactionForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PH5UgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHwKoeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B8A80275">
            <body>Identifies the paper form on which the transaction is tracked.   Possible values include: PSC, 2237, 2421, 2431, 2474, 2520, 2529-3, 2529-7, 2914, Inventory Issue, Lab Issue-3, Stock Issue, Visa, Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqnOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqneLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6436267EB007D" name="visit" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" association="_420A62FD03B6436267EA0049">
          <ownedComment xmi:id="_PJPYYeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267EB007D">
            <body>An interaction between a patient and a practitioner under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJUeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJUuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B59ED40310" name="issuedItem" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643B59ED30214">
          <ownedComment xmi:id="_PJZJVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B59ED40310">
            <body>Information pertinent to the issued for the  patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJWeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A029E70164" name="request" visibility="public" type="_420A62FD03B64369414A016F" isUnique="false" association="_420A62FD03B643A029E503BA">
          <ownedComment xmi:id="_PJiTT-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A029E70164">
            <body>requested information about the prosthetic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJsEQeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJsEQuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B7BBF01AF" name="issuingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6438B7BBA034C">
          <ownedComment xmi:id="_PJsERuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B7BBF01AF">
            <body>The station to which the prosthetic transaction is assigned. The station is responsible for the issue and payment for the prosthetic device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJsESOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJsESeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CXcrMYnNEd-_v4Q8joL6LQ" name="hcpcsProcedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_CXcrMInNEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CXcrMonNEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CXcrM4nNEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y0DucInPEd-_v4Q8joL6LQ" name="relatedProstheticsPromise" visibility="public" type="_q711AInPEd-_v4Q8joL6LQ" association="_yzwzgInPEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y0DucYnPEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y0DuconPEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6436267A803AC" name="ProstheticsAppliance">
        <eAnnotations xmi:id="_PIDFkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PH5Uh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267A803AC">
          <body>Record of the product information of an issued item.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64394AA70030B" name="description" visibility="public">
          <eAnnotations xmi:id="_PH5UjOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PH5UiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64394AA70030B">
            <body>A textual representation of the nature and characteristics of a product</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqnuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqn-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B83D201B1" name="lotId" visibility="public">
          <eAnnotations xmi:id="_PIDFgOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PH5Uj-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B83D201B1">
            <body>The &quot;Lot Number Text&quot; provides the facility to communicate the lot number or batch number information, as an alphanumeric string, for the specific item being described. [HL7 3.0] </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqoOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqoeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64394A9EA0163" name="manufacturerModelName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIDFheLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIDFg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64394A9EA0163">
            <body>An alphanumeric code that is used to identify the model of a product</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqouLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0YOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B82D200A5" name="serialNumber" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_PIDFj-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIDFjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B82D200A5">
            <body>An alphanumaric text that is one of a series and is used for identification of a device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0Y-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0ZOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6436267D000EC" name="Vendor">
        <eAnnotations xmi:id="_PIM2geLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIDFlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267D000EC">
          <body>A participation that is used to identify the name of the company from which an item was or is to be purchased.  The vendor may or may not be the same as the manufacturer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A1B159022E" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" isUnique="false" association="_420A62FD03B643A1B15800A6">
          <ownedComment xmi:id="_PJZJXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B159022E">
            <body>Identifies the organization that provided the prosthetic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJX-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64369414A016F" name="ProstheticsRequest">
        <eAnnotations xmi:id="_PIWAdOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIM2hOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64369414A016F">
          <body>A record of a prothetic appliance or repair request. It contains both manual and CPRS requests. </body>
        </ownedComment>
        <generalization xmi:id="_0mjjoInLEd-_v4Q8joL6LQ" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_h_g6kYnMEd-_v4Q8joL6LQ" name="provisionalDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_h_g6kInMEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h_g6konMEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h_g6k4nMEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643A1C0FF0379" name="IssuedItem">
        <eAnnotations xmi:id="_PIyscuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIpif-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C0FF0379">
          <body>A role that stores the items issued in a prosthetics transaction.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A1C1F802EB" name="acquisitionSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIysYeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIpiguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C1F802EB">
            <body>The source from which an item was acquired, either VA or Commercial.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0ZeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0ZuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1C1CD01E5" name="prostheticHCPCS" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIysa-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIysaeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C1CD01E5">
            <body>&quot;The Prosthetics HCPCS code for the item. HCPCS is a uniform method to report professional services, procedures and supplies for healthcare providers and medical suppliers.  &quot;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0aeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0auLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1C16002D9" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_PIyscOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIysbuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C16002D9">
            <body>The number of units that was issued or repaired for the transaction                                                                                                                                                               </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0a-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0bOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B59EF7025C" name="itemInformation" visibility="public" type="_420A62FD03B6436267A803AC" isUnique="false" association="_420A62FD03B643B59EF40008">
          <ownedComment xmi:id="_PJPYWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B59EF7025C">
            <body>Informaiton pertinent to the prosthetic device for the  patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJPYXOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJPYXeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BEBF500341" name="vendor" visibility="public" type="_420A62FD03B6436267D000EC" isUnique="false" association="_420A62FD03B643BEBF500016">
          <ownedComment xmi:id="_PJiTSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BEBF500341">
            <body>The company from which an item was or is to be purchased.  The vendor may or may not be the same as the manufacturer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJiTSuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJiTS-LiEduGJrQyRGTO1A" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643B59EF40008" memberEnd="_420A62FD03B643B59EF7025C _420A62FD03B643B59EF70266">
        <ownedEnd xmi:id="_420A62FD03B643B59EF70266" name="" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643B59EF40008"/>
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        <ownedEnd xmi:id="_420A62FD03B6436267EB0204" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B6436267EA0049"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643B59ED30214" memberEnd="_420A62FD03B643B59ED40310 _420A62FD03B643B59ED40312">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A1B15800A6" memberEnd="_420A62FD03B643A1B159022E _420A62FD03B643A1B1590242">
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        <ownedEnd xmi:id="_420A62FD03B643BEBF500343" name="" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643BEBF500016"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A029E503BA" memberEnd="_420A62FD03B643A029E70164 _420A62FD03B643A029E7016E">
        <ownedEnd xmi:id="_420A62FD03B643A029E7016E" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B643A029E503BA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B7BBA034C" memberEnd="_420A62FD03B6438B7BBF01AF _420A62FD03B6438B7BBF023B">
        <ownedEnd xmi:id="_420A62FD03B6438B7BBF023B" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B6438B7BBA034C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h_g6kInMEd-_v4Q8joL6LQ" memberEnd="_h_g6kYnMEd-_v4Q8joL6LQ _h_g6lInMEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_h_g6lInMEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B64369414A016F" association="_h_g6kInMEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CXcrMInNEd-_v4Q8joL6LQ" memberEnd="_CXcrMYnNEd-_v4Q8joL6LQ _CXcrNInNEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_CXcrNInNEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B643626754017A" association="_CXcrMInNEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q711AInPEd-_v4Q8joL6LQ" name="RelatedProstheticsPromise">
        <ownedAttribute xmi:id="_CflzMInQEd-_v4Q8joL6LQ" name="relatedEventCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_KttrMYnQEd-_v4Q8joL6LQ" name="prostheticsPromise" visibility="public" type="_420A62FD03B643626754017A" association="_KttrMInQEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KttrMonQEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KttrM4nQEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yzwzgInPEd-_v4Q8joL6LQ" memberEnd="_y0DucInPEd-_v4Q8joL6LQ _y0Duc4nPEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_y0Duc4nPEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B643626754017A" association="_yzwzgInPEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KttrMInQEd-_v4Q8joL6LQ" memberEnd="_KttrMYnQEd-_v4Q8joL6LQ _Kt3cMInQEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_Kt3cMInQEd-_v4Q8joL6LQ" name="" visibility="public" type="_q711AInPEd-_v4Q8joL6LQ" association="_KttrMInQEd-_v4Q8joL6LQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_WG-84JNmEeCyufOLCDZkFA" name="Provider">
      <eAnnotations xmi:id="_WG-84ZNmEeCyufOLCDZkFA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_me4FcJehEeWqb554qzI9zg">
        <body>Parking Lot:&#xD;
Need to model (or decide not to model):&#xD;
   - Billing Individual&#xD;
   - Rendering Individual&#xD;
   - Supplier</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_0f65ACu5Ed-mUrYY2zR9Jw" name="PlanNetworkAffliliation">
        <ownedComment xmi:id="_jexDcNLfEeaB48kcgQEvbA" annotatedElement="_0f65ACu5Ed-mUrYY2zR9Jw">
          <body>Represents the participation of a Network of healthcare providers with a Health Plan for the purpose of providing healthcare services to members (i.e., patients) of that Plan.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_6xNQ4Cu5Ed-mUrYY2zR9Jw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_6xNQ4Su5Ed-mUrYY2zR9Jw" annotatedElement="_6xNQ4Cu5Ed-mUrYY2zR9Jw">
            <body>A unique identifier that the payer or information source can use to identify the person as a Policy Holder.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6xNQ4yu5Ed-mUrYY2zR9Jw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6xNQ4iu5Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_849AgSu5Ed-mUrYY2zR9Jw" name="network" visibility="public" type="_SYe5oCu5Ed-mUrYY2zR9Jw" association="_849AgCu5Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_AiOKIEcxEeOPSKtS95Q8Uw" annotatedElement="_849AgSu5Ed-mUrYY2zR9Jw">
            <body>Pointer to the Network with which the Health Plan has some contractual relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_849Agiu5Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_849Agyu5Ed-mUrYY2zR9Jw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WdbwQEC6EeO2aaQpQxRerg" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_WdaiIEC6EeO2aaQpQxRerg">
          <ownedComment xmi:id="_Zi-6UNLgEeaB48kcgQEvbA" annotatedElement="_WdbwQEC6EeO2aaQpQxRerg">
            <body>Pointer to a collection of Health Plan in which the Network of healthcare providers participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WdcXUEC6EeO2aaQpQxRerg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WdcXUUC6EeO2aaQpQxRerg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_coTswB2ZEd-4VI-lpu-JjQ" name="ProviderPlanParticipation">
        <ownedComment xmi:id="_-PIqkO6sEd-crcWiXVDZrQ" annotatedElement="_coTswB2ZEd-4VI-lpu-JjQ">
          <body>Represents the participation of a Healthcare Provider (either an Individual or an Organizational Provider) with a Health Plan for the purpose of providing healthcare services to members (i.e., patients) of that plan.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hTV2MTd8Ed-pnM5ImLCS1g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_hTV2Mjd8Ed-pnM5ImLCS1g" annotatedElement="_hTV2MTd8Ed-pnM5ImLCS1g">
            <body>The time period during which the Provider’s participated in the Health Plan. For active participations, the end-date of this time period would be blank.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tqgFIIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tqgFIYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hTV2MDd8Ed-pnM5ImLCS1g" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j-zPYNLUEeaB48kcgQEvbA" annotatedElement="_hTV2MDd8Ed-pnM5ImLCS1g">
            <body>The state of the Provider’s participation in the Health Plan. The values for this property will likely be a subset of the Managed Participation state-transition model in the HL7 RIM. Possible values include: Active, Completed, Pending, Canceled, or Nullified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uwI3gIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uwI3gYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e7qPcR2ZEd-4VI-lpu-JjQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_e7qPcB2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_lKUJ0NLgEeaB48kcgQEvbA" annotatedElement="_e7qPcR2ZEd-4VI-lpu-JjQ">
            <body>Pointer to a collection of Health Plan in which the Healthcare Provider participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7qPch2ZEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e7qPcx2ZEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jdI78V0mEd-Rnfg4Du2i5g" name="healthcareProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_jdI78F0mEd-Rnfg4Du2i5g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jdI78l0mEd-Rnfg4Du2i5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jdI7810mEd-Rnfg4Du2i5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_c5BWYBs1Ed--ZY2-pbJ-Pw" name="HospitalAffiliation">
        <ownedComment xmi:id="_fW9NMEcyEeOPSKtS95Q8Uw" annotatedElement="_c5BWYBs1Ed--ZY2-pbJ-Pw">
          <body>Represents information about the association between an Individual Healthcare Provider and a Hospital.  This affiliation includes information regarding privileges such as admitting privileges.</body>
        </ownedComment>
        <generalization xmi:id="_NWQYoB2REd-4VI-lpu-JjQ" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_erYjUB2PEd-4VI-lpu-JjQ" name="isFullUnrestrictedPrivilege" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Asb6cIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AschgIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_erYjUR2PEd-4VI-lpu-JjQ" name="isTemporaryPrivilege" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BeGn8Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BeHPAIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_SYe5oCu5Ed-mUrYY2zR9Jw" name="ProviderNetwork">
        <ownedComment xmi:id="_Xw3X0EctEeOPSKtS95Q8Uw" annotatedElement="_SYe5oCu5Ed-mUrYY2zR9Jw">
          <body>A Network is an organization which maintains contractual relationships with multiple providers and with (potentially) multiple Health Plans.  This organization provides Health Plans with ready access to multiple providers in a given region and/or of a particular specialty.  Conversely, the organization provides Providers with an increased number of potential patients, and in some cases, Providers may receive a capitation fee for each patient assigned to his or her care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_849AhCu5Ed-mUrYY2zR9Jw" name="planNetworkAffliliation" visibility="public" type="_0f65ACu5Ed-mUrYY2zR9Jw" association="_849AgCu5Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_StJD4NLgEeaB48kcgQEvbA" annotatedElement="_849AhCu5Ed-mUrYY2zR9Jw">
            <body>Pointer to a collection of Health Plans in which the Network of healthcare providers participates for the purpose of providing healthcare services to members (i.e., patients) of those Health Plans.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_849AhSu5Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_849Ahiu5Ed-mUrYY2zR9Jw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6Rqn0bKcEeeKfvjx78dWlQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_6Rqn0LKcEeeKfvjx78dWlQ">
          <ownedComment xmi:id="__BM5ELKcEeeKfvjx78dWlQ" annotatedElement="_6Rqn0bKcEeeKfvjx78dWlQ">
            <body>Pointer to information about the Organizaton which is playing the role of a Network.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Rqn0rKcEeeKfvjx78dWlQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Rqn07KcEeeKfvjx78dWlQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_phtcMLKdEeeKfvjx78dWlQ" name="networkIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p6KYLKdEeeKfvjx78dWlQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p6KYbKdEeeKfvjx78dWlQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YQIpgCu5Ed-mUrYY2zR9Jw" name="NetworkAffliliation">
        <ownedComment xmi:id="_ENJWkO6sEd-crcWiXVDZrQ" annotatedElement="_YQIpgCu5Ed-mUrYY2zR9Jw">
          <body>Represents information about the association between an Individual Healthcare Provider and a Network.</body>
        </ownedComment>
        <generalization xmi:id="_cn-McCu5Ed-mUrYY2zR9Jw" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OJ2OMB2QEd-4VI-lpu-JjQ" name="PracticeAffiliation">
        <ownedComment xmi:id="_pINE0EcyEeOPSKtS95Q8Uw" annotatedElement="_OJ2OMB2QEd-4VI-lpu-JjQ">
          <body>This class represents information about the association between an Individual Provider and a Group Practice (or an individual Practice, if the provider is self-employed), or an Individual Provider to a Clinic.&#xD;
A Practice is an Organizational Provider composed of one or more Provider for the purpose of providing medical services. When the Practice is composed of multiple Providers, it is often called a Group Practice.&#xD;
A Clinic is &quot;a place in which outpatients are given medical treatment or advice, often connected to a hospital, or a similar place staffed by physicians or surgeons specializing in one or more specific areas: eye clinic&quot; - Collins English Dictionary.&#xD;
Note that the FHIM makes a simplifying assumption that all Providers are associated with at least one Organizational Provider. Even when a physician is self-employed, we assume that the physician is incorporated, or has some kind of organizational face.</body>
        </ownedComment>
        <generalization xmi:id="_N-SB8B2REd-4VI-lpu-JjQ" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KCfh0B2REd-4VI-lpu-JjQ" name="ProviderAffiliation">
        <ownedComment xmi:id="_pTRKEDA9Ed-1aYBV65Lrnw" annotatedElement="_KCfh0B2REd-4VI-lpu-JjQ">
          <body>Represents information about the association between an Individual Healthcare Provider and an Organizational Healthcare Provider.&#xD;
Note that the FHIR ProviderRole resource straddles this class and the FHIM Provider Role class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lZ8wQB2TEd-4VI-lpu-JjQ" name="description" visibility="public">
          <ownedComment xmi:id="_Uw-6wEc3EeOPSKtS95Q8Uw" annotatedElement="_lZ8wQB2TEd-4VI-lpu-JjQ">
            <body>&quot;Contains miscellaneous additional information related to the staff member's membership in the professional organization.&quot; - HL7 Version 2.8, AFF-5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lmCfcIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lmCfcYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oaLHYB2QEd-4VI-lpu-JjQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_oaLHYR2QEd-4VI-lpu-JjQ" annotatedElement="_oaLHYB2QEd-4VI-lpu-JjQ">
            <body>&quot;Contains the period the staff member started and ended membership in the professional organization.&quot; - HL7 Version 2.8, AFF-4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mXUycIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mXejcIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_haeC8B2TEd-4VI-lpu-JjQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AAUO0NLUEeaB48kcgQEvbA" annotatedElement="_haeC8B2TEd-4VI-lpu-JjQ">
            <body>The state of the Individual Provider’s affiliation with the Organizational Provider. The values for this property will likely be a subset of the Act state-transition model in the HL7 RIM. Possible values include: Active, Completed, Nullified, or Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nlzXwIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nlzXwYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WEvzAKSdEeOi7v-AgUwKMQ" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_WEuk4KSdEeOi7v-AgUwKMQ">
          <ownedComment xmi:id="_yyhGoPnHEeSJ3abZ9RQzyQ" annotatedElement="_WEvzAKSdEeOi7v-AgUwKMQ">
            <body>Pointer to the Organizational Provider with which the Individual Provider is associated. Note that this property is optional to accomodate traversal from the Organizational Provider to the Individual Providers associated with it (in which case, this association would not be used). When traversing from the Individual Provder to the Organizational Providers with which he/she is affiliated, this property would be required. &#xD;
&quot;The organization where the Practitioner performs the roles associated.&quot; - HL7 FHIR, PractitionerRole.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WExBIKSdEeOi7v-AgUwKMQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WExoMKSdEeOi7v-AgUwKMQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9zYYAA_uEeec1rk7YVReNA" name="individualProvider" visibility="public" type="_420A62FD03B6418A6B760063" association="_9zUGkA_uEeec1rk7YVReNA">
          <ownedComment xmi:id="_tPP9sA_2Eeec1rk7YVReNA" annotatedElement="_9zYYAA_uEeec1rk7YVReNA">
            <body>Pointer to the Individual Healthcare Provider associated with the Provider Affiliation record. This optional property provides a mechanism to traverse from the Organizational Provider to the Individual Provider(s) associated with it. This property is not used when traversing from the Individual Provider to the Organizational Provider(s) with which he/she is associated.&#xD;
&quot;Practitioner that is able to provide the defined services for the organation.&quot; - HL7 FHIR, PractitionerRole</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9zY_EA_uEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9zY_EQ_uEeec1rk7YVReNA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BdMXUA_vEeec1rk7YVReNA" name="providerRole" visibility="public" type="_HU21oA_sEeec1rk7YVReNA" association="_BdLJMA_vEeec1rk7YVReNA">
          <ownedComment xmi:id="_M_RPMA_2Eeec1rk7YVReNA" annotatedElement="_BdMXUA_vEeec1rk7YVReNA">
            <body>Pointer to a list of services that an Individual Provider may provide at different locations within the context of his/her affiliation with an Organizational Provider.&#xD;
&quot;The list of roles/organizations that the practitioner is associated with.&quot; - HL7 FHIR, Practitioner.practitionerRole.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BdM-YA_vEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BdM-YQ_vEeec1rk7YVReNA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q4Q-QB16Ed-4VI-lpu-JjQ" name="Location">
        <ownedComment xmi:id="_viZekBHFEeCBuOUrBnIXmQ" annotatedElement="_Q4Q-QB16Ed-4VI-lpu-JjQ">
          <body>&quot;A bounded physical place or site, including any contained structures.  A place may be natural or man-made. The geographic position of a place may or may not be constant. Places may be work facilities (where relevant acts occur), homes (where people live) or offices (where people work). Places may contain sub-places (floor, room, booth, bed). Places may also be sites that are investigated in the context of health care, social work, public health administration (e.g., buildings, picnic grounds, day care centers, prisons, counties, states, and other focuses of epidemiological events).  Examples include a field, lake, city, county, state, country, lot (land), building, pipeline, power line, playground, ship, truck.&quot; - HL7 V3.&#xD;
&quot;Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated.&quot; - HL7 FHIR, Location&#xD;
Note that FHIR has a single class, Location, which encompasses concepts which the FHIM splits into the Location class and the ServiceDeliveryLocation class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B645FAB88F004D" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <eAnnotations xmi:id="_MB3XteLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NczGIPGjEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B645FAB88F004D">
            <body>The physical location at which the Location is located or to which mail can be directed. Note that both the Location and the ServiceDeliveryLocation classes contain an address. In general, it is anticipated that the Location address would be used, but the ServiceDeliveryLocation address would be used when the organizational presence at the location uses a different address. For example, the physical address may be 123 Main St, but the radiology department may be 123 Main St Suite 400, or may have a billing address at another location.&#xD;
&quot;Physical location.&quot; – HL7 FHIR, Location.address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWWeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWWuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N4INoBSHEeertqFtRTH1nw" name="alias" visibility="public">
          <ownedComment xmi:id="_W0u8QBSHEeertqFtRTH1nw" annotatedElement="_N4INoBSHEeertqFtRTH1nw">
            <body>&quot;A list of alternate names that the location is known as, or was known as in the past.&quot; - HL7 FHIR, Location.alias</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N4INoxSHEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N4INohSHEeertqFtRTH1nw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gFYBMBSHEeertqFtRTH1nw" name="description" visibility="public">
          <ownedComment xmi:id="_gFYBMRSHEeertqFtRTH1nw" annotatedElement="_gFYBMBSHEeertqFtRTH1nw">
            <body>&quot;Description of the Location, which helps in finding or referencing the place.&quot; - HL7 FHIR, Location.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gFYBMxSHEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gFYBMhSHEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586F3EA0341" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PjJHkPGjEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B64586F3EA0341">
            <body>Uniquely identifies the location.&#xD;
&quot;Unique code or number identifying the location to its users.&quot; - HL7 FHIR, Location.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MkLkgIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MkUucIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4yH1gBSMEeertqFtRTH1nw" name="mode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4yH1gRSMEeertqFtRTH1nw" annotatedElement="_4yH1gBSMEeertqFtRTH1nw">
            <body>This optional property is included for compatibility with FHIR, but does not fit within the paradigm of the FHIM. In FHIR, it is meant to signal whether the Location is an actual location or a definition of a class of locations. In the FHIM, the Location class is always an actual location. Classes of locations would be represented in the ServiceDeliveryLocation category and/or serviceType properties.&#xD;
&quot;Indicates whether a resource instance represents a specific location or a class of locations.&quot; – HL7 FHIR, Location.mode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4yH1gxSMEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4yH1ghSMEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cQ5toB1-Ed-4VI-lpu-JjQ" name="name" visibility="public">
          <ownedComment xmi:id="_Xr1F8PGjEd-ZlYn0p4HjQw" annotatedElement="_cQ5toB1-Ed-4VI-lpu-JjQ">
            <body>A moniker for the location.&#xD;
&quot;Name of the location as used by humans. Does not need to be unique.&quot; - HL7 FHIR, Location.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NOfFwIy2EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NOfFwYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gTVQMBQwEee5-b4VaBYq3Q" name="operationalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_t0rVUBQwEee5-b4VaBYq3Q" annotatedElement="_gTVQMBQwEee5-b4VaBYq3Q">
            <body>&quot;The Operational status covers operation values most relevant to beds (but can also apply to rooms/units/chair/etc such as an isolation unit/dialisys chair). This typically covers concepts such as contamination, housekeeping and other activities like maintenance.&quot; - HL7 FHIR, Location.operationalStatus</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gTVQMhQwEee5-b4VaBYq3Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gTVQMRQwEee5-b4VaBYq3Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KGk4gBSQEeertqFtRTH1nw" name="physicalType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KGk4gRSQEeertqFtRTH1nw" annotatedElement="_KGk4gBSQEeertqFtRTH1nw">
            <body>&quot;Physical form of the location, e.g. building, room, vehicle, road.&quot; – HL7 FHIR, Location.physicalType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KGk4gxSQEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KGk4ghSQEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hSnhURSQEeertqFtRTH1nw" name="position" visibility="public" type="_fSy-oBSQEeertqFtRTH1nw" association="_hSnhUBSQEeertqFtRTH1nw">
          <ownedComment xmi:id="_tCJDgBSQEeertqFtRTH1nw" annotatedElement="_hSnhURSQEeertqFtRTH1nw">
            <body>&quot;The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).&quot; – HL7 FHIR, Location.position</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hSnhUhSQEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hSnhUxSQEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_V_H1cBQwEee5-b4VaBYq3Q" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oBmjcBQwEee5-b4VaBYq3Q" annotatedElement="_V_H1cBQwEee5-b4VaBYq3Q">
            <body>&quot;The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.&quot; - HL7 FHIR, Location.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_axG9wBQwEee5-b4VaBYq3Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_axG9wRQwEee5-b4VaBYq3Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JOJasRSbEeertqFtRTH1nw" name="relatedLocation" visibility="public" type="_6QASUBSYEeertqFtRTH1nw" association="_JOJasBSbEeertqFtRTH1nw">
          <ownedComment xmi:id="_v-TRoBSbEeertqFtRTH1nw" annotatedElement="_JOJasRSbEeertqFtRTH1nw">
            <body>Pointer to another Location to which this Location is somehow related.&#xD;
&quot;Another Location which this Location is physically part of.&quot; – HL7 FHIR, Location.partOf. Note that FHIM construct is able to handle multiple kinds of relationships between Locations, while FHIR only handles part-of.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JOJashSbEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JOJasxSbEeertqFtRTH1nw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418AA15801A9" name="Organization">
        <eAnnotations xmi:id="_L91zVeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L9sCW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418AA15801A9">
          <body>&quot;A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.&quot; - HL7 FHIR, Organization</body>
        </ownedComment>
        <generalization xmi:id="_58xYYNJrEeSWN8ZsMae6GQ" general="_MF0JYOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_dzgLABscEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_dzgLARscEd--ZY2-pbJ-Pw" annotatedElement="_dzgLABscEd--ZY2-pbJ-Pw">
            <body>The physical location at which the Organization is located or to which mail can be directed.&#xD;
&quot;An address for the organization.&quot; - HL7 FHIR, Organization.address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bbeToOV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bbeToeV0EeGA8s9JtidNVQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_thQkgBP4Eee2yObkTlcn4g" name="alias" visibility="public">
          <ownedComment xmi:id="_29aV4BP4Eee2yObkTlcn4g" annotatedElement="_thQkgBP4Eee2yObkTlcn4g">
            <body>&quot;A list of alternate names that the organization is known as, or was known as in the past.&quot; - HL7 FHIR, Organization.alias</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_thQkgxP4Eee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_thQkghP4Eee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kTup4nWJEd-2SM6vxH_lvw" name="asOrganizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_kTk44HWJEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_Yno6QO6rEd-crcWiXVDZrQ" annotatedElement="_kTup4nWJEd-2SM6vxH_lvw">
            <body>Represents information about an organization which is authorized to provide health care services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kTup43WJEd-2SM6vxH_lvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kTup5HWJEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cIxrMBP3Eee2yObkTlcn4g" name="isActive" visibility="public">
          <ownedComment xmi:id="_cIxrMRP3Eee2yObkTlcn4g" annotatedElement="_cIxrMBP3Eee2yObkTlcn4g">
            <body>This optional property can be used to indicate whether the Organization's record is active.&#xD;
&quot;Whether the organization's record is still in active use.&quot; - HL7 FHIR, Organization.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cIxrMxP3Eee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cIxrMhP3Eee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8V56ABP3Eee2yObkTlcn4g" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8V56ARP3Eee2yObkTlcn4g" annotatedElement="_8V56ABP3Eee2yObkTlcn4g">
            <body>This optional property provides a categorization of the Organization, and is included for compatibility to FHIR.&#xD;
&quot;The kind(s) of organization that this is.&quot; - HL7 FHIR, Organization.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8V56AxP3Eee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8V56AhP3Eee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_230RkAJFEd-xr_JAHIdixg" name="name" visibility="public">
          <ownedComment xmi:id="_JmDzMPGlEd-ZlYn0p4HjQw" annotatedElement="_230RkAJFEd-xr_JAHIdixg">
            <body>&quot;A name associated with the organization.&quot; - HL7 FHIR, Organization.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arck4OV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arfBIOV0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_snQtQLYsEeGWl-7OlqBMDw" name="pointOfContact" visibility="public" type="_7TKL4LYqEeGWl-7OlqBMDw" association="_snMb0LYsEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_4BTusLYsEeGWl-7OlqBMDw" annotatedElement="_snQtQLYsEeGWl-7OlqBMDw">
            <body>Pointer to Persons who work for or represent an Organization and who may be contacted under specified circumstances.&#xD;
&quot;Contact for the organization for a certain purpose.&quot; - HL7 FHIR, Organization.contact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_snR7YLYsEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_snSicLYsEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JQqvYRPjEeaECq32HH3IBA" name="relatedOrganization" visibility="public" type="_Hx2oABPjEeaECq32HH3IBA" association="_JQqvYBPjEeaECq32HH3IBA">
          <ownedComment xmi:id="_eEDCQBPkEeaECq32HH3IBA" annotatedElement="_JQqvYRPjEeaECq32HH3IBA">
            <body>Pointer to another organization to which this organization is somehow related.&#xD;
&quot;The organization of which this organization forms a part.&quot; - HL7 FHIR, Organization.partOf. Note that FHIM is able to handle multiple kinds of relationships between Organizations, while FHIR only handles part-of.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JQqvYhPjEeaECq32HH3IBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JQqvYxPjEeaECq32HH3IBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NtEokPnIEeSJ3abZ9RQzyQ" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_NtDacPnIEeSJ3abZ9RQzyQ">
          <ownedComment xmi:id="_UkjdwPnIEeSJ3abZ9RQzyQ" annotatedElement="_NtEokPnIEeSJ3abZ9RQzyQ">
            <body>Pointer to locations at which the Organization performs services or conducts business.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NtFPoPnIEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NtFPofnIEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iz_NoLYyEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_iz_NobYyEeGWl-7OlqBMDw" annotatedElement="_iz_NoLYyEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Organization can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc. The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&quot;A contact detail for the organization.&quot; - HL7 FHIR, Organization.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iz_No7YyEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iz_NorYyEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64575B75903D9" name="Pharmacy">
        <eAnnotations xmi:id="_MBQ6wOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MBHw3eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64575B75903D9">
          <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
Identifies a pharmacy location for the purposes of maintaining the NCPDP Id, which is needed for filing pharmacy claims.  This is equivalent to File 59 in Vista.</body>
        </ownedComment>
        <generalization xmi:id="_2GqZcDwoEeOgEtsAzr0sGA" general="_420A62FD03B64242CAB30303"/>
        <ownedAttribute xmi:id="_420A62FD03B64575B8480146" name="ncpdpId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_fhVzwBHbEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B64575B8480146">
            <body>Contains the National Council for Prescription Drug Programs (NCPDP) Id, which assigned to each dispensing location of an organization for the purposes of facilitating electronic billing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jWbR0PTrEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jWbR0fTrEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64242CAB30303" name="ServiceDeliveryLocation">
        <eAnnotations xmi:id="_L-IuReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L9_kXOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64242CAB30303">
          <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; - HL7 V3.&#xD;
&quot;Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated.&quot; - HL7 FHIR, Location&#xD;
Note that FHIR has a single class, Location, which encompasses concepts which the FHIM splits into the Location class and the ServiceDeliveryLocation class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__zk2oO6dEd-crcWiXVDZrQ" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="__zk2oe6dEd-crcWiXVDZrQ" annotatedElement="__zk2oO6dEd-crcWiXVDZrQ">
            <body>The physical location at which the Service Delivery Location is located or to which mail can be directed. Note that the ServiceDeliveryLocation class points to a physical location which also has an address. In general, it is anticipated that the Location address would be used, but this address would be used when the organizational presence at the location uses a different address. For example, the physical address may be 123 Main St, but the radiology department may be 123 Main St Suite 400, or may have a billing address at another location.&#xD;
&quot;Specifies the address of the location where the drug or treatment was administered.&quot; - HL7 Version 2.8, RXA-28&#xD;
&quot;Physical location.&quot; – HL7 FHIR,  Location.address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_62kAIPnIEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_62kAIfnIEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AvIWQOcIEeGjtvsfy1ZDDQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jR8nACVPEeO_iaEYDPvTaA" annotatedElement="_AvIWQOcIEeGjtvsfy1ZDDQ">
            <body>A categorization of the type of services that are performed at the ServiceDeliveryLocation, which are then used to characterize that ServiceDeliveryLocation, for example a Tribal 638 Provider-based Facility, a Pharmacy, or a Prison. Note that this concept is nearly identical to the serviceType property, but this property uses the CMS Place of Service code-set, while the serviceType property uses the HL7 V3 ServiceDeliveryLocation value-set (as does FHIR).&#xD;
&quot;Code identifying the place where a drug or service is dispensed or administered.&quot; - NCPDP Telecommunication (Field 307-C7, Data Dictionary 201104). Use CMS's Place of Service Codes for Professional Claims.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0IcC8Is3EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0IcqAIs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xoXWcBPkEeaECq32HH3IBA" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_45dlgBPkEeaECq32HH3IBA" annotatedElement="_xoXWcBPkEeaECq32HH3IBA">
            <body>The time period during which the Service Delivery Location record is valid.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1w1AoBPkEeaECq32HH3IBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1w1AoRPkEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lV6l0B2IEd-4VI-lpu-JjQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_lWEW0B2IEd-4VI-lpu-JjQ" annotatedElement="_lV6l0B2IEd-4VI-lpu-JjQ">
            <body>A unique string or token used to identify the Organization - Location combination.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0_bVUIs3EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0_b8YIs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lWEW0R2IEd-4VI-lpu-JjQ" name="name" visibility="public">
          <ownedComment xmi:id="_PsRO8BHPEeCBuOUrBnIXmQ" annotatedElement="_lWEW0R2IEd-4VI-lpu-JjQ">
            <body>The name of the Organization-Location.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_14rRgIs3EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_14r4kIs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7L1mQBSJEeertqFtRTH1nw" name="serviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7L1mQRSJEeertqFtRTH1nw" annotatedElement="_7L1mQBSJEeertqFtRTH1nw">
            <body>A categorization of the type of services that are performed at the ServiceDeliveryLocation, which are then used to characterize that ServiceDeliveryLocation, for example a Nephrology Clinic or an Addiction Treatment Center. Note that this concept is nearly identical to the category property, but this property uses the HL7 V3 ServiceDeliveryLocation value-set, as does FHIR, while the category property uses the CMS Place of Service code-set.&#xD;
&quot;Indicates the type of function performed at the location.&quot; - HL7 FHIR, Location.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7L1mQxSJEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7L1mQhSJEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zaTccLYuEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_zaTccbYuEeGWl-7OlqBMDw" annotatedElement="_zaTccLYuEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Service Delivery Location can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc. The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&quot;The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.&quot; – HL7 FHIR, Location.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zaTcc7YuEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zaTccrYuEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mah68R18Ed-4VI-lpu-JjQ" name="location" visibility="public" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_mah68B18Ed-4VI-lpu-JjQ">
          <ownedComment xmi:id="_JFiLgBHPEeCBuOUrBnIXmQ" annotatedElement="_mah68R18Ed-4VI-lpu-JjQ">
            <body>Pointer to the Location at which the Organization is operating.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mah68h18Ed-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mah68x18Ed-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MC3psR2HEd-4VI-lpu-JjQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_MC3psB2HEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_LqkUEBHPEeCBuOUrBnIXmQ" annotatedElement="_MC3psR2HEd-4VI-lpu-JjQ">
            <body>Pointer to the Organization operating at the Location.&#xD;
&quot;The organization responsible for the provisioning and upkeep of the location.&quot; – HL7 FHIR, Location.managingOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MC3psh2HEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MC3psx2HEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vj9gMdLKEeaqd8KJKwlLJw" name="deviceLocation" visibility="public" type="_rMro0NLIEeaqd8KJKwlLJw" association="_vj9gMNLKEeaqd8KJKwlLJw">
          <ownedComment xmi:id="_Uew9ENLhEeaB48kcgQEvbA" annotatedElement="_vj9gMdLKEeaqd8KJKwlLJw">
            <body>Pointer to a set of devices located at the Service Delivery Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vj9gMtLKEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vj9gM9LKEeaqd8KJKwlLJw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GJ5G4RSYEeertqFtRTH1nw" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_GJ5G4BSYEeertqFtRTH1nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GJ5G4hSYEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GJ5G4xSYEeertqFtRTH1nw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NefmUHS_Ed-Bj4191_mrEA" name="Jurisdiction">
        <ownedComment xmi:id="_YtbugHTAEd-Bj4191_mrEA" annotatedElement="_NefmUHS_Ed-Bj4191_mrEA">
          <body>'The territory over which authority is exercised.' - dictionary.com.  This class represents the organization that has authority over a given territory or area of endeavor.  In other words, this class represents a government or governmental agency.  The government may be a national (e.g., Canada) or territorial (e.g., Virginia).  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_49GJYXS_Ed-Bj4191_mrEA" name="id" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_49GJYnS_Ed-Bj4191_mrEA" annotatedElement="_49GJYXS_Ed-Bj4191_mrEA">
            <body>An unique string or token used to identify the jurisdiction</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GxyIEIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GxyIEYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49GJYHS_Ed-Bj4191_mrEA" name="name" visibility="public">
          <ownedComment xmi:id="_-_MOsHS_Ed-Bj4191_mrEA" annotatedElement="_49GJYHS_Ed-Bj4191_mrEA">
            <body>The name of the jurisdiction  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HZ20sIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HZ3bwIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-PDq0BsxEd--ZY2-pbJ-Pw" name="EducationalInstitution">
        <ownedComment xmi:id="_Q1noEDBAEd-1aYBV65Lrnw" annotatedElement="_-PDq0BsxEd--ZY2-pbJ-Pw">
          <body>An organization created to provide educational instruction. Specifically, a school or institution of higher learning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_H9SDoBsyEd--ZY2-pbJ-Pw" name="institutionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ezhGUDBAEd-1aYBV65Lrnw" annotatedElement="_H9SDoBsyEd--ZY2-pbJ-Pw">
            <body>Identifies the educational institution.    This would ordinarily be an string or an Id, but because there are a finite number of medical schools, they are normally represented as codes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zDRWEIy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zDRWEYy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N-8rIBsyEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_N-8rIRsyEd--ZY2-pbJ-Pw" annotatedElement="_N-8rIBsyEd--ZY2-pbJ-Pw">
            <body>The person's office address.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kZPmkMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kZPmkcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y1jzcNgWEeG3E4mt6RKX5Q" name="name" visibility="public">
          <ownedComment xmi:id="_7OjOUNLmEeaB48kcgQEvbA" annotatedElement="_y1jzcNgWEeG3E4mt6RKX5Q">
            <body>The moniker by which the Educational Institutional is known. For example, Harvard Medical School.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zfK0wIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zfLb0Is9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6KUYBsyEd--ZY2-pbJ-Pw" name="workEmail" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_o6KUYRsyEd--ZY2-pbJ-Pw" annotatedElement="_o6KUYBsyEd--ZY2-pbJ-Pw">
            <body>The email address that a person uses while at their place of business.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lhavkMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lhavkcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6KUYhsyEd--ZY2-pbJ-Pw" name="workPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_o6KUYxsyEd--ZY2-pbJ-Pw" annotatedElement="_o6KUYhsyEd--ZY2-pbJ-Pw">
            <body>The phone number for a person at their office location.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mQ0MMMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mQ0zQMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fzybMBsxEd--ZY2-pbJ-Pw" name="FormalEducation">
        <ownedComment xmi:id="_kKckMDA_Ed-1aYBV65Lrnw" annotatedElement="_fzybMBsxEd--ZY2-pbJ-Pw">
          <body>A record of the formal educational experience of an Individual Healthcare Provider. See Section 2 of the CAQH Provider Application.</body>
        </ownedComment>
        <generalization xmi:id="_j1y4EBsxEd--ZY2-pbJ-Pw" general="_NYIYMBsxEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_t_SQkBsxEd--ZY2-pbJ-Pw" name="degree" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_q3cnsDA_Ed-1aYBV65Lrnw" annotatedElement="_t_SQkBsxEd--ZY2-pbJ-Pw">
            <body>The degree or certificate earned by the provider. Examples include Bachelor of Science, Doctorate in Medicine.&#xD;
&quot;Coded representation of the qualification.&quot; - HL7 FHIR, Practitioner.qualification.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5PyisIy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5PyisYy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sQORQRsyEd--ZY2-pbJ-Pw" name="educationalInstitution" visibility="public" type="_-PDq0BsxEd--ZY2-pbJ-Pw" association="_sQORQBsyEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_slm9MDBAEd-1aYBV65Lrnw" annotatedElement="_sQORQRsyEd--ZY2-pbJ-Pw">
            <body>Pointer to the Undergraduate or Professional School which the Individual Provider attended.&#xD;
&quot;Organization that regulates and issues the qualification.&quot; - HL7 FHIR, Practitioner.qualification.issuer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQORQhsyEd--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQORQxsyEd--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aW26cBsbEd--ZY2-pbJ-Pw" name="HealthcareProvider">
        <ownedComment xmi:id="_ZNQsoDA5Ed-1aYBV65Lrnw" annotatedElement="_aW26cBsbEd--ZY2-pbJ-Pw">
          <body>A person or organization which is authorized to perform healthcare-related services.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1ryIYhsUEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_1ryIYxsUEd--ZY2-pbJ-Pw" annotatedElement="_1ryIYhsUEd--ZY2-pbJ-Pw">
            <body>The physical location at which the Healthcare Provider is located or to which mail can be directed.&#xD;
&quot;The postal address where the practitioner can be found or visited or to which mail can be delivered.&quot; - HL7 FHIR, Practitioner.address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4TCQQPnEEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4TCQQfnEEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Olj9IHynEeOHq5zPTCjDoQ" name="digitalCertificateDistinguishedName" visibility="public">
          <ownedComment xmi:id="_Olj9IXynEeOHq5zPTCjDoQ" annotatedElement="_Olj9IHynEeOHq5zPTCjDoQ">
            <body>&quot;Distinguished Name field from digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Olj9I3ynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Olj9InynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OhvNEHynEeOHq5zPTCjDoQ" name="digitalCertificateId" visibility="public">
          <ownedComment xmi:id="_OhvNEXynEeOHq5zPTCjDoQ" annotatedElement="_OhvNEHynEeOHq5zPTCjDoQ">
            <body>&quot;Serial number from the public digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OhvNE3ynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OhvNEnynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3jjxcPv0Ed-3ndaGus2qMA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_3jjxcfv0Ed-3ndaGus2qMA" annotatedElement="_3jjxcPv0Ed-3ndaGus2qMA">
            <body>Uniquely identifies the practitioner.  This property should not contain the Tax Id or the National Provider Id, as these types of Ids are called out separately.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WfLUkF7bEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WfLUkV7bEeCcBvMgXNMeOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w1ctIJegEeWqb554qzI9zg" name="isActive" visibility="public">
          <ownedComment xmi:id="_5-t-wJegEeWqb554qzI9zg" annotatedElement="_w1ctIJegEeWqb554qzI9zg">
            <body>&quot;Whether this practitioner's record is in active use.&quot; - HL7 FHIR, Practitioner.active.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6_EogJegEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6_EogZegEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1kWlICrmEeOKCrmlnw-Z_w" name="nationalProviderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_1kWlISrmEeOKCrmlnw-Z_w" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_1kWlIirmEeOKCrmlnw-Z_w" annotatedElement="_1kWlICrmEeOKCrmlnw-Z_w">
            <body>An identifier that uniquely identifies all persons and organizations who perform medical services within the United States.  This identifier is mandated by HIPAA and is maintained by CMS.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1kWlJCrmEeOKCrmlnw-Z_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1kWlIyrmEeOKCrmlnw-Z_w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563662203A6" name="providerCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h_OwkBqYEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563662203A6">
            <body>Contains a categorization for the practitioner.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8yoXUIy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8yoXUYy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Z1BEBJTEeKEjrc2hUE4_Q" name="providerRole" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_w2qI0PnFEeSJ3abZ9RQzyQ" annotatedElement="_5Z1BEBJTEeKEjrc2hUE4_Q">
            <body>&quot;The list of Roles/Organizations that the Practitioner is associated with.&quot; - HL7 FHIR, Practitioner.practitionerRole.  Note that FHIR does not identify any values for this concept.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_97CJ0Iy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_97CJ0Yy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OjeAgHo4EeOKnMBxUzvJfA" name="publicDigitalCertificate" visibility="public">
          <ownedComment xmi:id="_DEftsHynEeOHq5zPTCjDoQ" annotatedElement="_OjeAgHo4EeOKnMBxUzvJfA">
            <body>&quot;A base 64 encoded representation of the public digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NqGacHynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NqHBgHynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645636AFA022A" name="taxId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PA0JUBqZEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645636AFA022A">
            <body>An identifier assigned to the Healthcare Provider by a jurisdictional taxing authority. This id is often used for billing purposes.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ioaj4C2HEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iobK8C2HEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1roXYBsUEd--ZY2-pbJ-Pw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1roXYRsUEd--ZY2-pbJ-Pw" annotatedElement="_1roXYBsUEd--ZY2-pbJ-Pw">
            <body>Indicates how and at what address that the Healthcare Provider can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&quot;A contact detail for the practitioner, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Practitioner.telecom.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rwYA8PnEEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rwYoAPnEEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XRxMQBswEd--ZY2-pbJ-Pw" name="asLlicensedProvider" visibility="public" type="_420A62FD03B6456373C80266" association="_XRoCUBswEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_-ldKwDA8Ed-1aYBV65Lrnw" annotatedElement="_XRxMQBswEd--ZY2-pbJ-Pw">
            <body>Pointer to information about the Provider applicable to their Role of a Licensed Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XRxMQRswEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XRxMQhswEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lwAOcZONEeCRFv3DJq7yhQ" name="asMedicaidProvider" visibility="public" type="_hZzDMJONEeCRFv3DJq7yhQ" association="_lwAOcJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_qRDnwCrtEeOKCrmlnw-Z_w" annotatedElement="_lwAOcZONEeCRFv3DJq7yhQ">
            <body>Pointer to information about the Provider applicable to their Role of a Medicaid Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lwJ_cJONEeCRFv3DJq7yhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lwJ_cZONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lVOW8JONEeCRFv3DJq7yhQ" name="asMedicareProvider" visibility="public" type="_gUnj0JONEeCRFv3DJq7yhQ" association="_lUxrAJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_zF9y8CrtEeOKCrmlnw-Z_w" annotatedElement="_lVOW8JONEeCRFv3DJq7yhQ">
            <body>Pointer to information about the Provider applicable to their Role of a Medicare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lVOW8ZONEeCRFv3DJq7yhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lVOW8pONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jdSs8F0mEd-Rnfg4Du2i5g" name="providerPlanParticipation" visibility="public" type="_coTswB2ZEd-4VI-lpu-JjQ" association="_jdI78F0mEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_-8qe8O6sEd-crcWiXVDZrQ" annotatedElement="_jdSs8F0mEd-Rnfg4Du2i5g">
            <body>Represents the participation of a Healthcare Provider (either an Individual or an Organizational Provider) with a Health Plan for the purpose of providing healthcare services to members (i.e., patients) of that plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jdSs8V0mEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jdSs8l0mEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456373040353" name="specialty" visibility="public" type="_420A62FD03B6456372E7010F" isUnique="false" association="_420A62FD03B645637304017E">
          <ownedComment xmi:id="_FLcJ0Mb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456373040353">
            <body>Pointer to the medical Specialty for which the Healthcare Provider has been certified.&#xD;
&quot;Specific specialty of the practitioner.&quot; - HL7 FHIR, Practitioner.practitionerRole.specialty.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVBBxeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVBBxuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A6B760063" name="IndividualProvider">
        <eAnnotations xmi:id="_NPpZd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_izei4BqWEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A6B760063">
          <body>A person who is authorized to provide health care services in the role of practitioner, either as an individual or for a health care provider organization. The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.&#xD;
&quot;A person who is directly or indirectly involved in the provisioning of healthcare.&quot; - HL7 FHIR, Practitioner</body>
        </ownedComment>
        <generalization xmi:id="_PlDvUBscEd--ZY2-pbJ-Pw" general="_aW26cBsbEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_rGlWkPv4Ed-3ndaGus2qMA" name="mobilePhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_rGlWkfv4Ed-3ndaGus2qMA" annotatedElement="_rGlWkPv4Ed-3ndaGus2qMA">
            <body>A telecommunication device that moves and stays with its owner. Suitable for urgent matters, the mobile phone is not the first choice for routine business.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D29VsIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D29VsYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rGl9oPv4Ed-3ndaGus2qMA" name="pager" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_rGl9ofv4Ed-3ndaGus2qMA" annotatedElement="_rGl9oPv4Ed-3ndaGus2qMA">
            <body>A paging device suitable to solicit a callback or to leave a very short message.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EmLMIIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EmLMIYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456356E7020F" name="signatureBlockName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_LHE3oBqZEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456356E7020F">
            <body>Contains the name and title of the Practitioner as they wish it to be displayed with the notation that they signed the document electronically.  For example, a practitioner who routinely uses a nickname for most correspondence would likely want their legal name on the signature block.  In addition, this property would contain the title that they would use when electronically signing a document.  For example, a practitioner may hold multiple titles, but would choose one to be used for signing.  Examples of titles are Chief of Surgery, Dietician, Clinical Pharmacist, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FsFrUIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FsFrUYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456353DF00FC" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B6456353DE0213">
          <ownedComment xmi:id="_ThEpEDA9Ed-1aYBV65Lrnw" annotatedElement="_420A62FD03B6456353DF00FC">
            <body>Pointer to information about the Person who is playing the Role of Practitioner.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CU3Q0Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CU3Q0Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456374E203E2" name="asPrescribingProvider" visibility="public" type="_420A62FD03B64563749D0053" isUnique="false" association="_420A62FD03B6456374E20104">
          <ownedComment xmi:id="_5jouUMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456374E203E2">
            <body>Pointer to information about the Provider applicable to their Role of a Prescribing Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVKLnuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVKLn-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HkfkoV0nEd-Rnfg4Du2i5g" name="providerAffiliation" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_HkfkoF0nEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_yxyS8O6rEd-crcWiXVDZrQ" annotatedElement="_HkfkoV0nEd-Rnfg4Du2i5g">
            <body>Pointer to a record of the association between an Individual Healthcare Provider and an Organizational Healthcare Provider.&#xD;
&quot;The list of roles/organizations that the practitioner is associated with.&quot; - HL7 FHIR, Practitioner.practitionerRole.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hkfkol0nEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hkfko10nEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zG2nUBsxEd--ZY2-pbJ-Pw" name="providerQualification" visibility="public" type="_NYIYMBsxEd--ZY2-pbJ-Pw" association="_zGtdYBsxEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_66CzgDA9Ed-1aYBV65Lrnw" annotatedElement="_zG2nUBsxEd--ZY2-pbJ-Pw">
            <body>Pointer to the educational experience and certifications of an Individual Healthcare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zG2nURsxEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zG2nUhsxEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N1Z0gNLCEeaqd8KJKwlLJw" name="relatedProvider" visibility="public" type="_B51aYNLCEeaqd8KJKwlLJw" association="_N1Tt4NLCEeaqd8KJKwlLJw">
          <ownedComment xmi:id="_oNbt0NLmEeaB48kcgQEvbA" annotatedElement="_N1Z0gNLCEeaqd8KJKwlLJw">
            <body>Pointer to another Individual Provider to which this Individual Provider is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1Z0gdLCEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1Z0gtLCEeaqd8KJKwlLJw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456373C80266" name="LicensedProvider">
        <eAnnotations xmi:id="_NRvEJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_1-spUBqQEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456373C80266">
          <body>A practitioner who has been authorized to perform certain activities that fall under the jurisdiction of the issuer of the license.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2cIlsAJGEd-xr_JAHIdixg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6CRMcBqQEd-j8JC21F3W2A" annotatedElement="_2cIlsAJGEd-xr_JAHIdixg">
            <body>An interval of time specifying the period during which the license is in valid, if such time limit is applicable and known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KASEYIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KASEYYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7jCl8BswEd--ZY2-pbJ-Pw" name="licenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fPcmoDA7Ed-1aYBV65Lrnw" annotatedElement="_7jCl8BswEd--ZY2-pbJ-Pw">
            <body>A classification of the provider's license.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KqzBAIy2EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KqzBAYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456373F20383" name="licenseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_7xIiABqQEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456373F20383">
            <body>Identifies a certification of a practitioner to perform certain activities that fall under the jurisdiction of the issuer of the license.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LMy60Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LMy60Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L7BaEUvnEeCrON7ycdFLuQ" name="licensingJurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" association="_L7BaEEvnEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_RgHaUEvnEeCrON7ycdFLuQ" annotatedElement="_L7BaEUvnEeCrON7ycdFLuQ">
            <body>Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications  Note that a state or jurisdiction is an Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L7EdYEvnEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L7EdYUvnEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HC458BscEd--ZY2-pbJ-Pw" name="OrganizationalProvider">
        <ownedComment xmi:id="_hpLwEDA5Ed-1aYBV65Lrnw" annotatedElement="_HC458BscEd--ZY2-pbJ-Pw">
          <body>An organization which is authorized to provide health care services.</body>
        </ownedComment>
        <generalization xmi:id="_QNlH4BscEd--ZY2-pbJ-Pw" general="_aW26cBsbEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_OoImgV0nEd-Rnfg4Du2i5g" name="networkAffliliation" visibility="public" type="_YQIpgCu5Ed-mUrYY2zR9Jw" association="_OoImgF0nEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_9WWWgO6uEd-crcWiXVDZrQ" annotatedElement="_OoImgV0nEd-Rnfg4Du2i5g">
            <body>Pointer to information about the association between an Organizational Healthcare Provider and a Network. Note that Individual Providers can be associated to a Network through the Provider Affiliation super type. Organizational Providers do not have this mechanism, therefore, the association is explicit between the Organizational Provider and the Network.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OoImgl0nEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OoImg10nEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kTk44XWJEd-2SM6vxH_lvw" name="asOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_kTk44HWJEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_dYLREO6rEd-crcWiXVDZrQ" annotatedElement="_kTk44XWJEd-2SM6vxH_lvw">
            <body>Pointer to information about the Organizaton which is playing the role of Practitioner.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kTup4HWJEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kTup4XWJEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Av3ANgeEeG3E4mt6RKX5Q" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_8AmGANgeEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="__ZVfoKChEeKNT6obAX9SKQ" annotatedElement="_8Av3ANgeEeG3E4mt6RKX5Q">
            <body>A role of a person or animal as a recipient of health care services from a healthcare provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8AweENgeEeG3E4mt6RKX5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8AxFINgeEeG3E4mt6RKX5Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Uz4psF7WEeCcBvMgXNMeOQ" name="Pharmacist">
        <ownedComment xmi:id="_-QRY0Ec0EeOPSKtS95Q8Uw" annotatedElement="_Uz4psF7WEeCcBvMgXNMeOQ">
          <body>A Pharmacist is a Person who is professionally qualified to prepare and dispense medicinal drugs.  This class represents information regarding an Individual Provider playing the Role of a Pharmacist.</body>
        </ownedComment>
        <generalization xmi:id="_WZOP0F7WEeCcBvMgXNMeOQ" general="_420A62FD03B6418A6B760063"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cNfC4BsxEd--ZY2-pbJ-Pw" name="Practicum">
        <ownedComment xmi:id="_SNdPoDA-Ed-1aYBV65Lrnw" annotatedElement="_cNfC4BsxEd--ZY2-pbJ-Pw">
          <body>Practicum: &quot;A school or college course, especially one in a specialized field of study, that is designed to give students supervised practical application of previously studied theory&quot; - American Heritage Dictionary. This class represents information about the practical educational experience of an Individual Healthcare Provider, such as an internship. See Section 2 of the CAQH Provider Application.</body>
        </ownedComment>
        <generalization xmi:id="_hnYfwBsxEd--ZY2-pbJ-Pw" general="_NYIYMBsxEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_mC3MkBsxEd--ZY2-pbJ-Pw" name="practicumCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fi9bsDA_Ed-1aYBV65Lrnw" annotatedElement="_mC3MkBsxEd--ZY2-pbJ-Pw">
            <body>Categorizes the type of practical experience the Individual Healthcare Provider has undergone. Example values include Internship/Residency, Fellowship, etc.&#xD;
&quot;Coded representation of the qualification.&quot; - HL7 FHIR, Practitioner.qualification.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fPDIMIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fPM5MIy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_37URoEcjEeOPSKtS95Q8Uw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_37ROUEcjEeOPSKtS95Q8Uw">
          <ownedComment xmi:id="_Q58mgEcxEeOPSKtS95Q8Uw" annotatedElement="_37URoEcjEeOPSKtS95Q8Uw">
            <body>Pointer to the organization (usually a Hospital organization) where the clinician has trained.&#xD;
&quot;Organization that regulates and issues the qualification.&quot; - HL7 FHIR, Practitioner.qualification.issuer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_37WG0EcjEeOPSKtS95Q8Uw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_37Wt4EcjEeOPSKtS95Q8Uw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64563749D0053" name="PrescibingProvider">
        <eAnnotations xmi:id="_NRvEKOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_zMrzUMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B64563749D0053">
          <body>Contains information specific to practitioners who are licensed to prescribe medications, especially controlled substances.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64563738E00AD" name="controlledSubstanceLicenseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MFt_QBqbEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563738E00AD">
            <body>Identifies the license under which the practitioner is authorized to prescribe controlled medications.&#xD;
&quot;Identifies the provider's controlled substance number, if required, by site.&quot; - HL7 Version 2.8, RXO-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gFGmcIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gFGmcYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tu56MEQNEd-Hn5Pu2BVNlA" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_tu56MUQNEd-Hn5Pu2BVNlA" annotatedElement="_tu56MEQNEd-Hn5Pu2BVNlA">
            <body>An interval of time specifying the period during which the practitioner is authorized to prescribe medications under the associated DEA Id, if such time limit is applicable and known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hEVO0Iy2EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hEVO0Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LLKj4EQOEd-Hn5Pu2BVNlA" name="licenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LLKj4UQOEd-Hn5Pu2BVNlA" annotatedElement="_LLKj4EQOEd-Hn5Pu2BVNlA">
            <body>A classification of the provider's license.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hrQE4Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hrQE4Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456374DC0190" name="licensingJurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" isUnique="false" association="_420A62FD03B6456374DB027A">
          <ownedComment xmi:id="_8s6CMBqaEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456374DC0190">
            <body>Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications  Note that a state or jurisdiction is an Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVKLmeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVKLmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NYIYMBsxEd--ZY2-pbJ-Pw" name="ProviderQualification">
        <ownedComment xmi:id="_8xEmkDA9Ed-1aYBV65Lrnw" annotatedElement="_NYIYMBsxEd--ZY2-pbJ-Pw">
          <body>A record of the educational experience of, or certifications obtained by an Individual Healthcare Provider. This includes both formal training resulting in some sort of degree or certification, as well as practical experience such as an internship. See Section 2 of the CAQH Provider Application.&#xD;
Qualification: 1) a quality or accomplishment that makes someone suitable for a particular job or activity; 2) an official record of achievement awarded on the successful completion of a course of training or passing of an exam - Dictionary.com&#xD;
&quot;Qualifications obtained by training and certification.&quot; - HL7 FHIR, Practitioner.qualification</body>
        </ownedComment>
        <ownedAttribute xmi:id="_CSavQDA-Ed-1aYBV65Lrnw" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_CSavQTA-Ed-1aYBV65Lrnw" annotatedElement="_CSavQDA-Ed-1aYBV65Lrnw">
            <body>Contains the dates (start and end) during which the provider's education took place. For certifications, this is the date that the certification was issued.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s9a8sIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s9a8sYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b6RqMA_bEee_pMnA6wvovQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_o5bBMA_bEee_pMnA6wvovQ" annotatedElement="_b6RqMA_bEee_pMnA6wvovQ">
            <body>&quot;An identifier that applies to this person's qualification in this role.&quot; - HL7 FHIR, Practitioner.qualification.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gNKbsA_bEee_pMnA6wvovQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gNUMsA_bEee_pMnA6wvovQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k9oSUA_hEee_pMnA6wvovQ" name="validityPeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_k9oSUQ_hEee_pMnA6wvovQ" annotatedElement="_k9oSUA_hEee_pMnA6wvovQ">
            <body>Date range during which the record of the Provider's qualifications is deemed to be valid. This optional property is included for compatibility with FHIR.&#xD;
&quot;Period during which the qualification is valid.&quot; - HL7 FHIR, Practitioner.qualification.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k9oSUw_hEee_pMnA6wvovQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k9oSUg_hEee_pMnA6wvovQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456372E7010F" name="Specialty">
        <eAnnotations xmi:id="_NRlTLuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_9RsmYMb0Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456372E7010F">
          <body>A specialty in medicine is a branch of medical science. After completing medical school, physicians or surgeons usually further their medical education in a specific specialty of medicine by completing a multiple year residency. Medical practitioners who engage in a medical specialty are known as medical specialists.    Specialists may be Board Eligible or Board Certified.  Board certified in medicine means a physician has taken and passed a medical specialty examination.  Board eligible, by contrast, means that a physician has completed the requirements for admission to a medical specialty board examination but has not taken and passed the examination.  For example, a physician must perform 3 years of training in an approved pediatric residency to be board eligible and then successfully complete a comprehensive written examination to be certified by the American Board of Pediatrics.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6456372F60239" name="specialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DRsZ8Mb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456372F60239">
            <body>A code identifying the branch of medical science in which the provider has chosen to specialize.  This code should be from the National Uniform Claims Committee (NUCC) codeset.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0ULu4Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0ULu4Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sQORQBsyEd--ZY2-pbJ-Pw" name="providerEducation_educationalInstitution" memberEnd="_sQORQRsyEd--ZY2-pbJ-Pw _sQORRBsyEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_sQORRBsyEd--ZY2-pbJ-Pw" name="" visibility="public" type="_fzybMBsxEd--ZY2-pbJ-Pw" association="_sQORQBsyEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456374DB027A" name="prescibingProvider_licensingJurisdiction" memberEnd="_420A62FD03B6456374DC0190 _420A62FD03B6456374DC01A1">
        <ownedEnd xmi:id="_420A62FD03B6456374DC01A1" name="" visibility="public" type="_420A62FD03B64563749D0053" isUnique="false" association="_420A62FD03B6456374DB027A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kTk44HWJEd-2SM6vxH_lvw" name="organization_organizationalProvider" memberEnd="_kTk44XWJEd-2SM6vxH_lvw _kTup4nWJEd-2SM6vxH_lvw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_OoImgF0nEd-Rnfg4Du2i5g" name="organizationalProvider_networkAffiliation" memberEnd="_OoImgV0nEd-Rnfg4Du2i5g _OoImhF0nEd-Rnfg4Du2i5g">
        <ownedEnd xmi:id="_OoImhF0nEd-Rnfg4Du2i5g" name="" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_OoImgF0nEd-Rnfg4Du2i5g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_L7BaEEvnEeCrON7ycdFLuQ" name="licensedProvider_licensingJurisdiction" memberEnd="_L7BaEUvnEeCrON7ycdFLuQ _L7EdYkvnEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_L7EdYkvnEeCrON7ycdFLuQ" name="" visibility="public" type="_420A62FD03B6456373C80266" association="_L7BaEEvnEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L7HgsEvnEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L7HgsUvnEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HkfkoF0nEd-Rnfg4Du2i5g" name="individualProvider_providerAffiliation" memberEnd="_HkfkoV0nEd-Rnfg4Du2i5g _HkfkpF0nEd-Rnfg4Du2i5g">
        <ownedEnd xmi:id="_HkfkpF0nEd-Rnfg4Du2i5g" name="" visibility="public" type="_420A62FD03B6418A6B760063" association="_HkfkoF0nEd-Rnfg4Du2i5g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zGtdYBsxEd--ZY2-pbJ-Pw" name="individualProvider_providerQualification" memberEnd="_zG2nUBsxEd--ZY2-pbJ-Pw _zG2nUxsxEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_zG2nUxsxEd--ZY2-pbJ-Pw" name="" visibility="public" type="_420A62FD03B6418A6B760063" association="_zGtdYBsxEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456374E20104" name="individualProvider_asPrescribingPractitioner" memberEnd="_420A62FD03B6456374E203E2 _420A62FD03B6456374E203E4">
        <ownedComment xmi:id="_323DcMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456374E20104">
          <body>This contains the state DEAID for the prescribing medical practitioner.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6456374E203E4" name="" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6456374E20104"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XRoCUBswEd--ZY2-pbJ-Pw" name="healthcareProvider_licensedProvider" memberEnd="_XRxMQBswEd--ZY2-pbJ-Pw _XRxMQxswEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_XRxMQxswEd--ZY2-pbJ-Pw" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_XRoCUBswEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645637304017E" name="healthcareProvider_specialty" memberEnd="_420A62FD03B6456373040353 _420A62FD03B6456373040363">
        <ownedComment xmi:id="_EaRLkMb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B645637304017E">
          <body>This contains the code set that identifies the specialty of the Practicing Practitioner.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6456373040363" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" isUnique="false" association="_420A62FD03B645637304017E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MC3psB2HEd-4VI-lpu-JjQ" name="organizationLocation_organization" memberEnd="_MC3psR2HEd-4VI-lpu-JjQ _MDBasB2HEd-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_MDBasB2HEd-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64242CAB30303" association="_MC3psB2HEd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mah68B18Ed-4VI-lpu-JjQ" name="organizationLocation_location" memberEnd="_mah68R18Ed-4VI-lpu-JjQ _mah69B18Ed-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_mah69B18Ed-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64242CAB30303" association="_mah68B18Ed-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_gUnj0JONEeCRFv3DJq7yhQ" name="MedicareProvider">
        <ownedComment xmi:id="_uPHG0CrvEeOKCrmlnw-Z_w" annotatedElement="_gUnj0JONEeCRFv3DJq7yhQ">
          <body>Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees access to health insurance for Americans aged 65 and older and younger people with disabilities or certain chronic diseases.  This class represents identifying information about a provider who is participating in the Medicre Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5maigpaeEeCWW4VssVugdQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_5maig5aeEeCWW4VssVugdQ" annotatedElement="_5maigpaeEeCWW4VssVugdQ">
            <body>An interval of time specifying the period during which the Medicare enrollment is in effect, if such time limit is applicable and known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S1vCIIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S1vCIYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5maigJaeEeCWW4VssVugdQ" name="medicareId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_5maigZaeEeCWW4VssVugdQ" annotatedElement="_5maigJaeEeCWW4VssVugdQ">
            <body>An identifier, assigned by the Centers for Medicare and Medicaid Services (CMS), to identify the Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TVPBkIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TVPBkYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hZzDMJONEeCRFv3DJq7yhQ" name="MedicaidProvider">
        <ownedComment xmi:id="__5kL0CruEeOKCrmlnw-Z_w" annotatedElement="_hZzDMJONEeCRFv3DJq7yhQ">
          <body>Medicaid is the a health program for families and individuals with low income and resources. It is a means-tested program that is jointly funded by the state and federal governments and managed by the states, with each state having leeway to determine who is eligible for its implementation of the program. This class represents identifying information about a provider who is participating in the Medicaid Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_mnFKsJaeEeCWW4VssVugdQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_mnFKsZaeEeCWW4VssVugdQ" annotatedElement="_mnFKsJaeEeCWW4VssVugdQ">
            <body>An interval of time specifying the period during which the Medicaid enrollment is in effect, if such time limit is applicable and known.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OWOw8Iy2EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OWOw8Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EgDJUJOQEeCRFv3DJq7yhQ" name="medicaidId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_yPjCoJaeEeCWW4VssVugdQ" annotatedElement="_EgDJUJOQEeCRFv3DJq7yhQ">
            <body>An identifier, assigned by the State Medicaid office, to identify the Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O93_wIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O93_wYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qTwGcZONEeCRFv3DJq7yhQ" name="state" visibility="public" type="_ozMSoJONEeCRFv3DJq7yhQ" association="_qTwGcJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_RzYX8CrtEeOKCrmlnw-Z_w" annotatedElement="_qTwGcZONEeCRFv3DJq7yhQ">
            <body>Pointer to the State or Territory which operates the Medicaid program under which the Provider may treat patients and bill for their services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qTwGcpONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qTwGc5ONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lUxrAJONEeCRFv3DJq7yhQ" name="healthcareProvider_asMedicareProvider" memberEnd="_lVOW8JONEeCRFv3DJq7yhQ _lVrC4JONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_lVrC4JONEeCRFv3DJq7yhQ" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_lUxrAJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lVrC4ZONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lVrC4pONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lwAOcJONEeCRFv3DJq7yhQ" name="healthcareProvider_asMedicaidProvider" memberEnd="_lwAOcZONEeCRFv3DJq7yhQ _lwJ_cpONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_lwJ_cpONEeCRFv3DJq7yhQ" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_lwAOcJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lwJ_c5ONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lwJ_dJONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ozMSoJONEeCRFv3DJq7yhQ" name="State">
        <ownedComment xmi:id="_OOxowCrtEeOKCrmlnw-Z_w" annotatedElement="_ozMSoJONEeCRFv3DJq7yhQ">
          <body>This class represents a State or Territory of the United States.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TDc2cJYDEeCD7vwmJe8BlA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DuLJwJasEeCWW4VssVugdQ" annotatedElement="_TDc2cJYDEeCD7vwmJe8BlA">
            <body>Identifies a State or Territory of the United States.  This would ordinarily be an Id, but because there are a finite number of States, States are normally represented as Codes.  The codes defined by the US Postal Service's Publication 28 should be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GXZwIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GXZwYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qTwGcJONEeCRFv3DJq7yhQ" name="medicaidProvider_state" memberEnd="_qTwGcZONEeCRFv3DJq7yhQ _qTwGdJONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_qTwGdJONEeCRFv3DJq7yhQ" name="" visibility="public" type="_hZzDMJONEeCRFv3DJq7yhQ" association="_qTwGcJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qTwGdZONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qTwGdpONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jdI78F0mEd-Rnfg4Du2i5g" name="healthcareProvider_providerPlanParticipation" memberEnd="_jdI78V0mEd-Rnfg4Du2i5g _jdSs8F0mEd-Rnfg4Du2i5g"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_e7qPcB2ZEd-4VI-lpu-JjQ" name="providerPlanParticipation_healthPlan" memberEnd="_e7qPcR2ZEd-4VI-lpu-JjQ _e7qPdB2ZEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_849AgCu5Ed-mUrYY2zR9Jw" name="network_planNetworkAffliliation" memberEnd="_849AgSu5Ed-mUrYY2zR9Jw _849AhCu5Ed-mUrYY2zR9Jw"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_zory4LGdEeGkU9GcFSzOCA" name="PublicHealthJurisdiction">
        <ownedComment xmi:id="_Jf8lICzkEeKLfdgQhBZO1Q" annotatedElement="_zory4LGdEeGkU9GcFSzOCA">
          <body>Jurisdiction: &quot;a) power; authority; control; b) the territory over which authority is exercised&quot; - Dictionary.com&#xD;
&#xD;
This class represents an organization that is responsible for Public Health either at the local, state, or national level.  This organization has, among other powers, the authority to compel the reporting of medical information by healthcare providers within its territory.&#xD;
&#xD;
</body>
        </ownedComment>
        <generalization xmi:id="_1Md50LGdEeGkU9GcFSzOCA" general="_NefmUHS_Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7TKL4LYqEeGWl-7OlqBMDw" name="PointOfContact">
        <eAnnotations xmi:id="_7TKL4bYqEeGWl-7OlqBMDw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_7TKL4rYqEeGWl-7OlqBMDw" annotatedElement="_7TKL4LYqEeGWl-7OlqBMDw">
          <body>This class identifies a person who works for or represents an organization and who may be contacted under specified circumstances.  This class is very similar to the ContactParty in Person Demographics, the diffence being that this class is used to identify a contact person for an oganization, while the ContactParty class is used to indentify a contact person (who may be a relative) for a patient.&#xD;
&#xD;
Note that because all we need is the person's name and contact information (address, phone numbers), this class does not have an association to the Person class (although logically it should).  This is because the other properties of Person, such as sex and date of birth, are irrelevant to the usage.  The HL7 Role class allows for names and addresses on the Role, which technically should be only those names or addresses as the relate to the role (i.e., as they differ from those in Person class), but since these are available for use, we are utilizing them in this manner, even though it is somewhat irregular.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7TKMBrYqEeGWl-7OlqBMDw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_7TKMB7YqEeGWl-7OlqBMDw" annotatedElement="_7TKMBrYqEeGWl-7OlqBMDw">
            <body>The physical location at which the Point of Contact is located or to which mail can be directed.&#xD;
&quot;Visiting or postal addresses for the contact.&quot; - HL7 FHIR, Organization.contact.address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKMCbYqEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKMCLYqEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL57YqEeGWl-7OlqBMDw" name="contactCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7TKL6LYqEeGWl-7OlqBMDw" annotatedElement="_7TKL57YqEeGWl-7OlqBMDw">
            <body>Indicates the circumstances under which or the purposes for which this Person acts as the role of Contact Party for the owning Organization class.&#xD;
&quot;Indicates a purpose for which the contact can be reached.&quot; - HL7 FHIR, Organization.contact.purpose</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKL6rYqEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKL6bYqEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL67YqEeGWl-7OlqBMDw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_7TKL7LYqEeGWl-7OlqBMDw" annotatedElement="_7TKL67YqEeGWl-7OlqBMDw">
            <body>The date range during which this person is a contact party for the organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_b7bbUIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_b7bbUYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL77YqEeGWl-7OlqBMDw" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_7TKL8LYqEeGWl-7OlqBMDw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_7TKL8bYqEeGWl-7OlqBMDw" annotatedElement="_7TKL77YqEeGWl-7OlqBMDw">
            <body>The name by which a person is known or legally identified such as the name on a driver's license or passport. Note that the datatype for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.&#xD;
&quot;A name associated with the contact.&quot; - HL7 FHIR, Organization.contact.name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKL87YqEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKL8rYqEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jvCvYLYsEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_jvCvYbYsEeGWl-7OlqBMDw" annotatedElement="_jvCvYLYsEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Point of Contact can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc. The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&quot;A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.&quot; - HL7 FHIR, Organization.contact.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jvCvY7YsEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jvCvYrYsEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SM3pcRP8Eee2yObkTlcn4g" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_SM3pcBP8Eee2yObkTlcn4g">
          <ownedComment xmi:id="_Zo254BP8Eee2yObkTlcn4g" annotatedElement="_SM3pcRP8Eee2yObkTlcn4g">
            <body>&quot;Technical endpoints providing access to services operated for the organization.&quot; - HL7 FHIR, Organization.endpoint</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SM3pchP8Eee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SM3pcxP8Eee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_snMb0LYsEeGWl-7OlqBMDw" name="organization_pointOfContact" memberEnd="_snQtQLYsEeGWl-7OlqBMDw _snWM0LYsEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_snWM0LYsEeGWl-7OlqBMDw" name="" visibility="public" type="_420A62FD03B6418AA15801A9" association="_snMb0LYsEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WdaiIEC6EeO2aaQpQxRerg" name="planNetworkAffliliation_healthPlan" memberEnd="_WdbwQEC6EeO2aaQpQxRerg _Wdc-YEC6EeO2aaQpQxRerg"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_37ROUEcjEeOPSKtS95Q8Uw" name="practicum_organizationalProvider" memberEnd="_37URoEcjEeOPSKtS95Q8Uw _37XU8EcjEeOPSKtS95Q8Uw">
        <ownedEnd xmi:id="_37XU8EcjEeOPSKtS95Q8Uw" name="" visibility="public" type="_cNfC4BsxEd--ZY2-pbJ-Pw" association="_37ROUEcjEeOPSKtS95Q8Uw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_G3o9QHo4EeOKnMBxUzvJfA" name="ElectronicServiceEndpoint">
        <ownedComment xmi:id="_X1fWkHyKEeOHq5zPTCjDoQ" annotatedElement="_G3o9QHo4EeOKnMBxUzvJfA">
          <body>Describes the location and the capabilties of an electronic system with which communications can be established for the purposes of exchanging clinical or administrative data. This class is an amalgam of data elements identified by the ONC S&amp;I Initiatives and by FHIR.&#xD;
&#xD;
&quot;This class captures information on a unique electronic service. It is defined to support information interchange requirements that are focused on exchanging or querying for specific information on an electronic address.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
Electronic Service Information = &quot;All information reasonably necessary to define an electronic destination’s ability to receive and consume a specific type of information (e.g. discharge summary, patient summary, laboratory report, query for patient/provider/healthcare data). The information should include the type of information (e.g. patient summary or query) the destination’s Electronic Address, the Messaging Framework supported (e.g. SMTP, HTTP/SOAP), Security information supported or required (e.g. digital certificate) and specific payload definitions (e.g. CCD C32 V2.5). In addition, this information may include labels which help identify the type of recipient (e.g. medical records department).&quot; - ONC S&amp;I Query for Electronic Service Information Including Electronic Address Use Case Initiative Glossary.&#xD;
&#xD;
&quot;The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.&quot; - HL7 FHIR, Endpoint</body>
        </ownedComment>
        <ownedAttribute xmi:id="_PmHIEHyPEeOHq5zPTCjDoQ" name="address" visibility="public">
          <ownedComment xmi:id="_PmHIEXyPEeOHq5zPTCjDoQ" annotatedElement="_PmHIEHyPEeOHq5zPTCjDoQ">
            <body>&quot;The address of the Electronic Service&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
&quot;The uri that describes the actual end-point to connect to.&quot; - HL7 FHIR, Endpoint.address</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0lQGMIy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0lQtQIy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ifOGoBAXEeewyID-8Rev-g" name="connectionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ifOGoRAXEeewyID-8Rev-g" annotatedElement="_ifOGoBAXEeewyID-8Rev-g">
            <body>&quot;A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).&quot; - HL7 FHIR, Endpoint.connectionType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ifOGoxAXEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ifOGohAXEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ccUBoBAaEeewyID-8Rev-g" name="contact" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_q2B5MBAaEeewyID-8Rev-g" annotatedElement="_ccUBoBAaEeewyID-8Rev-g">
            <body>&quot;Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.&quot; - HL7 FHIR, Endpoint.contact</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iOZ8EBAaEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iOZ8ERAaEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XFMocBAZEeewyID-8Rev-g" name="header" visibility="public">
          <ownedComment xmi:id="_XFMocRAZEeewyID-8Rev-g" annotatedElement="_XFMocBAZEeewyID-8Rev-g">
            <body>&quot;Additional headers / information to send as part of the notification.&quot; - HL7 FHIR, Endpoint.header</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XFMocxAZEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XFMochAZEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nSLuEHyKEeOHq5zPTCjDoQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s0FQYHyKEeOHq5zPTCjDoQ" annotatedElement="_nSLuEHyKEeOHq5zPTCjDoQ">
            <body>&quot;An identifier assigned by the provider directory whose purpose is to uniquely identify a unique ESI for an individual, organization, individual-organization relationship.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
&quot;Identifier for the organization that is used to identify the endpoint across multiple disparate systems.&quot; - HL7 FHIR, Endpoint.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1QuFEIy1EeaPWbBiMJSPyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1QuFEYy1EeaPWbBiMJSPyg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Z-roHyKEeOHq5zPTCjDoQ" name="integrationProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Kqp3gHyLEeOHq5zPTCjDoQ" annotatedElement="_9Z-roHyKEeOHq5zPTCjDoQ">
            <body>&quot;Identifies the integration profile which describes the transport and valid contents&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1ylcAIy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1ylcAYy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A5050HyPEeOHq5zPTCjDoQ" name="integrationProfileOptions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K1qQ0HyPEeOHq5zPTCjDoQ" annotatedElement="_A5050HyPEeOHq5zPTCjDoQ">
            <body>&quot;Options defined for the specific Integration Profile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2Wah0Iy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2Wah0Yy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__m4yoHyLEeOHq5zPTCjDoQ" name="integrationProfileVersion" visibility="public">
          <ownedComment xmi:id="_Sy5CkHyOEeOHq5zPTCjDoQ" annotatedElement="__m4yoHyLEeOHq5zPTCjDoQ">
            <body>&quot;The version(s) of the integration profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_23-90Iy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_23-90Yy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Loei8RAYEeewyID-8Rev-g" name="managingOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_Loei8BAYEeewyID-8Rev-g">
          <ownedComment xmi:id="_WZAGQBAYEeewyID-8Rev-g" annotatedElement="_Loei8RAYEeewyID-8Rev-g">
            <body>&quot;The organization that manages this endpoint (even if technically another organisation is hosting this in the cloud, it is the organisation associated with the data).&quot; - HL7 FHIR, Endpoint.managingOrganization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Loei8hAYEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Loei8xAYEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v-a2sBAXEeewyID-8Rev-g" name="name" visibility="public">
          <ownedComment xmi:id="_v-a2sRAXEeewyID-8Rev-g" annotatedElement="_v-a2sBAXEeewyID-8Rev-g">
            <body>A moniker which identifies this endpoint, suitable for display to human users.&#xD;
&quot;A friendly name that this endpoint can be referred to with.&quot; - HL7 FHIR, Endpoint.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v-a2sxAXEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v-a2shAXEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zpTXkBAYEeewyID-8Rev-g" name="payloadMimeType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zpTXkRAYEeewyID-8Rev-g" annotatedElement="_zpTXkBAYEeewyID-8Rev-g">
            <body>&quot;The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).&quot; - HL7 FHIR, Endpoint.payloadMimeType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zpTXkxAYEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zpTXkhAYEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zmFEcBAYEeewyID-8Rev-g" name="payloadType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zmFEcRAYEeewyID-8Rev-g" annotatedElement="_zmFEcBAYEeewyID-8Rev-g">
            <body>&quot;The payload type describes the acceptable content that can be communicated on the endpoint.&quot; - HL7 FHIR, Endpoint.payloadType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zmFEcxAYEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zmFEchAYEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k8vcgBAYEeewyID-8Rev-g" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_k8vcgRAYEeewyID-8Rev-g" annotatedElement="_k8vcgBAYEeewyID-8Rev-g">
            <body>&quot;The interval during which the endpoint is expected to be operational.&quot; - HL7 FHIR, Endpoint.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k8vcgxAYEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k8vcghAYEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z3vv8HyPEeOHq5zPTCjDoQ" name="preferredMethod" visibility="public">
          <ownedComment xmi:id="_Z3vv8XyPEeOHq5zPTCjDoQ" annotatedElement="_Z3vv8HyPEeOHq5zPTCjDoQ">
            <body>&quot;Integer between 0 and 99 indicating the preferred order of the service, where 0 is the most preferred service and 99 is the least preferred&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3ZP30Iy1EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3ZP30Yy1EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wfIXEHyQEeOHq5zPTCjDoQ" name="providerDirectoryContentProfile" visibility="public" type="_-s3dkHyPEeOHq5zPTCjDoQ" association="_wfF60HyQEeOHq5zPTCjDoQ">
          <ownedComment xmi:id="_C9f6YHySEeOHq5zPTCjDoQ" annotatedElement="_wfIXEHyQEeOHq5zPTCjDoQ">
            <body>Pointer to Content Profile(s) supported by the electronic health record destination. A content profile may be necessary to support those services which demand a content wrapper.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wfI-IHyQEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wfJlMHyQEeOHq5zPTCjDoQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Uw9xcHyREeOHq5zPTCjDoQ" name="providerDirectorySecurityProfile" visibility="public" type="_MBjKQHyREeOHq5zPTCjDoQ" association="_Uw9KYHyREeOHq5zPTCjDoQ">
          <ownedComment xmi:id="_HsCtIHySEeOHq5zPTCjDoQ" annotatedElement="_Uw9xcHyREeOHq5zPTCjDoQ">
            <body>&quot;Pointer to Security Profile(s) supported by the service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Uw-_kHyREeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Uw-_kXyREeOHq5zPTCjDoQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ON2fMBAXEeewyID-8Rev-g" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ON2fMRAXEeewyID-8Rev-g" annotatedElement="_ON2fMBAXEeewyID-8Rev-g">
            <body>&quot;active | suspended | error | off | test.&quot; - HL7 FHIR, Endpoint.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ON2fMxAXEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ON2fMhAXEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J02VQHo4EeOKnMBxUzvJfA" name="providerRole_endPoint" memberEnd="_J04xgHo4EeOKnMBxUzvJfA _J07NwHo4EeOKnMBxUzvJfA">
        <ownedEnd xmi:id="_J07NwHo4EeOKnMBxUzvJfA" name="" visibility="public" type="_HU21oA_sEeec1rk7YVReNA" association="_J02VQHo4EeOKnMBxUzvJfA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-s3dkHyPEeOHq5zPTCjDoQ" name="ProviderDirectoryContentProfile">
        <ownedComment xmi:id="_JAUqYHyQEeOHq5zPTCjDoQ" annotatedElement="_-s3dkHyPEeOHq5zPTCjDoQ">
          <body>&quot;Identifies the content profile supported by the electronic health record destination. A content profile may be necessary to support those services which demand a content wrapper.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MgsZ0HyQEeOHq5zPTCjDoQ" name="contentProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_V_X6wHyQEeOHq5zPTCjDoQ" annotatedElement="_MgsZ0HyQEeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, the content profile supported by the service.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o5z9UIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o5z9UYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eOmmAHyQEeOHq5zPTCjDoQ" name="contentProfileConstraints" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eOmmAXyQEeOHq5zPTCjDoQ" annotatedElement="_eOmmAHyQEeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, additional constraints on this ContentProfile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_piWkAIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_piWkAYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eLBGgHyQEeOHq5zPTCjDoQ" name="contentProfileVersion" visibility="public">
          <ownedComment xmi:id="_eLBGgXyQEeOHq5zPTCjDoQ" annotatedElement="_eLBGgHyQEeOHq5zPTCjDoQ">
            <body>&quot;The version(s) of the content profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qGMQ4Iy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qGMQ4Yy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wfF60HyQEeOHq5zPTCjDoQ" name="electronicServiceInformation_providerDirectoryContentProfile" memberEnd="_wfIXEHyQEeOHq5zPTCjDoQ _wfKMQHyQEeOHq5zPTCjDoQ">
        <ownedEnd xmi:id="_wfKMQHyQEeOHq5zPTCjDoQ" name="" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_wfF60HyQEeOHq5zPTCjDoQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MBjKQHyREeOHq5zPTCjDoQ" name="ProviderDirectorySecurityProfile">
        <ownedComment xmi:id="_MBjKQXyREeOHq5zPTCjDoQ" annotatedElement="_MBjKQHyREeOHq5zPTCjDoQ">
          <body>&quot;Identifies the security profile supported by the service. This object is used directly in conjunction with the Electronic Service Information object&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MBjKQnyREeOHq5zPTCjDoQ" name="securityProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBjKQ3yREeOHq5zPTCjDoQ" annotatedElement="_MBjKQnyREeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, the security profile supported by the service.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rBrBsIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rBrBsYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MBjKRHyREeOHq5zPTCjDoQ" name="securityProfileConstraints" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBjKRXyREeOHq5zPTCjDoQ" annotatedElement="_MBjKRHyREeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, constraints supported by this SecurityProfile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rp5fUIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rp5fUYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MBjKRnyREeOHq5zPTCjDoQ" name="securityProfileVersion" visibility="public">
          <ownedComment xmi:id="_MBjKR3yREeOHq5zPTCjDoQ" annotatedElement="_MBjKRnyREeOHq5zPTCjDoQ">
            <body>&quot;Version(s) of the security profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sMIpsIy2EeaPWbBiMJSPyg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sMIpsYy2EeaPWbBiMJSPyg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uw9KYHyREeOHq5zPTCjDoQ" name="electronicServiceInformation_providerDirectorySecurityProfile" memberEnd="_Uw9xcHyREeOHq5zPTCjDoQ _Uw_moHyREeOHq5zPTCjDoQ">
        <ownedEnd xmi:id="_Uw_moHyREeOHq5zPTCjDoQ" name="" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_Uw9KYHyREeOHq5zPTCjDoQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WEuk4KSdEeOi7v-AgUwKMQ" name="providerAffiliation_organizationalProvider" memberEnd="_WEvzAKSdEeOi7v-AgUwKMQ _WEy2UKSdEeOi7v-AgUwKMQ">
        <ownedEnd xmi:id="_WEy2UKSdEeOi7v-AgUwKMQ" name="" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_WEuk4KSdEeOi7v-AgUwKMQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NtDacPnIEeSJ3abZ9RQzyQ" name="organization_serviceDeliveryLocation" memberEnd="_NtEokPnIEeSJ3abZ9RQzyQ _NtGdwPnIEeSJ3abZ9RQzyQ">
        <ownedEnd xmi:id="_NtGdwPnIEeSJ3abZ9RQzyQ" name="" visibility="public" type="_420A62FD03B6418AA15801A9" association="_NtDacPnIEeSJ3abZ9RQzyQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Hx2oABPjEeaECq32HH3IBA" name="RelatedOrganization">
        <ownedComment xmi:id="_-GT6UBPjEeaECq32HH3IBA" annotatedElement="_Hx2oABPjEeaECq32HH3IBA">
          <body>This class is used to relate two parts of an organization to each other. While this mechanism could conceivably be used to construct an entire organization chart, it is intended to be used by clinical information that needs to understand the relationship between organizational entities involved in clinical care.For example, events occurring at a location may need to be rolled up to a regional level, or an embedded laboratory may share tax ids and national provider ids with the host hospital.&#xD;
Note that this construct is meant to be traversable in either direction. For example, a parent organization could point to its sub-organization(s). Conversely, a sub-organization could point to its parent organization.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_J3eQsBPjEeaECq32HH3IBA" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_J3dpoBPjEeaECq32HH3IBA">
          <ownedComment xmi:id="_i119UBPkEeaECq32HH3IBA" annotatedElement="_J3eQsBPjEeaECq32HH3IBA">
            <body>Pointer to the organization to which the owning organization is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J3eQsRPjEeaECq32HH3IBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J3e3wBPjEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NpLAsBPjEeaECq32HH3IBA" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Ea42wBPkEeaECq32HH3IBA" annotatedElement="_NpLAsBPjEeaECq32HH3IBA">
            <body>The time period during which the two organizations were related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F0HTgBPkEeaECq32HH3IBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F0HTgRPkEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WFrS8BPjEeaECq32HH3IBA" name="relatedOrganizationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WFrS8RPjEeaECq32HH3IBA" annotatedElement="_WFrS8BPjEeaECq32HH3IBA">
            <body>This property indicates how the &quot;owning&quot; and &quot;target&quot; Organization records are related to each other. Possible examples include: Parent, Child, has Component, is Component of, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GzqE8BPkEeaECq32HH3IBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GzqE8RPkEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JQqvYBPjEeaECq32HH3IBA" name="organization_relatedOrganization" memberEnd="_JQqvYRPjEeaECq32HH3IBA _JQqvZBPjEeaECq32HH3IBA">
        <ownedEnd xmi:id="_JQqvZBPjEeaECq32HH3IBA" name="" visibility="private" type="_420A62FD03B6418AA15801A9" association="_JQqvYBPjEeaECq32HH3IBA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J3dpoBPjEeaECq32HH3IBA" name="relatedOrganization_organization" memberEnd="_J3eQsBPjEeaECq32HH3IBA _J3e3wRPjEeaECq32HH3IBA">
        <ownedEnd xmi:id="_J3e3wRPjEeaECq32HH3IBA" name="" visibility="private" type="_Hx2oABPjEeaECq32HH3IBA" association="_J3dpoBPjEeaECq32HH3IBA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_B51aYNLCEeaqd8KJKwlLJw" name="IndividualProviderRelationship">
        <ownedComment xmi:id="_RJa4ENLEEeaqd8KJKwlLJw" annotatedElement="_B51aYNLCEeaqd8KJKwlLJw">
          <body>This class relates two Individual Providers to each other. Examples include relating a physician to their medical director, a &quot;covering clinician' to the primary physician (i.e., a covering clinician may create orders on behalf of the primary physician during the primary physician's absence), etc. This class contains a type code which describes the relationship between the two clinicians, and a date range during which the relationship is valid.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SIezQdLCEeaqd8KJKwlLJw" name="individualProvider" visibility="public" type="_420A62FD03B6418A6B760063" association="_SIezQNLCEeaqd8KJKwlLJw">
          <ownedComment xmi:id="_ukYBwNLmEeaB48kcgQEvbA" annotatedElement="_SIezQdLCEeaqd8KJKwlLJw">
            <body>Pointer to the Individual Provider to which the &quot;originating&quot; Individual Provider is related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SIezQtLCEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SIezQ9LCEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y7SFgNLDEeaqd8KJKwlLJw" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_y7SFgdLDEeaqd8KJKwlLJw" annotatedElement="_y7SFgNLDEeaqd8KJKwlLJw">
            <body>The time period during which the two clinicians were related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y7SFg9LDEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y7SFgtLDEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y7SFhNLDEeaqd8KJKwlLJw" name="relatedProviderCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_y7SFhdLDEeaqd8KJKwlLJw" annotatedElement="_y7SFhNLDEeaqd8KJKwlLJw">
            <body>This property indicates how the &quot;owning&quot; and &quot;target&quot; Providers are related to each other. Possible examples include: Medical Director For, Extender For, Covering For, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y7SFh9LDEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y7SFhtLDEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_N1Tt4NLCEeaqd8KJKwlLJw" name="individualProvider_relatedProvider" memberEnd="_N1Z0gNLCEeaqd8KJKwlLJw _N1Z0g9LCEeaqd8KJKwlLJw">
        <ownedEnd xmi:id="_N1Z0g9LCEeaqd8KJKwlLJw" name="" visibility="private" type="_420A62FD03B6418A6B760063" association="_N1Tt4NLCEeaqd8KJKwlLJw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1Z0hNLCEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1Z0hdLCEeaqd8KJKwlLJw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SIezQNLCEeaqd8KJKwlLJw" name="individualProviderRelationship_individualProvider" memberEnd="_SIezQdLCEeaqd8KJKwlLJw _SIezRNLCEeaqd8KJKwlLJw">
        <ownedEnd xmi:id="_SIezRNLCEeaqd8KJKwlLJw" name="" visibility="private" type="_B51aYNLCEeaqd8KJKwlLJw" association="_SIezQNLCEeaqd8KJKwlLJw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SIezRdLCEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SIezRtLCEeaqd8KJKwlLJw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hqoLINLFEeaqd8KJKwlLJw" name="OrganizationAffiliation">
        <ownedComment xmi:id="_PNDKoNLHEeaqd8KJKwlLJw" annotatedElement="_hqoLINLFEeaqd8KJKwlLJw">
          <body>This class represents information about the association between an Individual Provider and Organizational entities. For example, a large Organization may be further divided into regions. This class can be used to indicate that Dr. Smith is in the Rocky Mountain region. [Note that the regions will be defined using the RelatedOrganization class, such that the “main” organization would be one Organization record, and each region would have another Organization record, and the RelatedOrganization class would be used to indicate that the main organization is made up of the various regions].</body>
        </ownedComment>
        <generalization xmi:id="_mRdMUNLFEeaqd8KJKwlLJw" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_pFA5ENLFEeaqd8KJKwlLJw" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pFA5EdLFEeaqd8KJKwlLJw" annotatedElement="_pFA5ENLFEeaqd8KJKwlLJw">
            <body>Categorizes how the Individual Provider and Organizational entity are related to each other. Possible values include: region, billing unit, neighborhood, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pFA5E9LFEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pFA5EtLFEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rMro0NLIEeaqd8KJKwlLJw" name="DeviceLocation">
        <ownedComment xmi:id="_Q91g4NLJEeaqd8KJKwlLJw" annotatedElement="_rMro0NLIEeaqd8KJKwlLJw">
          <body>This class associates a (set of) device(s) with a location. For example X-Ray machine #123 is at the Elm Street clinic. This class can be navigated in either direction, so for example, the Elm Street clinic has two X-Ray machines, #123, and #456.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dRrRENLJEeaqd8KJKwlLJw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_rMKiENLhEeaB48kcgQEvbA" annotatedElement="_dRrRENLJEeaqd8KJKwlLJw">
            <body>The time period during which the Device is located at the Service Delivery Location. For current records, the end-date of this time period would be blank.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nM2EQNLKEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nM2EQdLKEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DtpAsNLKEeaqd8KJKwlLJw" name="locationDetails" visibility="public">
          <ownedComment xmi:id="_kyHHMNLKEeaqd8KJKwlLJw" annotatedElement="_DtpAsNLKEeaqd8KJKwlLJw">
            <body>Further describes the location at which the Device is present. For example, room 3, maternity ward, or 4th floor.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PfihcNLKEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PfihcdLKEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6bEpINLJEeaqd8KJKwlLJw" name="networkAddress" visibility="public">
          <ownedComment xmi:id="_YXizMNLmEeaB48kcgQEvbA" annotatedElement="_6bEpINLJEeaqd8KJKwlLJw">
            <body>For equipment that is connected to the location’s local area network, this property contains the network address at which the device can be accessed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mfsqYNLKEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mfsqYdLKEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1lw8gdLIEeaqd8KJKwlLJw" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_1lw8gNLIEeaqd8KJKwlLJw">
          <ownedComment xmi:id="_cBxbgNLhEeaB48kcgQEvbA" annotatedElement="_1lw8gdLIEeaqd8KJKwlLJw">
            <body>Pointer to the Service Delivery Location at which the device is located.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1lw8gtLIEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1lw8g9LIEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-nh38NLIEeaqd8KJKwlLJw" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_-nbxUNLIEeaqd8KJKwlLJw">
          <ownedComment xmi:id="_f_mwwNLmEeaB48kcgQEvbA" annotatedElement="_-nh38NLIEeaqd8KJKwlLJw">
            <body>Pointer to the device that is located at the Service Delivery Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-nh38dLIEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-nh38tLIEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1lw8gNLIEeaqd8KJKwlLJw" name="deviceLocation_serviceDeliveryLocation" memberEnd="_1lw8gdLIEeaqd8KJKwlLJw _1lw8hNLIEeaqd8KJKwlLJw">
        <ownedEnd xmi:id="_1lw8hNLIEeaqd8KJKwlLJw" name="" visibility="private" type="_rMro0NLIEeaqd8KJKwlLJw" association="_1lw8gNLIEeaqd8KJKwlLJw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1lw8hdLIEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1lw8htLIEeaqd8KJKwlLJw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-nbxUNLIEeaqd8KJKwlLJw" name="deviceLocation_deviceInstance" memberEnd="_-nh38NLIEeaqd8KJKwlLJw _-nh389LIEeaqd8KJKwlLJw">
        <ownedEnd xmi:id="_-nh389LIEeaqd8KJKwlLJw" name="" visibility="private" type="_rMro0NLIEeaqd8KJKwlLJw" association="_-nbxUNLIEeaqd8KJKwlLJw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-nh39NLIEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-nh39dLIEeaqd8KJKwlLJw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vj9gMNLKEeaqd8KJKwlLJw" name="serviceDeliveryLocation_deviceLocation" memberEnd="_vj9gMdLKEeaqd8KJKwlLJw _vj9gNNLKEeaqd8KJKwlLJw">
        <ownedEnd xmi:id="_vj9gNNLKEeaqd8KJKwlLJw" name="" visibility="private" type="_420A62FD03B64242CAB30303" association="_vj9gMNLKEeaqd8KJKwlLJw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vj9gNdLKEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vj9gNtLKEeaqd8KJKwlLJw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5jDUoNLMEeaqd8KJKwlLJw" name="AvailableTime">
        <ownedComment xmi:id="_s8Q1cNLbEeaB48kcgQEvbA" annotatedElement="_5jDUoNLMEeaqd8KJKwlLJw">
          <body>This class represents a time period during the typical week during which the Provider is available. For example, if Dr. Smith works at Radiology Associates' Elm street location on Mondays, Wednesdays, and Fridays from 9 to 5, during which she normally takes lunch from 12-1, there will be six instances of this class, one for Monday with a start time of 9:00 AM and an end time of 12:00 PM, one for Monday from start time of 1:00 PM and an end time of 5:00 PM, and similarly for Wednesday and Friday. Alternatively, the provider may be scheduled in shifts (e.g., morning shift, evening shift). Because either the start and end times or the shifts may be used, all three properties are optional. The appointment window size property indicates the number of minutes that make up a schedulable block of time, for example, Dr. Smith may be scheduled in 15 minute increments.&#xD;
Note that this class is used to schedule Providers and Healthcare Services independent of a Provider (e.g., scheduling an MRI without knowing or caring in advances the human practitioner who will perform the MRI).&#xD;
&quot;A collection of times that the Service Site is available.&quot; - HL7 FHIR, PractitionerRole.availableTime&#xD;
&quot;A collection of times that the Service Site is available.&quot; - HL7 FHIR, HealthcareService.availableTime</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Ec4k8NLNEeaqd8KJKwlLJw" name="appointmentWindowSize" visibility="public">
          <ownedComment xmi:id="_tGGRcNLcEeaB48kcgQEvbA" annotatedElement="_Ec4k8NLNEeaqd8KJKwlLJw">
            <body>Indicates the number of minutes that make up a schedulable block of time. For example, Dr. Smith may be scheduled in 15 minute increments, in which case this property would contain 15.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ec4k8tLNEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ec4k8dLNEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-DA40NLMEeaqd8KJKwlLJw" name="dayOfWeek" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__s2moNLbEeaB48kcgQEvbA" annotatedElement="_-DA40NLMEeaqd8KJKwlLJw">
            <body>The day of the week for which this schedule component is applicable. For example, if the schedule represents Monday with a start time of 9:00 AM and an end time of 12:00 PM, this property contains a code for Monday.&#xD;
&quot;Indicates which days of the week are available between the start and end Times.&quot; - HL7 FHIR, PractitionerRole.availableTime.daysOfWeek&#xD;
&quot;Indicates which days of the week are available between the start and end Times.&quot; - HL7 FHIR, HealthcareService.availableTime.daysOfWeek</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D2ALINLNEeaqd8KJKwlLJw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D2ALIdLNEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yKlc0NLNEeaqd8KJKwlLJw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Bu13ENLdEeaB48kcgQEvbA" annotatedElement="_yKlc0NLNEeaqd8KJKwlLJw">
            <body>The time period during which this Schedule detail or component is valid. For active records, the end-date of this time period would be blank.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wO84wNLcEeaB48kcgQEvbA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wO84wdLcEeaB48kcgQEvbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_co1LkNLNEeaqd8KJKwlLJw" name="endTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JilVoNLcEeaB48kcgQEvbA" annotatedElement="_co1LkNLNEeaqd8KJKwlLJw">
            <body>The end time for which this schedule component is applicable. For example, if the schedule represents Monday with a start time of 9:00 AM and an end time of 12:00 PM, this property contains 12:00 PM.&#xD;
&quot;The closing time of day. Note: If the AllDay flag is set, then this time is ignored.&quot; - HL7 FHIR, PractitionerRole.availableTime.availableEndTime&#xD;
&quot;The closing time of day. Note: If the AllDay flag is set, then this time is ignored.&quot; - HL7 FHIR, HealthcareService.availableTime.availableEndTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_co1LktLNEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_co1LkdLNEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XHiLwBAOEeewyID-8Rev-g" name="isAllDay" visibility="public">
          <ownedComment xmi:id="_f0kNUBAOEeewyID-8Rev-g" annotatedElement="_XHiLwBAOEeewyID-8Rev-g">
            <body>&quot;Is this always available? (hence times are irrelevant) e.g. 24 hour service.&quot; - HL7 FHIR, PractitionerRole.availableTime.allDay&#xD;
&quot;Is this always available? (hence times are irrelevant) e.g. 24 hour service.&quot; - HL7 FHIR, HealthcareService.availableTime.allDay</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cXRAABAOEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cXRAARAOEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EbsSINLNEeaqd8KJKwlLJw" name="shift" visibility="public">
          <ownedComment xmi:id="_esSTQNLcEeaB48kcgQEvbA" annotatedElement="_EbsSINLNEeaqd8KJKwlLJw">
            <body>This optional property may be used to describe a pre-defined time period that may be scheduled in situations where providers work in shifts. For example, morning shift, evening shift.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EbsSItLNEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EbsSIdLNEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EeE3wNLNEeaqd8KJKwlLJw" name="startTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FtFDsNLcEeaB48kcgQEvbA" annotatedElement="_EeE3wNLNEeaqd8KJKwlLJw">
            <body>The start time for which this schedule component is applicable. For example, if the schedule represents Monday with a start time of 9:00 AM and an end time of 12:00 PM, this property contains 9:00 AM.&#xD;
&quot;The opening time of day. Note: If the AllDay flag is set, then this time is ignored.&quot; - HL7 FHIR, PractitionerRole.availableTime.availableStartTime&#xD;
&quot;The opening time of day. Note: If the AllDay flag is set, then this time is ignored.&quot; - HL7 FHIR, HealthcareService.availableTime.availableStartTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EeE3wtLNEeaqd8KJKwlLJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EeE3wdLNEeaqd8KJKwlLJw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_P2kLQA_cEee_pMnA6wvovQ" name="Certification">
        <generalization xmi:id="_TDxHEA_cEee_pMnA6wvovQ" general="_NYIYMBsxEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_I7jPAQ_eEee_pMnA6wvovQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_I7jPAA_eEee_pMnA6wvovQ">
          <ownedComment xmi:id="_Z5LNwA_eEee_pMnA6wvovQ" annotatedElement="_I7jPAQ_eEee_pMnA6wvovQ">
            <body>Pointer to the organization (usually a professional society) which administered the certification process and issued the certification.&#xD;
&quot;Organization that regulates and issues the qualification.&quot; - HL7 FHIR, Practitioner.qualification.issuer</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I7jPAg_eEee_pMnA6wvovQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I7jPAw_eEee_pMnA6wvovQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wd00gA_gEee_pMnA6wvovQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wd00gQ_gEee_pMnA6wvovQ" annotatedElement="_wd00gA_gEee_pMnA6wvovQ">
            <body>The subject area in which the Individual Provider has demonstrated proficiency through a certification process.&#xD;
&quot;Coded representation of the qualification.&quot; - HL7 FHIR, Practitioner.qualification.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wd00gw_gEee_pMnA6wvovQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wd00gg_gEee_pMnA6wvovQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I7jPAA_eEee_pMnA6wvovQ" name="certification_organization" memberEnd="_I7jPAQ_eEee_pMnA6wvovQ _I7tAAA_eEee_pMnA6wvovQ">
        <ownedEnd xmi:id="_I7tAAA_eEee_pMnA6wvovQ" name="" visibility="private" type="_P2kLQA_cEee_pMnA6wvovQ" association="_I7jPAA_eEee_pMnA6wvovQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I7tAAQ_eEee_pMnA6wvovQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I7tAAg_eEee_pMnA6wvovQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HU21oA_sEeec1rk7YVReNA" name="ProviderRole">
        <ownedComment xmi:id="_Lq9VYA_7Eeec1rk7YVReNA" annotatedElement="_HU21oA_sEeec1rk7YVReNA">
          <body>This class describes the services that an Individual Provider may provide at different locations within the context of his/her affiliation with an Organizational Provider. This class is called Provider Role because it is so named in FHIR, and because it describes the role the Individual Provider is playing at a particular Organizational Provider’s facility (i.e., Service Delivery Location). An Individual Provider may have multiple specialties but only be authorized to use a particular specialty at a particular location. In addition, because this class links an Individual Provider with a location, it is used to link to the providers schedule at that location and to provide a list of electronic endpoints at which the provider can be reached through electronic communications.&#xD;
&quot;A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.&quot; - HL7 FHIR, PractitionerRole</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VmCR4BAQEeewyID-8Rev-g" name="availabilityExceptions" visibility="public">
          <ownedComment xmi:id="_VmCR4RAQEeewyID-8Rev-g" annotatedElement="_VmCR4BAQEeewyID-8Rev-g">
            <body>&quot;A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.&quot; - HL7 FHIR, PractitionerRole.availabilityExceptions</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VmCR4xAQEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VmCR4hAQEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5mDoBAPEeewyID-8Rev-g" name="availableTime" visibility="public" type="_5jDUoNLMEeaqd8KJKwlLJw" association="_F5hLIBAPEeewyID-8Rev-g">
          <ownedComment xmi:id="_rEM5EBAPEeewyID-8Rev-g" annotatedElement="_F5mDoBAPEeewyID-8Rev-g">
            <body>Pointer to a list of times during which the Individual Provider is available at the specified location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5nRwBAPEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5nRwRAPEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J04xgHo4EeOKnMBxUzvJfA" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_J02VQHo4EeOKnMBxUzvJfA">
          <ownedComment xmi:id="_10F4UHyKEeOHq5zPTCjDoQ" annotatedElement="_J04xgHo4EeOKnMBxUzvJfA">
            <body>Pointer to information concerning electronic capabilities of the Healthcare Provider.&#xD;
&quot;Technical endpoints providing access to services operated for the practitioner with this role.&quot; - HL7 FHIR, PractitionerRole.endpoint</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J05_oHo4EeOKnMBxUzvJfA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J06msHo4EeOKnMBxUzvJfA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0_-90A_wEeec1rk7YVReNA" name="healthcareService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0_-90g_wEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0_-90Q_wEeec1rk7YVReNA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_byqWkA_sEeec1rk7YVReNA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TY4nMA_3Eeec1rk7YVReNA" annotatedElement="_byqWkA_sEeec1rk7YVReNA">
            <body>&quot;Business Identifiers that are specific to a role/location.&quot; - HL7 FHIR, PractitionerRole.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g9mKYA_sEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g9mxcA_sEeec1rk7YVReNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zzTFEA_sEeec1rk7YVReNA" name="isActive" visibility="public">
          <ownedComment xmi:id="_hC11wA_3Eeec1rk7YVReNA" annotatedElement="_zzTFEA_sEeec1rk7YVReNA">
            <body>This optional property indicates whether this Provider Role record is active.&#xD;
&quot;Whether this practitioner's record is in active use.&quot; - HL7 FHIR, PractitionerRole.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zzTFEg_sEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zzTFEQ_sEeec1rk7YVReNA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_THRl4BAPEeewyID-8Rev-g" name="notAvailable" visibility="public" type="_R1JPoBAPEeewyID-8Rev-g" association="_THQXwBAPEeewyID-8Rev-g">
          <ownedComment xmi:id="_Yx7bkBAPEeewyID-8Rev-g" annotatedElement="_THRl4BAPEeewyID-8Rev-g">
            <body>Pointer to a list of times during which the Individual Provider is not available at the specified location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_THSM8BAPEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_THSM8RAPEeewyID-8Rev-g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__WHoAA_sEeec1rk7YVReNA" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_pnDSgA_3Eeec1rk7YVReNA" annotatedElement="__WHoAA_sEeec1rk7YVReNA">
            <body>&quot;The period during which the person is authorized to act as a practitioner in these role(s) for the organization.&quot; - HL7 FHIR, PractitionerRole.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__WHoAg_sEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__WHoAQ_sEeec1rk7YVReNA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X1nK0A_vEeec1rk7YVReNA" name="roleCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wF4XIA_3Eeec1rk7YVReNA" annotatedElement="_X1nK0A_vEeec1rk7YVReNA">
            <body>&quot;Roles which this practitioner is authorized to perform for the organization.&quot; - HL7 FHIR, PractitionerRole.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X1nK0g_vEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X1nK0Q_vEeec1rk7YVReNA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DNID4A_vEeec1rk7YVReNA" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_DNG1wA_vEeec1rk7YVReNA">
          <ownedComment xmi:id="_isPwoBAEEeec1rk7YVReNA" annotatedElement="_DNID4A_vEeec1rk7YVReNA">
            <body>Pointer to the Service Delivery Locations with which the Individual Provider is associated due to his/her affiliation to the Practice.&#xD;
&quot;The location(s) at which this practitioner provides care.&quot; - HL7 FHIR, PractitionerRole.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DNIq8A_vEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DNIq8Q_vEeec1rk7YVReNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fa0DcA_vEeec1rk7YVReNA" name="specialty" visibility="public" type="_420A62FD03B6456372E7010F" association="_Fay1UA_vEeec1rk7YVReNA">
          <ownedComment xmi:id="_3AicIA_3Eeec1rk7YVReNA" annotatedElement="_Fa0DcA_vEeec1rk7YVReNA">
            <body>Pointer to the medical Specialty which the Provider is authorized to practice as part of his/her affiliation with the Organizational Provider.&#xD;
&quot;Specific specialty of the practitioner.&quot; - HL7 FHIR, PractitionerRole.specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fa0qgA_vEeec1rk7YVReNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fa0qgQ_vEeec1rk7YVReNA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9zUGkA_uEeec1rk7YVReNA" name="providerAffiliation_individualProvider" memberEnd="_9zYYAA_uEeec1rk7YVReNA _9za0QA_uEeec1rk7YVReNA">
        <ownedEnd xmi:id="_9za0QA_uEeec1rk7YVReNA" name="" visibility="private" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_9zUGkA_uEeec1rk7YVReNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9zbbUA_uEeec1rk7YVReNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9zbbUQ_uEeec1rk7YVReNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BdLJMA_vEeec1rk7YVReNA" name="providerAffiliation_providerRole" memberEnd="_BdMXUA_vEeec1rk7YVReNA _BdOMgA_vEeec1rk7YVReNA">
        <ownedEnd xmi:id="_BdOMgA_vEeec1rk7YVReNA" name="" visibility="private" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_BdLJMA_vEeec1rk7YVReNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BdOzkA_vEeec1rk7YVReNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BdPaoA_vEeec1rk7YVReNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DNG1wA_vEeec1rk7YVReNA" name="providerRole_serviceDeliveryLocation" memberEnd="_DNID4A_vEeec1rk7YVReNA _DNJ5EA_vEeec1rk7YVReNA">
        <ownedEnd xmi:id="_DNJ5EA_vEeec1rk7YVReNA" name="" visibility="private" type="_HU21oA_sEeec1rk7YVReNA" association="_DNG1wA_vEeec1rk7YVReNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DNKgIA_vEeec1rk7YVReNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DNLHMA_vEeec1rk7YVReNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fay1UA_vEeec1rk7YVReNA" name="providerRole_specialty" memberEnd="_Fa0DcA_vEeec1rk7YVReNA _Fa14oA_vEeec1rk7YVReNA">
        <ownedEnd xmi:id="_Fa14oA_vEeec1rk7YVReNA" name="" visibility="private" type="_HU21oA_sEeec1rk7YVReNA" association="_Fay1UA_vEeec1rk7YVReNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fa2fsA_vEeec1rk7YVReNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fa2fsQ_vEeec1rk7YVReNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_F5hLIBAPEeewyID-8Rev-g" name="providerRole_availableTime" memberEnd="_F5mDoBAPEeewyID-8Rev-g _F5of4BAPEeewyID-8Rev-g">
        <ownedEnd xmi:id="_F5of4BAPEeewyID-8Rev-g" name="" visibility="private" type="_HU21oA_sEeec1rk7YVReNA" association="_F5hLIBAPEeewyID-8Rev-g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5pG8BAPEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5puABAPEeewyID-8Rev-g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_R1JPoBAPEeewyID-8Rev-g" name="NotAvailable">
        <ownedComment xmi:id="_auJ3sBAPEeewyID-8Rev-g" annotatedElement="_R1JPoBAPEeewyID-8Rev-g">
          <body>&quot;The HealthcareService is not available during this period of time due to the provided reason.&quot; - HL7 FHIR, PractitionerRole.notAvailable&#xD;
&quot;The HealthcareService is not available during this period of time due to the provided reason.&quot; - HL7 FHIR, HealthcareService.notAvailable</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wPAKABAPEeewyID-8Rev-g" name="description" visibility="public">
          <ownedComment xmi:id="_5sxsABAPEeewyID-8Rev-g" annotatedElement="_wPAKABAPEeewyID-8Rev-g">
            <body>&quot;The reason that can be presented to the user as to why this time is not available.&quot; - HL7 FHIR, PractitionerRole.notAvailable.description&#xD;
&quot;The reason that can be presented to the user as to why this time is not available.&quot; - HL7 FHIR, HealthcareService.notAvailable.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zUc4ABAPEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zUc4ARAPEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6yR7gBAPEeewyID-8Rev-g" name="during" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6yR7gRAPEeewyID-8Rev-g" annotatedElement="_6yR7gBAPEeewyID-8Rev-g">
            <body>&quot;Service is not available (seasonally or for a public holiday) from this date.&quot; - HL7 FHIR, PractitionerRole.notAvailable.during&#xD;
&quot;Service is not available (seasonally or for a public holiday) from this date.&quot; - HL7 FHIR, HealthcareService.notAvailable.during</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6yR7gxAPEeewyID-8Rev-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6yR7ghAPEeewyID-8Rev-g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_THQXwBAPEeewyID-8Rev-g" name="providerRole_notAvailable" memberEnd="_THRl4BAPEeewyID-8Rev-g _THTbEBAPEeewyID-8Rev-g">
        <ownedEnd xmi:id="_THTbEBAPEeewyID-8Rev-g" name="" visibility="private" type="_HU21oA_sEeec1rk7YVReNA" association="_THQXwBAPEeewyID-8Rev-g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_THUCIBAPEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_THUpMBAPEeewyID-8Rev-g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Loei8BAYEeewyID-8Rev-g" name="endpoint_managingOrganization" memberEnd="_Loei8RAYEeewyID-8Rev-g _Loei9BAYEeewyID-8Rev-g">
        <ownedEnd xmi:id="_Loei9BAYEeewyID-8Rev-g" name="" visibility="private" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_Loei8BAYEeewyID-8Rev-g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Loei9RAYEeewyID-8Rev-g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Loei9hAYEeewyID-8Rev-g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SM3pcBP8Eee2yObkTlcn4g" name="pointOfContact_endpoint" memberEnd="_SM3pcRP8Eee2yObkTlcn4g _SM3pdBP8Eee2yObkTlcn4g">
        <ownedEnd xmi:id="_SM3pdBP8Eee2yObkTlcn4g" name="" visibility="private" type="_7TKL4LYqEeGWl-7OlqBMDw" association="_SM3pcBP8Eee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SNAzYBP8Eee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SNAzYRP8Eee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fSy-oBSQEeertqFtRTH1nw" name="Position">
        <ownedComment xmi:id="_7aLqoBSREeertqFtRTH1nw" annotatedElement="_fSy-oBSQEeertqFtRTH1nw">
          <body>&quot;The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).&quot; – HL7 FHIR, Location.position</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Yto9oBSSEeertqFtRTH1nw" name="altitude" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_epROkBSSEeertqFtRTH1nw" annotatedElement="_Yto9oBSSEeertqFtRTH1nw">
            <body>&quot;Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).&quot; – HL7 FHIR, Location.position.altitude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yto9oxSSEeertqFtRTH1nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yto9ohSSEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9_XkMBSREeertqFtRTH1nw" name="latitude" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_KY1bQBSSEeertqFtRTH1nw" annotatedElement="_9_XkMBSREeertqFtRTH1nw">
            <body>&quot;Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).&quot; – HL7 FHIR, Location.position.latitude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CgEvQBSSEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CgEvQRSSEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SjzRkBSSEeertqFtRTH1nw" name="longitude" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_SjzRkRSSEeertqFtRTH1nw" annotatedElement="_SjzRkBSSEeertqFtRTH1nw">
            <body>&quot;Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).&quot; – HL7 FHIR, Location.position.longitude</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SjzRkxSSEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SjzRkhSSEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hSnhUBSQEeertqFtRTH1nw" name="location_position" memberEnd="_hSnhURSQEeertqFtRTH1nw _hSnhVBSQEeertqFtRTH1nw">
        <ownedEnd xmi:id="_hSnhVBSQEeertqFtRTH1nw" name="" visibility="private" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_hSnhUBSQEeertqFtRTH1nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hSnhVRSQEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hSnhVhSQEeertqFtRTH1nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GJ5G4BSYEeertqFtRTH1nw" name="serviceDeliveryLocation_endpoint" memberEnd="_GJ5G4RSYEeertqFtRTH1nw _GJ5G5BSYEeertqFtRTH1nw">
        <ownedEnd xmi:id="_GJ5G5BSYEeertqFtRTH1nw" name="" visibility="private" type="_420A62FD03B64242CAB30303" association="_GJ5G4BSYEeertqFtRTH1nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GJ5G5RSYEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GJ5G5hSYEeertqFtRTH1nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6QASUBSYEeertqFtRTH1nw" name="RelatedLocation">
        <ownedComment xmi:id="_6CV-4BSaEeertqFtRTH1nw" annotatedElement="_6QASUBSYEeertqFtRTH1nw">
          <body>This class is used to relate two Locations to each other. This mechanism can be used to indicate how more finely-defined locations are parts of a more coarsely define location. For example, 123 Main St Suite 400 is a part of the building at 123 Main St.&#xD;
Note that this construct is meant to be traversable in either direction. For example, 123 Main St Suite 400 is a part-of 123 Main St, while 123 Main St is composed-of the various suites within the building.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__FSUUBSaEeertqFtRTH1nw" name="relatedLocationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__FSUURSaEeertqFtRTH1nw" annotatedElement="__FSUUBSaEeertqFtRTH1nw">
            <body>This property indicates how the &quot;owning&quot; and &quot;target&quot; Location records are related to each other. Possible examples include: Parent, Child, has Component, is Component of, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__FSUUxSaEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__FSUUhSaEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2mK9gRSbEeertqFtRTH1nw" name="location" visibility="public" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_2mK9gBSbEeertqFtRTH1nw">
          <ownedComment xmi:id="_bXOqgBScEeertqFtRTH1nw" annotatedElement="_2mK9gRSbEeertqFtRTH1nw">
            <body>Pointer to the Location to which the owning Location is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2mK9ghSbEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2mK9gxSbEeertqFtRTH1nw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JOJasBSbEeertqFtRTH1nw" name="location_relatedLocation" memberEnd="_JOJasRSbEeertqFtRTH1nw _JOJatBSbEeertqFtRTH1nw">
        <ownedEnd xmi:id="_JOJatBSbEeertqFtRTH1nw" name="" visibility="private" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_JOJasBSbEeertqFtRTH1nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JOJatRSbEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JOTLsBSbEeertqFtRTH1nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2mK9gBSbEeertqFtRTH1nw" name="relatedLocation_location" memberEnd="_2mK9gRSbEeertqFtRTH1nw _2mK9hBSbEeertqFtRTH1nw">
        <ownedEnd xmi:id="_2mK9hBSbEeertqFtRTH1nw" name="" visibility="private" type="_6QASUBSYEeertqFtRTH1nw" association="_2mK9gBSbEeertqFtRTH1nw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2mK9hRSbEeertqFtRTH1nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2mK9hhSbEeertqFtRTH1nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Xp-n8BTkEeeYjZW8j3SRUg" name="HealthcareService">
        <ownedComment xmi:id="_TQgeUBWJEeeKharB8T6q_A" annotatedElement="_Xp-n8BTkEeeYjZW8j3SRUg">
          <body>&quot;The details of a healthcare service available at a location.&quot; - HL7 FHIR, HealthcareService</body>
        </ownedComment>
        <ownedAttribute xmi:id="_oOV8sBTlEeeYjZW8j3SRUg" name="availableTime" visibility="public" type="_5jDUoNLMEeaqd8KJKwlLJw" association="_oOUukBTlEeeYjZW8j3SRUg">
          <ownedComment xmi:id="_jLE14BWPEeeKharB8T6q_A" annotatedElement="_oOV8sBTlEeeYjZW8j3SRUg">
            <body>&quot;A collection of times that the Service Site is available.&quot; - HL7 FHIR, HealthcareService.availableTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oOV8sRTlEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oOV8shTlEeeYjZW8j3SRUg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oKtx8BWKEeeKharB8T6q_A" name="availabilityExceptions" visibility="public">
          <ownedComment xmi:id="_oKtx8RWKEeeKharB8T6q_A" annotatedElement="_oKtx8BWKEeeKharB8T6q_A">
            <body>&quot;A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.&quot; - HL7 FHIR, HealthcareService.availabilityExceptions</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oKtx8xWKEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oKtx8hWKEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4pfuABWJEeeKharB8T6q_A" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4pfuARWJEeeKharB8T6q_A" annotatedElement="_4pfuABWJEeeKharB8T6q_A">
            <body>&quot;Identifies the broad category of service being performed or delivered.&quot; - HL7 FHIR, HealthcareService.category&#xD;
&quot;The specific type of service that may be delivered or performed.&quot; - HL7 FHIR, HealthcareService.type&#xD;
Note that FHIR binds both category and type to the same vocabulary, so there doesn't seem to be any compelling reason to model these as separate properties. For the present we have modeled these as a single property in the FHIM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4pfuAxWJEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4pfuAhWJEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NyWaQBWOEeeKharB8T6q_A" name="characteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TsA8UBWOEeeKharB8T6q_A" annotatedElement="_NyWaQBWOEeeKharB8T6q_A">
            <body>&quot;Collection of characteristics (attributes).&quot; - HL7 FHIR, HealthcareService.characteristic</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NyWaQxWOEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NyWaQhWOEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v4hyMBWKEeeKharB8T6q_A" name="comment" visibility="public">
          <ownedComment xmi:id="_3J01kBWKEeeKharB8T6q_A" annotatedElement="_v4hyMBWKEeeKharB8T6q_A">
            <body>&quot;Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.&quot; - HL7 FHIR, HealthcareService.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v4hyMxWKEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v4hyMhWKEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1bpnERWLEeeKharB8T6q_A" name="coverageArea" visibility="public" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_1bpnEBWLEeeKharB8T6q_A">
          <ownedComment xmi:id="_28gV0BWLEeeKharB8T6q_A" annotatedElement="_1bpnERWLEeeKharB8T6q_A">
            <body>&quot;The location(s) that this service is available to (not where the service is provided).&quot; - HL7 FHIR, HealthcareService.coverageArea</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1bzYEBWLEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1bzYERWLEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wyw8wBWMEeeKharB8T6q_A" name="eligibility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZmYT4BWMEeeKharB8T6q_A" annotatedElement="_Wyw8wBWMEeeKharB8T6q_A">
            <body>&quot;Does this service have specific eligibility requirements that need to be met in order to use the service?&quot; - HL7 FHIR, HealthcareService.eligibility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wyw8wxWMEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wyw8whWMEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bYJzgBWMEeeKharB8T6q_A" name="eligibilityNote" visibility="public">
          <ownedComment xmi:id="_hFcGcBWMEeeKharB8T6q_A" annotatedElement="_bYJzgBWMEeeKharB8T6q_A">
            <body>&quot;Describes the eligibility conditions for the service.&quot; - HL7 FHIR, HealthcareService.eligibilityNote</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bYJzgxWMEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bYJzghWMEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3FaMsRTnEeeYjZW8j3SRUg" name="endpoint" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_3FaMsBTnEeeYjZW8j3SRUg">
          <ownedComment xmi:id="_Ba64oBWQEeeKharB8T6q_A" annotatedElement="_3FaMsRTnEeeYjZW8j3SRUg">
            <body>&quot;Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.&quot; - HL7 FHIR, HealthcareService.endpoint</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3FaMshTnEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3FaMsxTnEeeYjZW8j3SRUg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4ZDBwBWKEeeKharB8T6q_A" name="extraDetails" visibility="public">
          <ownedComment xmi:id="__3B2QBWKEeeKharB8T6q_A" annotatedElement="_4ZDBwBWKEeeKharB8T6q_A">
            <body>&quot;Extra details about the service that can't be placed in the other fields.&quot; - HL7 FHIR, HealthcareService.extraDetails</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4ZDBwxWKEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ZDBwhWKEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2nJt8BToEeeYjZW8j3SRUg" name="healthcareService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5B__wBToEeeYjZW8j3SRUg" annotatedElement="_2nJt8BToEeeYjZW8j3SRUg">
            <body>&quot;Identifies the broad category of service being performed or delivered.&quot; - HL7 FHIR, HealthcareService.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2nJt8hToEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2nJt8RToEeeYjZW8j3SRUg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-trloBTnEeeYjZW8j3SRUg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_-trloRTnEeeYjZW8j3SRUg" annotatedElement="_-trloBTnEeeYjZW8j3SRUg">
            <body>&quot;External identifiers for this item.&quot; - HL7 FHIR, HealthcareService.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-trloxTnEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-trlohTnEeeYjZW8j3SRUg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LbRIBBTnEeeYjZW8j3SRUg" name="isActive" visibility="public">
          <ownedComment xmi:id="_LbRIBRTnEeeYjZW8j3SRUg" annotatedElement="_LbRIBBTnEeeYjZW8j3SRUg">
            <body>This optional property indicates whether this Provider Role record is active.&#xD;
&quot;Whether this healthcareservice record is in active use.&quot; - HL7 FHIR, HealthcareService.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LbRIBxTnEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LbRIBhTnEeeYjZW8j3SRUg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ffzTcBWOEeeKharB8T6q_A" name="isAppointmentRequired" visibility="public">
          <ownedComment xmi:id="_ffzTcRWOEeeKharB8T6q_A" annotatedElement="_ffzTcBWOEeeKharB8T6q_A">
            <body>&quot;Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.&quot; - HL7 FHIR, HealthcareService.appointmentRequired</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ffzTcxWOEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ffzTchWOEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LbRIABTnEeeYjZW8j3SRUg" name="name" visibility="public">
          <ownedComment xmi:id="_LbRIARTnEeeYjZW8j3SRUg" annotatedElement="_LbRIABTnEeeYjZW8j3SRUg">
            <body>&quot;Further description of the service as it would be presented to a consumer while searching.&quot; - HL7 FHIR, HealthcareService.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LbRIAxTnEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LbRIAhTnEeeYjZW8j3SRUg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qYybARTlEeeYjZW8j3SRUg" name="notAvailable" visibility="public" type="_R1JPoBAPEeewyID-8Rev-g" association="_qYybABTlEeeYjZW8j3SRUg">
          <ownedComment xmi:id="_08QYgBWPEeeKharB8T6q_A" annotatedElement="_qYybARTlEeeYjZW8j3SRUg">
            <body>&quot;The HealthcareService is not available during this period of time due to the provided reason.&quot; - HL7 FHIR, HealthcareService.notAvailable</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qYybAhTlEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qYybAxTlEeeYjZW8j3SRUg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4iTg4BWJEeeKharB8T6q_A" name="photo" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="__aEp8BWJEeeKharB8T6q_A" annotatedElement="_4iTg4BWJEeeKharB8T6q_A">
            <body>&quot;If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.&quot; - HL7 FHIR, HealthcareService.photo</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4iTg4xWJEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4iTg4hWJEeeKharB8T6q_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RFJFIRToEeeYjZW8j3SRUg" name="providedBy" visibility="public" type="_420A62FD03B6418AA15801A9" association="_RFJFIBToEeeYjZW8j3SRUg">
          <ownedComment xmi:id="_WxY2QBToEeeYjZW8j3SRUg" annotatedElement="_RFJFIRToEeeYjZW8j3SRUg">
            <body>&quot;The organization that provides this healthcare service.&quot; - HL7 FHIR, HealthcareService.providedBy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RFJFIhToEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RFJFIxToEeeYjZW8j3SRUg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DYMvkBWOEeeKharB8T6q_A" name="programName" visibility="public">
          <ownedComment xmi:id="_DYMvkRWOEeeKharB8T6q_A" annotatedElement="_DYMvkBWOEeeKharB8T6q_A">
            <body>&quot;Program Names that can be used to categorize the service.&quot; - HL7 FHIR, HealthcareService.programName</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYMvkxWOEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYMvkhWOEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N3QvcBWOEeeKharB8T6q_A" name="referralMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_af_xkBWOEeeKharB8T6q_A" annotatedElement="_N3QvcBWOEeeKharB8T6q_A">
            <body>&quot;Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.&quot; - HL7 FHIR, HealthcareService.referralMethod</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N3QvcxWOEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N3QvchWOEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tDVjMBWJEeeKharB8T6q_A" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_tDLyMBWJEeeKharB8T6q_A">
          <ownedComment xmi:id="_t38P8BWJEeeKharB8T6q_A" annotatedElement="_tDVjMBWJEeeKharB8T6q_A">
            <body>&quot;The location(s) where this healthcare service may be provided.&quot; - HL7 FHIR, HealthcareService.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tDVjMRWJEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tDVjMhWJEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IkPokBWMEeeKharB8T6q_A" name="serviceProvisionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IkPokRWMEeeKharB8T6q_A" annotatedElement="_IkPokBWMEeeKharB8T6q_A">
            <body>&quot;The code(s) that detail the conditions under which the healthcare service is available/offered.&quot; - HL7 FHIR, HealthcareService.serviceProvisionCode. Example values from FHIR include: Free, Discounts available, Fees apply.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IkPokxWMEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IkPokhWMEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3_wVERTnEeeYjZW8j3SRUg" name="specialty" visibility="public" type="_420A62FD03B6456372E7010F" association="_3_wVEBTnEeeYjZW8j3SRUg">
          <ownedComment xmi:id="_nZXC8BWJEeeKharB8T6q_A" annotatedElement="_3_wVERTnEeeYjZW8j3SRUg">
            <body>&quot;Collection of specialties handled by the service site. This is more of a medical term.&quot; - HL7 FHIR, HealthcareService.specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3_wVEhTnEeeYjZW8j3SRUg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3_wVExTnEeeYjZW8j3SRUg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hZp4YBWLEeeKharB8T6q_A" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_hZp4YRWLEeeKharB8T6q_A" annotatedElement="_hZp4YBWLEeeKharB8T6q_A">
            <body>&quot;List of contacts related to this specific healthcare service.&quot; - HL7 FHIR, HealthcareService.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hZp4YxWLEeeKharB8T6q_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hZp4YhWLEeeKharB8T6q_A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oOUukBTlEeeYjZW8j3SRUg" name="healthcareService_availableTime" memberEnd="_oOV8sBTlEeeYjZW8j3SRUg _oOV8sxTlEeeYjZW8j3SRUg">
        <ownedEnd xmi:id="_oOV8sxTlEeeYjZW8j3SRUg" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_oOUukBTlEeeYjZW8j3SRUg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oOV8tBTlEeeYjZW8j3SRUg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oOV8tRTlEeeYjZW8j3SRUg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qYybABTlEeeYjZW8j3SRUg" name="healthcareService_notAvailable" memberEnd="_qYybARTlEeeYjZW8j3SRUg _qYybBBTlEeeYjZW8j3SRUg">
        <ownedEnd xmi:id="_qYybBBTlEeeYjZW8j3SRUg" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_qYybABTlEeeYjZW8j3SRUg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qYybBRTlEeeYjZW8j3SRUg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qYybBhTlEeeYjZW8j3SRUg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3FaMsBTnEeeYjZW8j3SRUg" name="healthcareService_endpoint" memberEnd="_3FaMsRTnEeeYjZW8j3SRUg _3FaMtBTnEeeYjZW8j3SRUg">
        <ownedEnd xmi:id="_3FaMtBTnEeeYjZW8j3SRUg" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_3FaMsBTnEeeYjZW8j3SRUg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3FaMtRTnEeeYjZW8j3SRUg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3FaMthTnEeeYjZW8j3SRUg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3_wVEBTnEeeYjZW8j3SRUg" name="healthcareService_specialty" memberEnd="_3_wVERTnEeeYjZW8j3SRUg _3_wVFBTnEeeYjZW8j3SRUg">
        <ownedEnd xmi:id="_3_wVFBTnEeeYjZW8j3SRUg" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_3_wVEBTnEeeYjZW8j3SRUg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3_wVFRTnEeeYjZW8j3SRUg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3_wVFhTnEeeYjZW8j3SRUg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RFJFIBToEeeYjZW8j3SRUg" name="healthcareService_providedBy" memberEnd="_RFJFIRToEeeYjZW8j3SRUg _RFS2IBToEeeYjZW8j3SRUg">
        <ownedEnd xmi:id="_RFS2IBToEeeYjZW8j3SRUg" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_RFJFIBToEeeYjZW8j3SRUg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RFS2IRToEeeYjZW8j3SRUg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RFS2IhToEeeYjZW8j3SRUg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tDLyMBWJEeeKharB8T6q_A" name="healthcareService_serviceDeliveryLocation" memberEnd="_tDVjMBWJEeeKharB8T6q_A _tDVjMxWJEeeKharB8T6q_A">
        <ownedEnd xmi:id="_tDVjMxWJEeeKharB8T6q_A" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_tDLyMBWJEeeKharB8T6q_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tDVjNBWJEeeKharB8T6q_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tDVjNRWJEeeKharB8T6q_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1bpnEBWLEeeKharB8T6q_A" name="healthcareService_coverageArea" memberEnd="_1bpnERWLEeeKharB8T6q_A _1bzYEhWLEeeKharB8T6q_A">
        <ownedEnd xmi:id="_1bzYEhWLEeeKharB8T6q_A" name="" visibility="private" type="_Xp-n8BTkEeeYjZW8j3SRUg" association="_1bpnEBWLEeeKharB8T6q_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1bzYExWLEeeKharB8T6q_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1bzYFBWLEeeKharB8T6q_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_A8mS8LAlEeesgss27DHDeg" name="Party">
        <ownedComment xmi:id="_EetncLAoEeesgss27DHDeg" annotatedElement="_A8mS8LAlEeesgss27DHDeg">
          <body>A Role that can be played by either a Person or an Organization. The term &quot;party&quot; comes from the legal notion of persons or organizations being parties to a contract or parties to a transaction. The &quot;party data model&quot; (also called the &quot;party pattern&quot;) is a common construct in database design, which allows one to reference persons or organizations the same way. The FHIM generally does not use this pattern, preferring to reference Roles which might be played by persons, animals, organizations, or inanimate objects. However, FHIR does use this pattern, by allowing references to a choice of different kinds FHIR Resources. Therefore, we have included this concept in order to facilitate alignment with FHIR.&#xD;
&#xD;
Note that this class contains two properties: a 0-1 association to Person (who may be a Patient, in which case, navigate to Patient via Person.asPatient), and a 0-1 association to Organization. These should be treated as an exclusive OR. Either the asPerson association OR the asOrganization association must be populated, but never both.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Cuu-8LAlEeesgss27DHDeg" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_Cul1ALAlEeesgss27DHDeg">
          <ownedComment xmi:id="_quIv4LAoEeesgss27DHDeg" annotatedElement="_Cuu-8LAlEeesgss27DHDeg">
            <body>Pointer to the Person (who may be a Patient, in which case, navigate to Patient via Person.asPatient) that is a party to the action represented by the class calling this class. If the Party is a Person, this property identifies that Person and allows navigability to the corresponding Person instance. In this case, the cardinality should be one-and-only-one.&#xD;
&#xD;
Note that if the party is an Organization, this property must not be used and the cardinality of this property is zero-to-zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Cuu-8bAlEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Cuu-8rAlEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tgLZsbAoEeesgss27DHDeg" name="asOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_tgLZsLAoEeesgss27DHDeg">
          <ownedComment xmi:id="_HSjLkLApEeesgss27DHDeg" annotatedElement="_tgLZsbAoEeesgss27DHDeg">
            <body>Pointer to the Organization that is a party to the action represented by the class calling this class. If the Party is an Organization, this property identifies that Organization and allows navigability to the corresponding Organization instance. In this case, the cardinality should be one-and-only-one.&#xD;
&#xD;
Note that if the party is a Person, this property must not be used and the cardinality of this property is zero-to-zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tgLZsrAoEeesgss27DHDeg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tgLZs7AoEeesgss27DHDeg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Cul1ALAlEeesgss27DHDeg" name="party_asPerson" memberEnd="_Cuu-8LAlEeesgss27DHDeg _Cuu-87AlEeesgss27DHDeg">
        <ownedEnd xmi:id="_Cuu-87AlEeesgss27DHDeg" name="" visibility="private" type="_A8mS8LAlEeesgss27DHDeg" association="_Cul1ALAlEeesgss27DHDeg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tgLZsLAoEeesgss27DHDeg" name="party_asOrganization" memberEnd="_tgLZsbAoEeesgss27DHDeg _tgLZtLAoEeesgss27DHDeg">
        <ownedEnd xmi:id="_tgLZtLAoEeesgss27DHDeg" name="" visibility="private" type="_A8mS8LAlEeesgss27DHDeg" association="_tgLZsLAoEeesgss27DHDeg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6Rqn0LKcEeeKfvjx78dWlQ" name="network_organization" memberEnd="_6Rqn0bKcEeeKfvjx78dWlQ _6R0Y0LKcEeeKfvjx78dWlQ">
        <ownedEnd xmi:id="_6R0Y0LKcEeeKfvjx78dWlQ" name="" visibility="private" type="_SYe5oCu5Ed-mUrYY2zR9Jw" association="_6Rqn0LKcEeeKfvjx78dWlQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7QLKULNTEeejKsyqENIdXw" name="Schedule">
        <ownedComment xmi:id="_qeOBULNZEeejKsyqENIdXw" annotatedElement="_7QLKULNTEeejKsyqENIdXw">
          <body>&quot;A container for slots of time that may be available for booking appointments.&quot; - HL7 FHIR, Schedule</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3tVtALNkEeejKsyqENIdXw" name="actor" visibility="public" type="_420A62FD03B6418CF92600E1">
          <ownedComment xmi:id="_BGRLQLNlEeejKsyqENIdXw" annotatedElement="_3tVtALNkEeejKsyqENIdXw">
            <body>&quot;The resource this Schedule resource is providing availability information for. These are expected to usually be one of HealthcareService, Location, Practitioner, PractitionerRole, Device, Patient or RelatedPerson.&quot; - HL7 FHIR, Schedule.actor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9owikLNkEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9owikbNkEeejKsyqENIdXw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sMLNZEeejKsyqENIdXw" name="comment" visibility="public">
          <ownedComment xmi:id="_zV-sMbNZEeejKsyqENIdXw" annotatedElement="_zV-sMLNZEeejKsyqENIdXw">
            <body>&quot;Comments on the availability to describe any extended information. Such as custom constraints on the slots that may be associated.&quot; - HL7 FHIR, Schedule.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sM7NZEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sMrNZEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sNLNZEeejKsyqENIdXw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_zV-sNbNZEeejKsyqENIdXw" annotatedElement="_zV-sNLNZEeejKsyqENIdXw">
            <body>&quot;External Ids for this item.&quot; - HL7 FHIR, Schedule.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sN7NZEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sNrNZEeejKsyqENIdXw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tNOv0LNaEeejKsyqENIdXw" name="isActive" visibility="public">
          <ownedComment xmi:id="_tNOv0bNaEeejKsyqENIdXw" annotatedElement="_tNOv0LNaEeejKsyqENIdXw">
            <body>&quot;Whether this schedule record is in active use, or should not be used (such as was entered in error).&quot; - HL7 FHIR, Schedule.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tNOv07NaEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tNOv0rNaEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zdZ38LNbEeejKsyqENIdXw" name="planningHorizon" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_zdZ38bNbEeejKsyqENIdXw" annotatedElement="_zdZ38LNbEeejKsyqENIdXw">
            <body>&quot;The period of time that the slots that are attached to this Schedule resource cover (even if none exist). These cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a &quot;template&quot; for planning outside these dates.&quot; - HL7 FHIR, Schedule.planningHorizon</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zdZ387NbEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zdZ38rNbEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sOLNZEeejKsyqENIdXw" name="serviceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zV-sObNZEeejKsyqENIdXw" annotatedElement="_zV-sOLNZEeejKsyqENIdXw">
            <body>&quot;A broad categorisation of the service that is to be performed during this appointment.&quot; - HL7 FHIR, Schedule.serviceCategory</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sO7NZEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sOrNZEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sPLNZEeejKsyqENIdXw" name="serviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zV-sPbNZEeejKsyqENIdXw" annotatedElement="_zV-sPLNZEeejKsyqENIdXw">
            <body>&quot;The specific service that is to be performed during this appointment.&quot; - HL7 FHIR, Schedule.serviceType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sP7NZEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sPrNZEeejKsyqENIdXw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sQLNZEeejKsyqENIdXw" name="specialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zV-sQbNZEeejKsyqENIdXw" annotatedElement="_zV-sQLNZEeejKsyqENIdXw">
            <body>&quot;The specialty of a practitioner that would be required to perform the service requested in this appointment.&quot; - HL7 FHIR, Schedule.specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sQ7NZEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sQrNZEeejKsyqENIdXw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zV-sRLNZEeejKsyqENIdXw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zV-sRbNZEeejKsyqENIdXw" annotatedElement="_zV-sRLNZEeejKsyqENIdXw">
            <body>&quot;busy | free | busy-unavailable | busy-tentative | entered-in-error.&quot; - HL7 FHIR, Slot.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zV-sR7NZEeejKsyqENIdXw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zV-sRrNZEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="__wabULNTEeejKsyqENIdXw" name="Slot">
        <ownedComment xmi:id="_dHSOsLNUEeejKsyqENIdXw" annotatedElement="__wabULNTEeejKsyqENIdXw">
          <body>&quot;A slot of time on a schedule that may be available for booking appointments.&quot; - HL7 FHIR, Slot</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4_430LNVEeejKsyqENIdXw" name="appointmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TCalkLNWEeejKsyqENIdXw" annotatedElement="_4_430LNVEeejKsyqENIdXw">
            <body>&quot;The style of appointment or patient that may be booked in the slot (not service type).&quot; - HL7 FHIR, Slot.appointmentType</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_4307NVEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_430rNVEeejKsyqENIdXw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W8W2ILNXEeejKsyqENIdXw" name="comment" visibility="public">
          <ownedComment xmi:id="_W8W2IbNXEeejKsyqENIdXw" annotatedElement="_W8W2ILNXEeejKsyqENIdXw">
            <body>&quot;Comments on the slot to describe any extended information. Such as custom constraints on the slot.&quot; - HL7 FHIR, Slot.comment</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W8W2I7NXEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W8W2IrNXEeejKsyqENIdXw" value="1"/>
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        <ownedAttribute xmi:id="_GqP5kLNXEeejKsyqENIdXw" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_GqP5kbNXEeejKsyqENIdXw" annotatedElement="_GqP5kLNXEeejKsyqENIdXw">
            <body>&quot;Date/Time that the slot is to conclude.&quot; - HL7 FHIR, Slot.end</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GqP5k7NXEeejKsyqENIdXw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GqP5krNXEeejKsyqENIdXw" value="1"/>
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        <ownedAttribute xmi:id="_7GlpILNWEeejKsyqENIdXw" name="dateTimeStart" visibility="public" type="_420A62FD03B64244824602F5">
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            <body>&quot;Date/Time that the slot is to begin.&quot; - HL7 FHIR, Slot.start</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7GlpI7NWEeejKsyqENIdXw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7GlpIrNWEeejKsyqENIdXw" value="1"/>
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        <ownedAttribute xmi:id="_k7IlgLNUEeejKsyqENIdXw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_758qoLNUEeejKsyqENIdXw" annotatedElement="_k7IlgLNUEeejKsyqENIdXw">
            <body>&quot;External Ids for this item.&quot; - HL7 FHIR, Slot.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rRBwkLNUEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rRBwkbNUEeejKsyqENIdXw" value="*"/>
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        <ownedAttribute xmi:id="_xdMX4LNUEeejKsyqENIdXw" name="isOverbooked" visibility="public">
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            <body>&quot;This slot has already been overbooked, appointments are unlikely to be accepted for this time.&quot; - HL7 FHIR, Slot.overbooked</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
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        <ownedAttribute xmi:id="_CJ_h0LNUEeejKsyqENIdXw" name="schedule" visibility="public" type="_7QLKULNTEeejKsyqENIdXw" association="_CJ1w0LNUEeejKsyqENIdXw">
          <ownedComment xmi:id="_Npg5ILNUEeejKsyqENIdXw" annotatedElement="_CJ_h0LNUEeejKsyqENIdXw">
            <body>&quot;The schedule resource that this slot defines an interval of status information.&quot; - HL7 FHIR, Slot.schedule</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CJ_h0bNUEeejKsyqENIdXw" value="1"/>
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        <ownedAttribute xmi:id="_t7ekoLNUEeejKsyqENIdXw" name="serviceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;A broad categorisation of the service that is to be performed during this appointment.&quot; - HL7 FHIR, Slot.serviceCategory</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_t7ekorNUEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_t7ekobNUEeejKsyqENIdXw" value="1"/>
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        <ownedAttribute xmi:id="_vBoUYLNUEeejKsyqENIdXw" name="serviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource.&quot; - HL7 FHIR, Slot.serviceType</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vBoUYrNUEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vBoUYbNUEeejKsyqENIdXw" value="*"/>
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        <ownedAttribute xmi:id="_m3ZocLNVEeejKsyqENIdXw" name="specialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;The specialty of a practitioner that would be required to perform the service requested in this appointment.&quot; - HL7 FHIR, Slot.specialty</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m3Zoc7NVEeejKsyqENIdXw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m3ZocrNVEeejKsyqENIdXw" value="*"/>
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        <ownedAttribute xmi:id="_jEY0YLNWEeejKsyqENIdXw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;busy | free | busy-unavailable | busy-tentative | entered-in-error.&quot; - HL7 FHIR, Slot.status</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jEY0Y7NWEeejKsyqENIdXw" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_CJ1w0LNUEeejKsyqENIdXw" name="slot_schedule" memberEnd="_CJ_h0LNUEeejKsyqENIdXw _CJ_h07NUEeejKsyqENIdXw">
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    <packagedElement xmi:type="uml:Package" xmi:id="_vKAdQJ93EeGVHtLvLEEdog" name="PublicHealthReporting">
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      <ownedComment xmi:id="_LEKBQNgeEeG3E4mt6RKX5Q">
        <body>The vital records organization is acting as an information source, not necessarily an encounter&#xD;
In fact, a provider organization might act as an information source and might not be involved in the provision of the service</body>
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      <packagedElement xmi:type="uml:Enumeration" xmi:id="_L0_IMLGFEeGkU9GcFSzOCA" name="NotificationReportKind">
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        <ownedLiteral xmi:id="_ua-r0LGFEeGkU9GcFSzOCA" name="HospitalAcquiredInfection"/>
        <ownedLiteral xmi:id="_S84X8LGFEeGkU9GcFSzOCA" name="Outbreak"/>
        <ownedLiteral xmi:id="_VlKo0LGFEeGkU9GcFSzOCA" name="PublicHealthEvent"/>
        <ownedLiteral xmi:id="_Xsm2cLGFEeGkU9GcFSzOCA" name="PublicHealthExposure"/>
        <ownedLiteral xmi:id="_Zp63sLGFEeGkU9GcFSzOCA" name="PublicHealthCase"/>
        <ownedLiteral xmi:id="_jNgGwLGFEeGkU9GcFSzOCA" name="etc"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_O851ELC5EeGGPqUAHxbNLQ" name="NotificationReport">
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          <body>&quot;Information about a specific instance of reporting of the information associated with an incident or impact. As a general matter, this is information pulled together by an investigation. In the context of a particular investigation, this concept includes both reports received by the party responsible for the investigation, as well as reports received by that party.  In particular, the class comprises the initial report. This is an account provided by the PERSON who originally provided information about the event.&quot; - ICSR DAM, May 2006.</body>
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            <body>The date (and optionally time) at which the event that triggered the need to generate a Notification Report occurred.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zVuWQLF_EeGkU9GcFSzOCA"/>
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        <ownedAttribute xmi:id="_7p2nEOP5Eea407qNHok1lQ" name="careGiver" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
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            <body>Identifies the person who provided care for the subject of the report. This may not be the same person who submitted the report.</body>
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        <ownedAttribute xmi:id="_Dk7AMOP6Eea407qNHok1lQ" name="moreInformationlProvider" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
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            <body>Identifies the Healthcare Provider who should be contacted for additional follow up information. The Healthcare Provider may or may not be the same person who authored the report or who sent the report. For example, the report may be created by a hospital, but may refer the receiving agency to the Patient's primary care provider, who will know the Patient's overall condition and history better than would the reporting provider at the hospital.</body>
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            <body>A categorization of the kind of report.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rKFcLyoEea_DaXmJ278Kw" value="1"/>
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            <body>Date and time the report is being sent to public health agency or clinical registry.&#xD;
&quot;This data element has the function of a timestamp and represents the equivalent of a version number for the ICSR. Every ICSR and every iteration (e.g. version) of an ICSR in a safety message must have a different value for Date of Creation. The most recent version of an ICSR will have the most recent date; previous versions of an ICSR will have older dates.&quot; - ICH E2B(R3), C.1.2&#xD;
The date that the Med Watch report was created.  Medwatch 3500 form question B.4; Medwatch 3500A form question B.4; Medwatch 3500B form question D.2; VAERS-1 form question 6.</body>
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            <body>A unique identifier assigned to the report by the author.&#xD;
&#xD;
&quot;An identifier for the ICSR that is unique&quot; - ICH E2B(R3), C.1.1</body>
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        <ownedAttribute xmi:id="_YnpbsBIXEeK0rPN86AJEog" name="reportingSystem" visibility="public">
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            <body>Identifies the computer system that was used to generate the report. This optional information is required by some kinds (i.e., subtypes) of Notifcation Reports so that the receiving system can track from whence its information came. Note that this concept differs from that of the sending system, which is the computer system that transmitted the report. In practice, these may be the same system, but not necessarily.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_l0f3gBIXEeK0rPN86AJEog" name="sendingSystem" visibility="public">
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            <body>Identifies the computer system that was used to transmit the report (for example, a Health Information Exchange (HIE) system). This optional information is required by some kinds (i.e., subtypes) of Notifcation Reports so that the receiving system can track from whence its information came. Note that this concept differs from that of the reporting system, which is the computer system that created the report. In practice, these may be the same system, but not necessarily.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_H1atkLGAEeGkU9GcFSzOCA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Indicate[s] that a previously transmitted ICSR is either considered completely void (nullified)..., or amended&quot; - ICH E2B(R3), C.1.11.1.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FjZvoLypEea_DaXmJ278Kw" value="1"/>
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        <ownedAttribute xmi:id="_5OU7oMxKEeGPzLWdRElHZQ" name="encounterEvent" visibility="public" type="_420A62FD03B64213F5B40316" association="_5OQqMMxKEeGPzLWdRElHZQ">
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        <ownedAttribute xmi:id="_cy-3QNyvEeGh5_jMwegn_g" name="medicationHistory" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_cy6l0NyvEeGh5_jMwegn_g">
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        <ownedAttribute xmi:id="_CvRrcLGGEeGkU9GcFSzOCA" name="reportCreatedBy" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_CvMy8LGGEeGkU9GcFSzOCA">
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              <language></language>
              <body>(none)</body>
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            <body>An identification of the Person or Animal while in the role of Patient.  This Identifier is basically an &quot;account number&quot;.  A single person will have multiple Patient Ids at various healthcare providers.  It is not uncommon for a person to have multiple Patient Ids or &quot;account numbers&quot; at a single institution - often a new account number is created for each episode of care.  This is also the case in long-term care situations, where a new account number may be created each month in order to facilitate monthly billing.&#xD;
&#xD;
&quot;Contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3.&#xD;
&quot;Contains the patient account number assigned by accounting to which all charges, payments, etc., are recorded.  It is used to identify the patient's account.&quot; - HL7 Version 2.8, PID-18.</body>
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            <body>Indicates the state of the Patient's record, as defined in the state-transition model in the HL7 RIM.  Examples include Active, Pending, Terminated, etc.  Additional states might be defined such as 'Temporary' or 'Permanent'.&#xD;
&#xD;
Note, for public health reporting purposes, this statusiIndicates the active/inactive status of the patient at the provider site level. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.</body>
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              <body>The activity at the time of the exposure or injury.  For Injury:  ICD-9-CM E-001 through E030 codes, ICD-10-CM Y-93 through Y-99 codes.</body>
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              <body>The name of the agent to which the patient was exposed or by which the patient was injured.  For Injury:  ICD-9-CM E-codes, ICD-10-CM V through Y-codes.</body>
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          <ownedAttribute xmi:id="_lgx5QBFyEeKu1LfuaJwFHw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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              <body>Indicates the type of exposure (e.g., chemical, biological, physical, other).</body>
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            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nGd2oLypEea_DaXmJ278Kw" value="1"/>
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          <ownedAttribute xmi:id="_Ilvl8BF1EeKu1LfuaJwFHw" name="circumstances" visibility="public">
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          <ownedAttribute xmi:id="_X_QRIBF2EeKu1LfuaJwFHw" name="injuryContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <ownedComment xmi:id="_alLKgBF2EeKu1LfuaJwFHw" annotatedElement="_X_QRIBF2EeKu1LfuaJwFHw">
              <body>Indicates whether the activity was due to work, both civilian and military, volunteering, or leisure.  ICD-9-CM E-000 code, ICD-10-CM Y-99 code.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pBjDQLypEea_DaXmJ278Kw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pBjDQbypEea_DaXmJ278Kw" value="1"/>
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          <ownedAttribute xmi:id="_u_wqQBF0EeKu1LfuaJwFHw" name="location" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <ownedComment xmi:id="_u_wqQRF0EeKu1LfuaJwFHw" annotatedElement="_u_wqQBF0EeKu1LfuaJwFHw">
              <body>Indicates the place where the exposure / injury occurred (e.g., workplace, farm, etc).  For Injury:  ICD-9-CM E-849 codes , ICD-10-CM Y-92 codes.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pfuNALypEea_DaXmJ278Kw"/>
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          <ownedAttribute xmi:id="_WXR68AioEeKmtKel3KkMBA" name="yearsInOccupation" visibility="public">
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          <ownedAttribute xmi:id="_j8UNQAioEeKmtKel3KkMBA" name="employmentAtTimeOfExposure" visibility="public" type="_420A62FD03B6418A501902C7" association="_j8Qi4AioEeKmtKel3KkMBA">
            <eAnnotations xmi:id="_kMaKgBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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              <body>&lt;p>note: LOS in a NICU is sometimes measured in hours&lt;/p></body>
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            <body>&lt;p>Steve's model has it related to the delivery, but this should be at the episode of care.  Note that not anesthesias involve intubation&lt;/p></body>
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          <ownedEnd xmi:id="_WS2WwH38Eee1p7YHZRkHEw" name="" visibility="private" type="_27WPwH34Eee1p7YHZRkHEw" association="_WSysYH38Eee1p7YHZRkHEw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_svzE8H38Eee1p7YHZRkHEw" name="RegionalAnesthesia"/>
        <packagedElement xmi:type="uml:Association" xmi:id="_uwYcoH38Eee1p7YHZRkHEw" memberEnd="_uwaR0H38Eee1p7YHZRkHEw _uwd8MH38Eee1p7YHZRkHEw">
          <ownedEnd xmi:id="_uwd8MH38Eee1p7YHZRkHEw" name="" visibility="private" type="_GItx0H35Eee1p7YHZRkHEw" association="_uwYcoH38Eee1p7YHZRkHEw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hL7uQH3-Eee1p7YHZRkHEw" name="OBHistory">
          <ownedAttribute xmi:id="_wUPKIH3-Eee1p7YHZRkHEw" name="priorUterineSurgery" visibility="private"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_ru8aAH3-Eee1p7YHZRkHEw" name="GynHistory">
          <ownedAttribute xmi:id="_1UkQcH3-Eee1p7YHZRkHEw" name="priorUterineSurgery" visibility="private"/>
        </packagedElement>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_B7fCUE1QEd-ZC8uuCl8MVA" name="SecurityAndPrivacy">
      <eAnnotations xmi:id="_Q3ci8E1eEd-ZC8uuCl8MVA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_ilC8QHr0Ed-JS-dJS9jZTw" annotatedElement="_Y2fzUHr0Ed-JS-dJS9jZTw">
        <body>This class may need to be replaced by existing EHR concepts such as 'Problem' or 'Diagnosis'</body>
      </ownedComment>
      <ownedComment xmi:id="_KnnpYLa2Ed-Y0_knsxZjWg" annotatedElement="_B7fCUE1QEd-ZC8uuCl8MVA">
        <body>The FHIM Security and Privacy domain models information related to access-control policies and their enforcement.  While historically security and patient-defined consent have been viewed as separate subjects, in effect they are enforced the same way, especially in a distributed environment.  For example, there is no functional difference between the enforcement of a corporate policy that declares that only mental health specialists can see mental health data and the enforcement of a patient’s directive to grant visibility of their mental-health related medications to their primary physician, but not to their dentist.&#xD;
The FHIM Security and Privacy domain is closely based on the HL7 Security and Privacy Domain Analysis Model (DAM) of May 2010.  There are however, several important differences between this FHIM model and the DAM:  a) The DAM has SecurityRole as a subtype of CompositePolicy.  We made it an association instead.  Then, because both BasicPolicy and CompositePolicy have associations to SecurityRole, we moved the association to Policy, which is the common supertype of both BasicPolicy and CompositePolicy.  b) The DAM models JurisdictionalOrganization and ProviderOrganization as subtypes of Authority.  Indeed, ProviderOrganization is also a subtype of Grantee (multiple-inheritance).  In the FHIM, ProviderOrganization and JurisidictionalOrganization are existing stand-alone concepts.  So we changed the inheritance relationship to association relationships.  c) The DAM models Patient and Population as subtypes of SubjectOfRecord.  In the FHIM, Patient and Population are existing stand-alone concepts.  So we changed the inheritance relationship to association relationships.&#xD;
There are some outstanding issues as well.  We need to better understand the PrivateInsurance and PublicServices classes.  These appear to mimic E/E/COB classes, but the purpose for these is unclear.  HL7 already has an exhaustive list of coverage types.  Should OrganizationalProvider be an Entity rather than a Role?</body>
      </ownedComment>
      <ownedComment xmi:id="_DvcdkCidEeS23qH9Mw5WGA" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
        <body>HL7 DAM has UserIdentity linked to WorkstationLocation.  iEHR has it linked to CareSite</body>
      </ownedComment>
      <ownedComment xmi:id="_eZrYgCoyEeS9gfEvdy2nFQ" annotatedElement="_LNlLEO2tEeOQj9rMQfa4kA">
        <body>i.e, What you're credentialled for - Nurse</body>
      </ownedComment>
      <ownedComment xmi:id="_iklSsCoyEeS9gfEvdy2nFQ" annotatedElement="_amKV8Hr7Ed-JS-dJS9jZTw">
        <body>i.e., reflects a situational duty, e.g., Head Nurse</body>
      </ownedComment>
      <ownedComment xmi:id="_jxIMECo3EeS9gfEvdy2nFQ" annotatedElement="_VIZkIGqREd-YrKaDhqmtYg">
        <body>We're assuming that Security Role is a collection of Permissions.  Therefore, we've changed Functional Role and Structural Role from subtypes of Security Role to composites instead (because otherwise a security role could be a &quot;plain&quot; security role, a functional role, or a structural role, but never both a functional role and a security role at the same time.  Need to validate this.  If Security Role were recursive, then we could change back to subtypes rather than composites, if desired.</body>
      </ownedComment>
      <ownedComment xmi:id="_6AUHYDU1EeSyRvXkulLkwQ">
        <body>Permissions are related to privacy operations&#xD;
Example operations include: Collection, Access, Use, and Disclose</body>
      </ownedComment>
      <ownedComment xmi:id="_gG_jgDU2EeSyRvXkulLkwQ">
        <body>Permissions are related to security operations, not privacy operations&#xD;
Example operations include: Create, Read, Update, Delete, Execute</body>
      </ownedComment>
      <ownedComment xmi:id="_qrV1kEs7EeSHq5IIag-zlA">
        <body>e.g. Doctor</body>
      </ownedComment>
      <ownedComment xmi:id="_r3ffoEs7EeSHq5IIag-zlA">
        <body>e.g., Medical Director</body>
      </ownedComment>
      <ownedComment xmi:id="_tkwSsEs7EeSHq5IIag-zlA">
        <body>e.g., Project Gutenberg</body>
      </ownedComment>
      <ownedComment xmi:id="_wU3p4Es7EeSHq5IIag-zlA">
        <body>e.g., Patient 123's HIV records</body>
      </ownedComment>
      <ownedComment xmi:id="_3SsXoEs7EeSHq5IIag-zlA">
        <body>e.g., HIV records</body>
      </ownedComment>
      <ownedComment xmi:id="_PdrU8Es8EeSHq5IIag-zlA">
        <body>Dr. Ioana</body>
      </ownedComment>
      <ownedComment xmi:id="_RjDtEEs8EeSHq5IIag-zlA">
        <body>Access to patient's HIV records is limited to users who are a)a doctor, b) a medical director, and c) a member of Project Gutenberg</body>
      </ownedComment>
      <ownedComment xmi:id="_wCR9sEs-EeSHq5IIag-zlA">
        <body>I can encrypt (or maybe: I promise I will encrypt)</body>
      </ownedComment>
      <ownedComment xmi:id="_m2LJEFY3EeS4Ftcws1EIJA">
        <body>The Grantee is the User</body>
      </ownedComment>
      <ownedComment xmi:id="_5kKSMFY3EeS4Ftcws1EIJA">
        <body>The Authority is the Grantor</body>
      </ownedComment>
      <ownedComment xmi:id="_oHtM8FY4EeS4Ftcws1EIJA">
        <body>High-level Security And Privacy classes resulting from discussions of Oct, 17th, 24th, and 31st.  Note the double underscores in front of the class names are used to distinguish these classes from the &quot;real&quot; classes.  These classes will be deleted once we have reached consensus on the overall structure and the &quot;real&quot; classes have been re-factored accordingly.</body>
      </ownedComment>
      <ownedComment xmi:id="_5Jn10FY4EeS4Ftcws1EIJA">
        <body>The Composite Contract combines a set of Basic (e.g., Atomic, or individual) Contracts or Policies to form a new, named Contract.&#xD;
e.g., &quot;Super User&quot; might combine several individual security policies, or &quot;42CFR&quot; might combine several individual privacy policies</body>
      </ownedComment>
      <ownedComment xmi:id="_0Vne0FY5EeS4Ftcws1EIJA">
        <body>High-level Security And Privacy classes resulting from discussions of Oct. 3rd.  Note the double underscores in front of the class names are used to distinguish these classes from the &quot;real&quot; classes.  These classes will be deleted once we have reached consensus on the overall structure and the &quot;real&quot; classes have been re-factored accordingly.</body>
      </ownedComment>
      <ownedComment xmi:id="_mvyIQF9uEeSFqYoAKiSQOQ">
        <body>In practice, we're talking about the Patient's Record, not the Patient</body>
      </ownedComment>
      <ownedComment xmi:id="_pgls0GA7EeSij9t9NrJMGg">
        <body>This might need to be deleted.  While this makes sense in RBAC, it's at the wrong level wrt Consent</body>
      </ownedComment>
      <ownedComment xmi:id="_KTuDcGEzEeSPK9L19J4xlQ">
        <body>Security</body>
      </ownedComment>
      <ownedComment xmi:id="_LizeAGE5EeSPK9L19J4xlQ">
        <body>Access, Collect, Use, Disclose</body>
      </ownedComment>
      <ownedComment xmi:id="_OXRJsGE5EeSPK9L19J4xlQ" annotatedElement="_HpEzYGE5EeSPK9L19J4xlQ">
        <body>CRUDE</body>
      </ownedComment>
      <ownedComment xmi:id="_yVlLIGE5EeSPK9L19J4xlQ">
        <body>This diagram shows all of the Terminology classes from the Security and Privacy package of the FHIM Terminology Model</body>
      </ownedComment>
      <ownedComment xmi:id="_QCbxYGFBEeSPK9L19J4xlQ">
        <body>This diagram contains all of the current Security and Privacy classes under consideration.  This is a work in progress, as we attempt now to refactor the model&#xD;
See also the HighLevelOverview1 and HighLevelOverview2 diagrams</body>
      </ownedComment>
      <ownedComment xmi:id="_8QNIUGa3EeS5RO2EirOuRQ">
        <body>Question for SEcurity WG:</body>
      </ownedComment>
      <ownedComment xmi:id="_qA3JYGa_EeS5RO2EirOuRQ">
        <body>Do we still need hierarchical group?</body>
      </ownedComment>
      <ownedComment xmi:id="_sFLVEGbAEeS5RO2EirOuRQ">
        <body>A care team is a good example of a functional group</body>
      </ownedComment>
      <ownedComment xmi:id="_63tVQGbAEeS5RO2EirOuRQ">
        <body>Captain or better</body>
      </ownedComment>
      <ownedComment xmi:id="_qbQpwHpwEeSAJvGNScj2Vw" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
        <body>Rename to Entity</body>
      </ownedComment>
      <ownedComment xmi:id="_z4s0UH_xEeSDnJHG5e-w4A">
        <body>Add a &quot;representation&quot;to the policy so we can indicate what form the policy (contract) is in (e.g., scanned image, etc</body>
      </ownedComment>
      <ownedComment xmi:id="_tQR5YH_yEeSDnJHG5e-w4A" annotatedElement="_hTmc4G9LEd-NmaNtnOnl0g">
        <body>Add mime type to the uri</body>
      </ownedComment>
      <ownedComment xmi:id="_Uj5s4CxTEee7FIwz9nLROQ">
        <body>Don't confuse Security Groups with Security Roles&#xD;
The Security Group replaces &quot;Compartment&quot; in the old FHIM model (see FhimSecurityAndPrivacyDiagrams_2014-10-17.docx)&#xD;
Security Groups can be functional or Hierarchical</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_G1FbICSzEeSAwtfZ1E8XUQ" name="SecurityLabelCategory">
        <ownedAttribute xmi:id="_XHJ7cCSzEeSAwtfZ1E8XUQ" name="compartment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__HnjMEubEeeeDrHZEaEbRA" annotatedElement="_XHJ7cCSzEeSAwtfZ1E8XUQ">
            <body>Represents some kind of grouping to which a person must belong in order to be granted access to a particular set of resources. For example, a person might play the Structural Role of Pharmacist, a Functional Role of Lead Pharmacist for a VA isolation unit facility, but would need to belong to the Compartment of “national ebola research” in order to access. The Compartment clearance allows the ability to restrict access to those persons who are involved in the project.&#xD;
Security label metadata that &quot;segments&quot; a resource by indicating that access and use is restricted to members of a defined community or project. [HL7 HCS]&#xD;
A compartment value specifies whether there is a &quot;need to know&quot; permission for resource access. The value is in accordance with [HL7 HCS Vocab]. Examples of values are HRCOMPT (Human Resource Compartment), RESCOMPT (Research Project Compartment), and RMGTCOMPT (Records Management Compartment).&#xD;
Note that this was a separate class called Compartment, which was renamed from Group, but it has since been realized that this is a code (i.e., a pointer into a terminology) rather than a stand-alone class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XHJ7ciSzEeSAwtfZ1E8XUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XHJ7cSSzEeSAwtfZ1E8XUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XIzhQCSzEeSAwtfZ1E8XUQ" name="integrity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AE8lIG4tEeeQdaNIGK6Uxw" annotatedElement="_XIzhQCSzEeSAwtfZ1E8XUQ">
            <body>Security label metadata that “segments” a resource by conveying the completeness, veracity, reliability, trustworthiness, and provenance of the resource (e.g., anonymized, signed, Subject of Care reported). [HL7 PASS SLS]&#xD;
Integrity values indicate a resource’s trustworthiness and reliability (i.e., mechanisms used to ensure that the resource has not been tampered with or altered in unexpected manner). The values are in accordance with [HL7 HCS Vocab]. Examples of values are DIGSIG (Digital Signature) and CRYTOHASH (Cryptographic Hash Function).&#xD;
Integrity marking includes what types of access is allowed or denied to the resource. For example, allow reading of unsigned notes. [HL7 HCS]&#xD;
In general, integrity markings indicate things such as degree of reliability of the resource 
(e.g., a hierarchy from very reliable to unreliable) and the status of the resource (e.g., workflow status of a healthcare record from initial to complete to legally attested). [HL7 HCS]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X-9FoC-1EeSEjInCjBm_gA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X--60C-1EeSEjInCjBm_gA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XFpfkCSzEeSAwtfZ1E8XUQ" name="privacyPolicy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XFpfkiSzEeSAwtfZ1E8XUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XFpfkSSzEeSAwtfZ1E8XUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XKimoCSzEeSAwtfZ1E8XUQ" name="provenance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__itlUG4tEeeQdaNIGK6Uxw" annotatedElement="_XKimoCSzEeSAwtfZ1E8XUQ">
            <body>Security label metadata that provides indicators of a resource’s source, authority, and context. [HL7 PASS SLS] Examples of values are HCPAST (Healthcare Professional Asserted) and CLINAST (Clinician Asserted).&#xD;
Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. [W3C Provenance]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XKimoiSzEeSAwtfZ1E8XUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XKimoSSzEeSAwtfZ1E8XUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XERmkCSzEeSAwtfZ1E8XUQ" name="sensitivityField" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XT2cEG4qEeeQdaNIGK6Uxw" annotatedElement="_XERmkCSzEeSAwtfZ1E8XUQ">
            <body>Security label metadata that indicates the amount of damage that will result from the disclosure of the data and indicates which measures the data requires for protection from disclosure. The amount of damage that results from unauthorized disclosure depends on who obtains the data; the sensitivity label should reflect the worst case. [HL7 HCS, adapted from IETF RFC 1457]&#xD;
A sensitivity value specifies the labeled resource’s level of sensitivity per policy. The value is in accordance with [HL7 HCS Vocab]. Examples of values are DRGIS (Drug Information Sensitivity), PSY (Psychiatry Information Sensitivity), and HIV (Human Immunodeficiency Virus).&#xD;
Note that this was a separate class called Sensitivity, but it has since been realized that this is a code (i.e., a pointer into a terminology) rather than a stand-alone class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XERmkiSzEeSAwtfZ1E8XUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XERmkSSzEeSAwtfZ1E8XUQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-AkkcA6sEeS8G4zILwlveA" name="PurposeOfUsePolicy">
        <ownedComment xmi:id="_4Uod4HF2Eeei2YqcoJzdKw" annotatedElement="_-AkkcA6sEeS8G4zILwlveA">
          <body>&quot;The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.&quot; - FHIR, Consent.purpose</body>
        </ownedComment>
        <generalization xmi:id="__BQwMG5QEee8JvUtrkP9dg" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_ki5N8G9MEd-NmaNtnOnl0g" name="purposeOfUse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_r0GxwG9MEd-NmaNtnOnl0g" annotatedElement="_ki5N8G9MEd-NmaNtnOnl0g">
            <body>Specifies the purpose to permit a specific type of action/operation according to the policy.&#xD;
&quot;The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.&quot; - FHIR, Consent.purpose</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RYSjkEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RYSjkUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qvkCoEmYEeS_faZjwcNEFg" name="reason" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qvkCokmYEeS_faZjwcNEFg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qvkCoUmYEeS_faZjwcNEFg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ffJUUCL2EeSh6JM0tyw3zg" name="SecurityLabelHandling">
        <ownedAttribute xmi:id="_gFSpsEuSEeeeDrHZEaEbRA" name="obligationLabel" visibility="public" type="_QQmfkHJkEd-yL6kuw0jWHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__VNpYEuSEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__VNpYUuSEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KJs8IEuSEeeeDrHZEaEbRA" name="privacyMarkLabel" visibility="public" type="_gCf38CinEeS23qH9Mw5WGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cVZQgEuSEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cVZQgUuSEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m1VaIEuSEeeeDrHZEaEbRA" name="purposeOfUse" visibility="public" type="_-AkkcA6sEeS8G4zILwlveA">
          <ownedComment xmi:id="_mK4agHGHEeei2YqcoJzdKw" annotatedElement="_m1VaIEuSEeeeDrHZEaEbRA">
            <body>&quot;The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.&quot; - FHIR, Consent.purpose</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AGtXwEuTEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AGtXwUuTEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DeMtcEuSEeeeDrHZEaEbRA" name="refrainPolicy" visibility="public" type="_erjtQHJkEd-yL6kuw0jWHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IKh5sEuSEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IKh5sUuSEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_gCf38CinEeS23qH9Mw5WGA" name="PrivacyMarkPolicy">
        <generalization xmi:id="_9zf8kG5QEee8JvUtrkP9dg" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_1qCBECinEeS23qH9Mw5WGA" name="flagTextToBeRendered" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1qCBEiinEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1qCBESinEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ckt-8CimEeS23qH9Mw5WGA" name="SecurityLabelHeader">
        <ownedAttribute xmi:id="_GwBuICinEeS23qH9Mw5WGA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GwBuIiinEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GwBuISinEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JhcF0CinEeS23qH9Mw5WGA" name="spif" visibility="public" type="_l9QYkA6wEeS8G4zILwlveA" association="_r4kU9C9dEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jhcs4CinEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jhcs4SinEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_l9QYkA6wEeS8G4zILwlveA" name="SecurityPolicyInformationFile">
        <ownedComment xmi:id="_ya-68G6fEeS25q3D6U-JoQ" annotatedElement="_l9QYkA6wEeS8G4zILwlveA">
          <body>*(added 11/2014 as part of high-level refactoring)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Or9PkCIoEeSHneyaaKlHnw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_7urScEuQEeeeDrHZEaEbRA" annotatedElement="_Or9PkCIoEeSHneyaaKlHnw">
            <body>The time period during which the Security Policy Information File is valid. Note that the end date may be empty for SPIFs that are currently valid.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Or9PkiIoEeSHneyaaKlHnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Or9PkSIoEeSHneyaaKlHnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Or8ogCIoEeSHneyaaKlHnw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Or8ogiIoEeSHneyaaKlHnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Or8ogSIoEeSHneyaaKlHnw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y2fzUHr0Ed-JS-dJS9jZTw" name="ClinicalCondition">
        <ownedComment xmi:id="_7u4SMHsaEd-46pruQ3sQtQ" annotatedElement="_Y2fzUHr0Ed-JS-dJS9jZTw">
          <body>This class (sometimes referred to as Protected Condition) is used to represent the health conditions associated with the policy. Conditions, when specified, are coded concepts expressed in a standard vocabulary (e.g., Logical Observation Identifiers Names and Codes [LOINC], Systematized Nomenclature of Medicine – Clinical Terms [SNOMED – CT]). These may include indications of &quot;substance abuse&quot; or &quot;HIV-related&quot; illnesses, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qhsCsHr0Ed-JS-dJS9jZTw" name="condition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_n54EYHsfEd-46pruQ3sQtQ" annotatedElement="_qhsCsHr0Ed-JS-dJS9jZTw">
            <body>Categorizes the health condition associated with the policy. Conditions when specified, are coded concepts expressed in a standard vocabulary (e.g., LOINC, SNOMED CT, etc.). These may include indications of 'substance abuse' or 'HIV-related' illnesses, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uiYKEEutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uiYxIEutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9qFd8HS0Ed-Bj4191_mrEA" name="Population">
        <ownedComment xmi:id="_wOjVEIVLEd-6PJo369YzhQ" annotatedElement="_9qFd8HS0Ed-Bj4191_mrEA">
          <body>Population: &quot;2.a) a body of persons or individuals having a quality or characteristic in common. 3) a group of individual persons, objects, or items from which samples are taken for statistical measurement&quot; - Merriam-Webster's Medical Dictionary&#xD;
This class specifies that the target of a policy may be an entire population. This class may be used to specify a privacy policy that applies to a specific group or population. [HL7 DAM]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_mKNy0HS3Ed-Bj4191_mrEA" name="description" visibility="public">
          <ownedComment xmi:id="_bNhq8IVOEd-6PJo369YzhQ" annotatedElement="_mKNy0HS3Ed-Bj4191_mrEA">
            <body>A textual description of the population</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EwzeoEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ew0FsEuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dA_t8JcTEeKrZbQHxGBj5A" name="existenceDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FbOUoEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FbOUoUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i554oHS3Ed-Bj4191_mrEA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_XDsHwIVOEd-6PJo369YzhQ" annotatedElement="_i554oHS3Ed-Bj4191_mrEA">
            <body>Uniquely identifies the population.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GHF8IEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GHGjMEuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_I24ZYF9zEd-WjrW-OJ9BNQ" name="ConsentDirective">
        <ownedComment xmi:id="_I24ZYV9zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZYF9zEd-WjrW-OJ9BNQ">
          <body>This class represents a set of privacy consent directives issued by a consenter on behalf of self or someone else. [HL7 DAM] A Consent Directive is a record of a Subject of Care’s health information privacy policy. A Consent Directive grants or withholds authorization to collect, access, use, or disclose individually identifiable health information about the client. [HL7 CDA]&#xD;
Note: There used to be a class called &quot;PublishedConsent&quot; the definition of which was: &quot;This specialization of the ConsentDirective class is used to describe a consent directive published to a registry. If a client s consent directive is published, a URL/URI is made available for reference. The client may use this URI to allow providers access to the consent directive created by the consenter.&quot; We have moved the uri property to this class and deleted the Published Consent class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_X-gB8ILHEeOhJYPrkEyrGw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mlm1QILHEeOhJYPrkEyrGw" annotatedElement="_X-gB8ILHEeOhJYPrkEyrGw">
            <body>&quot;A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.&quot; - HL7 FHIR, Consent.category</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QLG0MEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QLHbQEuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SAsoQN9PEeaqfsYBRmvQmQ" name="dataEnterer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SAsoQt9PEeaqfsYBRmvQmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SAsoQd9PEeaqfsYBRmvQmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lKF34ExkEeeVHOEud6IKkw" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qHkegExkEeeVHOEud6IKkw" annotatedElement="_lKF34ExkEeeVHOEud6IKkw">
            <body>&quot;When this Consent was issued / created / indexed.&quot; - HL7 FHIR, Consent.dateTime</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n6wBoExkEeeVHOEud6IKkw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n6wBoUxkEeeVHOEud6IKkw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZZl9zEd-WjrW-OJ9BNQ" name="documentImage" visibility="public">
          <ownedComment xmi:id="_I24ZZ19zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZZl9zEd-WjrW-OJ9BNQ">
            <body>This optional attribute references a signed paper document containing the client's consent directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I24ZaV9zEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I24ZaF9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24Zal9zEd-WjrW-OJ9BNQ" name="effectivePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_I24Za19zEd-WjrW-OJ9BNQ" annotatedElement="_I24Zal9zEd-WjrW-OJ9BNQ">
            <body>The time period during which the Consent is in effect. The period end date, if populated, is the date/time at which the Consent will automatically expire or terminate (if in the future), or was that it was terminated (if in the past). Note that a consent directive may be revoked prior to its expiration date.&#xD;
&quot;Relevant time or time-period when this Consent is applicable.&quot; - HL7 FHIR, Consent.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CJLxICn6Eee9kMEh7FPgTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CJLxISn6Eee9kMEh7FPgTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZYl9zEd-WjrW-OJ9BNQ" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_I24ZY19zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZYl9zEd-WjrW-OJ9BNQ">
            <body>Unique identifier that refers to a specific Consent Directive instance. This id or the published URI may be used to lookup the client's consent directives in order to apply them to the collection, access, use, or disclosure of health records.&#xD;
&quot;Unique identifier for this copy of the Consent Statement.&quot; - HL7 FHIR, Consent.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SRw-sEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SRxlwEuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZZF9zEd-WjrW-OJ9BNQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I24ZZV9zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZZF9zEd-WjrW-OJ9BNQ">
            <body>Indicates whether the consent directive is active or not.&#xD;
&quot;Indicates the current state of this consent.&quot; - HL7 FHIR, Consent.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TYWMQEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TYWzUEuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uH9zAClFEeSWGNB-ZzXnBA" name="uri" visibility="public">
          <ownedComment xmi:id="_kiF0EG9FEeSezfXyjIFZ7Q" annotatedElement="_uH9zAClFEeSWGNB-ZzXnBA">
            <body>If a specific consent directive (for a client) is published, this attribute provides the means to locate and download the consent directive from a registry.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uH9zAilFEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uH9zASlFEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0miogN5rEeaSVd0Fmxi4nQ" name="witness" visibility="public" type="_420A62FD03B6418CF92600E1">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0miogt5rEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0miogd5rEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aigH8ClIEeSWGNB-ZzXnBA" name="consenter" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" aggregation="composite" association="_aifg4ClIEeSWGNB-ZzXnBA">
          <ownedComment xmi:id="_WcsTgExdEeeVHOEud6IKkw" annotatedElement="_aigH8ClIEeSWGNB-ZzXnBA">
            <body>&quot;Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.&quot; - HL7 FHIR, Consent.consentingParty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aihWEClIEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aihWESlIEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LwswoS9uEee8ZskGHfh21g" name="publishedPolicy" visibility="public" type="_AiAqoC9uEee8ZskGHfh21g" association="_LwswoC9uEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lwswoi9uEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Lwswoy9uEee8ZskGHfh21g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZfF9zEd-WjrW-OJ9BNQ" name="replacesDirective" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_I3LUVF9zEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_WHc5sHshEd-46pruQ3sQtQ" annotatedElement="_I24ZfF9zEd-WjrW-OJ9BNQ">
            <body>Points to a previous Consent Directive superseded by the current instance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I24Zfl9zEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I24ZfV9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ksEUkHWNEd-2SM6vxH_lvw" name="subjectOfConsent" visibility="public" type="_420A62FD03B6418A4E500034" association="_kr6jkHWNEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_h83d8HsgEd-46pruQ3sQtQ" annotatedElement="_ksEUkHWNEd-2SM6vxH_lvw">
            <body>Identifies the person to whose information assets (i.e., medical records) the consent directive applies. This person may or may not be the same person as the consent author, as in the case where the patient is a minor child or an incapacitated person.&#xD;
&quot;The patient/healthcare consumer to whom this consent applies.&quot; - HL7 FHIR, Consent.patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ksEUkXWNEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ksEUknWNEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I3LUVF9zEd-WjrW-OJ9BNQ" name="consentDirective_replacesDirective" memberEnd="_I24ZfF9zEd-WjrW-OJ9BNQ _I3LUVV9zEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_I3LUVV9zEd-WjrW-OJ9BNQ" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_I3LUVF9zEd-WjrW-OJ9BNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I3LUV19zEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I3LUVl9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XluxcF-JEd-WjrW-OJ9BNQ" name="Consenter">
        <ownedComment xmi:id="_XluxcV-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxcF-JEd-WjrW-OJ9BNQ">
          <body> This class is intended to capture the properties of a Consenter/Substitute Decision Maker - see 'Actors'.</body>
        </ownedComment>
        <generalization xmi:id="_ftbP8CnrEeeKuow7svuOmQ" general="_tyWXUCigEeS23qH9Mw5WGA"/>
        <ownedAttribute xmi:id="_h4U-cV-QEd-WjrW-OJ9BNQ" name="client" visibility="public" type="_420A62FD03B6418A4E500034" association="_h4U-cF-QEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_3Ss9oHshEd-46pruQ3sQtQ" annotatedElement="_h4U-cV-QEd-WjrW-OJ9BNQ">
            <body>Identifies the person to whom the consent directive applies.  This person may or may not be the same person as the consent author, as in the case where the patient is a minor child or an incapacitated person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h4U-cl-QEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h4U-c1-QEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxdV-JEd-WjrW-OJ9BNQ" name="digitalSignature" visibility="public">
          <ownedComment xmi:id="_Xluxdl-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxdV-JEd-WjrW-OJ9BNQ">
            <body>This attribute is used to store the consenter's signature.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XluxeF-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxd1-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Op64UXr5Ed-JS-dJS9jZTw" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_Op64UHr5Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="__Zs58HshEd-46pruQ3sQtQ" annotatedElement="_Op64UXr5Ed-JS-dJS9jZTw">
            <body>Designates who/what has been delegated a specific right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Op64Unr5Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Op64U3r5Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxfV-JEd-WjrW-OJ9BNQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_US5MECk9EeSWGNB-ZzXnBA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NvdekHsiEd-46pruQ3sQtQ" annotatedElement="_XluxfV-JEd-WjrW-OJ9BNQ">
            <body>Contains the name of the person who granted consent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xluxf1-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxfl-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xluxc1-JEd-WjrW-OJ9BNQ" name="relationship" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XluxdF-JEd-WjrW-OJ9BNQ" annotatedElement="_Xluxc1-JEd-WjrW-OJ9BNQ">
            <body>This coded attribute is intended to specify the relationship between the consenter and the client (e.g., the Patient).  This may be a Substitute Decisions Maker, a legal guardian, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bKTFoEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bKTFoUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxeV-JEd-WjrW-OJ9BNQ" name="signatureRecorded" visibility="public">
          <ownedComment xmi:id="_Xluxel-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxeV-JEd-WjrW-OJ9BNQ">
            <body>If a digital signature is not allowed by policy, this attribute indicates whether a signature was captured.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XluxfF-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxe1-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_j7k3UF-KEd-WjrW-OJ9BNQ" name="PrivacyRule">
        <ownedComment xmi:id="_j7k3UV-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3UF-KEd-WjrW-OJ9BNQ">
          <body>A privacy or consent rule specifies the permission allowed to a user type by the consenter for a specific type of information. The person consenting may be either the subject of the record or a designated Substitute Decision Maker. One or more consent rules comprise a consent directive or privacy policy.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_w0kVcClAEeSWGNB-ZzXnBA" name="accessRestrictionOverride" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w0kVcilAEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w0kVcSlAEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Zl-KEd-WjrW-OJ9BNQ" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_j7k3Z1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Zl-KEd-WjrW-OJ9BNQ">
            <body>This attribute specifies the date/time when the Privacy Policy comes into effect.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BXkLkHGsEeSUPN3DMaTGrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BXkLkXGsEeSUPN3DMaTGrQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3aV-KEd-WjrW-OJ9BNQ" name="enablesOperation" visibility="public">
          <ownedComment xmi:id="_j7k3al-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3aV-KEd-WjrW-OJ9BNQ">
            <body>Enables the operation (e.g., disclosure) or disables it depending on its value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NOYu8EuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NOYu8UuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Xl-KEd-WjrW-OJ9BNQ" name="refrainCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j7k3X1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Xl-KEd-WjrW-OJ9BNQ">
            <body>This coded attribute specifies a pre-defined obligation associated with a policy or consent.    The Obligation Code is an Act.Code&#xD;
&#xD;
10/2014: This code was really meant to convey refrains, e.g., do not redisclose.  Renamed from obligationCode to RefrainCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j7k3YV-KEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j7k3YF-KEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O1o_kClFEeSWGNB-ZzXnBA" name="privacyPolicyLawType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O1o_kilFEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O1o_kSlFEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Yl-KEd-WjrW-OJ9BNQ" name="purposeOfUse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j7k3Y1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Yl-KEd-WjrW-OJ9BNQ">
            <body>This attribute is used to specify the purpose to permit a specific type of action/operation according to the policy. Example: TREATMENT    The PurposeCode is an Act.ReasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j7k3ZV-KEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j7k3ZF-KEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uuIpcXr-Ed-JS-dJS9jZTw" name="informationType" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_uuIpcHr-Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_pdLbcHslEd-46pruQ3sQtQ" annotatedElement="_uuIpcXr-Ed-JS-dJS9jZTw">
            <body>Identifies the type of protected information referenced by the Privacy Rule.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uuIpcnr-Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uuIpc3r-Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vCX64ClHEeSWGNB-ZzXnBA" name="grantor" visibility="public" type="_tyWXUCigEeS23qH9Mw5WGA" aggregation="composite" association="_vCXT0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vCYh8ClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vCZJAClHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yHIFUClHEeSWGNB-ZzXnBA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" aggregation="composite" association="_yHHeQClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yHIsYClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yHIsYSlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0Get8ClHEeSWGNB-ZzXnBA" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" aggregation="composite" association="_0Gdf0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0GfVAClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0GfVASlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2s59oClHEeSWGNB-ZzXnBA" name="healthcareProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" aggregation="composite" association="_2s4vgClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2s6ksClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2s6ksSlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DOXjMS9uEee8ZskGHfh21g" name="privacyPolicy" visibility="public" type="_AiAqoC9uEee8ZskGHfh21g" association="_DOXjMC9uEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DOXjMi9uEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOXjMy9uEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h4U-cF-QEd-WjrW-OJ9BNQ" name="consenter_client" memberEnd="_h4U-cV-QEd-WjrW-OJ9BNQ _h4U-dF-QEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_h4U-dF-QEd-WjrW-OJ9BNQ" name="" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" association="_h4U-cF-QEd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VIZkIGqREd-YrKaDhqmtYg" name="SecurityRole">
        <ownedComment xmi:id="_ajB74HsbEd-46pruQ3sQtQ" annotatedElement="_VIZkIGqREd-YrKaDhqmtYg">
          <body>ISO 22600 specifies a Role as a &quot;set of competencies and/or performances which is associated with a task&quot;. A Security Role defines a named group of policies (authorization, obligation, delegation and refrain policies) that can be managed, assigned, and revoked together for convenience of use rather than managing these policies individually. For example, at a given organization, all nurses (functional role) may have the same privileges and responsibilities conveyed through six policies. A nurse acting as the charge nurse (a structural role) may then have additional privileges based on two other policies. This class is used to enumerate the policies associated to the nurse role and the charge nurse role.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XuzJMGqSEd-YrKaDhqmtYg" name="authorityIdentifierName" visibility="public">
          <ownedComment xmi:id="_gJxKYGqSEd-YrKaDhqmtYg" annotatedElement="_XuzJMGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as String.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k3H60EuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k3H60UuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kHrxcGqSEd-YrKaDhqmtYg" name="description" visibility="public">
          <ownedComment xmi:id="_kHrxcWqSEd-YrKaDhqmtYg" annotatedElement="_kHrxcGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as CodedSimpleValue.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lt1gYEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lt1gYUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CWIigGqSEd-YrKaDhqmtYg" name="name" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IlCUwGqSEd-YrKaDhqmtYg" annotatedElement="_CWIigGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as CodedSimpleValue.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mk_K0EuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mk_K0UuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4Qvm4GqREd-YrKaDhqmtYg" name="objectIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_4Qvm4WqREd-YrKaDhqmtYg" annotatedElement="_4Qvm4GqREd-YrKaDhqmtYg">
            <body>This is the role_identifier_ID property in the Security DAM. The definition of that property is &quot;This attribute is defined by ISO 22600-2 as ISO ObjectIdentifier.&quot;&#xD;
WE RENAMED THIS.  WAS THIS OK TO DO????</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nZJLoEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nZJLoUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MfVDYPMqEeO655c5XtudNA" name="permission" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" aggregation="composite" association="_MfUcUPMqEeO655c5XtudNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfWRgPMqEeO655c5XtudNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfWRgfMqEeO655c5XtudNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Dyr9sCowEeS9gfEvdy2nFQ" name="policy" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_DyqvkCowEeS9gfEvdy2nFQ">
          <ownedComment xmi:id="_9kdBcHFlEeei2YqcoJzdKw" annotatedElement="_Dyr9sCowEeS9gfEvdy2nFQ">
            <body>Pointer to a set of policies that define the privileges and responsibilities of the owning Security Role.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DyskwCowEeS9gfEvdy2nFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DyskwSowEeS9gfEvdy2nFQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o5skYGqREd-YrKaDhqmtYg" name="roleIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_t-svUGqREd-YrKaDhqmtYg" annotatedElement="_o5skYGqREd-YrKaDhqmtYg">
            <body>This is the role_identifier property in the security DAM, and is defined by ISO 22600-2 as a Set of InstanceIndentifiers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o5LbAEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o5MCEEuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tny1wGqSEd-YrKaDhqmtYg" name="UserIdentity">
        <ownedComment xmi:id="_gGHxAHsbEd-46pruQ3sQtQ" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
          <body>Specifies the attributes identifying the user of a system used to access Protected Information. Note that the user here is typically a Provider. [HL7 DAM]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wOr_gGqSEd-YrKaDhqmtYg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TnAKoHsrEd-46pruQ3sQtQ" annotatedElement="_wOr_gGqSEd-YrKaDhqmtYg">
            <body>This attribute is used to represent the user's identifier.  Note that the user here is typically a provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1dmk4EuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1dmk4UuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yXe4AGqSEd-YrKaDhqmtYg" name="name" visibility="public">
          <ownedComment xmi:id="_Yvtw4HsrEd-46pruQ3sQtQ" annotatedElement="_yXe4AGqSEd-YrKaDhqmtYg">
            <body>This attribute specifies the user's name.  Note that the user here is typically a provider.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2Eb7YEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2Eb7YUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AhVi0CidEeS23qH9Mw5WGA" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_AhQqUCidEeS23qH9Mw5WGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AhXYACidEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AhX_ECidEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_16DJICieEeS23qH9Mw5WGA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_16DJIiieEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_16DJISieEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hTmc4G9LEd-NmaNtnOnl0g" name="Policy" isAbstract="true">
        <ownedComment xmi:id="_lX6m4G9LEd-NmaNtnOnl0g" annotatedElement="_hTmc4G9LEd-NmaNtnOnl0g">
          <body>This is the abstract class from which all concrete policy classes in this policy information model are derived and instantiated. Because this class is abstract, it cannot be instantiated as a security policy for healthcare. However, it specifies the properties reused by all policies. [HL7 DAM]&#xD;
A policy is a “set of legal, political, organizational, functional and technical obligations for communication and cooperation.” Policy governs the behavior of a system. [ISO 22600-2]&#xD;
Policy encompasses jurisdictional, organizational, and Subject of Care (patient) policies. Organization and jurisdictional polices are instantiated as Basic Policy in both the security policy and privacy policy contexts. Basic Policy is discussed further later in this document. It should also be noted that privacy policy is controlled by the Subject of Care.&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.&#xD;
&quot;The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.&quot; - HL7 FHIR, Consent.policy</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-fwx0HALEd-l74iZViAVdw" name="authority" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_-fnA0HALEd-l74iZViAVdw">
          <ownedComment xmi:id="_fMAjEHskEd-46pruQ3sQtQ" annotatedElement="_-fwx0HALEd-l74iZViAVdw">
            <body>Pointer to the Organization (or other Entity) that issued the policy. This may be the provider organization that &quot;owns&quot; the patient record, or a jurisdiction that regulates how privacy is to be handled within its territory.&#xD;
&quot;Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.&quot; - HL7 FHIR, Consent.policy.authority</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-fwx0XALEd-l74iZViAVdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-fwx0nALEd-l74iZViAVdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nrbhoG9LEd-NmaNtnOnl0g" name="description" visibility="public">
          <ownedComment xmi:id="_y3IlEG9LEd-NmaNtnOnl0g" annotatedElement="_nrbhoG9LEd-NmaNtnOnl0g">
            <body>This attribute specifies the narrative description of the policy. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7uKZcEuuEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7uKZcUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pzL4UG9LEd-NmaNtnOnl0g" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_4QGN0G9LEd-NmaNtnOnl0g" annotatedElement="_pzL4UG9LEd-NmaNtnOnl0g">
            <body>This attribute specifies the period of time (e.g., start date, end date) during which the privacy policy described by ePolicy is in effect.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8tcFIEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8tcFIUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lpgGIG9LEd-NmaNtnOnl0g" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_iRcqAHskEd-46pruQ3sQtQ" annotatedElement="_lpgGIG9LEd-NmaNtnOnl0g">
            <body>Uniquely identifies the policy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9z8aMEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9z9BQEuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fP43cEutEeejjOI6zW3VSQ" name="mimeType" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-0QnsEuuEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-0QnsUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m8WOEG9LEd-NmaNtnOnl0g" name="name" visibility="public">
          <ownedComment xmi:id="_kJ2WEHskEd-46pruQ3sQtQ" annotatedElement="_m8WOEG9LEd-NmaNtnOnl0g">
            <body>A human discernible name for the policy</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__fHikEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__fIJoEuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FiObsXSxEd-Bj4191_mrEA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_FiObsHSxEd-Bj4191_mrEA">
          <ownedComment xmi:id="_vvVLcHskEd-46pruQ3sQtQ" annotatedElement="_FiObsXSxEd-Bj4191_mrEA">
            <body>Pointer to a named group of policies that can be managed, assigned, and revoked together for convenience of use rather than managing these policies individually.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FiYMsHSxEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FiYMsXSxEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_quMIAG9LEd-NmaNtnOnl0g" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I1gg4G9MEd-NmaNtnOnl0g" annotatedElement="_quMIAG9LEd-NmaNtnOnl0g">
            <body>This attribute indicates whether the policy is active or not</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Afjr4EuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AfkS8EuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r8REsG9LEd-NmaNtnOnl0g" name="uri" visibility="public">
          <ownedComment xmi:id="_LK0ycG9MEd-NmaNtnOnl0g" annotatedElement="_r8REsG9LEd-NmaNtnOnl0g">
            <body>The location of published policy.&#xD;
&quot;The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.&quot; - HL7 FHIR, Consent.policy.uri</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BcNhYEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BcOIcEuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ipBb0HAIEd-l74iZViAVdw" name="AuthorizationPolicy">
        <ownedComment xmi:id="_kgO1EHAIEd-l74iZViAVdw" annotatedElement="_ipBb0HAIEd-l74iZViAVdw">
          <body>Authorization Policy is a specialization of a Basic Policy and is used to describe an authorization policy that may be exchanged across domains. An instance of Authorization Policy specifies permitted actions per ISO 22600-2. A positive (or negative) Authorization Policy defines the actions (Operation Type) that a subject is permitted (or forbidden) to perform on a target. Actions encoded using the Operation Type class represents the operations defined in the interface of a target object. [HL7 DAM]&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.</body>
        </ownedComment>
        <generalization xmi:id="_j-iGQC9xEee8ZskGHfh21g" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_mDT30G9MEd-NmaNtnOnl0g" name="allowableAccessTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_J2VPQG9NEd-NmaNtnOnl0g" annotatedElement="_mDT30G9MEd-NmaNtnOnl0g">
            <body>An access may be allowed only during specific time periods of the day (e.g., 9 am to 5 pm).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kl2l4G9NEd-NmaNtnOnl0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kl2l4W9NEd-NmaNtnOnl0g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c8aU8CigEeS23qH9Mw5WGA" name="authorizationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c8aU8iigEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c8aU8SigEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ChNYHAIEd-l74iZViAVdw" name="enablesAuthorization" visibility="public">
          <ownedComment xmi:id="_9kC30HAIEd-l74iZViAVdw" annotatedElement="_5ChNYHAIEd-l74iZViAVdw">
            <body>This attribute is used to specify if the policy enables or declines an authorization. If this attribute is set to 'true' the policy authorizes the actions and conditions pertaining to the resources referenced by the policy. Otherwise the authorization is declined.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4QaVoEutEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4QaVoUutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mzJ58HAIEd-l74iZViAVdw" name="levelOfAssurance" visibility="public">
          <ownedComment xmi:id="_wkaYoHAIEd-l74iZViAVdw" annotatedElement="_mzJ58HAIEd-l74iZViAVdw">
            <body> Level of Assurance (LoA) refers to the degree of certainty that (1) a resource owner has that a person's physical self has been adequately verified before credentials are issued by a registration authority, and (2) a user indeed owns the credentials they are subsequently presenting to access the resource.  The requirements for the level of certainty at both ends of that set of transactions should be driven by a risk assessment based on the value of the resources being protected. LoA is relevant to authentication, authorization, and access control in an SOA environment. Relevant references: 'InCommon Credential Assessment Profile r0.3', 'NIST 800-63: Electronic Authentication Guideline', and 'NIST 800-53: Recommended Security Controls for Federal Information Systems'. Access may only be granted when authentication mechanisms of at least a given strength are used. That is indicated using the Level of Assurance. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4-x3gEutEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4-x3gUutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rR0HkG9NEd-NmaNtnOnl0g" name="route" visibility="public">
          <ownedComment xmi:id="_An7JgG9OEd-NmaNtnOnl0g" annotatedElement="_rR0HkG9NEd-NmaNtnOnl0g">
            <body>This attribute specifies whether access to protected information may only be granted for a specified route of access.  For example, access may be restricted to remote users using a Virtual Private Network (VPN). The route is a context qualifier as specified by ISO/IEC 10164-9.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5lmm8EutEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5lmm8UutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GS1z8HAJEd-l74iZViAVdw" name="DelegationPolicy">
        <ownedComment xmi:id="_KV-SMHAJEd-l74iZViAVdw" annotatedElement="_GS1z8HAJEd-l74iZViAVdw">
          <body>A Delegation Policy is intended to assign access rights to a specific individual or organization (a grantee). ISO 22600-2 defines delegation as &quot;conveyance of privilege from one entity that holds such privilege, to another entity.&quot; A Delegation Policy &quot;defines what authorizations can be delegated to whom.&quot; [HL7 DAM]&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.</body>
        </ownedComment>
        <generalization xmi:id="_K5NVsC9zEee8ZskGHfh21g" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_N9Fi0HAJEd-l74iZViAVdw" name="accessRight" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qx_TYHAJEd-l74iZViAVdw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qx_TYXAJEd-l74iZViAVdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fa2W0XTCEd-Bj4191_mrEA" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_fa2W0HTCEd-Bj4191_mrEA">
          <ownedComment xmi:id="_R0rngHsiEd-46pruQ3sQtQ" annotatedElement="_fa2W0XTCEd-Bj4191_mrEA">
            <body>Designates who/what has been delegated a specific right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fbAH0HTCEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fbAH0XTCEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jH_tcCigEeS23qH9Mw5WGA" name="deligationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jH_tciigEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jH_tcSigEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JG_KIC9zEee8ZskGHfh21g" name="grantor" visibility="public" type="_tyWXUCigEeS23qH9Mw5WGA" association="_JG9U8C9zEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JG_KIS9zEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JG_xMC9zEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_kWzr8HALEd-l74iZViAVdw" name="Authority">
        <ownedComment xmi:id="_ohY2AHALEd-l74iZViAVdw" annotatedElement="_kWzr8HALEd-l74iZViAVdw">
          <body>The Organization (or other Entity) that issued or is otherwise responsible for the policy. This may be the provider organization that &quot;owns&quot; the patient record, or a jurisdiction that regulates how privacy is to be handled within its territory. This is the authority that grants authorization described in the privacy policy. This class is consistent with the “Security Authority” specified by the ISO/IEC 15816 standard as “The entity accountable for the administration of a security policy within a security domain”.&#xD;
&#xD;
&quot;Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.&quot; - HL7 FHIR, Consent.policy.authority</body>
        </ownedComment>
        <ownedAttribute xmi:id="_iw87oCk-EeSWGNB-ZzXnBA" name="authorityType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iw87oik-EeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iw87oSk-EeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pWIssHALEd-l74iZViAVdw" name="domain" visibility="public">
          <ownedComment xmi:id="_ym6UgHALEd-l74iZViAVdw" annotatedElement="_pWIssHALEd-l74iZViAVdw">
            <body>The registered domain name of the healthcare organization that issues a specific privacy policy, used to uniquely identify the Authority, e.g., &quot;gov.va&quot;</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0DSy8HALEd-l74iZViAVdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0DSy8XALEd-l74iZViAVdw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_105M4XTAEd-Bj4191_mrEA" name="jurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" association="_105M4HTAEd-Bj4191_mrEA">
          <ownedComment xmi:id="_3OXXkHseEd-46pruQ3sQtQ" annotatedElement="_105M4XTAEd-Bj4191_mrEA">
            <body>Represents a territorial authority organization that may be issuing privacy policies for a territory.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_105M4nTAEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_105M43TAEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2V95oXTAEd-Bj4191_mrEA" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_2V95oHTAEd-Bj4191_mrEA">
          <ownedComment xmi:id="_Gdo-IHsfEd-46pruQ3sQtQ" annotatedElement="_2V95oXTAEd-Bj4191_mrEA">
            <body>Specifies a healthcare organization that which will promulgate privacy policies for use within its organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2V95onTAEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2V95o3TAEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c5d0wClHEeSWGNB-ZzXnBA" name="person" visibility="public" type="_420A62FD03B6425125E800E0" association="_c5cmoClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c5d0wSlHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c5d0wilHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-fnA0HALEd-l74iZViAVdw" name="policy_authority" memberEnd="_-fwx0HALEd-l74iZViAVdw _-fwx03ALEd-l74iZViAVdw">
        <ownedEnd xmi:id="_-fwx03ALEd-l74iZViAVdw" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_-fnA0HALEd-l74iZViAVdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_QQmfkHJkEd-yL6kuw0jWHQ" name="ObligationPolicy">
        <ownedComment xmi:id="_QQmfkXJkEd-yL6kuw0jWHQ" annotatedElement="_QQmfkHJkEd-yL6kuw0jWHQ">
          <body>An Obligation Policy may be used to specify additional privacy preferences specified by a Subject of Care. An Obligation Policy may be specified in addition to a Refrain Policy to fully describe a client’s access control preferences. In some cases, an Obligation Policy may be used to indicate that the receiver of an information object may not be allowed to re-disclose or persist that information object indefinitely. Per ISO 22600-2, Obligation Policy instances &quot;are event-triggered and define actions to be performed by manager agent.&quot; [HL7 DAM]&#xD;
An obligation is an operation specified in a policy or policy set performed in conjunction with the enforcement of an authorization decision. [XACML] In short, obligations are actions to be performed. [ISO 22600-2]&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.</body>
        </ownedComment>
        <generalization xmi:id="_m0rM8C9xEee8ZskGHfh21g" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_QQmfk3JkEd-yL6kuw0jWHQ" name="obligationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QQmflHJkEd-yL6kuw0jWHQ" annotatedElement="_QQmfk3JkEd-yL6kuw0jWHQ">
            <body>This attribute identifies the action required before completing the step in the workflow. We assume it is coded concept but in today's implementations it's primarily an ad-hoc rule reference (e.g., the name of a data base stored procedure). An obligation may be associated with the release of an object. For example, it may require a signature. This information is passed as rule for an application to enforce. In other cases it may require that an audit record be created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QQmflnJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QQmflXJkEd-yL6kuw0jWHQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_erjtQHJkEd-yL6kuw0jWHQ" name="RefrainPolicy">
        <ownedComment xmi:id="_erjtQXJkEd-yL6kuw0jWHQ" annotatedElement="_erjtQHJkEd-yL6kuw0jWHQ">
          <body>A Refrain Policy is used to constrain an existing policy by indicating that a specific action is prohibited based on specific access control attributes (e.g., purpose of use, information type, user role). For example, a Refrain Policy instance may be used to represent a privacy consent directive that sets specific limitations on a default organizational policy regarding substance abuse data (e.g., [42 CFR Part 2]). Refrain Policy is a specialization of the Atomic Policy class. It does not have any additional attributes but implies different behavior. [HL7 DAM]&#xD;
ISO 22600-2 defines a refrain as actions subjects must refrain from performing.&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.</body>
        </ownedComment>
        <generalization xmi:id="_hshAUC9xEee8ZskGHfh21g" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_1ar3QA6tEeS8G4zILwlveA" name="refrainPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TCjF8EuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TCjF8UuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_owU90HJkEd-yL6kuw0jWHQ" name="Grantee">
        <ownedComment xmi:id="_owU90XJkEd-yL6kuw0jWHQ" annotatedElement="_owU90HJkEd-yL6kuw0jWHQ">
          <body>This class is used to designate who or what has been delegated a specific right or responsibility. For example, in the case of substance abuse related information, under certain conditions the authority to grant, withhold, or withdraw consent to the disclosure of the information, is granted to the client (aka patient). In another example, a Clearinghouse may act an agent or proxy for a provider organization as an intermediary and therefore can be a grantee as well.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_g4ahAXTCEd-Bj4191_mrEA" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_g4ahAHTCEd-Bj4191_mrEA">
          <ownedComment xmi:id="_hJeAMHsiEd-46pruQ3sQtQ" annotatedElement="_g4ahAXTCEd-Bj4191_mrEA">
            <body>Additional information about the grantee when the grantee is an organizational provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g4kSAHTCEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g4kSAXTCEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bjncIClHEeSWGNB-ZzXnBA" name="authority" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_bjmOAClHEeSWGNB-ZzXnBA">
          <ownedComment xmi:id="_6fYMQHF4Eeei2YqcoJzdKw" annotatedElement="_bjncIClHEeSWGNB-ZzXnBA">
            <body>Pointer to the Entity or Organization that issued or is otherwise responsible for the policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bjoDMClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bjoqQClHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0XuewHJkEd-yL6kuw0jWHQ" name="InformationResource">
        <ownedComment xmi:id="_0XuewXJkEd-yL6kuw0jWHQ" annotatedElement="_0XuewHJkEd-yL6kuw0jWHQ">
          <body>A Resource (sometimes referred to as data, target, system, or information) is an entity to which access may be attempted. [ISO 10181-3]&#xD;
(renamed from InformationReference 11/2014 as part of high-level refactoring). Was InformationTarget for a while. Renamed to InformationResource on 4/30/17)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0XuewnJkEd-yL6kuw0jWHQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0Xuew3JkEd-yL6kuw0jWHQ" annotatedElement="_0XuewnJkEd-yL6kuw0jWHQ">
            <body>Information category (e.g. medication, allergies, laboratory).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0XuexXJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0XuexHJkEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2e0SMG5JEee8JvUtrkP9dg" name="clinicalCondition" visibility="public" type="_Y2fzUHr0Ed-JS-dJS9jZTw" association="_2erIQG5JEee8JvUtrkP9dg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2e5xwG5JEee8JvUtrkP9dg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2e5xwW5JEee8JvUtrkP9dg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0XuexnJkEd-yL6kuw0jWHQ" name="confidentialityIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0Xuex3JkEd-yL6kuw0jWHQ" annotatedElement="_0XuexnJkEd-yL6kuw0jWHQ">
            <body>The confidentiality indicator is a coded attribute that assigns access controls on client health records based on the information or type of access.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0XueyXJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0XueyHJkEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kOa54XTKEd-Bj4191_mrEA" name="coverageType" visibility="public" type="_hfoYYHTKEd-Bj4191_mrEA" association="_kOa54HTKEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kOa54nTKEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kOa543TKEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YSJCMXJmEd-yL6kuw0jWHQ" name="informationObject" visibility="public" type="_MD15UHJmEd-yL6kuw0jWHQ" aggregation="composite" association="_YSJCMHJmEd-yL6kuw0jWHQ">
          <ownedComment xmi:id="_GjntgHsjEd-46pruQ3sQtQ" annotatedElement="_YSJCMXJmEd-yL6kuw0jWHQ">
            <body>A reference to specific type of information object that may be referenced by a policy or consent directive (e.g., document, order, etc.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSJCMnJmEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSJCM3JmEd-yL6kuw0jWHQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PPAF4Xr6Ed-JS-dJS9jZTw" name="informationRecipient" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_PPAF4Hr6Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_CRl3oHsjEd-46pruQ3sQtQ" annotatedElement="_PPAF4Xr6Ed-JS-dJS9jZTw">
            <body>Identifies the organizational provider that is the intended recipient of the record in question.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPAF4nr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPAF43r6Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QeFi8XTKEd-Bj4191_mrEA" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_QeFi8HTKEd-Bj4191_mrEA">
          <ownedComment xmi:id="_KkN1IHsjEd-46pruQ3sQtQ" annotatedElement="_QeFi8XTKEd-Bj4191_mrEA">
            <body>Identifies the organizational provider that is the custodian of the record in question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QeFi8nTKEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QeFi83TKEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c615sC90Eee8ZskGHfh21g" name="resourcePolicy" visibility="public" type="_avSoIC90Eee8ZskGHfh21g" association="_c60EgC90Eee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c62gwC90Eee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c62gwS90Eee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XZfOIS9tEee8ZskGHfh21g" name="securityLabel" visibility="public" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_XZfOIC9tEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XZfOIi9tEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XZfOIy9tEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ozR-QXSgEd-Bj4191_mrEA" name="subjectOfRecord" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_ozR-QHSgEd-Bj4191_mrEA">
          <ownedComment xmi:id="_1q_jgHsiEd-46pruQ3sQtQ" annotatedElement="_ozR-QXSgEd-Bj4191_mrEA">
            <body>This class represents the patient or population that is the subject of the record in question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ozR-QnSgEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ozR-Q3SgEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MD15UHJmEd-yL6kuw0jWHQ" name="InformationObject">
        <ownedComment xmi:id="_MD15UXJmEd-yL6kuw0jWHQ" annotatedElement="_MD15UHJmEd-yL6kuw0jWHQ">
          <body>This class represents a reference to specific type of information object that may be referenced by a policy. This information specifies the types of objects that may be used in a permission 
(e.g., a category of laboratory orders, document types). [HL7 DAM]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MD15UnJmEd-yL6kuw0jWHQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MD15U3JmEd-yL6kuw0jWHQ" annotatedElement="_MD15UnJmEd-yL6kuw0jWHQ">
            <body>Coded attribute that identifies the type of object referenced in the policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MD15VXJmEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MD15VHJmEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pKeRUBQoEeS4r_U16CXjgw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pKeRUhQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pKeRURQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rXErwBQoEeS4r_U16CXjgw" name="sensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rXErwhQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rXErwRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YSJCMHJmEd-yL6kuw0jWHQ" name="informationResource_informationObject" memberEnd="_YSJCMXJmEd-yL6kuw0jWHQ _YSJCNHJmEd-yL6kuw0jWHQ">
        <ownedEnd xmi:id="_YSJCNHJmEd-yL6kuw0jWHQ" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_YSJCMHJmEd-yL6kuw0jWHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSSzMHJmEd-yL6kuw0jWHQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSSzMXJmEd-yL6kuw0jWHQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bhG9kHSgEd-Bj4191_mrEA" name="SubjectOfRecord">
        <ownedComment xmi:id="_lVRmUHSgEd-Bj4191_mrEA" annotatedElement="_bhG9kHSgEd-Bj4191_mrEA">
          <body>This class represents the type of subject of the clinical record, which could be either a patient or a population.&#xD;
Note that originally it was contemplated that the subject of the record could even be a provider or a non-human, but for the time being, the FHIM only allows a patient or a population.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uDuNEXS0Ed-Bj4191_mrEA" name="patient" visibility="public" type="_420A62FD03B6425125E800E0" association="_uDuNEHS0Ed-Bj4191_mrEA">
          <ownedComment xmi:id="_F-GE8HsrEd-46pruQ3sQtQ" annotatedElement="_uDuNEXS0Ed-Bj4191_mrEA">
            <body>Captures the properties of a Consenter/Client or 'Patient'. See 'Actors' specified in the Use Case Analysis for additional detail. A consenter may be the person whose preferences it represents  or their designated Substitute Decision Maker (SDM).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uDuNEnS0Ed-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uDuNE3S0Ed-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7lCVoXS3Ed-Bj4191_mrEA" name="population" visibility="public" type="_9qFd8HS0Ed-Bj4191_mrEA" association="_7lCVoHS3Ed-Bj4191_mrEA">
          <ownedComment xmi:id="_Asb-EHsrEd-46pruQ3sQtQ" annotatedElement="_7lCVoXS3Ed-Bj4191_mrEA">
            <body>Specifies that the target of a policy may be an entire population.  This class may be used to specify a privacy policy that applies to a specific group or population.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7lCVonS3Ed-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7lCVo3S3Ed-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wHhagClGEeSWGNB-ZzXnBA" name="sensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wHhagilGEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wHhagSlGEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ozR-QHSgEd-Bj4191_mrEA" name="informationResource_subjectOfRecord" memberEnd="_ozR-QXSgEd-Bj4191_mrEA _ozR-RHSgEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_ozR-RHSgEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_ozR-QHSgEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FiObsHSxEd-Bj4191_mrEA" name="policy_securityRole" memberEnd="_FiObsXSxEd-Bj4191_mrEA _FiYMsnSxEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_FiYMsnSxEd-Bj4191_mrEA" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_FiObsHSxEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FiYMs3SxEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FiYMtHSxEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7wMEcHSxEd-Bj4191_mrEA" name="PermissionCatalog">
        <ownedComment xmi:id="_IsoFsHSyEd-Bj4191_mrEA" annotatedElement="_7wMEcHSxEd-Bj4191_mrEA">
          <body>The permission catalog specifies a set of standard permissions. [HL7 DAM] The permission catalog is the subject of separate HL7 standards. This reference is intended to show it relates to the rest of the information classes required to support the use cases.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_AbU8QFShEeSdGuCalFJk2Q" name="name" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4B8mYEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4B8mYUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_90e3cHSxEd-Bj4191_mrEA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Y7dyEHskEd-46pruQ3sQtQ" annotatedElement="_90e3cHSxEd-Bj4191_mrEA">
            <body>Identifies the current state of the Permission.  The state should correspond to the HL7 Act State machine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5XtfcEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5XtfcUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__BMiMHSxEd-Bj4191_mrEA" name="version" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6KEJcEuuEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6KEJcUuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZkkTMHSyEd-Bj4191_mrEA" name="permission" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" aggregation="composite" association="_ZkbJQHSyEd-Bj4191_mrEA">
          <ownedComment xmi:id="_PBus0HskEd-46pruQ3sQtQ" annotatedElement="_ZkkTMHSyEd-Bj4191_mrEA">
            <body>A Role-Based Access Control (RBAC) permission. It specifies an information object and action/operation allowed on that object. A permission contains one operation and precisely one information reference. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZkkTMXSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZkkTMnSyEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UHowcHSyEd-Bj4191_mrEA" name="Permission">
        <ownedComment xmi:id="_tfgXoHSyEd-Bj4191_mrEA" annotatedElement="_UHowcHSyEd-Bj4191_mrEA">
          <body>This class corresponds to a Role-Based Access Control (RBAC) permission. It specifies an information object and action/operation allowed on that object. A permission contains one operation and precisely one information reference. [HL7 DAM]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_El12wBQoEeS4r_U16CXjgw" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_El12whQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_El12wRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d52RYHSyEd-Bj4191_mrEA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_iVO3kHSyEd-Bj4191_mrEA" annotatedElement="_d52RYHSyEd-Bj4191_mrEA">
            <body>This attribute is used to specify the unique identifier of the permission.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0mnH8EuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0mnH8UuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EtnSsBQoEeS4r_U16CXjgw" name="version" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Etn5wBQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EtnSsRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B_GBQHSzEd-Bj4191_mrEA" name="informationObject" visibility="public" type="_MD15UHJmEd-yL6kuw0jWHQ" aggregation="shared" association="_B-83UHSzEd-Bj4191_mrEA">
          <ownedComment xmi:id="_C6Ry0HskEd-46pruQ3sQtQ" annotatedElement="_B_GBQHSzEd-Bj4191_mrEA">
            <body>This association identifies the information resources specified by a permission.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B_GBQXSzEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B_GBQnSzEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sbeHwaJhEeSNCv3P4GXF3Q" name="operation" visibility="public" type="_HpEzYGE5EeSPK9L19J4xlQ" aggregation="shared" association="_sbeHwKJhEeSNCv3P4GXF3Q">
          <ownedComment xmi:id="_QImnUHJREee6r_7oTl7h6w" annotatedElement="_sbeHwaJhEeSNCv3P4GXF3Q">
            <body>Pointer to actions that a person or process may perform on an information resource as a result of the Permission.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sbeHwqJhEeSNCv3P4GXF3Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sbn4wKJhEeSNCv3P4GXF3Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZkbJQHSyEd-Bj4191_mrEA" name="permissionCatalog_permission" memberEnd="_ZkkTMHSyEd-Bj4191_mrEA _ZkkTM3SyEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_ZkkTM3SyEd-Bj4191_mrEA" name="" visibility="public" type="_7wMEcHSxEd-Bj4191_mrEA" association="_ZkbJQHSyEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZkkTNHSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZkkTNXSyEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_B-83UHSzEd-Bj4191_mrEA" name="permission_informationObject" memberEnd="_B_GBQHSzEd-Bj4191_mrEA _B_GBQ3SzEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_B_GBQ3SzEd-Bj4191_mrEA" name="" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" association="_B-83UHSzEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B_GBRHSzEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B_GBRXSzEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uDuNEHS0Ed-Bj4191_mrEA" name="subjectOfRecord_patient" memberEnd="_uDuNEXS0Ed-Bj4191_mrEA _uDuNFHS0Ed-Bj4191_mrEA">
        <ownedEnd xmi:id="_uDuNFHS0Ed-Bj4191_mrEA" name="" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_uDuNEHS0Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7lCVoHS3Ed-Bj4191_mrEA" name="subjectOfRecord_population" memberEnd="_7lCVoXS3Ed-Bj4191_mrEA _7lCVpHS3Ed-Bj4191_mrEA">
        <ownedEnd xmi:id="_7lCVpHS3Ed-Bj4191_mrEA" name="" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_7lCVoHS3Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_105M4HTAEd-Bj4191_mrEA" name="authority_jurisdiction" memberEnd="_105M4XTAEd-Bj4191_mrEA _105M5HTAEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_105M5HTAEd-Bj4191_mrEA" name="" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_105M4HTAEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2V95oHTAEd-Bj4191_mrEA" name="authority_organizationalProvider" memberEnd="_2V95oXTAEd-Bj4191_mrEA _2V95pHTAEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_2V95pHTAEd-Bj4191_mrEA" name="" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_2V95oHTAEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fa2W0HTCEd-Bj4191_mrEA" name="delegationPolicy_grantee" memberEnd="_fa2W0XTCEd-Bj4191_mrEA _fbAH0nTCEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_fbAH0nTCEd-Bj4191_mrEA" name="" visibility="public" type="_GS1z8HAJEd-l74iZViAVdw" association="_fa2W0HTCEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_g4ahAHTCEd-Bj4191_mrEA" name="grantee_organizationalProvider" memberEnd="_g4ahAXTCEd-Bj4191_mrEA _g4kSAnTCEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_g4kSAnTCEd-Bj4191_mrEA" name="" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_g4ahAHTCEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QeFi8HTKEd-Bj4191_mrEA" name="informationResource_organizationalProvider" memberEnd="_QeFi8XTKEd-Bj4191_mrEA _QeFi9HTKEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_QeFi9HTKEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_QeFi8HTKEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hfoYYHTKEd-Bj4191_mrEA" name="PolicyProgramSource">
        <ownedComment xmi:id="_TdvUMHsbEd-46pruQ3sQtQ" annotatedElement="_hfoYYHTKEd-Bj4191_mrEA">
          <body>Specifies the source of payment for the healthcare services documented by electronic health records. To meet specific privacy policy needs, it is necessary to specify if the information protected by the rule was produced through public healthcare services or other type of insurance. [HL7 DAM]&#xD;
&#xD;
Note that the HL7 DAM contains two subclasses (Private Insurance and Public Services) to illustrate the type of security/privacy policies that are inherent from the healthcare payment source. Those two subclasses are examples of many potential kinds of policies, and would be fleshed out in the terminology referenced by the policyCategory code. The FHIM therefore does not model Private Insurance and Public Services as separate classes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_q6NF0HrzEd-JS-dJS9jZTw" name="policyCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_72B3gHskEd-46pruQ3sQtQ" annotatedElement="_q6NF0HrzEd-JS-dJS9jZTw">
            <body>The HL7 DAM contains two subclasses to illustrate the type of security/privacy policies that are inherent from the healthcare payment source.  Those two subclasses are examples of many potential kinds of policies, and would be 'fleshed out' in the terminology referenced by this code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D3ssYEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D3tTcEuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kOa54HTKEd-Bj4191_mrEA" name="informationResource_coverageType" memberEnd="_kOa54XTKEd-Bj4191_mrEA _kOa55HTKEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_kOa55HTKEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_kOa54HTKEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kr6jkHWNEd-2SM6vxH_lvw" name="consentDirective_subjectOfConsent" memberEnd="_ksEUkHWNEd-2SM6vxH_lvw _ksEUk3WNEd-2SM6vxH_lvw">
        <ownedEnd xmi:id="_ksEUk3WNEd-2SM6vxH_lvw" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_kr6jkHWNEd-2SM6vxH_lvw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q2xvsHWOEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q2xvsXWOEd-2SM6vxH_lvw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Op64UHr5Ed-JS-dJS9jZTw" name="consenter_grantee" memberEnd="_Op64UXr5Ed-JS-dJS9jZTw _Op64VHr5Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_Op64VHr5Ed-JS-dJS9jZTw" name="" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" association="_Op64UHr5Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PPAF4Hr6Ed-JS-dJS9jZTw" name="informationResource_informationRecipient" memberEnd="_PPAF4Xr6Ed-JS-dJS9jZTw _PPAF5Hr6Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_PPAF5Hr6Ed-JS-dJS9jZTw" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_PPAF4Hr6Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_amKV8Hr7Ed-JS-dJS9jZTw" name="FunctionalRole">
        <ownedComment xmi:id="_amKV8Xr7Ed-JS-dJS9jZTw" annotatedElement="_amKV8Hr7Ed-JS-dJS9jZTw">
          <body>Functional roles reflect functional aspects of relationships between entities. Functional roles are bound to the realization/performance of acts, where actions might be concatenated to an activity or even to a process. [ISO 22600-2]&#xD;
Functional Roles can be grouped according to their authorization to access Protected Information and perform various operations on protected information. For example, a healthcare provider in Organization A is authorized to access Protected Information from Organization B (when Organization A and B have entered into a trusted relationship) if that provider is associated with the Functional Group whose permissions grant access per that Functional Role. In summary, the functional role defines the access control decision. A functional role is bound to a policy. [HL7 DAM]</body>
        </ownedComment>
        <generalization xmi:id="_wMklYKJiEeSNCv3P4GXF3Q" general="_VIZkIGqREd-YrKaDhqmtYg"/>
        <ownedAttribute xmi:id="_amKV8nr7Ed-JS-dJS9jZTw" name="roleCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_amKV83r7Ed-JS-dJS9jZTw" annotatedElement="_amKV8nr7Ed-JS-dJS9jZTw">
            <body>The functional role may specify that the user is part of the healthcare team that is directly involved in the client s care. This attribute refers to a functional role assigned by an organization to computer users.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_amKV9Xr7Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_amKV9Hr7Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_amKV9nr7Ed-JS-dJS9jZTw" name="roleName" visibility="public">
          <ownedComment xmi:id="_amKV93r7Ed-JS-dJS9jZTw" annotatedElement="_amKV9nr7Ed-JS-dJS9jZTw">
            <body>This attribute is used to represent the user role name, if specified.      </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_amKV-Xr7Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_amKV-Hr7Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uuIpcHr-Ed-JS-dJS9jZTw" name="privacyRule_informationType" memberEnd="_uuIpcXr-Ed-JS-dJS9jZTw _uuIpdHr-Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_uuIpdHr-Ed-JS-dJS9jZTw" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_uuIpcHr-Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_LNlLEO2tEeOQj9rMQfa4kA" name="StructuralRole">
        <ownedComment xmi:id="_9rcQMKJgEeSNCv3P4GXF3Q" annotatedElement="_LNlLEO2tEeOQj9rMQfa4kA">
          <body>Structural roles reflect the structural aspects of relationships between entities. Structural roles describe prerequisites, feasibilities, or competences for acts. [ISO 22600-2]&#xD;
Structural Role is used to illustrate the type of roles that may be used in a privacy policy or Role Based Access Control (RBAC) permission. Structural codes are currently provided by ASTM E1986-09. [HL7 DAM] &#xD;
Note that this role is called a &quot;Session Role&quot; in American National Standards Institute 
(ANSI) / InterNational Committee for Information Technology Standards (INCITS).</body>
        </ownedComment>
        <generalization xmi:id="_xWfa0KJiEeSNCv3P4GXF3Q" general="_VIZkIGqREd-YrKaDhqmtYg"/>
        <ownedAttribute xmi:id="_EkaaQB8nEeSrlMufRtJwjg" name="roleCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EkaaQh8nEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EkaaQR8nEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EkZzMB8nEeSrlMufRtJwjg" name="roleName" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EkZzMh8nEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EkZzMR8nEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_QdJAMO2tEeOQj9rMQfa4kA" name="Initiator">
        <ownedComment xmi:id="_urYAgPMrEeO655c5XtudNA" annotatedElement="_QdJAMO2tEeOQj9rMQfa4kA">
          <body>An Initiator is an entity (e.g., human user, computer-based entity such as a software application or process, physical device) that attempts to access other entities. [ISO 10181-3]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_aO7_QB8iEeSrlMufRtJwjg" name="accessControlId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aO7_Qh8iEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aO7_QR8iEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sedjYB8lEeSrlMufRtJwjg" name="confidentialityType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sedjYh8lEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sedjYR8lEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aO8mUB8iEeSrlMufRtJwjg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aO8mUh8iEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aO8mUR8iEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sczWgB8lEeSrlMufRtJwjg" name="initiatorIntegrityStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sczWgh8lEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sczWgR8lEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aO6KEB8iEeSrlMufRtJwjg" name="initiatorName" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aO6KEh8iEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aO6KER8iEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aO6xIB8iEeSrlMufRtJwjg" name="initiatorType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aO7YMR8iEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aO7YMB8iEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eqdA8B8lEeSrlMufRtJwjg" name="profileType" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqdA8h8lEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqdA8R8lEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cU_UgPMqEeO655c5XtudNA" name="authenicationToken" visibility="public" type="_I1RB4PMpEeO655c5XtudNA" association="_cUtAoPMqEeO655c5XtudNA">
          <ownedComment xmi:id="_OJBj0HFiEeei2YqcoJzdKw" annotatedElement="_cU_UgPMqEeO655c5XtudNA">
            <body>Pointer to a packaged collection of data used to authenticate the Initiator’s identity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cU_7kPMqEeO655c5XtudNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cVAioPMqEeO655c5XtudNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2RCcQPMpEeO655c5XtudNA" name="securityContext" visibility="public" type="_pZoE8PMpEeO655c5XtudNA" association="_2RBOIPMpEeO655c5XtudNA">
          <ownedComment xmi:id="_flk6QHFiEeei2YqcoJzdKw" annotatedElement="_2RCcQPMpEeO655c5XtudNA">
            <body>Pointer to  Access Control Information that specifies contextual information such as geographic location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2RDDUPMpEeO655c5XtudNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2RDDUfMpEeO655c5XtudNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F_7McPMpEeO655c5XtudNA" name="userIdentity" visibility="public" type="_tny1wGqSEd-YrKaDhqmtYg" aggregation="composite" association="_F_1s4PMpEeO655c5XtudNA">
          <ownedComment xmi:id="_4kJ3sHFiEeei2YqcoJzdKw" annotatedElement="_F_7McPMpEeO655c5XtudNA">
            <body>Pointer to the attributes identifying the user of a system used to access Protected Information.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_9BoPMpEeO655c5XtudNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_9BofMpEeO655c5XtudNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eT7q0ClLEeSWGNB-ZzXnBA" name="policy" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_eT6csClLEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eT8R4ClLEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eT8R4SlLEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nVLB0ClLEeSWGNB-ZzXnBA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_nVJzsClLEeSWGNB-ZzXnBA">
          <ownedComment xmi:id="_3UKvIHFlEeei2YqcoJzdKw" annotatedElement="_nVLB0ClLEeSWGNB-ZzXnBA">
            <body>Pointer to a named group of policies that can be managed, assigned, and revoked together for convenience of use rather than managing these policies individually.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nVLB0SlLEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nVLo4ClLEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_flvpAKZzEeSJx_F2WOFQtA" name="clearance" visibility="public" type="_gH_BAEs6EeSHq5IIag-zlA" association="_flqJcKZzEeSJx_F2WOFQtA">
          <ownedComment xmi:id="_ba0KAHFiEeei2YqcoJzdKw" annotatedElement="_flvpAKZzEeSJx_F2WOFQtA">
            <body>Pointer to Access Control Information that can be compared with security labels of Resources</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_flxeMKZzEeSJx_F2WOFQtA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_flyFQKZzEeSJx_F2WOFQtA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I6Cs4BC_EeeAEdelupIvxw" name="trustFramework" visibility="public" type="_dZQKwA5IEeemn7qL-C13uw" aggregation="composite" association="_I55i8BC_EeeAEdelupIvxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xTH98EuuEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xTH98UuuEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-HpQEC9kEee8ZskGHfh21g" name="securityGroup" visibility="public" type="_cBhm8A8FEeeWNeKQZ8tkag" association="_-Hmz0C9kEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-HqeMC9kEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-HqeMS9kEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_F_1s4PMpEeO655c5XtudNA" name="initiator_userIdentity" memberEnd="_F_7McPMpEeO655c5XtudNA _F_-PwPMpEeO655c5XtudNA">
        <ownedEnd xmi:id="_F_-PwPMpEeO655c5XtudNA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_F_1s4PMpEeO655c5XtudNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F__d4PMpEeO655c5XtudNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F__d4fMpEeO655c5XtudNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_I1RB4PMpEeO655c5XtudNA" name="AuthenticationToken">
        <ownedComment xmi:id="_8qFXEG5IEee8JvUtrkP9dg" annotatedElement="_I1RB4PMpEeO655c5XtudNA">
          <body>An authentication token is a packaged collection of data used to authenticate the Initiator’s identity. [NIST SP 800-63-2]</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZYjaQBQ0EeSD88_PCU-7fQ" name="claimedClearance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zk624EutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zk7d8EutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x-_Z8BQzEeSD88_PCU-7fQ" name="levelOfAssurance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z7e8wEutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z7e8wUutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tvCnsBQzEeSD88_PCU-7fQ" name="tokenId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2fzRwHFLEeei2YqcoJzdKw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2f4KQHFLEeei2YqcoJzdKw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2jv-kBQzEeSD88_PCU-7fQ" name="tokenTypeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0zKysEutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0zKysUutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W0c5kPMpEeO655c5XtudNA" name="FunctionalGroup">
        <generalization xmi:id="_z4dfQC9kEee8ZskGHfh21g" general="_cBhm8A8FEeeWNeKQZ8tkag"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pZoE8PMpEeO655c5XtudNA" name="SecurityContext">
        <ownedComment xmi:id="_n_QRUG5JEee8JvUtrkP9dg" annotatedElement="_pZoE8PMpEeO655c5XtudNA">
          <body>Initiator-bound ACI that specifies contextual information such as geographic location. [ISO 10181-3]</body>
        </ownedComment>
        <ownedAttribute xmi:id="__DJjYB8hEeSrlMufRtJwjg" name="contextId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__DJjYh8hEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__DJjYR8hEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__DI8UB8hEeSrlMufRtJwjg" name="contextType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__DI8Uh8hEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__DI8UR8hEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__DHuMB8hEeSrlMufRtJwjg" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__DHuMh8hEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__DHuMR8hEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VCJxUB8iEeSrlMufRtJwjg" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VCJxUh8iEeSrlMufRtJwjg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VCJxUR8iEeSrlMufRtJwjg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2IZ_ACovEeS9gfEvdy2nFQ" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2IZ_ASovEeS9gfEvdy2nFQ" annotatedElement="_2IZ_ACovEeS9gfEvdy2nFQ">
            <body>This attribute specifies whether access to protected information may only be granted for a specified route of access.  For example, access may be restricted to remote users using a Virtual Private Network (VPN). The route is a context qualifier as specified by ISO/IEC 10164-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WXrOsEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WXrOsUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5K1OMCovEeS9gfEvdy2nFQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5K1OMiovEeS9gfEvdy2nFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5K1OMSovEeS9gfEvdy2nFQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2RBOIPMpEeO655c5XtudNA" name="initiator_securityContext" memberEnd="_2RCcQPMpEeO655c5XtudNA _2RERcPMpEeO655c5XtudNA">
        <ownedEnd xmi:id="_2RERcPMpEeO655c5XtudNA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_2RBOIPMpEeO655c5XtudNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MfUcUPMqEeO655c5XtudNA" name="securityRole_permission" memberEnd="_MfVDYPMqEeO655c5XtudNA _MfXfoPMqEeO655c5XtudNA">
        <ownedEnd xmi:id="_MfXfoPMqEeO655c5XtudNA" name="" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_MfUcUPMqEeO655c5XtudNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfYGsPMqEeO655c5XtudNA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfYGsfMqEeO655c5XtudNA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cUtAoPMqEeO655c5XtudNA" name="initiator_authenicationToken" memberEnd="_cU_UgPMqEeO655c5XtudNA _cVBJsPMqEeO655c5XtudNA">
        <ownedEnd xmi:id="_cVBJsPMqEeO655c5XtudNA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_cUtAoPMqEeO655c5XtudNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Nm_e8B8wEeSrlMufRtJwjg" name="SecurityLabel">
        <ownedComment xmi:id="_PFUOECMVEeSh6JM0tyw3zg" annotatedElement="_Nm_e8B8wEeSrlMufRtJwjg">
          <body>Resource-bound Access Control Information (ACI) called security labels that control disclosure of Protected Information. That is, a classification that specifies the degree of protection against access the data or information requires, together with a designation of that degree of protection. [HL7 PASS SLS]&#xD;
&quot;A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.&quot; - FHIR, Consent.securityLabel</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hE4bQEuOEeeeDrHZEaEbRA" name="classificationLabel" visibility="public">
          <ownedComment xmi:id="_hLo5MG4tEeeQdaNIGK6Uxw" annotatedElement="_hE4bQEuOEeeeDrHZEaEbRA">
            <body>Security label metadata that specifies the labeled resource's level of confidentiality. The level of confidentiality specifies the degree of protection against access the data or information requires, together with a designation of that degree of protection. [HL7 PASS SLS]&#xD;
Level of confidentiality values are in accordance with [HL7 HCS Vocab]. Examples of values are Normal, Restricted, and Very Restricted.&#xD;
In general, classification is the confidential protection of data elements by segmentation into restricted and specifically controlled categories set by policies, professional practice, and laws, legislation, and regulations. [HL7 HCS, adapted from ASTM E-1986]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cOsFYEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cOsFYUuvEeejjOI6zW3VSQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ksjlMUuREeeeDrHZEaEbRA" name="securityLabelHeader" visibility="public" type="_ckt-8CimEeS23qH9Mw5WGA" association="_ksjlMEuREeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ksjlMkuREeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ksjlM0uREeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BcnawUuTEeeeDrHZEaEbRA" name="securityLabelHandling" visibility="public" type="_ffJUUCL2EeSh6JM0tyw3zg" association="_BcnawEuTEeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BcnawkuTEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bcnaw0uTEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WykrsEuTEeeeDrHZEaEbRA" name="securityLabelCategory" visibility="public" type="_G1FbICSzEeSAwtfZ1E8XUQ" association="_Wya6sEuTEeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WykrsUuTEeeeDrHZEaEbRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WykrskuTEeeeDrHZEaEbRA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AhQqUCidEeS23qH9Mw5WGA" name="userIdentity_serviceDeliveryLocation" memberEnd="_AhVi0CidEeS23qH9Mw5WGA _AhYmICidEeS23qH9Mw5WGA">
        <ownedEnd xmi:id="_AhYmICidEeS23qH9Mw5WGA" name="" visibility="public" type="_tny1wGqSEd-YrKaDhqmtYg" association="_AhQqUCidEeS23qH9Mw5WGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tyWXUCigEeS23qH9Mw5WGA" name="Grantor">
        <ownedComment xmi:id="_PBMQ8G6hEeS25q3D6U-JoQ" annotatedElement="_tyWXUCigEeS23qH9Mw5WGA">
          <body>*(added 6/2014 from iEHR model as part of high-level refactoring)</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bjmOAClHEeSWGNB-ZzXnBA" name="grantee_authority" memberEnd="_bjncIClHEeSWGNB-ZzXnBA _bjpRUClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_bjpRUClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_bjmOAClHEeSWGNB-ZzXnBA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_c5cmoClHEeSWGNB-ZzXnBA" name="authority_person" memberEnd="_c5d0wClHEeSWGNB-ZzXnBA _c5eb0ClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_c5eb0ClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_c5cmoClHEeSWGNB-ZzXnBA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vCXT0ClHEeSWGNB-ZzXnBA" name="privacyRule_grantor" memberEnd="_vCX64ClHEeSWGNB-ZzXnBA _vCZwEClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_vCZwEClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_vCXT0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vCZwESlHEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vCaXIClHEeSWGNB-ZzXnBA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yHHeQClHEeSWGNB-ZzXnBA" name="privacyRule_securityRole" memberEnd="_yHIFUClHEeSWGNB-ZzXnBA _yHJTcClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_yHJTcClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_yHHeQClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yHJTcSlHEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yHJ6gClHEeSWGNB-ZzXnBA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0Gdf0ClHEeSWGNB-ZzXnBA" name="privacyRule_grantee" memberEnd="_0Get8ClHEeSWGNB-ZzXnBA _0GgjIClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_0GgjIClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_0Gdf0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0GgjISlHEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0GhKMClHEeSWGNB-ZzXnBA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2s4vgClHEeSWGNB-ZzXnBA" name="privacyRule_healthcareProvider" memberEnd="_2s59oClHEeSWGNB-ZzXnBA _2s7LwClHEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_2s7LwClHEeSWGNB-ZzXnBA" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_2s4vgClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2s7y0ClHEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2s7y0SlHEeSWGNB-ZzXnBA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aifg4ClIEeSWGNB-ZzXnBA" name="consentDirective_consenter" memberEnd="_aigH8ClIEeSWGNB-ZzXnBA _aih9IClIEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_aih9IClIEeSWGNB-ZzXnBA" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_aifg4ClIEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aiikMClIEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aiikMSlIEeSWGNB-ZzXnBA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eT6csClLEeSWGNB-ZzXnBA" name="initiator_policy" memberEnd="_eT7q0ClLEeSWGNB-ZzXnBA _eT848ClLEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_eT848ClLEeSWGNB-ZzXnBA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_eT6csClLEeSWGNB-ZzXnBA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_nVJzsClLEeSWGNB-ZzXnBA" name="initiator_securityRole" memberEnd="_nVLB0ClLEeSWGNB-ZzXnBA _nVMP8ClLEeSWGNB-ZzXnBA">
        <ownedEnd xmi:id="_nVMP8ClLEeSWGNB-ZzXnBA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_nVJzsClLEeSWGNB-ZzXnBA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_DyqvkCowEeS9gfEvdy2nFQ" name="securityRole_policy" memberEnd="_Dyr9sCowEeS9gfEvdy2nFQ _Dyty4CowEeS9gfEvdy2nFQ">
        <ownedEnd xmi:id="_Dyty4CowEeS9gfEvdy2nFQ" name="" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_DyqvkCowEeS9gfEvdy2nFQ"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_gH_BAEs6EeSHq5IIag-zlA" name="Clearance">
        <ownedComment xmi:id="_cv_EoEfKEeedoKtFSW3RnQ" annotatedElement="_gH_BAEs6EeSHq5IIag-zlA">
          <body>Initiator-bound Access Control Information (ACI) that can be compared with security labels of Resources. Examples of clearance are Normal, Restricted, and Very Restricted. [HL7 PASS SLS] and [HL7 HCS]&#xD;
(Note that there used to be a class called User Role, which has since been merged into this Clearance class. The definition of the User Role Class was: &quot;Specifies the role of a user of a computer system. The role is typically associated with the Information Requester and specifies what capabilities are available to a specific type of computer user (i.e., in the Windows operating system, a user may have the role of Administrator which enables the capability to add new users).&quot;)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xro5Qnr6Ed-JS-dJS9jZTw" name="allowedSensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xro5Q3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Qnr6Ed-JS-dJS9jZTw">
            <body>Coded attribute that describes the level sensitivity of the protected information (including IIHI) that the user may access or use. Sensitivity is a characteristic of a resource which implies its value or importance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5RXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5RHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W_IrIA8FEeeWNeKQZ8tkag" name="clearancePolicy" visibility="public" type="_UXhIoA8FEeeWNeKQZ8tkag" association="_W_DyoA8FEeeWNeKQZ8tkag">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W_J5QA8FEeeWNeKQZ8tkag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W_KgUA8FEeeWNeKQZ8tkag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0weGsXr7Ed-JS-dJS9jZTw" name="functionalRole" visibility="public" type="_amKV8Hr7Ed-JS-dJS9jZTw" association="_r4kU3C9dEee8ZskGHfh21g">
          <ownedComment xmi:id="_3pilkHr7Ed-JS-dJS9jZTw" annotatedElement="_0weGsXr7Ed-JS-dJS9jZTw">
            <body>This attribute refers to a coded structural role specified by an external coding system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0weGsnr7Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0wnQoHr7Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Nnr6Ed-JS-dJS9jZTw" name="name" visibility="public">
          <ownedComment xmi:id="_xro5N3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Nnr6Ed-JS-dJS9jZTw">
            <body>This attribute is used to specify the role name, if available.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5OXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5OHr6Ed-JS-dJS9jZTw" value="1"/>
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        <ownedAttribute xmi:id="_CmBr0GbBEeS5RO2EirOuRQ" name="parent" visibility="public" type="_xfSNUGbAEeS5RO2EirOuRQ" association="_CmBEwGbBEeS5RO2EirOuRQ">
          <ownedComment xmi:id="_nsGx8HFhEeei2YqcoJzdKw" annotatedElement="_CmBr0GbBEeS5RO2EirOuRQ">
            <body>Pointer to the heirarchicalGroup that serves as the parent to this heirarchicalGroup.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CmC58GbBEeS5RO2EirOuRQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CmDhAGbBEeS5RO2EirOuRQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Pnr6Ed-JS-dJS9jZTw" name="roleCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xro5P3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Pnr6Ed-JS-dJS9jZTw">
            <body>This coded descriptor is used to specify a user role. It is an identifier of a hierarchical group in which membership is asserted, for example, organizational position. Structural roles provide authorizations on objects at a global level without regard to internal details (ASTM E2595). Examples include authorization to participate in a session, connect authorization to a database, authorization to participate in an order workflow, or connection to a protected uniform resource locator (URL). A structural role applies to the business process task as a group. This attribute refers to a coded structural role specified by an external coding system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5QXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5QHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Mnr6Ed-JS-dJS9jZTw" name="roleId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_xro5M3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Mnr6Ed-JS-dJS9jZTw">
            <body>This attribute is used to represent a unique role identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5NXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5NHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PU0rYHAREeSFaYSDg0j3Bg" name="securityLabel" visibility="public" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_PUyPIHAREeSFaYSDg0j3Bg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PU15gHAREeSFaYSDg0j3Bg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PU2gkHAREeSFaYSDg0j3Bg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YmxWAFY1EeS4Ftcws1EIJA" name="AtomicPolicy" isAbstract="true">
        <ownedComment xmi:id="_ht7WgG6ZEeS25q3D6U-JoQ" annotatedElement="_YmxWAFY1EeS4Ftcws1EIJA">
          <body>This is the base class for a variety of individual policy types, and may be used to instantiate specific policies. These policies may exist on their own, or may be combined together in a composition of atomic policies. ISO 22600-2 specifies a Security Policy as plan or course of action adopted for providing computer security.&#xD;
This class is derived from ISO 22600-2 and HL7 DAM, where this concept is called Basic Policy. The FHIM calls this Atomic Policy to emphasize that they may be combined into composites.</body>
        </ownedComment>
        <generalization xmi:id="_qxaB0G6cEeS25q3D6U-JoQ" general="_hTmc4G9LEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_ushEwA93EeWoV9cUIboUNw" name="ruleText" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ykPdAEutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ykPdAUutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w0jvUA93EeWoV9cUIboUNw" name="implementableRule" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xe_sMEutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xfATQEutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I1ScMBrlEeessawvW0bjog" name="securityContext" visibility="public" type="_pZoE8PMpEeO655c5XtudNA" aggregation="composite" association="_I1ROEBrlEeessawvW0bjog">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wsl-4EutEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wsml8EutEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HpEzYGE5EeSPK9L19J4xlQ" name="Operation">
        <ownedComment xmi:id="_WzCEgHI8EeeayYbXU4sBwg" annotatedElement="_HpEzYGE5EeSPK9L19J4xlQ">
          <body>Represents the action that a person or process may perform on an information resource. Historically, &quot;security operations&quot; have been thought of as being related to a single file, record, or object: Create, Read, Update, Delete, Execute, e.g., Susan may Read but not Update or Delete this file. &quot;Privacy operations&quot; on the other hand have been thought of more broadly, often operating on a set of related files, records or objects: Access, Disclosure, Collection, Use, e.g., Susan may Access but not Disclose Patient Doe’s medical records. This class combines the intent of both kinds of operations, and the two sets of vocabulary are merged, although one could argue that Read is the same thing as Access.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_IaCJEC9pEee8ZskGHfh21g" name="operation" visibility="public" type="_v4CgUC9wEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jIbkYEuvEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jIbkYUuvEeejjOI6zW3VSQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xfSNUGbAEeS5RO2EirOuRQ" name="HierarchicalGroup">
        <generalization xmi:id="_5DA4kC9kEee8ZskGHfh21g" general="_cBhm8A8FEeeWNeKQZ8tkag"/>
        <ownedAttribute xmi:id="_4C5EQGbAEeS5RO2EirOuRQ" name="child" visibility="public" type="_xfSNUGbAEeS5RO2EirOuRQ" association="_4C32IGbAEeS5RO2EirOuRQ">
          <ownedComment xmi:id="_q_Ry4HFhEeei2YqcoJzdKw" annotatedElement="_4C5EQGbAEeS5RO2EirOuRQ">
            <body>Pointer to the heirarchicalGroup(s) that serve as the child(ren) to this heirarchicalGroup.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4C5rUGbAEeS5RO2EirOuRQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4C5rUWbAEeS5RO2EirOuRQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4C6SYGbAEeS5RO2EirOuRQ" name="hierarchicalgroup" visibility="public" type="_xfSNUGbAEeS5RO2EirOuRQ" association="_4C32IGbAEeS5RO2EirOuRQ">
          <ownedComment xmi:id="_BldVkHFiEeei2YqcoJzdKw" annotatedElement="_4C6SYGbAEeS5RO2EirOuRQ">
            <body>Pointer to the heirarchicalGroup(s) to which the Clearance applies</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tcpNMHFhEeei2YqcoJzdKw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tcpNMXFhEeei2YqcoJzdKw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4C32IGbAEeS5RO2EirOuRQ" name="hierarchicalGroup_hierarchicalGroup" memberEnd="_4C5EQGbAEeS5RO2EirOuRQ _4C6SYGbAEeS5RO2EirOuRQ"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_CmBEwGbBEeS5RO2EirOuRQ" name="clearance_hierarchicalGroup" memberEnd="_CmBr0GbBEeS5RO2EirOuRQ _CmEvIGbBEeS5RO2EirOuRQ">
        <ownedEnd xmi:id="_CmEvIGbBEeS5RO2EirOuRQ" name="" visibility="public" type="_gH_BAEs6EeSHq5IIag-zlA" association="_CmBEwGbBEeS5RO2EirOuRQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PUyPIHAREeSFaYSDg0j3Bg" name="clearance_securityLabel" memberEnd="_PU0rYHAREeSFaYSDg0j3Bg _PU4VwHAREeSFaYSDg0j3Bg">
        <ownedEnd xmi:id="_PU4VwHAREeSFaYSDg0j3Bg" name="" visibility="public" type="_gH_BAEs6EeSHq5IIag-zlA" association="_PUyPIHAREeSFaYSDg0j3Bg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sbeHwKJhEeSNCv3P4GXF3Q" name="permission_operation" memberEnd="_sbeHwaJhEeSNCv3P4GXF3Q _sbn4waJhEeSNCv3P4GXF3Q">
        <ownedEnd xmi:id="_sbn4waJhEeSNCv3P4GXF3Q" name="" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" association="_sbeHwKJhEeSNCv3P4GXF3Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_usXHIKJzEeSYTttHyxdIIA" name="ConstraintPolicy">
        <ownedComment xmi:id="_C4r18HI8EeeayYbXU4sBwg" annotatedElement="_usXHIKJzEeSYTttHyxdIIA">
          <body>A limitation on an access control rule.</body>
        </ownedComment>
        <generalization xmi:id="_1QoscKJzEeSYTttHyxdIIA" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_flqJcKZzEeSJx_F2WOFQtA" name="initiator_clearance" memberEnd="_flvpAKZzEeSJx_F2WOFQtA _flzTYKZzEeSJx_F2WOFQtA">
        <ownedEnd xmi:id="_flzTYKZzEeSJx_F2WOFQtA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_flqJcKZzEeSJx_F2WOFQtA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dZQKwA5IEeemn7qL-C13uw" name="TrustFramework">
        <eAnnotations xmi:id="_asvu8hC-EeeAEdelupIvxw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedAttribute xmi:id="_rvzVEC9vEee8ZskGHfh21g" name="authenicationToken" visibility="public" type="_I1RB4PMpEeO655c5XtudNA" association="_rvxf4C9vEee8ZskGHfh21g">
          <ownedComment xmi:id="_MCvMwHFiEeei2YqcoJzdKw" annotatedElement="_rvzVEC9vEee8ZskGHfh21g">
            <body>Pointer to a packaged collection of data used to authenticate the Initiator’s identity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rvz8IC9vEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rv0jMC9vEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BbdAsCioEeS23qH9Mw5WGA" name="trustAccreditationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BbdAsiioEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BbdAsSioEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JYGHICioEeS23qH9Mw5WGA" name="trustAssuranceLabel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JYGHIiioEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JYGHISioEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BbbykCioEeS23qH9Mw5WGA" name="trustCertificateLabel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BbbykiioEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BbbykSioEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FtB-UBC_EeeAEdelupIvxw" name="trustContract" visibility="public" type="_hC_RkA5IEeemn7qL-C13uw" aggregation="composite" association="_Fs4NUBC_EeeAEdelupIvxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zHQYkEuvEeejjOI6zW3VSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zHQ_oEuvEeejjOI6zW3VSQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_71xxoCinEeS23qH9Mw5WGA" name="trustFrameworkLabel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_71xxoiinEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_71xxoSinEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JYFgECioEeS23qH9Mw5WGA" name="trustMechanismLabel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JYFgEiioEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JYFgESioEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8tD-8CinEeS23qH9Mw5WGA" name="trustPolicyLabel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8tD-8iinEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8tD-8SinEeS23qH9Mw5WGA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hC_RkA5IEeemn7qL-C13uw" name="TrustContract">
        <eAnnotations xmi:id="_asvu9BC-EeeAEdelupIvxw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_rIE1sG5EEee8JvUtrkP9dg" annotatedElement="_hC_RkA5IEeemn7qL-C13uw">
          <body>Trust contracts are predicated on the establishment of a Legal Framework that requires members to agree on a legally binding set of criteria to manage the risk of participating in a contractual trust framework. This includes, but is not limited to terms for participation and termination, conformance to applicable laws and mandates such as Federal Information Security Management Act (FISMA), HIPAA, and the Privacy Act; permitted uses of information exchanged between members, and waivers/exceptions if any. In this model, a trust contract makes the business and technical operational rules of a domain legally binding upon its members.  Trust contracts are subject to jurisdictional, organizational and privacy policies that apply equally to all members. Trust contracts can have a time limit, whereupon the complete contract must be renegotiated.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Jj33QC9vEee8ZskGHfh21g" name="authenicationToken" visibility="public" type="_I1RB4PMpEeO655c5XtudNA" association="_Jj2pIC9vEee8ZskGHfh21g">
          <ownedComment xmi:id="_HoQMMHFnEeei2YqcoJzdKw" annotatedElement="_Jj33QC9vEee8ZskGHfh21g">
            <body>Pointer to a packaged collection of data used to authenticate the Initiator’s identity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jj4eUC9vEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jj5FYC9vEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UBrS4C9vEee8ZskGHfh21g" name="policyConstraint" visibility="public" type="_PN73EC9vEee8ZskGHfh21g" association="_UBqEwC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UBrS4S9vEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UBrS4i9vEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ghJEQC9vEee8ZskGHfh21g" name="domainAuthority" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_ghH2IC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ghJrUC9vEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ghJrUS9vEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_api8EA5wEeemn7qL-C13uw" name="ConfidentialityType">
        <ownedLiteral xmi:id="_ewrJgA5wEeemn7qL-C13uw" name="Low"/>
        <ownedLiteral xmi:id="_p-P1MA5wEeemn7qL-C13uw" name="Moderate"/>
        <ownedLiteral xmi:id="_f5UzoA5wEeemn7qL-C13uw" name="Normal"/>
        <ownedLiteral xmi:id="_rfN4sA5wEeemn7qL-C13uw" name="Restricted"/>
        <ownedLiteral xmi:id="_uAJkYA5wEeemn7qL-C13uw" name="Unrestricted"/>
        <ownedLiteral xmi:id="_u-32cA5wEeemn7qL-C13uw" name="Very Restricted"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UXhIoA8FEeeWNeKQZ8tkag" name="ClearancePolicy">
        <eAnnotations xmi:id="_asvu8BC-EeeAEdelupIvxw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_bMyWIG4iEeeQdaNIGK6Uxw" annotatedElement="_UXhIoA8FEeeWNeKQZ8tkag">
          <body>If one considers what are commonly called &quot;clearance&quot; and &quot;classification&quot; as initiator-bound ACI and target-bound ACI, respectively, under an appropriate access control policy, one obtains what is essentially a label-based scheme. [ISO 10181-3] In this case, there is a policy to bind clearance to Initiators (e.g., persons who work with blood need HIV clearance) and policy for Resources (e.g., Human Immunodeficiency Virus information is considered &quot;sensitive&quot; and has code &quot;HIV&quot;). Accordingly, Clearance Policy falls under the Initiator Based Policy class, the Clearance Policy class equates to the ISO 10181-3 label-based scheme.&#xD;
Initiator-bound clearance ACI can be compared with security labels of Resources. Examples of clearance ACI are Normal, Restricted, and Very Restricted. [HL7 PASS SLS]</body>
        </ownedComment>
        <generalization xmi:id="_06qw4C9pEee8ZskGHfh21g" general="_xmDlgC9pEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_W_DyoA8FEeeWNeKQZ8tkag" name="clearance_clearancePolicy" memberEnd="_W_IrIA8FEeeWNeKQZ8tkag _W_M8kA8FEeeWNeKQZ8tkag">
        <ownedEnd xmi:id="_W_M8kA8FEeeWNeKQZ8tkag" name="" visibility="private" type="_gH_BAEs6EeSHq5IIag-zlA" association="_W_DyoA8FEeeWNeKQZ8tkag">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W_NjoA8FEeeWNeKQZ8tkag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W_OKsA8FEeeWNeKQZ8tkag" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cBhm8A8FEeeWNeKQZ8tkag" name="SecurityGroup">
        <eAnnotations xmi:id="_asmlABC-EeeAEdelupIvxw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_9pIb4EuvEeejjOI6zW3VSQ" annotatedElement="_cBhm8A8FEeeWNeKQZ8tkag">
          <body>&#xD;
***&#xD;
Don't confuse Security Groups with Security Roles&#xD;
The Security Group replaces &quot;Compartment&quot; in the old FHIM model (see FhimSecurityAndPrivacyDiagrams_2014-10-17.docx)&#xD;
Security Groups can be functional or Hierarchical</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fs4NUBC_EeeAEdelupIvxw" name="trustFramework_trustContract" memberEnd="_FtB-UBC_EeeAEdelupIvxw _FtB-URC_EeeAEdelupIvxw">
        <ownedEnd xmi:id="_FtB-URC_EeeAEdelupIvxw" name="" visibility="private" type="_dZQKwA5IEeemn7qL-C13uw" association="_Fs4NUBC_EeeAEdelupIvxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I55i8BC_EeeAEdelupIvxw" name="initiator_trustFramework" memberEnd="_I6Cs4BC_EeeAEdelupIvxw _I6Cs4RC_EeeAEdelupIvxw">
        <ownedEnd xmi:id="_I6Cs4RC_EeeAEdelupIvxw" name="" visibility="private" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_I55i8BC_EeeAEdelupIvxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rXqaMBrcEeessawvW0bjog" name="CompositePolicy">
        <eAnnotations xmi:id="_vmpjIBrcEeessawvW0bjog" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_spxG4E_EEeel35M5QTkFzw" annotatedElement="_rXqaMBrcEeessawvW0bjog">
          <body>Composite Policy class is the integration point between Security and Privacy perspectives. It contains a set of basic policies that work together to enforce a privacy policy, organizational standard operating procedure, or a privacy consent directive. Its basic characteristic is that it contains other policies. An instance of a Composite Policy may include several Authorization, Delegation, Refrain, or Obligation policies. A Composite Policy is specialization of the abstract Policy class and inherits all its attributes and associations. In addition to the attributes it inherits from its base class (“Policy”), this type of class contains additional associations and attributes. [HL7 DAM]&#xD;
This class is derived from ISO 22600-2 and HL7 DAM.</body>
        </ownedComment>
        <generalization xmi:id="_8sL5MBrgEeessawvW0bjog" general="_hTmc4G9LEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_-rnaUBrgEeessawvW0bjog" name="policy" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" aggregation="composite" association="_-rjv8BrgEeessawvW0bjog">
          <ownedComment xmi:id="_81GEQHFpEeei2YqcoJzdKw" annotatedElement="_-rnaUBrgEeessawvW0bjog">
            <body>Pointer to a set of policies that together make up the Composite Policy. Note that the component policies may be a mixture of atomic policies and other composite policies.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BYfUcEuuEeejjOI6zW3VSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BYfUcUuuEeejjOI6zW3VSQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-rjv8BrgEeessawvW0bjog" name="compositePolicy_policy" memberEnd="_-rnaUBrgEeessawvW0bjog _-rtg8BrgEeessawvW0bjog">
        <ownedEnd xmi:id="_-rtg8BrgEeessawvW0bjog" name="" visibility="private" type="_rXqaMBrcEeessawvW0bjog" association="_-rjv8BrgEeessawvW0bjog"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I1ROEBrlEeessawvW0bjog" name="atomicPolicy_securityContext" memberEnd="_I1ScMBrlEeessawvW0bjog _I1URYBrlEeessawvW0bjog">
        <ownedEnd xmi:id="_I1URYBrlEeessawvW0bjog" name="" visibility="private" type="_YmxWAFY1EeS4Ftcws1EIJA" association="_I1ROEBrlEeessawvW0bjog"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_r4kU3C9dEee8ZskGHfh21g" name="clearance_functionalRole" memberEnd="_0weGsXr7Ed-JS-dJS9jZTw _r4kU3S9dEee8ZskGHfh21g">
        <ownedEnd xmi:id="_r4kU3S9dEee8ZskGHfh21g" name="" visibility="public" type="_gH_BAEs6EeSHq5IIag-zlA" association="_r4kU3C9dEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-Hmz0C9kEee8ZskGHfh21g" name="initiator_securityGroup" memberEnd="_-HpQEC9kEee8ZskGHfh21g _-HrsUC9kEee8ZskGHfh21g">
        <ownedEnd xmi:id="_-HrsUC9kEee8ZskGHfh21g" name="" visibility="private" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_-Hmz0C9kEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-HsTYC9kEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-HsTYS9kEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xmDlgC9pEee8ZskGHfh21g" name="InitiatorBasedPolicy">
        <ownedComment xmi:id="_pSkB4E_BEeel35M5QTkFzw" annotatedElement="_xmDlgC9pEee8ZskGHfh21g">
          <body>Two categories of security policy, rule-based and identity-based, are identified in International Telegraph and Telephone Consultative Committee (CCITT) Rec. X.800 | ISO 7498-2. [ISO 10181-3]&#xD;
Initiator-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Access control policies stated in terms of groups of initiators or in terms of initiators acting in specific roles are types of initiator-based policies. [ISO 10181-3]&#xD;
This class is derived from ISO 10181-3 and CCITT Rec. X.800 | ISO 7498-2.</body>
        </ownedComment>
        <generalization xmi:id="_4Oi8cC9pEee8ZskGHfh21g" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XZfOIC9tEee8ZskGHfh21g" name="informationResource_securityLabel" memberEnd="_XZfOIS9tEee8ZskGHfh21g _XZfOJC9tEee8ZskGHfh21g">
        <ownedEnd xmi:id="_XZfOJC9tEee8ZskGHfh21g" name="" visibility="private" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_XZfOIC9tEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XZfOJS9tEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XZfOJi9tEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AiAqoC9uEee8ZskGHfh21g" name="PrivacyPolicy">
        <ownedComment xmi:id="_z-QhIG4hEeeQdaNIGK6Uxw" annotatedElement="_AiAqoC9uEee8ZskGHfh21g">
          <body>Contains a set of rules that are intended to be enforced by security systems and are used as the basis for client privacy consent directives. This class encapsulates the location of a human-readable version of the Electronic Privacy Policy. The human-readable version is accessible to any authorized system and user via the supplied Uniform Resource Identifier (URI). [HL7 DAM]. Privacy Policies are a named kind of Composite Policy in that Privacy Policies are a defined set of other policies that together enforce the intent of the Privacy Policy.</body>
        </ownedComment>
        <generalization xmi:id="_HycyYC9uEee8ZskGHfh21g" general="_rXqaMBrcEeessawvW0bjog"/>
        <ownedAttribute xmi:id="_DsQZEC9uEee8ZskGHfh21g" name="privacyRule" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_DsGoEC9uEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DsQZES9uEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DsQZEi9uEee8ZskGHfh21g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DOXjMC9uEee8ZskGHfh21g" name="privacyRule_privacyPolicy" memberEnd="_DOXjMS9uEee8ZskGHfh21g _DOXjNC9uEee8ZskGHfh21g">
        <ownedEnd xmi:id="_DOXjNC9uEee8ZskGHfh21g" name="" visibility="private" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_DOXjMC9uEee8ZskGHfh21g">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOhUMS9uEee8ZskGHfh21g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DsGoEC9uEee8ZskGHfh21g" name="privacyPolicy_privacyRule" memberEnd="_DsQZEC9uEee8ZskGHfh21g _DsQZEy9uEee8ZskGHfh21g">
        <ownedEnd xmi:id="_DsQZEy9uEee8ZskGHfh21g" name="" visibility="private" type="_AiAqoC9uEee8ZskGHfh21g" association="_DsGoEC9uEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DsQZFC9uEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DsQZFS9uEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LwswoC9uEee8ZskGHfh21g" name="consentDirective_publishedPolicy" memberEnd="_LwswoS9uEee8ZskGHfh21g _Lw2hoC9uEee8ZskGHfh21g">
        <ownedEnd xmi:id="_Lw2hoC9uEee8ZskGHfh21g" name="" visibility="private" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_LwswoC9uEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lw2hoS9uEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Lw2hoi9uEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Jj2pIC9vEee8ZskGHfh21g" name="trustContract_authenicationToken" memberEnd="_Jj33QC9vEee8ZskGHfh21g _Jj6TgC9vEee8ZskGHfh21g">
        <ownedEnd xmi:id="_Jj6TgC9vEee8ZskGHfh21g" name="" visibility="private" type="_hC_RkA5IEeemn7qL-C13uw" association="_Jj2pIC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jj66kC9vEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jj66kS9vEee8ZskGHfh21g" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PN73EC9vEee8ZskGHfh21g" name="PolicyConstraint">
        <ownedAttribute xmi:id="_WNId0C9vEee8ZskGHfh21g" name="compositePolicy" visibility="public" type="_rXqaMBrcEeessawvW0bjog" association="_WNGooC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WNId0S9vEee8ZskGHfh21g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WNJE4C9vEee8ZskGHfh21g" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UBqEwC9vEee8ZskGHfh21g" name="trustContract_policyConstraint" memberEnd="_UBrS4C9vEee8ZskGHfh21g _UBtIEC9vEee8ZskGHfh21g">
        <ownedEnd xmi:id="_UBtIEC9vEee8ZskGHfh21g" name="" visibility="private" type="_hC_RkA5IEeemn7qL-C13uw" association="_UBqEwC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UBtIES9vEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UBtIEi9vEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WNGooC9vEee8ZskGHfh21g" name="policyConstraint_compositePolicy" memberEnd="_WNId0C9vEee8ZskGHfh21g _WNKTAC9vEee8ZskGHfh21g">
        <ownedEnd xmi:id="_WNKTAC9vEee8ZskGHfh21g" name="" visibility="private" type="_PN73EC9vEee8ZskGHfh21g" association="_WNGooC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WNK6EC9vEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WNK6ES9vEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ghH2IC9vEee8ZskGHfh21g" name="trustContract_domainAuthority" memberEnd="_ghJEQC9vEee8ZskGHfh21g _ghK5cC9vEee8ZskGHfh21g">
        <ownedEnd xmi:id="_ghK5cC9vEee8ZskGHfh21g" name="" visibility="private" type="_hC_RkA5IEeemn7qL-C13uw" association="_ghH2IC9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ghLggC9vEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ghLggS9vEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rvxf4C9vEee8ZskGHfh21g" name="trustFramework_authenicationToken" memberEnd="_rvzVEC9vEee8ZskGHfh21g _rv1xUC9vEee8ZskGHfh21g">
        <ownedEnd xmi:id="_rv1xUC9vEee8ZskGHfh21g" name="" visibility="private" type="_dZQKwA5IEeemn7qL-C13uw" association="_rvxf4C9vEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rv2YYC9vEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rv2YYS9vEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_v4CgUC9wEee8ZskGHfh21g" name="OperationType">
        <ownedComment xmi:id="_lgwRkG4oEeeQdaNIGK6Uxw" annotatedElement="_v4CgUC9wEee8ZskGHfh21g">
          <body>This abstract class specifies the permission that is assigned by the consenter to specific users of a client’s health record information. The permission may control collection, access, use or disclosure of a specific type of Protected Information. [HL7 DAM]</body>
        </ownedComment>
        <ownedLiteral xmi:id="_v4CgVy9wEee8ZskGHfh21g" name="Access">
          <ownedComment xmi:id="_q_aSoG4oEeeQdaNIGK6Uxw" annotatedElement="_v4CgVy9wEee8ZskGHfh21g">
            <body>This class represents those operations that deal with access to Protected Information. [HL7 DAM]</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_v4CgWC9wEee8ZskGHfh21g" name="Disclosure">
          <ownedComment xmi:id="_tCPtEG4oEeeQdaNIGK6Uxw" annotatedElement="_v4CgWC9wEee8ZskGHfh21g">
            <body>This class represents those operations that deal with disclosure of Protected Information. [HL7 DAM]</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_v4CgWS9wEee8ZskGHfh21g" name="Collection">
          <ownedComment xmi:id="_orUwIG4oEeeQdaNIGK6Uxw" annotatedElement="_v4CgWS9wEee8ZskGHfh21g">
            <body>This class represents those operations that deal with collecting Protected Information. [HL7 DAM]</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_v4CgWi9wEee8ZskGHfh21g" name="Use">
          <ownedComment xmi:id="_v5HzkG4oEeeQdaNIGK6Uxw" annotatedElement="_v4CgWi9wEee8ZskGHfh21g">
            <body>This class represents those operations that deal with the use of Protected Information for various purposes. [HL7 DAM]</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_t8QecG5NEee8JvUtrkP9dg" name="Create"/>
        <ownedLiteral xmi:id="_ujgrsG5NEee8JvUtrkP9dg" name="Read"/>
        <ownedLiteral xmi:id="_vJNZwG5NEee8JvUtrkP9dg" name="Update"/>
        <ownedLiteral xmi:id="_wqRj4G5NEee8JvUtrkP9dg" name="Delete"/>
        <ownedLiteral xmi:id="_xU6cUG5NEee8JvUtrkP9dg" name="Execute"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JG9U8C9zEee8ZskGHfh21g" name="delegationPolicy_grantor" memberEnd="_JG_KIC9zEee8ZskGHfh21g _JHA_UC9zEee8ZskGHfh21g">
        <ownedEnd xmi:id="_JHA_UC9zEee8ZskGHfh21g" name="" visibility="private" type="_GS1z8HAJEd-l74iZViAVdw" association="_JG9U8C9zEee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JHBmYC9zEee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JHBmYS9zEee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cYNjMC9zEee8ZskGHfh21g" name="GroupPolicy">
        <ownedComment xmi:id="_g0raIE_CEeel35M5QTkFzw" annotatedElement="_cYNjMC9zEee8ZskGHfh21g">
          <body>Group Policy defines a scope for related policies to which a set of constraints can apply. [ISO 22600-2]&#xD;
A group is a set of initiators whose members are considered equivalent when a particular access control policy is enforced. Groups allow access to particular targets by a set of initiators without the necessity of including the identity of individual initiators in a target’s ACI, and without explicitly allocating the same ACI to each initiator. The composition of a group is determined by a management action; the ability to create or modify groups must be subject to access control. Audit of access requests by the group without distinguishing the members may or may not be required. [ISO 10181-3]&#xD;
If one considers an initiator identity as initiator-bound ACI, and a set of (initiator identity, operation type) pairs as target-bound ACI, under an appropriate access control policy, one obtains what is essentially an access control list (ACL) scheme [ISO 10181-3]. Accordingly, the Group Policy class equates to the ISO 10181-3 ACL scheme.&#xD;
This class is derived from ISO 22600-2, HL7 DAM, and ISO 10181-3.</body>
        </ownedComment>
        <generalization xmi:id="_zNLv0C9zEee8ZskGHfh21g" general="_xmDlgC9pEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dZ-iMC9zEee8ZskGHfh21g" name="RolePolicy">
        <ownedComment xmi:id="_Nqmx8E_CEeel35M5QTkFzw" annotatedElement="_dZ-iMC9zEee8ZskGHfh21g">
          <body>Role Policy is used to specify the attributes identifying the user of a system used to access Protected Information. A role is a specialization of Composite Policy that defines a group of policies (authorization, obligation, delegation and refrain policies). [HL7 DAM]&#xD;
ISO 22600 more specifically defines a role as a &quot;set of competences and/or performances which is associated with a task.&quot;&#xD;
If one considers a set of (target identity, operation type) pairs as initiator-bound ACI, and target identities as target-bound ACI, under an appropriate access control policy, one obtains what is essentially a capability scheme [ISO 10181-3]. Accordingly, the Role Policy class equates to the ISO 10181-3 capability scheme.&#xD;
This class is derived from ISO 22600-2, HL7 DAM, and ISO 10181-3.</body>
        </ownedComment>
        <generalization xmi:id="_z5GaoC9zEee8ZskGHfh21g" general="_xmDlgC9pEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_eSXiwC9zEee8ZskGHfh21g" name="RelationshipPolicy">
        <ownedComment xmi:id="_l2lNwE_CEeel35M5QTkFzw" annotatedElement="_eSXiwC9zEee8ZskGHfh21g">
          <body>Relationship Policy defines a group of policies pertaining to the interactions between a set of roles. [ISO 22600-2]</body>
        </ownedComment>
        <generalization xmi:id="_1q_2EC9zEee8ZskGHfh21g" general="_xmDlgC9pEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FqcVUC90Eee8ZskGHfh21g" name="ContextualPolicy">
        <ownedComment xmi:id="_9SWtQG4iEeeQdaNIGK6Uxw" annotatedElement="_FqcVUC90Eee8ZskGHfh21g">
          <body>Contextual Policy defines control of access according to its context. Contextual Policy can modify Initiator-based Policy or Resource-based Policy. Context rules may define the entire policy in effect. Contextual information is information about or derived from the context in which an access request is made (e.g., time of attempted access, location of the accessor, route of access). Rules concerning contextual information are most often used in conjunction with other access control schemes (e.g., label-based scheme, capability scheme, ACL scheme), but they may be used alone to create a context-based access control scheme. [ISO 10181-3]</body>
        </ownedComment>
        <generalization xmi:id="_5XIe8G5QEee8JvUtrkP9dg" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_avSoIC90Eee8ZskGHfh21g" name="ResourcePolicy">
        <ownedComment xmi:id="_RlNqAG5FEee8JvUtrkP9dg" annotatedElement="_avSoIC90Eee8ZskGHfh21g">
          <body>Two categories of security policy, rule-based and identity-based, are identified in CCITT Rec. X.800 | ISO 7498-2. [ISO 10181-3]. Resource-based access control policies are intended to apply to all access requests by any initiator on any resource in a security domain. [ISO 10181-3]</body>
        </ownedComment>
        <generalization xmi:id="_CgpoMG5REee8JvUtrkP9dg" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_c60EgC90Eee8ZskGHfh21g" name="informationResource_resourcePolicy" memberEnd="_c615sC90Eee8ZskGHfh21g _c649AC90Eee8ZskGHfh21g">
        <ownedEnd xmi:id="_c649AC90Eee8ZskGHfh21g" name="" visibility="private" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_c60EgC90Eee8ZskGHfh21g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c65kEC90Eee8ZskGHfh21g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c65kES90Eee8ZskGHfh21g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_r4kU9C9dEee8ZskGHfh21g" name="securityLabelHeader_spif" memberEnd="_JhcF0CinEeS23qH9Mw5WGA _r4kU9S9dEee8ZskGHfh21g">
        <ownedEnd xmi:id="_r4kU9S9dEee8ZskGHfh21g" name="" visibility="public" type="_ckt-8CimEeS23qH9Mw5WGA" association="_r4kU9C9dEee8ZskGHfh21g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ksjlMEuREeeeDrHZEaEbRA" name="securityLabel_securityLabelHeader" memberEnd="_ksjlMUuREeeeDrHZEaEbRA _ksjlNEuREeeeDrHZEaEbRA">
        <ownedEnd xmi:id="_ksjlNEuREeeeDrHZEaEbRA" name="" visibility="private" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_ksjlMEuREeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ksjlNUuREeeeDrHZEaEbRA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ksjlNkuREeeeDrHZEaEbRA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BcnawEuTEeeeDrHZEaEbRA" name="securityLabel_securityLabelHandling" memberEnd="_BcnawUuTEeeeDrHZEaEbRA _BcnaxEuTEeeeDrHZEaEbRA">
        <ownedEnd xmi:id="_BcnaxEuTEeeeDrHZEaEbRA" name="" visibility="private" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_BcnawEuTEeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BcxLwEuTEeeeDrHZEaEbRA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BcxLwUuTEeeeDrHZEaEbRA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Wya6sEuTEeeeDrHZEaEbRA" name="securityLabel_securityLabelCategory" memberEnd="_WykrsEuTEeeeDrHZEaEbRA _Wykrs0uTEeeeDrHZEaEbRA">
        <ownedEnd xmi:id="_Wykrs0uTEeeeDrHZEaEbRA" name="" visibility="private" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_Wya6sEuTEeeeDrHZEaEbRA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WykrtEuTEeeeDrHZEaEbRA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WykrtUuTEeeeDrHZEaEbRA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2erIQG5JEee8JvUtrkP9dg" name="informationResource_clinicalCondition" memberEnd="_2e0SMG5JEee8JvUtrkP9dg _2e81EG5JEee8JvUtrkP9dg">
        <ownedEnd xmi:id="_2e81EG5JEee8JvUtrkP9dg" name="" visibility="private" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_2erIQG5JEee8JvUtrkP9dg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2e-DMG5JEee8JvUtrkP9dg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2e-DMW5JEee8JvUtrkP9dg" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64602A626015B" name="SocialWork">
      <eAnnotations xmi:id="_QJnQMOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_QJnQM-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_sTtNUOTGEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B64602A626015B">
        <body>The Social Work domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_t5pQYOTGEeaMP8OhjVeyrg">
        <body>The Social Work domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_POS6kPTBEduBs7kF_kF7Xg" name="SocialWorkCase">
        <eAnnotations xmi:id="_64qmoPjQEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_hwvacPpFEduMF_PxJGNijA" annotatedElement="_POS6kPTBEduBs7kF_kF7Xg">
          <body> Various professional services, activities, or methods concretely concerned with the support, treatment, and material  designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_HVGAMPjTEduqtvcfRHOmNA" name="costCenter" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_87ZM4PpQEduMF_PxJGNijA" annotatedElement="_HVGAMPjTEduqtvcfRHOmNA">
            <body>Contains information that is used for the Cost Distribution Center section of the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rHePUOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rHe2YOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FP200P1vEdumGKpKzIuMpg" name="dateCaseClosed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_bQ8GYP1vEdumGKpKzIuMpg" annotatedElement="_FP200P1vEdumGKpKzIuMpg">
            <body>Contains the date closed to a particular social worker.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r0MLYOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_r0MLYeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3KK6sPgXEdu6UehTCAru1g" name="dateCaseOpened" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_2g6cwPpQEduMF_PxJGNijA" annotatedElement="_3KK6sPgXEdu6UehTCAru1g">
            <body>Contains the date the case was opened to the Social Work service.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sCAk8OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sCAk8eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nxu7sJTaEd-qjNeFpnkKuw" name="diagnosticCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WjOXwJTgEd-qjNeFpnkKuw" annotatedElement="_Nxu7sJTaEd-qjNeFpnkKuw">
            <body>A categorization of the patient's diagnosis, typically used for Residential Care Homes.  Possible values include: Medical/Surgical, Psychosis, Organic and Senile Brain Disease, Substance Abuse, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sT3J8OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sT3xAOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H6DucPjTEduqtvcfRHOmNA" name="dispositionFromRch" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NL8i4PpUEduMF_PxJGNijA" annotatedElement="_H6DucPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the patient's disposition from the residential care home.  '1' FOR INDIVIDUAL; '2' FOR HOSPITAL; '3' FOR OTHER INSTITUTIONAL; '4' FOR DEATH; '5' FOR TRANSFER;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sfiOcOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sfi1gOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-gZ0JTYEd-qjNeFpnkKuw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_AWtHsJTfEd-qjNeFpnkKuw" annotatedElement="_4-gZ0JTYEd-qjNeFpnkKuw">
            <body>This is the unique Id number to identify each case that is opened.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sqhWcOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sqh9gOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hs4OEPjTEduqtvcfRHOmNA" name="isConsultationOnly" visibility="public">
          <ownedComment xmi:id="_PCEzgPpTEduMF_PxJGNijA" annotatedElement="_Hs4OEPjTEduqtvcfRHOmNA">
            <body>This field is used to indicate if the case is for consultation purposes only.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tAgNgOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tAgNgeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hp06EPjTEduqtvcfRHOmNA" name="isPatientCompetent" visibility="public">
          <ownedComment xmi:id="_I9eMwPpTEduMF_PxJGNijA" annotatedElement="_Hp06EPjTEduqtvcfRHOmNA">
            <body>Indicates  the competency status of the residential care home patient.  'I' FOR INCOMPETENT; '0' FOR COMPETENT;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tPTegOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tPTegeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HvQzsPjTEduqtvcfRHOmNA" name="levelOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XKrSUPpTEduMF_PxJGNijA" annotatedElement="_HvQzsPjTEduqtvcfRHOmNA">
            <body>Contains information used to show the level of care that a patient receives while in the residential care home program.  '1' FOR LIGHT; '2' FOR MODERATE; '3' FOR HEAVY;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tgKlAOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tgKlAeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H33WEPjTEduqtvcfRHOmNA" name="priorLivingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0i37YPpTEduMF_PxJGNijA" annotatedElement="_H33WEPjTEduqtvcfRHOmNA">
            <body>Contains information that identifies the location of the patient prior to being placed in a residential care home.  (RCH only).  '1' FOR OWN HOME; '2' FOR VA NHCU;   '3' FOR VA HOSPITAL- EXCESS OF 60 DAYS; '4' FOR NON-VA HOSPITAL; '5' FOR VA DOMICILIARY; '6' FOR VA CONTRACT NH; '7' FOR NON-VA NH; '8' FOR NON-VA RESIDENTIAL RESOURCE; '9' FOR VA CONTRACT CARE (NON NH); '10' FOR OTHER;&quot;   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tswPgOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tswPgeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H8WNcPjTEduqtvcfRHOmNA" name="reasonCaseOpened" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Wz24UPpUEduMF_PxJGNijA" annotatedElement="_H8WNcPjTEduqtvcfRHOmNA">
            <body>Contains a short textual description of why the case was opened.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_t5WhEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_t5XIIOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uBSx8PjYEduqtvcfRHOmNA" name="remarks" visibility="public">
          <ownedComment xmi:id="_F4vvIPphEduioe_m2cuIZA" annotatedElement="_uBSx8PjYEduqtvcfRHOmNA">
            <body>Contains information that allows workers to enter identifying information on certain cases. For instance, if a patient is placed in a contract nursing home, the worker can use this field to abbreviate the name of the nursing home - Civic Center would be Civic.  This field can be used as a ready reference to where their cases are.  It can be used to identify special categories on wards such as POW, Agent Orange, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uC9wEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uC9wEeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gakdkPjYEduqtvcfRHOmNA" name="specialPopulationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mi2WMPpTEduMF_PxJGNijA" annotatedElement="_gakdkPjYEduqtvcfRHOmNA">
            <body>Contains information that is used to show what special population the patient may be a member of, for example, HIV, Homeless, RCH, etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uPeiEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uPeiEeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I7WkQOP4Eea407qNHok1lQ" name="socialWorker" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I7WkQuP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I7WkQeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kYK-wPjcEduqtvcfRHOmNA" name="wereResourcesOrReferralsAssigned" visibility="public">
          <ownedComment xmi:id="_7esyIPpgEduioe_m2cuIZA" annotatedElement="_kYK-wPjcEduqtvcfRHOmNA">
            <body>Indicates if any resources/referrals are being assigned.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uwI_IOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uwJmMOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tJdgIQnxEdyXPekXF4ppBg" name="accomondationArrangement" visibility="public" type="_xBxD4AnwEdyXPekXF4ppBg" isUnique="false" association="_tJdgIAnxEdyXPekXF4ppBg">
          <ownedComment xmi:id="_iAC6wC6JEd6RGqZb7W4v4w" annotatedElement="_tJdgIQnxEdyXPekXF4ppBg">
            <body>This is the association to the social workers placement of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tJjmwAnxEdyXPekXF4ppBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tJjmwQnxEdyXPekXF4ppBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MfJbMPo8EduMF_PxJGNijA" name="directServiceProvided" visibility="public" type="_macVAPo7EduMF_PxJGNijA" isUnique="false" association="_MfDUkPo8EduMF_PxJGNijA">
          <ownedComment xmi:id="_S3wRUPpjEduioe_m2cuIZA" annotatedElement="_MfJbMPo8EduMF_PxJGNijA">
            <body>Contains information of the various directed professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfJbMfo8EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfJbMvo8EduMF_PxJGNijA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YBM-kPo7EduMF_PxJGNijA" name="problemsEncountered" visibility="public" type="_1O5hwPjQEduqtvcfRHOmNA" isUnique="false" association="_YBG38Po7EduMF_PxJGNijA">
          <ownedComment xmi:id="_KfDgMC6KEd6RGqZb7W4v4w" annotatedElement="_YBM-kPo7EduMF_PxJGNijA">
            <body>This the association to the information about problems encountered for the patients case.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YBM-kfo7EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YBM-kvo7EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_02pqcfo8EduMF_PxJGNijA" name="resourceOrReferral" visibility="public" type="_XxKiAPo8EduMF_PxJGNijA" isUnique="false" association="_02pqcPo8EduMF_PxJGNijA">
          <ownedComment xmi:id="_pTDOUC6JEd6RGqZb7W4v4w" annotatedElement="_02pqcfo8EduMF_PxJGNijA">
            <body>This is the association to the  information about the resources or referrals that were made for this case.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_02vxEPo8EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_02vxEfo8EduMF_PxJGNijA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_33z94ZTgEd-qjNeFpnkKuw" name="socialWorkPatient" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_33z94JTgEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_33z94pTgEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_33z945TgEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PyblkPTFEduBs7kF_kF7Xg" name="SocialWorkPatient">
        <eAnnotations xmi:id="_pbpqQPjdEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_m4s7UPpcEduioe_m2cuIZA" annotatedElement="_PyblkPTFEduBs7kF_kF7Xg">
          <body> Patient that is receiving various professional services, activities, or methods concretely concerned with the support, treatment, and material  designed to aid and to increase their welfare as recommended by a Social Worker.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_uvbjAPgXEdu6UehTCAru1g" name="datePlacedInRchProgram" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iShZMPpCEduMF_PxJGNijA" annotatedElement="_uvbjAPgXEdu6UehTCAru1g">
            <body>Contains the date patient was placed in RCH.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PTGJcOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PTGJceP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FhDEIPjdEduqtvcfRHOmNA" name="dateRemovedFromRchProgram" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_S1LV4PpMEduMF_PxJGNijA" annotatedElement="_FhDEIPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was removed from the home.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QmxX0OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qmx-4OP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wh4GEPjdEduqtvcfRHOmNA" name="isFalseHighRisk" visibility="public">
          <eAnnotations xmi:id="_x8UDwPjdEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Lv8bwPpQEduMF_PxJGNijA" annotatedElement="_wh4GEPjdEduqtvcfRHOmNA">
            <body>This contains information used to indicate that the patient was not a high-risk case.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RhFD8OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RhFD8eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fpi40PjdEduqtvcfRHOmNA" name="isPatientHighRisk" visibility="public">
          <ownedComment xmi:id="_mh1twPpMEduMF_PxJGNijA" annotatedElement="_Fpi40PjdEduqtvcfRHOmNA">
            <body>Contains textual informaion that when patients should they be found to be a possible high-risk case.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SuNlcOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SuOMgOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wwrXEPjdEduqtvcfRHOmNA" name="wasPatientRemoved" visibility="public">
          <ownedComment xmi:id="_SOsIMPpNEduMF_PxJGNijA" annotatedElement="_wwrXEPjdEduqtvcfRHOmNA">
            <body>Identifies whether the patient was removed from the RCH placement.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TZy5EOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TZy5EeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wtVvMPjdEduqtvcfRHOmNA" name="wasSeenBySocialWorkService" visibility="public">
          <ownedComment xmi:id="_CDzN8PpNEduMF_PxJGNijA" annotatedElement="_wtVvMPjdEduqtvcfRHOmNA">
            <body>Contains information to indicate if the patient was seen by the Social Work Service after being identified as a possible high-risk patient.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TKiVEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TKiVEeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8rOCgJTgEd-qjNeFpnkKuw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_8rERgJTgEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8rOCgZTgEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8rOCgpTgEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PxEpgfo9EduMF_PxJGNijA" name="rchPlacement " visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" isUnique="false" association="_PxEpgPo9EduMF_PxJGNijA">
          <ownedComment xmi:id="_YlnyQC6KEd6RGqZb7W4v4w" annotatedElement="_PxEpgfo9EduMF_PxJGNijA">
            <body>This is the association to the  information used to show and determine what the monthly rate is being paid for residential care home stay</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PxEpgvo9EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PxEpg_o9EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_jbmeUPgXEdu6UehTCAru1g" name="ResidentialCareHomePlacement">
        <eAnnotations xmi:id="_bYnloPjjEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_2BazcPpHEduMF_PxJGNijA" annotatedElement="_jbmeUPgXEdu6UehTCAru1g">
          <body>Contains information used to show and determine what the monthly rate is being paid for residential care home stay.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FxkMYPjdEduqtvcfRHOmNA" name="datePlacedInHome" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_1cUJAPpMEduMF_PxJGNijA" annotatedElement="_FxkMYPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was placed in the home.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i1DGIOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i1DGIeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F7N3oPjdEduqtvcfRHOmNA" name="dateRemovedFromHome" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_wBgC8PpIEduMF_PxJGNijA" annotatedElement="_F7N3oPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was removed from the home.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jbfbEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jbfbEeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fu_ZgPjdEduqtvcfRHOmNA" name="id" visibility="public">
          <ownedComment xmi:id="_cPjokP1gEdumGKpKzIuMpg" annotatedElement="_Fu_ZgPjdEduqtvcfRHOmNA">
            <body>Unique identifier for residential care home placement record  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j4tikOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j4tikeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F0JmUPjdEduqtvcfRHOmNA" name="wasPatientRemovedFromHome" visibility="public">
          <ownedComment xmi:id="_molLwPpIEduMF_PxJGNijA" annotatedElement="_F0JmUPjdEduqtvcfRHOmNA">
            <body>Contains information to determine if  the patient was removed from home.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_khYFEOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_khYsIOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G6G3kPo3EduMF_PxJGNijA" name="wasTransferedUnderCurrentCase" visibility="public">
          <ownedComment xmi:id="_Mdo28PpKEduMF_PxJGNijA" annotatedElement="_G6G3kPo3EduMF_PxJGNijA">
            <body>Contains information to show that the patient was transferred from home without opening a new case.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k_BDUOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k_BqYOP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oNlqcfo3EduMF_PxJGNijA" name="rchRate" visibility="public" type="_4K-TgPjfEduqtvcfRHOmNA" isUnique="false" association="_oNlqcPo3EduMF_PxJGNijA">
          <ownedComment xmi:id="_e_HD4C6KEd6RGqZb7W4v4w" annotatedElement="_oNlqcfo3EduMF_PxJGNijA">
            <body>This is the association to the the monthly rate being paid for residential care home stay based on the effective date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oNrxEPo3EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oNrxEfo3EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_baogsJTiEd-qjNeFpnkKuw" name="residentialCareHome" visibility="public" type="_OhjVcJTiEd-qjNeFpnkKuw" association="_baevsJTiEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_baogsZTiEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_baogspTiEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1O5hwPjQEduqtvcfRHOmNA" name="ProblemsEncountered">
        <eAnnotations xmi:id="_jizLEPjeEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Wbjo4PpbEduioe_m2cuIZA" annotatedElement="_1O5hwPjQEduqtvcfRHOmNA">
          <body>Contains information about problems encountered for the patients case.      </body>
        </ownedComment>
        <ownedAttribute xmi:id="_BdKw8Po7EduMF_PxJGNijA" name="outcomeCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_185vwPpbEduioe_m2cuIZA" annotatedElement="_BdKw8Po7EduMF_PxJGNijA">
            <body>Unique Identifier for the problem resolution for each problem.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XBcVMOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XBcVMeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_99bPwPjeEduqtvcfRHOmNA" name="problemCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vKpY0PpbEduioe_m2cuIZA" annotatedElement="_99bPwPjeEduqtvcfRHOmNA">
            <body>Contains a unique identifier for each problem encountered for the case.  The problem describes issues encountered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XmTVwOP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XmT80OP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4K-TgPjfEduqtvcfRHOmNA" name="ResidentialCareHomeRate">
        <eAnnotations xmi:id="_9fcd0PjfEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Oxpy4PpIEduMF_PxJGNijA" annotatedElement="_4K-TgPjfEduqtvcfRHOmNA">
          <body>Contains the monthly rate being paid for residential care home stay based on the effective date.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dA-x8PjgEduqtvcfRHOmNA" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_C700YPpIEduMF_PxJGNijA" annotatedElement="_dA-x8PjgEduqtvcfRHOmNA">
            <body>Effective date range during which the particular montly rate for the Residential Care Home is used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dRLN4OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dRLN4eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_640l4JTiEd-qjNeFpnkKuw" name="monthlyRatePaid" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_YJTdYJTjEd-qjNeFpnkKuw" annotatedElement="_640l4JTiEd-qjNeFpnkKuw">
            <body>Monthly rate paid while in home.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eK2n4OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eK2n4eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oNlqcPo3EduMF_PxJGNijA" name="residentialCareHomePlacement_rchRate" memberEnd="_oNlqcfo3EduMF_PxJGNijA _oNx3sPo3EduMF_PxJGNijA">
        <ownedComment xmi:id="_E8wKUPpIEduMF_PxJGNijA" annotatedElement="_oNlqcPo3EduMF_PxJGNijA">
          <body>Rate paid while in home.</body>
        </ownedComment>
        <ownedEnd xmi:id="_oNx3sPo3EduMF_PxJGNijA" name="" visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" association="_oNlqcPo3EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oN3-UPo3EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oN3-Ufo3EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YBG38Po7EduMF_PxJGNijA" name="socialWorkCase_problemsEncountered" memberEnd="_YBM-kPo7EduMF_PxJGNijA _YBM-k_o7EduMF_PxJGNijA">
        <ownedComment xmi:id="_69tXMPpbEduioe_m2cuIZA" annotatedElement="_YBG38Po7EduMF_PxJGNijA">
          <body>Identifies information about problems encountered for the patients case.    </body>
        </ownedComment>
        <ownedEnd xmi:id="_YBM-k_o7EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_YBG38Po7EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YBM-lPo7EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YBTFMPo7EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_macVAPo7EduMF_PxJGNijA" name="ServiceProvision">
        <eAnnotations xmi:id="_K_XDcPo8EduMF_PxJGNijA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_88rWkPphEduioe_m2cuIZA" annotatedElement="_macVAPo7EduMF_PxJGNijA">
          <body>Contains information of the various directed professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_vZkMIPo7EduMF_PxJGNijA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HoNFIPpiEduioe_m2cuIZA" annotatedElement="_vZkMIPo7EduMF_PxJGNijA">
            <body>Contains the unique identifier for direct service category provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1pCJkOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1pCJkeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CUeW8Po8EduMF_PxJGNijA" name="nbrOfHours" visibility="public">
          <ownedComment xmi:id="_CWy14PpiEduioe_m2cuIZA" annotatedElement="_CUeW8Po8EduMF_PxJGNijA">
            <body>Contains the number of hours for the directed services provided</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2C-TkOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2C-TkeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MfDUkPo8EduMF_PxJGNijA" name="socialWorkCase_directServiceProvided" memberEnd="_MfJbMPo8EduMF_PxJGNijA _MfPh0Po8EduMF_PxJGNijA">
        <ownedComment xmi:id="_2hbxcPphEduioe_m2cuIZA" annotatedElement="_MfDUkPo8EduMF_PxJGNijA">
          <body>Identifies the various professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_MfPh0Po8EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_MfDUkPo8EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfPh0fo8EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfPh0vo8EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XxKiAPo8EduMF_PxJGNijA" name="ResourceOrReferral">
        <eAnnotations xmi:id="_bGbNoPo8EduMF_PxJGNijA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_1B2YkPpiEduioe_m2cuIZA" annotatedElement="_XxKiAPo8EduMF_PxJGNijA">
          <body>Contains information about the resources or referrals that were made for this case.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_i9EZwPo8EduMF_PxJGNijA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KntGsPpjEduioe_m2cuIZA" annotatedElement="_i9EZwPo8EduMF_PxJGNijA">
            <body>Contains the unique id for the resource and or referral for the case.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5sZ4YOP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5sZ4YeP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_utvLcPo8EduMF_PxJGNijA" name="nbrOfReferrals" visibility="public">
          <ownedComment xmi:id="_7PoJcPpiEduioe_m2cuIZA" annotatedElement="_utvLcPo8EduMF_PxJGNijA">
            <body>Contains the number of referrals.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6k7b0OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6k7b0eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wO7y4JTeEd-qjNeFpnkKuw" name="wasAbleToAccess" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7E0c0OP4Eea407qNHok1lQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7E1D4OP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_02pqcPo8EduMF_PxJGNijA" name="socialWorkCase_resourceOrReferral" memberEnd="_02pqcfo8EduMF_PxJGNijA _02vxEvo8EduMF_PxJGNijA">
        <ownedComment xmi:id="_FgswoPpjEduioe_m2cuIZA" annotatedElement="_02pqcPo8EduMF_PxJGNijA">
          <body>Contains the information for the resources and referrals for the case.</body>
        </ownedComment>
        <ownedEnd xmi:id="_02vxEvo8EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_02pqcPo8EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_02vxE_o8EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_02vxFPo8EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PxEpgPo9EduMF_PxJGNijA" name="socialWorkPatient_rchPlacement " memberEnd="_PxEpgfo9EduMF_PxJGNijA _PxKwIPo9EduMF_PxJGNijA">
        <ownedComment xmi:id="_ZR8GgPpjEduioe_m2cuIZA" annotatedElement="_PxEpgPo9EduMF_PxJGNijA">
          <body>Contains information used to show and determine what the monthly rate is being paid for residential care home stay.</body>
        </ownedComment>
        <ownedEnd xmi:id="_PxKwIPo9EduMF_PxJGNijA" name="" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_PxEpgPo9EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PxKwIfo9EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PxKwIvo9EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xBxD4AnwEdyXPekXF4ppBg" name="SocialWorkPlacement">
        <eAnnotations xmi:id="_PFPCEAnyEdyXPekXF4ppBg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_CWrgUC6JEd6RGqZb7W4v4w" annotatedElement="_xBxD4AnwEdyXPekXF4ppBg">
          <body>This class contains the social workers placement of the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_HzFjwPjTEduqtvcfRHOmNA" name="placementCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7p9S0PpTEduMF_PxJGNijA" annotatedElement="_HzFjwPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the placement made based on Problem Discharge/Planning.  'I' FOR INPATIENT; 'O' FOR OTHER; 'N' FOR NO PLACEMENT MADE;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3uIN0OP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3uIN0eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H1eJYPjTEduqtvcfRHOmNA" name="placementDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ERNcgPpUEduMF_PxJGNijA" annotatedElement="_H1eJYPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the disposition of the patient if placement was made.  '1' FOR CNHC; '2' FOR CNH-Non VA; '3' FOR Domiciliary; '4' FOR NHCU; '5' FOR Own Home; '6' FOR RCH; '7' FOR Other;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4MzG0OP4Eea407qNHok1lQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4MzG0eP4Eea407qNHok1lQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tJdgIAnxEdyXPekXF4ppBg" name="socialWorkCase_accomondationArrangement" memberEnd="_tJdgIQnxEdyXPekXF4ppBg _tJjmwgnxEdyXPekXF4ppBg">
        <ownedEnd xmi:id="_tJjmwgnxEdyXPekXF4ppBg" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_tJdgIAnxEdyXPekXF4ppBg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tJptYAnxEdyXPekXF4ppBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tJptYQnxEdyXPekXF4ppBg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_33z94JTgEd-qjNeFpnkKuw" name="socialWorkCase_socialWorkPatient" memberEnd="_33z94ZTgEd-qjNeFpnkKuw _339u4JTgEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_339u4JTgEd-qjNeFpnkKuw" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_33z94JTgEd-qjNeFpnkKuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8rERgJTgEd-qjNeFpnkKuw" name="socialWorkPatient_patient" memberEnd="_8rOCgJTgEd-qjNeFpnkKuw _8rOCg5TgEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_8rOCg5TgEd-qjNeFpnkKuw" name="" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_8rERgJTgEd-qjNeFpnkKuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OhjVcJTiEd-qjNeFpnkKuw" name="ResidentialCareHome"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_baevsJTiEd-qjNeFpnkKuw" name="residentialCareHomePlacement_residentialCareHome" memberEnd="_baogsJTiEd-qjNeFpnkKuw _baogs5TiEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_baogs5TiEd-qjNeFpnkKuw" name="" visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" association="_baevsJTiEd-qjNeFpnkKuw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="__tLSgMtKEdyaEqBbyq3Okw" name="SpinalCord">
      <eAnnotations xmi:id="__tRZIMtKEdyaEqBbyq3Okw" source="uml2.diagrams"/>
      <ownedComment xmi:id="_SrbNoFPjEd-Re7XkEdPRMQ">
        <body>VHIM Spinal Cord Injury Domain  Version 0.1</body>
      </ownedComment>
      <ownedComment xmi:id="_U7abwOTHEeaMP8OhjVeyrg" annotatedElement="__tLSgMtKEdyaEqBbyq3Okw">
        <body>The Spinal Cord Injury and Traumatic Brain Injury domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_WFkhwOTHEeaMP8OhjVeyrg">
        <body>The Spinal Cord Injury and Traumatic Brain Injury domain originates from the VA VistA system, and had not yet been modeled in the FHIM</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_jctUYM6pEdyXMP2BMfWZfQ" memberEnd="_jctUYc6pEdyXMP2BMfWZfQ _jczbAs6pEdyXMP2BMfWZfQ">
        <eAnnotations xmi:id="_ukNacNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_jczbAs6pEdyXMP2BMfWZfQ" name="" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_jctUYM6pEdyXMP2BMfWZfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jczbA86pEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jczbBM6pEdyXMP2BMfWZfQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4lVPoMtWEdyqc6mXtT1d5g" memberEnd="_4lbWQMtWEdyqc6mXtT1d5g _4lbWQ8tWEdyqc6mXtT1d5g">
        <eAnnotations xmi:id="_ujdzkNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_4lbWQ8tWEdyqc6mXtT1d5g" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_4lVPoMtWEdyqc6mXtT1d5g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhc4MtWEdyqc6mXtT1d5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhc4ctWEdyqc6mXtT1d5g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oHqWsM6gEdyce4IOUiRz1Q" memberEnd="_oHwdUM6gEdyce4IOUiRz1Q _oHwdU86gEdyce4IOUiRz1Q">
        <eAnnotations xmi:id="_uj6fgNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_oHwdU86gEdyce4IOUiRz1Q" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_oHqWsM6gEdyce4IOUiRz1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oH2j8M6gEdyce4IOUiRz1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oH2j8c6gEdyce4IOUiRz1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Nl2dEMtMEdyaEqBbyq3Okw" name="SpinalCordEvent">
        <ownedComment xmi:id="_qptK0PTuEdy5Wqkr80CIPQ" annotatedElement="_Nl2dEMtMEdyaEqBbyq3Okw">
          <body>This class contains summary information about the Spinal Injury of the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_9vS-gAynEd6aYNLI5II8og" annotatedElement="_Nl2dEMtMEdyaEqBbyq3Okw">
          <body>This class contains summary information about the Spinal Injury of the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_M0YtcMtYEdyqc6mXtT1d5g" name="careType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FrOoAO67EdyeTtxr2InFDA" annotatedElement="_M0YtcMtYEdyqc6mXtT1d5g">
            <body>Contains the codes to identify the tyeps of Epsiode of Care for the veteran  i,e inpatient, rehab etc.   </body>
          </ownedComment>
          <ownedComment xmi:id="_CvP5oAqgEd6qw9bIVZ5Htg" annotatedElement="_M0YtcMtYEdyqc6mXtT1d5g">
            <body>Contains the codes to identify the tyeps of Epsiode of Care for the veteran i,e inpatient, rehab etc. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uAPeMM6hEdyXMP2BMfWZfQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s6rkYPTtEdy5Wqkr80CIPQ" annotatedElement="_uAPeMM6hEdyXMP2BMfWZfQ">
            <body>Unique identifier for the Spinal Cord event.</body>
          </ownedComment>
          <ownedComment xmi:id="__HiMEAqfEd6qw9bIVZ5Htg" annotatedElement="_uAPeMM6hEdyXMP2BMfWZfQ">
            <body>Unique identifier for the Spinal Cord event.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IxRSwMtXEdyqc6mXtT1d5g" name="recordDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NN_14O67EdyeTtxr2InFDA" annotatedElement="_IxRSwMtXEdyqc6mXtT1d5g">
            <body>Contains the date the veteran received Patient Education  </body>
          </ownedComment>
          <ownedComment xmi:id="_6cnVEAqfEd6qw9bIVZ5Htg" annotatedElement="_IxRSwMtXEdyqc6mXtT1d5g">
            <body>Contains the date the veteran received Patient Education    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k298sMtYEdyqc6mXtT1d5g" name="scoreType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kh8X0PTtEdy5Wqkr80CIPQ" annotatedElement="_k298sMtYEdyqc6mXtT1d5g">
            <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.</body>
          </ownedComment>
          <ownedComment xmi:id="_9EsxoAqfEd6qw9bIVZ5Htg" annotatedElement="_k298sMtYEdyqc6mXtT1d5g">
            <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lbWQMtWEdyqc6mXtT1d5g" name="division" visibility="public" type="_420A62FD03B64242CAB30303" association="_4lVPoMtWEdyqc6mXtT1d5g">
          <ownedComment xmi:id="_YoI98O67EdyeTtxr2InFDA" annotatedElement="_4lbWQMtWEdyqc6mXtT1d5g">
            <body>Contains the Division with in the VA which provided the patient Education.  </body>
          </ownedComment>
          <ownedComment xmi:id="_BHLZkFznEd6WkeJA5pW9UA" annotatedElement="_4lbWQMtWEdyqc6mXtT1d5g">
            <body>Division the patient is currently assigned.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lbWQctWEdyqc6mXtT1d5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lbWQstWEdyqc6mXtT1d5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1Ns0Uc6qEdyXMP2BMfWZfQ" name="medicalComplication" visibility="public" type="_iAW1sM6qEdyXMP2BMfWZfQ" association="_1Ns0UM6qEdyXMP2BMfWZfQ">
          <ownedComment xmi:id="_csle8PUKEdy5Wqkr80CIPQ" annotatedElement="_1Ns0Uc6qEdyXMP2BMfWZfQ">
            <body> Association to the class that identifies the information regarding the spinal cord injury medical complications for the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4byWIAyqEd6aYNLI5II8og" annotatedElement="_1Ns0Uc6qEdyXMP2BMfWZfQ">
            <body>Association to the class that contains information regarding the spinal cord injury medical complications for the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ns0Us6qEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1Ns0U86qEdyXMP2BMfWZfQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oHwdUM6gEdyce4IOUiRz1Q" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_oHqWsM6gEdyce4IOUiRz1Q">
          <ownedComment xmi:id="_KUpzcPUMEdy5Wqkr80CIPQ" annotatedElement="_oHwdUM6gEdyce4IOUiRz1Q">
            <body> Association to the class that identifies the physical location of the services being provided for the spinal cord injury patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_92r4kAyqEd6aYNLI5II8og" annotatedElement="_oHwdUM6gEdyce4IOUiRz1Q">
            <body>Association to the location to which the patient is assigned.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oHwdUc6gEdyce4IOUiRz1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oHwdUs6gEdyce4IOUiRz1Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3VQWkMtQEdyqc6mXtT1d5g" name="SpinalCordAssessment">
        <eAnnotations xmi:id="_E2DCEMtREdyqc6mXtT1d5g" source="uml2.diagrams"/>
        <ownedComment xmi:id="_4MHL0PBMEdym3-emZ4rhQw" annotatedElement="_3VQWkMtQEdyqc6mXtT1d5g">
          <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.</body>
        </ownedComment>
        <ownedComment xmi:id="_CxwLwAyoEd6aYNLI5II8og" annotatedElement="_3VQWkMtQEdyqc6mXtT1d5g">
          <body>Contains the Code Set that identifies the type of score for the Assessment tool. ASIA, FIM, FAM CHARTSF etc.</body>
        </ownedComment>
        <generalization xmi:id="_hQJ6YBlKEd6eoOkMkMnuyg" general="_Nl2dEMtMEdyaEqBbyq3Okw"/>
        <generalization xmi:id="_EYmQMN5lEeaSVd0Fmxi4nQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_Lc2B0LDNEd2trbCPdTt3cw" name="affectivePainRatingIndex" visibility="public">
          <ownedComment xmi:id="_xxhKoLTTEd2D87slLCU3Jw" annotatedElement="_Lc2B0LDNEd2trbCPdTt3cw">
            <body>Contains the rating value for the patient s subjective measurement of affective pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_bQL40AqgEd6qw9bIVZ5Htg" annotatedElement="_Lc2B0LDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Affected Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YQoWwNM5EdyWh-xi-xzdNQ" name="assessmentFormType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_A1790PBMEdym3-emZ4rhQw" annotatedElement="_YQoWwNM5EdyWh-xi-xzdNQ">
            <body>Contains the code set that identifies the Assessment Instrument ( form) ie. SWLS, FIM, ASIA, CHART-SF, FAM, DUSOI-A etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_xFBeIAqgEd6qw9bIVZ5Htg" annotatedElement="_YQoWwNM5EdyWh-xi-xzdNQ">
            <body>Contains the codes that identify the type Assessment Form the Patient informations is being gathered for. ie. ASIA, FIN FAM CHARTSFetc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TG1bUOu3EdykfYQ46IUXCQ" name="bodyMassIndex" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NEzigPTuEdy5Wqkr80CIPQ" annotatedElement="_TG1bUOu3EdykfYQ46IUXCQ">
            <body>Contains the calculated value for the BMI or Body Mass Index </body>
          </ownedComment>
          <ownedComment xmi:id="_uUVCsAqhEd6qw9bIVZ5Htg" annotatedElement="_TG1bUOu3EdykfYQ46IUXCQ">
            <body>Contains the BMI dcore for the veteran.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uJk90OuUEdyrWtj95_Q6oQ" name="cognitiveSubTotal" visibility="public">
          <ownedComment xmi:id="_Sq55kO6yEdyeTtxr2InFDA" annotatedElement="_uJk90OuUEdyrWtj95_Q6oQ">
            <body>Contains Cognitive Assessment value for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_CENjIAqhEd6qw9bIVZ5Htg" annotatedElement="_uJk90OuUEdyrWtj95_Q6oQ">
            <body>Contains Cognitive Assessment value for veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uADHAOuXEdyrWtj95_Q6oQ" name="diagnosticHealthProblemScore" visibility="public">
          <ownedComment xmi:id="_aOkaAPBMEdym3-emZ4rhQw" annotatedElement="_uADHAOuXEdyrWtj95_Q6oQ">
            <body>Contains the diagnostic health problem assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_KRxacAqhEd6qw9bIVZ5Htg" annotatedElement="_uADHAOuXEdyrWtj95_Q6oQ">
            <body>Contains the diagnostic health problem assessment value for the veteran      </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yC9_oI8qEeG2ar1Lc1hB1g" name="height" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_qkf0gAjsEd6pUMCNq3NSwg" name="highestNeurologicalLevel" visibility="public">
          <ownedComment xmi:id="_o5H-QAqhEd6qw9bIVZ5Htg" annotatedElement="_qkf0gAjsEd6pUMCNq3NSwg">
            <body>Contains the highest Nreuorlogical Level score for the veteran.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KggtUNTPEdya-bU--xfX5g" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_lduaEPBMEdym3-emZ4rhQw" annotatedElement="_KggtUNTPEdya-bU--xfX5g">
            <body>Contains the unique identifier for the  Assessment Tool</body>
          </ownedComment>
          <ownedComment xmi:id="_yABt0AqgEd6qw9bIVZ5Htg" annotatedElement="_KggtUNTPEdya-bU--xfX5g">
            <body>Unique identifier for the SpinalCordAssessment   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ktpD8AjuEd6pUMCNq3NSwg" name="impairmentScale" visibility="public">
          <ownedComment xmi:id="_1OcVIAqhEd6qw9bIVZ5Htg" annotatedElement="_ktpD8AjuEd6pUMCNq3NSwg">
            <body>Contains the Impairment Scale value for the veteran.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O022UOuXEdyrWtj95_Q6oQ" name="mentalComponentScore" visibility="public">
          <ownedComment xmi:id="_WBJ-YPBMEdym3-emZ4rhQw" annotatedElement="_O022UOuXEdyrWtj95_Q6oQ">
            <body>Contains the mental component assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_HhC_QAqhEd6qw9bIVZ5Htg" annotatedElement="_O022UOuXEdyrWtj95_Q6oQ">
            <body>Contains the mental component assessment value for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hp0RgOuUEdyrWtj95_Q6oQ" name="motorSubTotal" visibility="public">
          <ownedComment xmi:id="_Qf2XQO6yEdyeTtxr2InFDA" annotatedElement="_hp0RgOuUEdyrWtj95_Q6oQ">
            <body>Contains Motor Assessment value for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_Acf-cAqhEd6qw9bIVZ5Htg" annotatedElement="_hp0RgOuUEdyrWtj95_Q6oQ">
            <body>Contains Motor Assessment value for veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QQJzwO7FEdyeTtxr2InFDA" name="overallCYHDepression" visibility="public">
          <ownedComment xmi:id="_HVlg8O7PEdyeTtxr2InFDA" annotatedElement="_QQJzwO7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Depression  </body>
          </ownedComment>
          <ownedComment xmi:id="_ZQNvsAqhEd6qw9bIVZ5Htg" annotatedElement="_QQJzwO7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Depression</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FRz24O7FEdyeTtxr2InFDA" name="overallCYHHealth" visibility="public">
          <ownedComment xmi:id="_KNh-cO7PEdyeTtxr2InFDA" annotatedElement="_FRz24O7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Health.</body>
          </ownedComment>
          <ownedComment xmi:id="_ebKxoAqhEd6qw9bIVZ5Htg" annotatedElement="_FRz24O7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Health</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0EcAYO7OEdyeTtxr2InFDA" name="overallCYHIndependance" visibility="public">
          <ownedComment xmi:id="_CsYhMO7PEdyeTtxr2InFDA" annotatedElement="_0EcAYO7OEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Independance  </body>
          </ownedComment>
          <ownedComment xmi:id="_h619gAqhEd6qw9bIVZ5Htg" annotatedElement="_0EcAYO7OEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Independance</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z6W0QLDNEd2trbCPdTt3cw" name="painScale" visibility="public">
          <ownedComment xmi:id="_5a3hoLTTEd2D87slLCU3Jw" annotatedElement="_Z6W0QLDNEd2trbCPdTt3cw">
            <body>Contains the scale value for the patient s overall pain. </body>
          </ownedComment>
          <ownedComment xmi:id="_GDcOQAqgEd6qw9bIVZ5Htg" annotatedElement="_Z6W0QLDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the pain scale.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HiajcOuXEdyrWtj95_Q6oQ" name="physicalComponentScore" visibility="public">
          <ownedComment xmi:id="_UhKyUPBMEdym3-emZ4rhQw" annotatedElement="_HiajcOuXEdyrWtj95_Q6oQ">
            <body>Contains the physical component assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_E2IRIAqhEd6qw9bIVZ5Htg" annotatedElement="_HiajcOuXEdyrWtj95_Q6oQ">
            <body>Contains the physical component assessment value for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3dOTgOrQEdyMaYi-M8wTQQ" name="score" visibility="public">
          <ownedComment xmi:id="_bdvi4PBMEdym3-emZ4rhQw" annotatedElement="_3dOTgOrQEdyMaYi-M8wTQQ">
            <body>Contains the total score for the Assessment tool</body>
          </ownedComment>
          <ownedComment xmi:id="_TUYqcAqhEd6qw9bIVZ5Htg" annotatedElement="_3dOTgOrQEdyMaYi-M8wTQQ">
            <body>Contains the total score for the Assessment tool  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DPb7gLDNEd2trbCPdTt3cw" name="sensoryPainRatingIndex" visibility="public">
          <ownedComment xmi:id="_m03P0LTTEd2D87slLCU3Jw" annotatedElement="_DPb7gLDNEd2trbCPdTt3cw">
            <body>Contains the rating value for the patient s subjective measurement of sensory pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_fRFicAqgEd6qw9bIVZ5Htg" annotatedElement="_DPb7gLDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Sensory Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rzy80LDNEd2trbCPdTt3cw" name="totalPainRatingIndex" visibility="public">
          <ownedComment xmi:id="_0eE3gLTTEd2D87slLCU3Jw" annotatedElement="_Rzy80LDNEd2trbCPdTt3cw">
            <body>Contains the patient s total rating value for subjective measurement of pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_Y0LJYAqgEd6qw9bIVZ5Htg" annotatedElement="_Rzy80LDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Total Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2RywgI8qEeG2ar1Lc1hB1g" name="weight" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_Wwv_ALDNEd2trbCPdTt3cw" name="visualAnalogScale" visibility="public">
          <ownedComment xmi:id="_2p_8gLTTEd2D87slLCU3Jw" annotatedElement="_Wwv_ALDNEd2trbCPdTt3cw">
            <body>Contains the scale value for the patient s visual analogue.</body>
          </ownedComment>
          <ownedComment xmi:id="_U77FcAqgEd6qw9bIVZ5Htg" annotatedElement="_Wwv_ALDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Visual Anaolog Scale for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iFo54OVJEdyzF5SPyilcgg" name="assessmentSection" visibility="public" type="_wvfUoOVIEdyzF5SPyilcgg" association="_iFizQOVJEdyzF5SPyilcgg">
          <ownedComment xmi:id="_0AAFoPULEdy5Wqkr80CIPQ" annotatedElement="_iFo54OVJEdyzF5SPyilcgg">
            <body> Association to the class that identifies the Assessment section or grouping on the assessment tool.</body>
          </ownedComment>
          <ownedComment xmi:id="_mb7eUAyqEd6aYNLI5II8og" annotatedElement="_iFo54OVJEdyzF5SPyilcgg">
            <body>Contains information that is pertinent to Assessment grouping or Section on the Assessment to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iFo54eVJEdyzF5SPyilcgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iFvAgOVJEdyzF5SPyilcgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YCLMsI8pEeG2ar1Lc1hB1g" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_YCG7QI8pEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YCLzwI8pEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YCMa0I8pEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4WwuYI8pEeG2ar1Lc1hB1g" name="attendantCare" visibility="public" type="_9BkScNZvEdyksYmSx-_jaA" association="_4WtEAI8pEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_63b7YI8pEeG2ar1Lc1hB1g" annotatedElement="_4WwuYI8pEeG2ar1Lc1hB1g">
            <body>Contains information regarding attendant care for the spinal cord injury patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Wx8gI8pEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4Wx8gY8pEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CAwSAI8rEeG2ar1Lc1hB1g" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" association="_CAsAkI8rEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CAw5EI8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CAw5EY8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J5yq0I8rEeG2ar1Lc1hB1g" name="spinalCordAssessmentGoal " visibility="public" type="_eOzqsOx6EdywLMnZ819tBQ" association="_J5uZYI8rEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_KskyoI8rEeG2ar1Lc1hB1g" annotatedElement="_J5yq0I8rEeG2ar1Lc1hB1g">
            <body>Association to the class that identifies the value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5z48I8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5z48Y8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XOgmQN5lEeaSVd0Fmxi4nQ" name="attender" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XOgmQt5lEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XOgmQd5lEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_grO_YN5lEeaSVd0Fmxi4nQ" name="transcriber" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_grO_Yt5lEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_grO_Yd5lEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3Lz0wMtSEdyqc6mXtT1d5g" name="SpinalCordAssessmentQuestion">
        <ownedComment xmi:id="_khJvAPBKEdym3-emZ4rhQw" annotatedElement="_3Lz0wMtSEdyqc6mXtT1d5g">
          <body>This class contains assessments regarding the health and associated  information regarding the spinal cord Injury for the veteran.</body>
        </ownedComment>
        <ownedComment xmi:id="_Gz4H8AypEd6aYNLI5II8og" annotatedElement="_3Lz0wMtSEdyqc6mXtT1d5g">
          <body>This class contains assessments regarding the health and associated information regarding the spinal cord Injury for the veteran.</body>
        </ownedComment>
        <generalization xmi:id="_zMu7sApXEd69CMBilJHYGQ" general="_wvfUoOVIEdyzF5SPyilcgg"/>
        <ownedAttribute xmi:id="_-gmz4MtZEdyqc6mXtT1d5g" name="assessmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YYqWgO7GEdyeTtxr2InFDA" annotatedElement="_-gmz4MtZEdyqc6mXtT1d5g">
            <body>Contains date that the veteran supplied the assessment information.  </body>
          </ownedComment>
          <ownedComment xmi:id="_IuNtsAypEd6aYNLI5II8og" annotatedElement="_-gmz4MtZEdyqc6mXtT1d5g">
            <body>Contains date that the veteran supplied the assessment information.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ntOl4MtdEdyqc6mXtT1d5g" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f1dRYPBJEdym3-emZ4rhQw" annotatedElement="_ntOl4MtdEdyqc6mXtT1d5g">
            <body>Contains the codeset that identifies the Assessment Question for the section and Form. ie, SWLS is the form, Education and Occupation is the section and the Assessment question Is Student Y or N. </body>
          </ownedComment>
          <ownedComment xmi:id="_Nb0FQAypEd6aYNLI5II8og" annotatedElement="_ntOl4MtdEdyqc6mXtT1d5g">
            <body>Contains the codeset that identifies the Assessment Question for the section and Form. ie, SWLS is the form, Education and Occupation is the section and the Assessment question Is Student Y or N.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mvf8wI8pEeG2ar1Lc1hB1g" name="assessmentResponse" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_wTYt0I8pEeG2ar1Lc1hB1g" annotatedElement="_mvf8wI8pEeG2ar1Lc1hB1g">
            <body>Contains the response to the assessment question supplied by the veteran which helps identify the functional level of impairment and or education provided</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rxs8MNAkEdyHyuMbpKEXlg" name="count" visibility="public">
          <ownedComment xmi:id="_kTlpkPBJEdym3-emZ4rhQw" annotatedElement="_rxs8MNAkEdyHyuMbpKEXlg">
            <body>Contains the count for the assessment question</body>
          </ownedComment>
          <ownedComment xmi:id="_TiE44AypEd6aYNLI5II8og" annotatedElement="_rxs8MNAkEdyHyuMbpKEXlg">
            <body>Contains the count for the assessment question  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VWpJYNTPEdya-bU--xfX5g" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_YOGesNTPEdya-bU--xfX5g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_o3pDkPBJEdym3-emZ4rhQw" annotatedElement="_VWpJYNTPEdya-bU--xfX5g">
            <body>Unique identifier assign to the assessment question</body>
          </ownedComment>
          <ownedComment xmi:id="_gKULwAypEd6aYNLI5II8og" annotatedElement="_VWpJYNTPEdya-bU--xfX5g">
            <body>Unique identifier assign to the assessment question  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jWQXgOrLEdyMaYi-M8wTQQ" name="score" visibility="public">
          <ownedComment xmi:id="_wPVp4PBJEdym3-emZ4rhQw" annotatedElement="_jWQXgOrLEdyMaYi-M8wTQQ">
            <body>Contains the value for the assessment question.</body>
          </ownedComment>
          <ownedComment xmi:id="_iTs6IAypEd6aYNLI5II8og" annotatedElement="_jWQXgOrLEdyMaYi-M8wTQQ">
            <body>Contains the value for the assessment question.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_DfFWoM6oEdyXMP2BMfWZfQ" name="SpinalCordEpisodeOfCare">
        <ownedComment xmi:id="_LQSI0O63EdyeTtxr2InFDA" annotatedElement="_DfFWoM6oEdyXMP2BMfWZfQ">
          <body>This Class contains  the process by which the Veterans Affairs documents  information to enroll the veteran in the spinal cord domain for the episode of care.  </body>
        </ownedComment>
        <ownedComment xmi:id="_r-7cAAm5Ed6I04ySc2CGmQ" annotatedElement="_DfFWoM6oEdyXMP2BMfWZfQ">
          <body>This Class contains the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_jnPnsNXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_QXSUUO62EdyeTtxr2InFDA" annotatedElement="_jnPnsNXAEdyMSoGS-ULFTg">
            <body>Unique identifier that associates the registration with associated Episode of care.</body>
          </ownedComment>
          <ownedComment xmi:id="_uwQUIAm5Ed6I04ySc2CGmQ" annotatedElement="_jnPnsNXAEdyMSoGS-ULFTg">
            <body>Unique identifier that associates the registration with associated Episode of care.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ySY6kNDrEdyG7OHWfYGHvg" name="eocStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hKUP0O66EdyeTtxr2InFDA" annotatedElement="_ySY6kNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) began for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_6WCEcAm5Ed6I04ySc2CGmQ" annotatedElement="_ySY6kNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) began for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-XZkkNDrEdyG7OHWfYGHvg" name="eocClosedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jkLqMO66EdyeTtxr2InFDA" annotatedElement="_-XZkkNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) closed for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_CNizQAm6Ed6I04ySc2CGmQ" annotatedElement="_-XZkkNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) closed for the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G54jANDsEdyG7OHWfYGHvg" name="eocFollowUpDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_mSGB8O66EdyeTtxr2InFDA" annotatedElement="_G54jANDsEdyG7OHWfYGHvg">
            <body>Contains the Episode of Care (EOC) followup date for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_Qjwq4Am6Ed6I04ySc2CGmQ" annotatedElement="_G54jANDsEdyG7OHWfYGHvg">
            <body>Contains the Episode of Care (EOC) followup date for the veteran.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jctUYc6pEdyXMP2BMfWZfQ" name="aeVamcLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_jctUYM6pEdyXMP2BMfWZfQ">
          <ownedComment xmi:id="_mJAz4O65EdyeTtxr2InFDA" annotatedElement="_jctUYc6pEdyXMP2BMfWZfQ">
            <body> Association to the class that identifies the VAMC location where Annual Evaluation (AE) took place.  </body>
          </ownedComment>
          <ownedComment xmi:id="_Y1pBgAm6Ed6I04ySc2CGmQ" annotatedElement="_jctUYc6pEdyXMP2BMfWZfQ">
            <body>Association to the class that identifies the VAMC location where Annual Evaluation (AE) took place.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jczbAM6pEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jczbAc6pEdyXMP2BMfWZfQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kWKVgerwEdyMaYi-M8wTQQ" name="bcr" visibility="public" type="_5PaRwOrvEdyMaYi-M8wTQQ" association="_kWKVgOrwEdyMaYi-M8wTQQ">
          <ownedComment xmi:id="_c7pLcPUGEdy5Wqkr80CIPQ" annotatedElement="_kWKVgerwEdyMaYi-M8wTQQ">
            <body> Association to the class that identifies information about BCR treatment and support for the spinal cord injury of the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_l4MpsAyrEd6aYNLI5II8og" annotatedElement="_kWKVgerwEdyMaYi-M8wTQQ">
            <body>Association to the class that contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWQcIOrwEdyMaYi-M8wTQQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWQcIerwEdyMaYi-M8wTQQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fqK1oI8lEeG2ar1Lc1hB1g" name="spinalCordEvent" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_fqGkMI8lEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_1DuNII8lEeG2ar1Lc1hB1g" annotatedElement="_fqK1oI8lEeG2ar1Lc1hB1g">
            <body>Summary information about the Spinal Injury of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fqMDwI8lEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fqMDwY8lEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8LPnQNQmEdy3opOEf2-BLQ" name="spinalCordImpairment" visibility="public" type="_N4HHENQmEdy3opOEf2-BLQ" association="_8KSlANQmEdy3opOEf2-BLQ">
          <ownedComment xmi:id="_KnQ4UPUKEdy5Wqkr80CIPQ" annotatedElement="_8LPnQNQmEdy3opOEf2-BLQ">
            <body> Association to the class that identifies the information regarding the spinal cord injury impairment for the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_b5l6sAm6Ed6I04ySc2CGmQ" annotatedElement="_8LPnQNQmEdy3opOEf2-BLQ">
            <body>Association to the class that identifies the information regarding the spinal cord injury impairment for the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8LPnQdQmEdy3opOEf2-BLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8LPnQtQmEdy3opOEf2-BLQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p3ODQN5kEeaSVd0Fmxi4nQ" name="primaryPerformer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p3ODQt5kEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p3ODQd5kEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iAW1sM6qEdyXMP2BMfWZfQ" name="MedicalComplication">
        <ownedComment xmi:id="_fbpGMPUKEdy5Wqkr80CIPQ" annotatedElement="_iAW1sM6qEdyXMP2BMfWZfQ">
          <body>This class contains information regarding the spinal cord injury medical complications for the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_x62YsAyqEd6aYNLI5II8og" annotatedElement="_iAW1sM6qEdyXMP2BMfWZfQ">
          <body>This class contains information regarding the spinal cord injury medical complications for the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rdAWUM6qEdyXMP2BMfWZfQ" name="bladderDrainage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zrviUPUKEdy5Wqkr80CIPQ" annotatedElement="_rdAWUM6qEdyXMP2BMfWZfQ">
            <body>Contains a code set that identifies the bladder drainage method  </body>
          </ownedComment>
          <ownedComment xmi:id="_6rlOgAyqEd6aYNLI5II8og" annotatedElement="_rdAWUM6qEdyXMP2BMfWZfQ">
            <body>Contains a code set that identifies the bladder drainage method    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1Ns0UM6qEdyXMP2BMfWZfQ" memberEnd="_1Ns0Uc6qEdyXMP2BMfWZfQ _1Ny68M6qEdyXMP2BMfWZfQ">
        <eAnnotations xmi:id="_ukWkYNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_1Ny68M6qEdyXMP2BMfWZfQ" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_1Ns0UM6qEdyXMP2BMfWZfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ny68c6qEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1Ny68s6qEdyXMP2BMfWZfQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6YU8cNAmEdyHyuMbpKEXlg" name="EtiologyObservation">
        <ownedComment xmi:id="_tNpyoPUMEdy5Wqkr80CIPQ" annotatedElement="_6YU8cNAmEdyHyuMbpKEXlg">
          <body>This class contains information that identifies theThe cause or origin of a spinal cord injury as determined by medical diagnosis. </body>
        </ownedComment>
        <ownedComment xmi:id="_Rh-DwAmzEd6I04ySc2CGmQ" annotatedElement="_6YU8cNAmEdyHyuMbpKEXlg">
          <body>This class contains information that identifies theThe cause or origin of a spinal cord injury as determined by medical diagnosis. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_dMEoMNAnEdyHyuMbpKEXlg" name="etiologyNonTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_poMtAO64EdyeTtxr2InFDA" annotatedElement="_dMEoMNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of non-traumatic injury suffered by veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_eKg4oAmzEd6I04ySc2CGmQ" annotatedElement="_dMEoMNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of non-traumatic injury suffered by veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nIzXENAnEdyHyuMbpKEXlg" name="EtiologyOther" visibility="public">
          <ownedComment xmi:id="_52C0oO64EdyeTtxr2InFDA" annotatedElement="_nIzXENAnEdyHyuMbpKEXlg">
            <body>Contains information in textual format identifying other complicating health issues for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_XExlAAmzEd6I04ySc2CGmQ" annotatedElement="_nIzXENAnEdyHyuMbpKEXlg">
            <body>  Contains information in textual format identifying other complicating health issues for the veteran.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O1_TcNAnEdyHyuMbpKEXlg" name="etiologyTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vNlBIO64EdyeTtxr2InFDA" annotatedElement="_O1_TcNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of traumic injury suffered by veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_Uc_DYAmzEd6I04ySc2CGmQ" annotatedElement="_O1_TcNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of traumic injury suffered by veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0dkYwNAnEdyHyuMbpKEXlg" name="msSubType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FQwkcO65EdyeTtxr2InFDA" annotatedElement="_0dkYwNAnEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Multiple Sclerosis subtype for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_iJ6tcAmzEd6I04ySc2CGmQ" annotatedElement="_0dkYwNAnEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Multiple Sclerosis subtype for the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__TZ54NAnEdyHyuMbpKEXlg" name="onsetDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MPVgIO65EdyeTtxr2InFDA" annotatedElement="__TZ54NAnEdyHyuMbpKEXlg">
            <body>Contains the date of the etiology injury for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_kM5R0AmzEd6I04ySc2CGmQ" annotatedElement="__TZ54NAnEdyHyuMbpKEXlg">
            <body>Contains the date of the etiology injury for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WHV2kNDqEdyG7OHWfYGHvg" name="SpinalCordMedicalCentersVisted">
        <ownedComment xmi:id="_fl5HAPUNEdy5Wqkr80CIPQ" annotatedElement="_WHV2kNDqEdyG7OHWfYGHvg">
          <body>This is the class that contains the current and historic medical centers that provided services for the veteran</body>
        </ownedComment>
        <ownedComment xmi:id="_zQEykAmyEd6I04ySc2CGmQ" annotatedElement="_WHV2kNDqEdyG7OHWfYGHvg">
          <body>This is the class that contains the current and historic medical centers that provided services for the veteran</body>
        </ownedComment>
        <ownedAttribute xmi:id="_jXznENDqEdyG7OHWfYGHvg" name="medicalCentersVisted" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WLNd8O66EdyeTtxr2InFDA" annotatedElement="_jXznENDqEdyG7OHWfYGHvg">
            <body>Contains code set that provides a list of the VAMC visted by the veteran. </body>
          </ownedComment>
          <ownedComment xmi:id="_1sPTAAmyEd6I04ySc2CGmQ" annotatedElement="_jXznENDqEdyG7OHWfYGHvg">
            <body>Contains code set that provides a list of the VAMC visted by the veteran.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yu0DIO66EdyeTtxr2InFDA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yu0DIe66EdyeTtxr2InFDA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bJGq0NDrEdyG7OHWfYGHvg" name="SpinalCordRegistration">
        <ownedComment xmi:id="_Hf0agPTvEdy5Wqkr80CIPQ" annotatedElement="_bJGq0NDrEdyG7OHWfYGHvg">
          <body>This Class contains  the process by which the Veterans Affairs documents  information to enroll the veteran in the spinal cord domain for the episode of care.  </body>
        </ownedComment>
        <ownedComment xmi:id="_ytPIEAmuEd6I04ySc2CGmQ" annotatedElement="_bJGq0NDrEdyG7OHWfYGHvg">
          <body>This Class contains the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.     </body>
        </ownedComment>
        <ownedAttribute xmi:id="_7_rp4NAoEdyHyuMbpKEXlg" name="dateFirstSeen" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HEALEO62EdyeTtxr2InFDA" annotatedElement="_7_rp4NAoEdyHyuMbpKEXlg">
            <body>Contains the first date the veteran was seen for SCI care  </body>
          </ownedComment>
          <ownedComment xmi:id="_uqXlAAmtEd6I04ySc2CGmQ" annotatedElement="_7_rp4NAoEdyHyuMbpKEXlg">
            <body>Contains the first date the veteran was seen for SCI care    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5g5MAOScEdyN994-DOk4MA" name="dateLastReviewed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vV5aMO65EdyeTtxr2InFDA" annotatedElement="_5g5MAOScEdyN994-DOk4MA">
            <body>Contains the  last date the veterans  registration record was reviewed .  </body>
          </ownedComment>
          <ownedComment xmi:id="_25RgIAmtEd6I04ySc2CGmQ" annotatedElement="_5g5MAOScEdyN994-DOk4MA">
            <body>Contains the last date the veterans registration record was reviewed .    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3rSX0O65EdyeTtxr2InFDA" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__G500O65EdyeTtxr2InFDA" annotatedElement="_3rSX0O65EdyeTtxr2InFDA">
            <body>Contains the veterans date of death.  </body>
          </ownedComment>
          <ownedComment xmi:id="_zr0QMAmuEd6I04ySc2CGmQ" annotatedElement="_3rSX0O65EdyeTtxr2InFDA">
            <body>Contains the veterans date of death.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8wSiwO65EdyeTtxr2InFDA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8wSiwe65EdyeTtxr2InFDA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NSLMwNAmEdyHyuMbpKEXlg" name="dateRevised" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HWEgkO64EdyeTtxr2InFDA" annotatedElement="_NSLMwNAmEdyHyuMbpKEXlg">
            <body>Contains the current and historical change dates for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_pCD4sAmtEd6I04ySc2CGmQ" annotatedElement="_NSLMwNAmEdyHyuMbpKEXlg">
            <body>Contains the current and historical change dates for the veteran    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I6UNEOSdEdyN994-DOk4MA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I6UNEeSdEdyN994-DOk4MA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Urn88NXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TYaGgO63EdyeTtxr2InFDA" annotatedElement="_Urn88NXAEdyMSoGS-ULFTg">
            <body>Unique identifier that identifies this Episode of care for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_JLuZQAmtEd6I04ySc2CGmQ" annotatedElement="_Urn88NXAEdyMSoGS-ULFTg">
            <body>Unique identifier that identifies this Episode of care for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ELVcsNApEdyHyuMbpKEXlg" name="percentProvidedByVa" visibility="public">
          <ownedComment xmi:id="_KAcHAO62EdyeTtxr2InFDA" annotatedElement="_ELVcsNApEdyHyuMbpKEXlg">
            <body>Contains the portion of care provided by VA.  </body>
          </ownedComment>
          <ownedComment xmi:id="_xZKGgAmtEd6I04ySc2CGmQ" annotatedElement="_ELVcsNApEdyHyuMbpKEXlg">
            <body>Contains the portion of care provided by VA.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vor_YNAlEdyHyuMbpKEXlg" name="registrationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Em6BEO63EdyeTtxr2InFDA" annotatedElement="_vor_YNAlEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Registration status of the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_UZEuoAkBEd6w44GySTJ45A" annotatedElement="_vor_YNAlEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Registration status of the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tEMqcI8oEeG2ar1Lc1hB1g" name="ancillaryRegistrationEvent" visibility="public" type="_fnjEsNDuEdyG7OHWfYGHvg" association="_tEJAEI8oEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tEN4kI8oEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tEN4kY8oEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SmHDcfQ0EdyKRIzAtE3HZw" name="etiology" visibility="public" type="_6YU8cNAmEdyHyuMbpKEXlg" association="_SmHDcPQ0EdyKRIzAtE3HZw">
          <ownedComment xmi:id="_YwLo4PUMEdy5Wqkr80CIPQ" annotatedElement="_SmHDcfQ0EdyKRIzAtE3HZw">
            <body> Association to the class that identifies the cause or origin of a spinal cord injury as determined by medical diagnosis.   </body>
          </ownedComment>
          <ownedComment xmi:id="__KVFcAmvEd6I04ySc2CGmQ" annotatedElement="_SmHDcfQ0EdyKRIzAtE3HZw">
            <body>Association to the class that identifies the cause or origin of a spinal cord injury as determined by medical diagnosis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SmZXUPQ0EdyKRIzAtE3HZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SmZXUfQ0EdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_haAhIfQqEdyKRIzAtE3HZw" name="evaluation " visibility="public" type="_KsSfUNv9Edyfi6kBZ4pnVQ" association="_haAhIPQqEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_jMnuQPQqEdyKRIzAtE3HZw" annotatedElement="_haAhIfQqEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the information for the Veterans evaluation session.</body>
          </ownedComment>
          <ownedComment xmi:id="_Bw7UQAmwEd6I04ySc2CGmQ" annotatedElement="_haAhIfQqEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the information for the Veterans evaluation session.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_haAhIvQqEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_haAhI_QqEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uYg0YfQpEdyKRIzAtE3HZw" name="medicalCentersVisted" visibility="public" type="_WHV2kNDqEdyG7OHWfYGHvg" association="_uYg0YPQpEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_0v7pcPQpEdyKRIzAtE3HZw" annotatedElement="_uYg0YfQpEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the current and historic medical centers that provided services for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_OYHeQAmwEd6I04ySc2CGmQ" annotatedElement="_uYg0YfQpEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the current and historic medical centers that provided services for the veteran  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uYm7APQpEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uYm7AfQpEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Gy0zgI8jEeG2ar1Lc1hB1g" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_GyjGsI8jEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gy3PwI8jEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gy320I8jEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ms_DAfQrEdyKRIzAtE3HZw" name="referral" visibility="public" type="_ea_0EOrvEdyMaYi-M8wTQQ" association="_Ms_DAPQrEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_OaV8sPQrEdyKRIzAtE3HZw" annotatedElement="_Ms_DAfQrEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the information for the Veterans referrals.</body>
          </ownedComment>
          <ownedComment xmi:id="_JabcQAmwEd6I04ySc2CGmQ" annotatedElement="_Ms_DAfQrEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the information for the Veterans referrals.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MtFJoPQrEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MtFJofQrEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0-964I8jEeG2ar1Lc1hB1g" name="sciCoordinator" visibility="public" type="_362usNv-Edyfi6kBZ4pnVQ" association="_0-5pcI8jEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_Dpi48I8kEeG2ar1Lc1hB1g" annotatedElement="_0-964I8jEeG2ar1Lc1hB1g">
            <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0-_wEI8jEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0-_wEY8jEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_411pUI8kEeG2ar1Lc1hB1g" name="spinalCordEpisodeOfCare" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_41xX4I8kEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_8FTO8I8kEeG2ar1Lc1hB1g" annotatedElement="_411pUI8kEeG2ar1Lc1hB1g">
            <body>Association to the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4123cI8kEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_413egI8kEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fnjEsNDuEdyG7OHWfYGHvg" name="AncillaryRegistrationEvent">
        <ownedComment xmi:id="_uphCEO7JEdyeTtxr2InFDA" annotatedElement="_fnjEsNDuEdyG7OHWfYGHvg">
          <body> The process by which the Veterans Affairs documents ancillary information to enroll the veteran in the Spinal Cord domain. </body>
        </ownedComment>
        <ownedComment xmi:id="_Q0BDgAmxEd6I04ySc2CGmQ" annotatedElement="_fnjEsNDuEdyG7OHWfYGHvg">
          <body>The process by which the Veterans Affairs documents ancillary information to enroll the veteran in the Spinal Cord domain. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_qzpJsNDuEdyG7OHWfYGHvg" name="additionalVamcCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7tdEYO7HEdyeTtxr2InFDA" annotatedElement="_qzpJsNDuEdyG7OHWfYGHvg">
            <body>CContains codeSet that identifies where in the VA where additional care was provided to the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_XgIWMAmxEd6I04ySc2CGmQ" annotatedElement="_qzpJsNDuEdyG7OHWfYGHvg">
            <body>Contains the codeSet that identifies where in the VA where additional care was provided to the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_24HbcNXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_izyKMO7JEdyeTtxr2InFDA" annotatedElement="_24HbcNXAEdyMSoGS-ULFTg">
            <body>Contains uniquie identifier for this ancillary Registration event.</body>
          </ownedComment>
          <ownedComment xmi:id="_pBvLwAmxEd6I04ySc2CGmQ" annotatedElement="_24HbcNXAEdyMSoGS-ULFTg">
            <body>Contains uniquie identifier for this ancillary Registration event.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ry38oNDvEdyG7OHWfYGHvg" name="initialRehabDischargeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FbYs0O7JEdyeTtxr2InFDA" annotatedElement="_ry38oNDvEdyG7OHWfYGHvg">
            <body>Contains the date veteran was discharged from rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_dVjRcAmxEd6I04ySc2CGmQ" annotatedElement="_ry38oNDvEdyG7OHWfYGHvg">
            <body>Contains the date veteran was discharged from rehabilitation.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jN65ANDvEdyG7OHWfYGHvg" name="initialRehabSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AVDFIO7JEdyeTtxr2InFDA" annotatedElement="_jN65ANDvEdyG7OHWfYGHvg">
            <body>Contains the code set that identifies the veterans initial rehabilitation site  </body>
          </ownedComment>
          <ownedComment xmi:id="_aicQoAmxEd6I04ySc2CGmQ" annotatedElement="_jN65ANDvEdyG7OHWfYGHvg">
            <body>Contains the code set that identifies the veterans initial rehabilitation site</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TZNvEO7IEdyeTtxr2InFDA" name="nonVamcCare" visibility="public">
          <ownedComment xmi:id="_scmNUPUFEdy5Wqkr80CIPQ" annotatedElement="_TZNvEO7IEdyeTtxr2InFDA">
            <body>Contains information in  textual format about the Non Va Medical center that provided care for the Spinal Cord Injury patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_raLCwAmxEd6I04ySc2CGmQ" annotatedElement="_TZNvEO7IEdyeTtxr2InFDA">
            <body>Contains information in textual format about the Non Va Medical center that provided care for the Spinal Cord Injury patient.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MYs_UNDwEdyG7OHWfYGHvg" name="remarks" visibility="public">
          <ownedComment xmi:id="_b7akMO7JEdyeTtxr2InFDA" annotatedElement="_MYs_UNDwEdyG7OHWfYGHvg">
            <body>Contains remarks to enhance care or outcome for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_hC67EAmxEd6I04ySc2CGmQ" annotatedElement="_MYs_UNDwEdyG7OHWfYGHvg">
            <body>Contains remarks to enhance care or outcome for veteran      </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N4HHENQmEdy3opOEf2-BLQ" name="SpinalCordImpairment">
        <ownedComment xmi:id="_P-mJYPUKEdy5Wqkr80CIPQ" annotatedElement="_N4HHENQmEdy3opOEf2-BLQ">
          <body>This class contains information regarding the spinal cord injury impairment for the patient.  </body>
        </ownedComment>
        <ownedComment xmi:id="_f3aigAm3Ed6I04ySc2CGmQ" annotatedElement="_N4HHENQmEdy3opOEf2-BLQ">
          <body>Contains the date of the etiology injury for the veteran.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_YiZfgNQmEdy3opOEf2-BLQ" name="cerebralInjury" visibility="public">
          <ownedComment xmi:id="_as6UQO7KEdyeTtxr2InFDA" annotatedElement="_YiZfgNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not the veterans has suffered a brain injury</body>
          </ownedComment>
          <ownedComment xmi:id="_jZnd8Am3Ed6I04ySc2CGmQ" annotatedElement="_YiZfgNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not the veterans has suffered a brain injury  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kswjkNQmEdy3opOEf2-BLQ" name="otherInjury" visibility="public">
          <ownedComment xmi:id="_hE6YIO7KEdyeTtxr2InFDA" annotatedElement="_kswjkNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not an other injuries are present  </body>
          </ownedComment>
          <ownedComment xmi:id="_ou2dQAm3Ed6I04ySc2CGmQ" annotatedElement="_kswjkNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not an other injuries are present    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_unS6ENQmEdy3opOEf2-BLQ" name="otherInjuryDescription" visibility="public">
          <ownedComment xmi:id="_lsfnQO7KEdyeTtxr2InFDA" annotatedElement="_unS6ENQmEdy3opOEf2-BLQ">
            <body>Contains textual description of any other injuries present  </body>
          </ownedComment>
          <ownedComment xmi:id="_ynZ2wAm3Ed6I04ySc2CGmQ" annotatedElement="_unS6ENQmEdy3opOEf2-BLQ">
            <body>Contains textual description of any other injuries present    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8KSlANQmEdy3opOEf2-BLQ" memberEnd="_8LPnQNQmEdy3opOEf2-BLQ _8Lb0gNQmEdy3opOEf2-BLQ">
        <eAnnotations xmi:id="_ukzQUtp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_8Lb0gNQmEdy3opOEf2-BLQ" name="" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_8KSlANQmEdy3opOEf2-BLQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8Lh7INQmEdy3opOEf2-BLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8Lh7IdQmEdy3opOEf2-BLQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9BkScNZvEdyksYmSx-_jaA" name="AttendantCare">
        <ownedComment xmi:id="_a2OhoPUHEdy5Wqkr80CIPQ" annotatedElement="_9BkScNZvEdyksYmSx-_jaA">
          <body>This Class contains information regarding attendant care for the spinal cord injury patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_1rS2YAyoEd6aYNLI5II8og" annotatedElement="_9BkScNZvEdyksYmSx-_jaA">
          <body>This Class contains information regarding attendant care for the spinal cord injury patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VD9UcNZwEdyksYmSx-_jaA" name="attendantCareInterruptionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__0vRQPUGEdy5Wqkr80CIPQ" annotatedElement="_VD9UcNZwEdyksYmSx-_jaA">
            <body>Contains the date the assistant care for the veteran was interrupted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4YmKIAyoEd6aYNLI5II8og" annotatedElement="_VD9UcNZwEdyksYmSx-_jaA">
            <body>Contains the date the assistant care for the veteran was interrupted.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g8RmQNZwEdyksYmSx-_jaA" name="attendantLossDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ch40APUHEdy5Wqkr80CIPQ" annotatedElement="_g8RmQNZwEdyksYmSx-_jaA">
            <body>Indicates dates when attendant loss resulted in an admission  </body>
          </ownedComment>
          <ownedComment xmi:id="_8jLUMAyoEd6aYNLI5II8og" annotatedElement="_g8RmQNZwEdyksYmSx-_jaA">
            <body>Indicates dates when attendant loss resulted in an admission    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jDSQANAjEdyHyuMbpKEXlg" name="hours" visibility="public">
          <ownedComment xmi:id="_yo5VoO6xEdyeTtxr2InFDA" annotatedElement="_jDSQANAjEdyHyuMbpKEXlg">
            <body>Contains the number hours paid for assistant care for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_-LofwAyoEd6aYNLI5II8og" annotatedElement="_jDSQANAjEdyHyuMbpKEXlg">
            <body>Contains the number hours paid for assistant care for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0F10MObvEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0F10MebvEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9ycaQNAjEdyHyuMbpKEXlg" name="hoursUnpaid" visibility="public">
          <eAnnotations xmi:id="_EvTesNAkEdyHyuMbpKEXlg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3BAlYO6xEdyeTtxr2InFDA" annotatedElement="_9ycaQNAjEdyHyuMbpKEXlg">
            <body>Contains the number unpaid hours for assistant care for the veteran   </body>
          </ownedComment>
          <ownedComment xmi:id="__-EtwAyoEd6aYNLI5II8og" annotatedElement="_9ycaQNAjEdyHyuMbpKEXlg">
            <body>Contains the number unpaid hours for assistant care for the veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KqjVINAkEdyHyuMbpKEXlg" name="numberOfDays" visibility="public">
          <ownedComment xmi:id="_wlECEPUGEdy5Wqkr80CIPQ" annotatedElement="_KqjVINAkEdyHyuMbpKEXlg">
            <body>Contains the total number of days assistant care for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_CIW0AAypEd6aYNLI5II8og" annotatedElement="_KqjVINAkEdyHyuMbpKEXlg">
            <body>Contains the total number of days assistant care for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KsSfUNv9Edyfi6kBZ4pnVQ" name="EvaluationEvent">
        <ownedComment xmi:id="_-A8JoPUMEdy5Wqkr80CIPQ" annotatedElement="_KsSfUNv9Edyfi6kBZ4pnVQ">
          <body>This class that contains the information for the spinal cord injury patients evaluation session.</body>
        </ownedComment>
        <ownedComment xmi:id="__CFBAAmyEd6I04ySc2CGmQ" annotatedElement="_KsSfUNv9Edyfi6kBZ4pnVQ">
          <body>This class that contains the information for the spinal cord injury patients evaluation session.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BaD48M6qEdyXMP2BMfWZfQ" name="declinedAnnualEval" visibility="public">
          <ownedComment xmi:id="_bI25IO65EdyeTtxr2InFDA" annotatedElement="_BaD48M6qEdyXMP2BMfWZfQ">
            <body>Indicates if the veteran refuses further Aes  </body>
          </ownedComment>
          <ownedComment xmi:id="_BHl8AAmzEd6I04ySc2CGmQ" annotatedElement="_BaD48M6qEdyXMP2BMfWZfQ">
            <body>Indicates if the veteran refuses further Aes    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F4qnsM6pEdyXMP2BMfWZfQ" name="nextDueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_dnAWkO65EdyeTtxr2InFDA" annotatedElement="_F4qnsM6pEdyXMP2BMfWZfQ">
            <body>Contains date for next scheduled AE for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_DtSy8AmzEd6I04ySc2CGmQ" annotatedElement="_F4qnsM6pEdyXMP2BMfWZfQ">
            <body>Contains date for next scheduled AE for the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ds0O0M6oEdyXMP2BMfWZfQ" name="offeredDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Wb6o4O65EdyeTtxr2InFDA" annotatedElement="_ds0O0M6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date offered to  the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_H_Le4AmzEd6I04ySc2CGmQ" annotatedElement="_ds0O0M6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date offered to the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_86xfoM6oEdyXMP2BMfWZfQ" name="receivedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YJRikO65EdyeTtxr2InFDA" annotatedElement="_86xfoM6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date received by the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_KwzR8AmzEd6I04ySc2CGmQ" annotatedElement="_86xfoM6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date received by the veteran</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_362usNv-Edyfi6kBZ4pnVQ" name="SciAdministration">
        <ownedComment xmi:id="_crlXgO62EdyeTtxr2InFDA" annotatedElement="_362usNv-Edyfi6kBZ4pnVQ">
          <body>Contains all the Coordinator SCI  that provoded  services for the veteran  </body>
        </ownedComment>
        <ownedComment xmi:id="_w3ws0AmxEd6I04ySc2CGmQ" annotatedElement="_362usNv-Edyfi6kBZ4pnVQ">
          <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
        </ownedComment>
        <ownedAttribute xmi:id="_IANcgNApEdyHyuMbpKEXlg" name="sciCoordinator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h4aowO62EdyeTtxr2InFDA" annotatedElement="_IANcgNApEdyHyuMbpKEXlg">
            <body>Identifies the current and historic  SCI  Coordinator/s providing services for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_4fLKIAmxEd6I04ySc2CGmQ" annotatedElement="_IANcgNApEdyHyuMbpKEXlg">
            <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B2IJcOxwEdywLMnZ819tBQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B2IJcexwEdywLMnZ819tBQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s289cO63EdyeTtxr2InFDA" name="isInSciNetwork" visibility="public">
          <ownedComment xmi:id="_vBJkIO63EdyeTtxr2InFDA" annotatedElement="_s289cO63EdyeTtxr2InFDA">
            <body>Indicates whether the veteran is within an SCI Network (SCI networks across the country  22 currently )   </body>
          </ownedComment>
          <ownedComment xmi:id="_63KVMAmxEd6I04ySc2CGmQ" annotatedElement="_s289cO63EdyeTtxr2InFDA">
            <body>Indicates whether the veteran is within an SCI Network (SCI networks across the country 22 currently )    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wvfUoOVIEdyzF5SPyilcgg" name="AssessmentSection">
        <ownedComment xmi:id="_RhlsUPTtEdy5Wqkr80CIPQ" annotatedElement="_wvfUoOVIEdyzF5SPyilcgg">
          <body>This Class contains information that is pertinent to Assessment grouping or Section on the Assessment tool.</body>
        </ownedComment>
        <ownedComment xmi:id="_4FfdYAynEd6aYNLI5II8og" annotatedElement="_wvfUoOVIEdyzF5SPyilcgg">
          <body>This Class contains information that is pertinent to Assessment grouping or Section on the Assessment tool.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_j3M-IOVJEdyzF5SPyilcgg" name="assessmentSection" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-VLOEPBHEdyTVPP0X_6Ueg" annotatedElement="_j3M-IOVJEdyzF5SPyilcgg">
            <body>Contains the code set that identifies the section with in the Assessment form.  SWLS Occupation and Education, Social, Attendant Care  and Chart sf subscale.</body>
          </ownedComment>
          <ownedComment xmi:id="_RAgwgAyoEd6aYNLI5II8og" annotatedElement="_j3M-IOVJEdyzF5SPyilcgg">
            <body>Contains the code set that identifies the section with in the Assessment form. SWLS , ASIA, FIN,FAM,CHARTSF etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tV5rEObnEdypU-RfyZwJog" name="weight" visibility="public">
          <ownedComment xmi:id="_TSQE8PBIEdyTVPP0X_6Ueg" annotatedElement="_tV5rEObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections</body>
          </ownedComment>
          <ownedComment xmi:id="_U3RmsAyoEd6aYNLI5II8og" annotatedElement="_tV5rEObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hjup4OboEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hjup4eboEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__LSYQObnEdypU-RfyZwJog" name="score" visibility="public">
          <ownedComment xmi:id="_aNG-QPBIEdyTVPP0X_6Ueg" annotatedElement="__LSYQObnEdypU-RfyZwJog">
            <body>Score for the section.</body>
          </ownedComment>
          <ownedComment xmi:id="_X2AosAyoEd6aYNLI5II8og" annotatedElement="__LSYQObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gu0bIOboEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gu0bIeboEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y0B5kOu1EdykfYQ46IUXCQ" name="bmi" visibility="public">
          <ownedComment xmi:id="_fm7ioPBIEdyTVPP0X_6Ueg" annotatedElement="_Y0B5kOu1EdykfYQ46IUXCQ">
            <body>Contains the body Mass index score </body>
          </ownedComment>
          <ownedComment xmi:id="_d4iy4AyoEd6aYNLI5II8og" annotatedElement="_Y0B5kOu1EdykfYQ46IUXCQ">
            <body>Contains the body Mass index score   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L4dr8Ou-EdykfYQ46IUXCQ" name="interruptTransferDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_tNdCsPBIEdyTVPP0X_6Ueg" annotatedElement="_L4dr8Ou-EdykfYQ46IUXCQ">
            <body>Contains the date/s when attendant care is interrupted for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_f6VrgAyoEd6aYNLI5II8og" annotatedElement="_L4dr8Ou-EdykfYQ46IUXCQ">
            <body>Contains the date/s when attendant care is interrupted for the veteran  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_27wpcOx2EdywLMnZ819tBQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_27wpcex2EdywLMnZ819tBQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NuINEOu-EdykfYQ46IUXCQ" name="interruptReturnDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zNq4sPBIEdyTVPP0X_6Ueg" annotatedElement="_NuINEOu-EdykfYQ46IUXCQ">
            <body>Contains the Returns date/s after attendant care is interrupted for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_hleXoAyoEd6aYNLI5II8og" annotatedElement="_NuINEOu-EdykfYQ46IUXCQ">
            <body>Contains the Returns date/s after attendant care is interrupted for the veteran  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G0xUAOrLEdyMaYi-M8wTQQ" name="motorScoreLeft" visibility="public">
          <ownedComment xmi:id="_V-XFAO7LEdyeTtxr2InFDA" annotatedElement="_G0xUAOrLEdyMaYi-M8wTQQ">
            <body>Contains total leftside score of Motor ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_j7hpAAyoEd6aYNLI5II8og" annotatedElement="_G0xUAOrLEdyMaYi-M8wTQQ">
            <body>Contains total leftside score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5-3YkOrKEdyMaYi-M8wTQQ" name="motorScoreRight" visibility="public">
          <ownedComment xmi:id="_WvdKwO7LEdyeTtxr2InFDA" annotatedElement="_5-3YkOrKEdyMaYi-M8wTQQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_mBWGAAyoEd6aYNLI5II8og" annotatedElement="_5-3YkOrKEdyMaYi-M8wTQQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IFXWEOx0EdywLMnZ819tBQ" name="sensoryLtScoreRight" visibility="public">
          <ownedComment xmi:id="_dxSOwO7LEdyeTtxr2InFDA" annotatedElement="_IFXWEOx0EdywLMnZ819tBQ">
            <body>Contains total right side score of Light Touch ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_oSoMIAyoEd6aYNLI5II8og" annotatedElement="_IFXWEOx0EdywLMnZ819tBQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VtO58Ox0EdywLMnZ819tBQ" name="sensoryLtScoreLeft" visibility="public">
          <ownedComment xmi:id="_c6voUO7LEdyeTtxr2InFDA" annotatedElement="_VtO58Ox0EdywLMnZ819tBQ">
            <body>Contains total left side score of Light Touch ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_qk9bIAyoEd6aYNLI5II8og" annotatedElement="_VtO58Ox0EdywLMnZ819tBQ">
            <body>Contains total left side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RIOoQOx1EdywLMnZ819tBQ" name="sensoryPPScoreRight" visibility="public">
          <ownedComment xmi:id="_tc2IsO7LEdyeTtxr2InFDA" annotatedElement="_RIOoQOx1EdywLMnZ819tBQ">
            <body>Contains total right side score of pin prick ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_vB3rUAyoEd6aYNLI5II8og" annotatedElement="_RIOoQOx1EdywLMnZ819tBQ">
            <body>Contains total right side score of pin prick ASIA assessment for the veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cxE6sOx1EdywLMnZ819tBQ" name="sensoryPPScoreLeft" visibility="public">
          <ownedComment xmi:id="_rWeSEO7LEdyeTtxr2InFDA" annotatedElement="_cxE6sOx1EdywLMnZ819tBQ">
            <body>Contains total left side score of pin prick ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_w1zHEAyoEd6aYNLI5II8og" annotatedElement="_cxE6sOx1EdywLMnZ819tBQ">
            <body>Contains total left side score of pin prick ASIA assessment for the veteran    </body>
          </ownedComment>
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          <body>Contains information that is pertinent to Assessment grouping or Section on the Assessment tool</body>
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          <body>This class contains the information for the veteran's spinal cord services referrals.</body>
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          <body>This class contains the information for the veteran's spinal cord services referrals.</body>
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            <body>Contains the code set identifies the facility referring veteran for care.  </body>
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            <body>Contains the code set identifies the facility referring veteran for care.    </body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_XK5zENDvEdyG7OHWfYGHvg" name="referralVa" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Contains code set that identifies the VA referring veteran for care</body>
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          <ownedComment xmi:id="_ubUqIAmyEd6I04ySc2CGmQ" annotatedElement="_XK5zENDvEdyG7OHWfYGHvg">
            <body>Contains code set that identifies the VA referring veteran for care  </body>
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          <body>This Class  contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
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        <ownedComment xmi:id="_aJxTsAyrEd6aYNLI5II8og" annotatedElement="_5PaRwOrvEdyMaYi-M8wTQQ">
          <body>This Class contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
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            <body>Contains the date veteran was certified for bowel care.  </body>
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          </ownedComment>
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            <body>Contains code set that identifies the veterans bowel care provider  </body>
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            <body>Contains code set that identifies the veterans bowel care provider    </body>
          </ownedComment>
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      </packagedElement>
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          <body>This Class contains a value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
        </ownedComment>
        <ownedComment xmi:id="_x-szYAypEd6aYNLI5II8og" annotatedElement="_eOzqsOx6EdywLMnZ819tBQ">
          <body>This Class contains a value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JqmaENZxEdyksYmSx-_jaA" name="overallGoal" visibility="public">
          <ownedComment xmi:id="_kxD9oPUIEdy5Wqkr80CIPQ" annotatedElement="_JqmaENZxEdyksYmSx-_jaA">
            <body>Contains the value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_z6E68AypEd6aYNLI5II8og" annotatedElement="_JqmaENZxEdyksYmSx-_jaA">
            <body>Contains the value which indicates numeric goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wIwu0Ox6EdywLMnZ819tBQ" name="cognitiveGoal" visibility="public">
          <ownedComment xmi:id="_QpqKgPUIEdy5Wqkr80CIPQ" annotatedElement="_wIwu0Ox6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the cognitive rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_8lcvoAypEd6aYNLI5II8og" annotatedElement="_wIwu0Ox6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the cognitive goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HC9ZsOx7EdywLMnZ819tBQ" name="economicGoal" visibility="public">
          <ownedComment xmi:id="_a4JXwPUIEdy5Wqkr80CIPQ" annotatedElement="_HC9ZsOx7EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the economic rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_F3_5EAyqEd6aYNLI5II8og" annotatedElement="_HC9ZsOx7EdywLMnZ819tBQ">
            <body>Contains the value which indicates the economic goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1f0TEOx6EdywLMnZ819tBQ" name="mobilityGoal" visibility="public">
          <ownedComment xmi:id="_SfmYcPUIEdy5Wqkr80CIPQ" annotatedElement="_1f0TEOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the mobility rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_-wecwAypEd6aYNLI5II8og" annotatedElement="_1f0TEOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the mobility goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9qhDoOx6EdywLMnZ819tBQ" name="occupationGoal" visibility="public">
          <ownedComment xmi:id="_XydZMPUIEdy5Wqkr80CIPQ" annotatedElement="_9qhDoOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the occupational rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_BeN1YAyqEd6aYNLI5II8og" annotatedElement="_9qhDoOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the occupational  goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oo8uUOx6EdywLMnZ819tBQ" name="physicalGoal" visibility="public">
          <ownedComment xmi:id="_59UVcPUHEdy5Wqkr80CIPQ" annotatedElement="_oo8uUOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the physical rehabilitation.  </body>
          </ownedComment>
          <ownedComment xmi:id="_5i1TMAypEd6aYNLI5II8og" annotatedElement="_oo8uUOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the physical goal for spinal Cord injury patient's rehabilitation.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CHN4cOx7EdywLMnZ819tBQ" name="socialGoal" visibility="public">
          <ownedComment xmi:id="_ZJXhwPUIEdy5Wqkr80CIPQ" annotatedElement="_CHN4cOx7EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the social rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_DUYs0AyqEd6aYNLI5II8og" annotatedElement="_CHN4cOx7EdywLMnZ819tBQ">
            <body>Contains the value which indicates the social goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wyie4I8rEeG2ar1Lc1hB1g" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" association="_Wye0gI8rEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WyjtAI8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WyjtAY8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uYg0YPQpEdyKRIzAtE3HZw" memberEnd="_uYg0YfQpEdyKRIzAtE3HZw _uYm7AvQpEdyKRIzAtE3HZw">
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      </packagedElement>
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      <packagedElement xmi:type="uml:Association" xmi:id="_SmHDcPQ0EdyKRIzAtE3HZw" memberEnd="_SmHDcfQ0EdyKRIzAtE3HZw _SmZXUvQ0EdyKRIzAtE3HZw">
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          <body> Association to the class that identifies the </body>
        </ownedComment>
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      <packagedElement xmi:type="uml:Association" xmi:id="_Wye0gI8rEeG2ar1Lc1hB1g" memberEnd="_Wyie4I8rEeG2ar1Lc1hB1g _WyliMI8rEeG2ar1Lc1hB1g">
        <ownedEnd xmi:id="_WyliMI8rEeG2ar1Lc1hB1g" name="" visibility="public" type="_eOzqsOx6EdywLMnZ819tBQ" association="_Wye0gI8rEeG2ar1Lc1hB1g"/>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64294DD880128" name="Surgery">
      <eAnnotations xmi:id="_N1DMl-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_N18kcuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_TepacOTVEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B64294DD880128">
        <body>The Surgery domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_UnIFcOTVEeaMP8OhjVeyrg">
        <body>The Surgery domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <ownedComment xmi:id="_ebfbIOTYEeaMP8OhjVeyrg" annotatedElement="_Wv-bwN2XEeaby7vXKhx5Xg _fhmu0N2qEeaby7vXKhx5Xg">
        <body>Placeholders for CIMI harmonization</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C02462022E" name="SurgeryAssessment">
        <eAnnotations xmi:id="_NljYAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NlZnCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02462022E">
          <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E602CF000A" name="assessmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NsGr8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E602CF000A">
            <body>Contains the date and time the assessment questions were taken.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCCAC802DC" name="assessmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NlZnDuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCAC802DC">
            <body>Unique identifier for the Surgery assessment questions be addressed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C0248603DE" name="assessmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NlZnC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0248603DE">
            <body>Contains the code that identifies the type of surgery assessment questions being addressed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCCDBB03A0" name="result" visibility="public" type="_420A62FD03B642FCCB7F0380" isUnique="false" association="_420A62FD03B642FCCDBA0254">
          <ownedComment xmi:id="_NwbyW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCDBB03A0">
            <body>The response result to an surgical  assessment question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwbyXeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwbyXuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C025620069" name="SkinPrepEvent">
        <eAnnotations xmi:id="_NljYCeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NljYBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C025620069">
          <body>The act of preparing the patient's operative site by washing the site with a disinfectant agent.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6430718910182" name="agent" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NljYB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430718910182">
            <body>Indicates the agent used to prepare the patient's operative site.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C02623004E" name="AnesthesiaEvent">
        <eAnnotations xmi:id="_NltJCuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NljYDOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02623004E">
          <body>A drug used to produce anesthesia. causing a loss of normal sensation or feeling. The loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block the passage of pain impulses along nerve pathways to the brain   Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.     </body>
        </ownedComment>
        <generalization xmi:id="_KrBxQN2ZEeaby7vXKhx5Xg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64321E03A0016" name="anesthetistCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NltJCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64321E03A0016">
            <body>A Code set that identifies the category to which the Anesthesist belongs.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307ABCD0036" name="catheterRemovedDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NltJBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307ABCD0036">
            <body>Date and Time the catheter  was removed. from the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C03FED01A8" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NltJAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03FED01A8">
            <body>Contains the duration of the anesthesia event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YqXGkOu9EdykfYQ46IUXCQ" name="inductionCompleteDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ishvEOu9EdykfYQ46IUXCQ" annotatedElement="_YqXGkOu9EdykfYQ46IUXCQ">
            <body>Date and Time the induction was completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A9CD010D" name="admin" visibility="public" type="_420A62FD03B64307A78B01A2" isUnique="false" association="_420A62FD03B64307A9CC016F">
          <ownedComment xmi:id="_Nyg19uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A9CD010D">
            <body>To manage the Anesthesia administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyg1-OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyg1-eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644747407026F" name="anesthesiaAssessment" visibility="public" type="_420A62FD03B642C02462022E" isUnique="false" association="_420A62FD03B6447474060227">
          <ownedComment xmi:id="_N0wRreLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644747407026F">
            <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the anesthesia event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0wRr-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0wRsOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64480660C0130" name="anesthesiaComment" visibility="public" type="_420A62FD03B642C044DB02ED" isUnique="false" association="_420A62FD03B64480660903AC">
          <ownedComment xmi:id="_N1DMkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480660C0130">
            <body>Contains anesthesia comments regarding the Surigcal event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1DMlOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1DMleLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oe33wQgbEd6eWYJXJewDdQ" name="anesthesiaDevice" visibility="public" type="_420A62FD03B6430F13EA0391" association="_oe33wAgbEd6eWYJXJewDdQ">
          <ownedComment xmi:id="_zE-MYAgeEd6eWYJXJewDdQ" annotatedElement="_oe33wQgbEd6eWYJXJewDdQ">
            <body>A contrivance or an invention serving a particular purpose, especially a machine used to perform one or more relatively simple tasks.&quot; (The American Heritage  Stedman's Medical Dictionary)        </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oe33wggbEd6eWYJXJewDdQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oe33wwgbEd6eWYJXJewDdQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307ADAE0132" name="anesthesiaVentilator " visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64307ADAD00FF">
          <ownedComment xmi:id="_Nyg1_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307ADAE0132">
            <body>A device that circulates fresh air and expels stale or foul air. Medicine. A respirator. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyg1_-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyg2AOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64317A5BD02D7" name="asaClass" visibility="public" type="_420A62FD03B64317A4F6006E" isUnique="false" association="_420A62FD03B64317A5AE03B2">
          <ownedComment xmi:id="_Nz25y-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A5BD02D7">
            <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nz25zeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nz25zuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643075D0601AA" name="dispositionLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643075D050195">
          <ownedComment xmi:id="_NyXsAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643075D0601AA">
            <body>Transferring the Care from Anesthesist</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NyXsBOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NyXsBeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5yBZcLWfEeGePaUJ9YIobg" name="anesthesiaSubEventListEntry" visibility="public" type="_qFWsQLWfEeGePaUJ9YIobg" association="_5x9vELWfEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5yCnkLWfEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5yDOoLWfEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_efkYELWjEeGePaUJ9YIobg" name="skinPrepEvent" visibility="public" type="_420A62FD03B642C025620069" association="_efgtsLWjEeGePaUJ9YIobg">
          <ownedComment xmi:id="_iTn4gLWjEeGePaUJ9YIobg" annotatedElement="_efkYELWjEeGePaUJ9YIobg">
            <body>The act of preparing the patient's anesthesia administration site by washing the site with a disinfectant agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eflmMLWjEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eflmMbWjEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MpFpQLWkEeGePaUJ9YIobg" name="levelOfSupervision" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MpFpQbWkEeGePaUJ9YIobg" annotatedElement="_MpFpQLWkEeGePaUJ9YIobg">
            <body>Indicates the highest level of supervision of the anesthesiology staff supervisor.  Suggested include Staff Assisting Resident.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bBtrwN5dEeaSVd0Fmxi4nQ" name="assistantAnesthetist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cxLhcN5hEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cxLhcd5hEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RThdQN5fEeaSVd0Fmxi4nQ" name="principalAnesthesiologist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eJOScN5hEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eJOScd5hEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RbXxsN5fEeaSVd0Fmxi4nQ" name="supervisorAnesthetist" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e9Y6UN5hEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e9Y6Ud5hEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C026910331" name="RestraintPositionEvent">
        <eAnnotations xmi:id="_NmAD8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nl2S8OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C026910331">
          <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.    Source: The American Heritage  Stedman's Medical Dictionary  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C03674011E" name="comments" visibility="public">
          <ownedComment xmi:id="_Nl2S8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03674011E">
            <body>Contains desrciptive information of the patient's restraint position.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C035E30179" name="restraintPositionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nl2S9uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C035E30179">
            <body>Contains the code that identifies the position of the restraint used for the patient</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DAFFA00A9" name="positionIid" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Nl2S-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431DAFFA00A9">
            <body>Contains unique identifer for the position of the restraint used for the patient</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C026C10240" name="restrainingAid" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C026C0036B">
          <ownedComment xmi:id="_NvFuhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C026C10240">
            <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvFuiOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvFuieLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C02B2E0055" name="CardiacSurgeryEvent">
        <eAnnotations xmi:id="_NmJN6uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NmAD9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02B2E0055">
          <body>Surgery for treating a patient with a heart disorder.</body>
        </ownedComment>
        <generalization xmi:id="_tQ1DgLaAEeGWl-7OlqBMDw" general="_420A62FD03B64241D5AD0362"/>
        <ownedAttribute xmi:id="_420A62FD03B642F13C7A01C2" name="cardiacSurgeryId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NmAD--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C7A01C2">
            <body>Unique identifier that is assigned to this surgery event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C5A032E" name="collectionDate" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NmAD-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C5A032E">
            <body>Contains the date and time that the cardiac surgical priority information was collected.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308AC5D0270" name="estimateOfMortalityDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmJN6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308AC5D0270">
            <body>Contains the date and time that the estimate of mortality information was collected.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C7F0241" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmAD_uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C7F0241">
            <body>Contains a code that identifies the status of the surgery event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C3202A4" name="surgicalPriority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmJN4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C3202A4">
            <body>Contains the surgical priority that most accurately reflects  the acuity of patient's cardiovascular condition at the  time of transport to the operating room.  Suggested like values: 1:ELECTIVE,  2:URGENT,  3:EMERGENT (ONGOING ISCHEMIA),  4:EMERGENT (HEMODYNAMIC COMPROMISE),  5:EMERGENT (ARREST WITH CPR).  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F14140010A" name="totaISchemicTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmJN5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14140010A">
            <body>Record in minutes the duration of time the ascending aorta is totally cross-clamped.  Do not include the duration of partial aorta cross-clamp used for sewing the proximal anastomoses.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F147CC036D" name="evaluation" visibility="public" type="_420A62FD03B642F142D1012F" isUnique="false" association="_420A62FD03B642F147CC002E">
          <ownedComment xmi:id="_NwIQVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F147CC036D">
            <body>Examine and appraise the cardiac surgery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQWeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64300B24B00A6" name="cardiacProsthesis" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64300B24A00E1">
          <ownedComment xmi:id="_NwutRuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64300B24B00A6">
            <body>An artificial device used to replace a missing body part, such as a limb, tooth, eye, or heart valve.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwutSOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwutSeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308AAEF03C8" name="perfusionDevice" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64308AAEE03D0">
          <ownedComment xmi:id="_Ny0X_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308AAEF03C8">
            <body>The piece of equipment or a mechanism designed to support  perfusion for the  surgical function </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny0X_-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny0YAOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C032C40062" name="SurgeryPatientMovement">
        <eAnnotations xmi:id="_NmS-6OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NmS-4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C032C40062">
          <body>This class records arrival and departure times relevant to the surgery, such as holding area arrival, operating room arrival, operating room departure, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C033D9007E" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmS-5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C033D9007E">
            <body>Catgorizes the patient movement relevant to the surgery, such as holding area arrival, operating room arrival, operating room departure, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C03F0E0052" name="time" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmS-4-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03F0E0052">
            <body>Contains the dates and times that the patient was transported in and out of the OR.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C032EA01F7" name="vehicle" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C032E902AA">
          <ownedComment xmi:id="_NvFulOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C032EA01F7">
            <body>Identifies the type of vehicle used to transport the patient to and from the operating room, recovery room, intensive care Unit etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfgeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C042380238" name="BodilyFluidAdministration">
        <eAnnotations xmi:id="_Nml51OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nmcv6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C042380238">
          <body> Adminstration of bodily fluids blood products etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C0425B0094" name="fluidType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nmcv7eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0425B0094">
            <body>Identifies each the types of replacement fluids given intravascularly during the operative procedure.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C0425B00A8" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Nml50uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0425B00A8">
            <body> Contains the gastric output (cc's)  during the operative procedure  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F1307100BD" name="typeFluid" visibility="public" type="_420A62FD03B642F12FFA021A" isUnique="false" association="_420A62FD03B642F130700007">
          <ownedComment xmi:id="_Nv_GdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F1307100BD">
            <body>Identifies each the types of replacement fluids given intravascularly during the operative procedure.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C045F301C0" name="PhysiologicMonitoringEvent">
        <eAnnotations xmi:id="_Nmvq0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nml51-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C045F301C0">
          <body>Monitor the differing in, involving, or affecting physiological factors.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C0460F0116" name="timeInstalled" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nml52uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0460F0116">
            <body>Contains the date\ time that the monitor was applied to the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04623038C" name="timeRemoved" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nml53eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04623038C">
            <body>Contains the date\ time that the monitor was removed from the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C046410046" name="monitoringDevice" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C046400171">
          <ownedComment xmi:id="_NvPfhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C046410046">
            <body>Monitoring device that denotes the differing in, involving, or affecting physiological factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfiOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C047E70093" name="AnesthesiaSubEvent">
        <eAnnotations xmi:id="_Nm5b2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nmvq1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C047E70093">
          <body>A drug used to produce anesthesia. causing a loss of normal sensation or feeling. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C049060136" name="approach" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Nmvq2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nmvq1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049060136">
            <body>&quot;The detailed anatomical site where the medication enters or is applied to the subject.&quot; (HL7 3.0) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBAOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBAeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458C764037F" name="dateTimeExtubated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nm5b1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458C764037F">
            <body>This is the exact date and time that the endotracheal tube is pulled for the final time after the surgery. Enter NS if the date and time is unknown, and RI if the patient remains intubated &amp;amp;gt;30 days after surgery.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04906015E" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Nm5b0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nmvq3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04906015E">
            <body>Contains a code identifying the route of the  endotracheal tube to the trachea.  Lieke values: O:ORAL, N:NASAL, T:TRACHEOSTOMY., etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBAuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBA-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C0481D000E" name="technique" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nm5b1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0481D000E">
            <body>Contains the anesthesia technique used during this encounter corresponding to the American Board of Anesthesiologists universal list of anesthesia techniques.  Such values as a G:GENERAL, M:MONITORED ANESTHESIA CARE,  S:SPINAL,  E:EPIDURAL,  O:OTHER,  L:LOCAL, N:NO ANESTHESIA, etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D508180309" name="baricity" visibility="public" type="_420A62FD03B642CC3F1101B2" isUnique="false" association="_420A62FD03B642D50818001A">
          <ownedComment xmi:id="_Nv1VbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D508180309">
            <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This class records the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv1Vb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv1VcOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C05D44022A" name="intubation" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C05D430215">
          <ownedComment xmi:id="_NvrkaeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05D44022A">
            <body>The introduction of a tube into a hollow organ (as the trachea or intestine) to keep it open or restore its patency if obstructed </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nvrka-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvrkbOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O9N58LWiEeGePaUJ9YIobg" name="epiduralEvent" visibility="public" type="_420A62FD03B642CC40920075" association="_O9MEwLWiEeGePaUJ9YIobg">
          <ownedComment xmi:id="_eKLMULWiEeGePaUJ9YIobg" annotatedElement="_O9N58LWiEeGePaUJ9YIobg">
            <body>Contains information concerning the injection of anesthesia into the epidural space of the spine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O9OhALWiEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O9OhAbWiEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C05CE4002D" name="IntubationEvent">
        <eAnnotations xmi:id="_NnClzOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnClxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05CE4002D">
          <body>The introduction of a tube into a hollow organ (as the trachea or intestine) to keep it open or restore its patency if obstructed </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64308B42D00D1" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnClyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308B42D00D1">
            <body>Unique identifier for the type of larynoscope used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C55B9A0304" name="laryngoscopeType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnClx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C55B9A0304">
            <body>Contains a code Set that identifies the type of scope or  laryngoscope blade used to facilitate endotracheal  intubation.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D3E99F012C" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnfRuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D3E99F012C">
            <body>Indicates the route of the endotracheal tube to the trachea.  Suggested values include: Oral, Nasal, Tracheostomy, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CAD1640107" name="traumaObserved" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnMWyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CAD1640107">
            <body>An injury (as a wound) to living tissue caused by an extrinsic agent &amp;amp;lt;surgical trauma&amp;amp;gt;</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643132AE60123" name="tubeLength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrqnGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643132AE60123">
            <body>Contains the length of the endotracheal tube at the external reference  point.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643132B460103" name="tubeSize" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrqnHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643132B460103">
            <body>Contains the size of the endotracheal tube.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C049640163" name="laryngoscope" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C049630157">
          <ownedComment xmi:id="_NvPfjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049640163">
            <body>Identifies the type of scope or laryngoscope blade used to facilitate endotracheal intubation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfj-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfkOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C049D001FE" name="stylet" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C049CF02E3">
          <ownedComment xmi:id="_NvYpcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049D001FE">
            <body>Identifies the stylet that was used to shape the endotracheal tube during intubation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvYpdOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvYpdeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04A800107" name="endotrachealTube" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C04A7E01A4">
          <ownedComment xmi:id="_NvYpgOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04A800107">
            <body>Identifies the endotracheal tube used during the major portion of the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NviaceLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NviacuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C05E650244" name="biteBlock" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C05E62031C">
          <ownedComment xmi:id="_NvrkcOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05E650244">
            <body>Identifies the bite block is used to protect the endotracheal tube</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv1VYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv1VYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC0B3003DC" name="EquipmentMeasurementEvent">
        <eAnnotations xmi:id="_NnVgvOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnVgtOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC0B3003DC">
          <body>The dimension, quantity, or capacity determined by measuring a peice of equipment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CC0B7002DA" name="dimensionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnVgt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC0B7002DA">
            <body>Indicates the dimensions of measuremnt for the equipment being used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64312F4B60202" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnVguuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64312F4B60202">
            <body>Unique identifier for each type measurement of the equipment</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CC1C440099" name="value" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrXFF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC1C440099">
            <body>Contains the result of the  dimension, quantity, or capacity determined being measured.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wL7vULWnEeGePaUJ9YIobg" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" association="_wL3d4LWnEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wL8WYLWnEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wL89cLWnEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC3F1101B2" name="BaricityObservation">
        <eAnnotations xmi:id="_NnfRtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnVgv-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC3F1101B2">
          <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This class records the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CC3F4E0156" name="baricityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnfRsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC3F4E0156">
            <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This property categorizes the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.  Suggested values include: Hyperbaric; Hypobaric; Isobaric.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC40920075" name="EpiduralEvent">
        <eAnnotations xmi:id="_NnpCtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnfRt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC40920075">
          <body>This class contains information concerning the injection of anesthesia into the epidural space of the spine.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642D40013027B" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnpCuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D40013027B">
            <body>Categorizes the method of administration of the anesthetic agent.  Suggested values include: Bolus; Intermittent, Drip infusion, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D3E69B00D1" name="testDose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NnfRveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D3E69B00D1">
            <body>Contains the volume (typically in milliliters) of the test dose fluid vehicle.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643136AC6009A" name="testDoseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnpCsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643136AC6009A">
            <body>Identifies the drug used for the epidural test dose.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642E64D9900D2" name="IrrigationEvent">
        <eAnnotations xmi:id="_NnyMrOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnyMpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E64D9900D2">
          <body>The process of cleaning a wound or body organ by flushing or washing out with water or a medicated solution   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64313298B0084" name="amountUsed" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Nrg2GuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64313298B0084">
            <body>Contains the total amount of irrigation solution used in the operative site.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64313262F0236" name="IrrigationDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NnyMquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64313262F0236">
            <body> Contains the date and time that the irrigation solution was utilized.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431322DA00B3" name="irrigationType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnyMp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431322DA00B3">
            <body> Identifies the type of solution used for irrigation during the operative procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64241D5AD0362" name="SurgicalEvent">
        <eAnnotations xmi:id="_NoYpkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Y83OkLXREeG5iLlDZ6ytzA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_NnyMr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241D5AD0362">
          <body>Surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue.  </body>
        </ownedComment>
        <generalization xmi:id="_uE7Z8LaAEeGWl-7OlqBMDw" general="_420A62FD03B642142C63002F"/>
        <generalization xmi:id="_LIQ8UN2YEeaby7vXKhx5Xg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B6445F775B02B8" name="isNonORSurgicalProcedure" visibility="public">
          <ownedComment xmi:id="_NoFupeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445F775B02B8">
            <body>Indicates whether  the case is a non surgical event.  Like values are yes, no </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DE1B4000E" name="preOpInrDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NoO4kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DE1B4000E">
            <body>This is the date that the preoperative INR was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C558B50164" name="severityLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnMWwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C558B50164">
            <body>Codes that identify the  degree of severity of the surgical procedure.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IkCfcLWkEeGePaUJ9YIobg" name="supervisionLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IkCfcbWkEeGePaUJ9YIobg" annotatedElement="_IkCfcLWkEeGePaUJ9YIobg">
            <body>Indicates the highest level of supervision of the anesthesiology staff supervisor.  Suggested include Staff Assisting Resident.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C025300248" name="surgeryDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Nn79rOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C025300248">
            <body>Contains the duration (date/time) of the Surgical Event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F286AF00DB" name="surgeryType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nn79qeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F286AF00DB">
            <body>Contains Code Set that identifies the type of Surgery. like Heart, Onocology. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCEB5B0034" name="anesthesia" visibility="public" type="_420A62FD03B642C02623004E" isUnique="false" association="_420A62FD03B642FCEB550086">
          <ownedComment xmi:id="_Nwk8QuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCEB5B0034">
            <body>The loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block the passage of pain impulses along nerve pathways to the brain   Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nwk8ROLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nwk8ReLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305DB120300" name="assessment" visibility="public" type="_420A62FD03B642C02462022E" isUnique="false" association="_420A62FD03B64305DB120039">
          <ownedComment xmi:id="_NxUjJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305DB120300">
            <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxUjKOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxUjKeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E40001E4" name="bodyFluid" visibility="public" type="_420A62FD03B642C042380238" isUnique="false" association="_420A62FD03B64305E3FF032E">
          <ownedComment xmi:id="_NxeUJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E40001E4">
            <body>The liquid parts of the body </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUKOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUKeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64302228B014E" name="cellSaver" visibility="public" type="_420A62FD03B64301CF670233" isUnique="false" association="_420A62FD03B64302228A020B">
          <ownedComment xmi:id="_NwutTeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302228B014E">
            <body>Cell Saver for the surgical event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwutT-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwutUOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F12D9501BF" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" isUnique="false" association="_420A62FD03B642F12D9402C2">
          <ownedComment xmi:id="_Nv_GbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F12D9501BF">
            <body>Contains general comments regarding the Surigcal event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv_Gb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv_GcOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643075EA5000C" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B643075E9D0278">
          <ownedComment xmi:id="_NyXsCeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643075EA5000C">
            <body>A piece of equipment and or a mechanism designed to serve a special purpose or perform a special function.  This class represents devices used to perform a surgery, such as lasers, as well as devices that might be implanted in the patient as a result of the surgery, such as a prosthesis or a stent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NyXsC-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NyXsDOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643146C7702D1" name="electrodePosition" visibility="public" type="_420A62FD03B6431469C10110" isUnique="false" association="_420A62FD03B643146C710156">
          <ownedComment xmi:id="_Nz25xOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146C7702D1">
            <body>Identifies a position corresponding to the area of placement of the dispersive electrode pad.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nz25xuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nz25x-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA4C90152" name="equipmentMeasurement" visibility="public" type="_420A62FD03B642CC0B3003DC" isUnique="false" association="_420A62FD03B6445BA4BF0216">
          <ownedComment xmi:id="_N0mgouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA4C90152">
            <body>The dimension, quantity, or capacity determined by measuring a peice of equipment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0mgpOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0mgpeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA3A90202" name="equipmentSterilization" visibility="public" type="_420A62FD03B643F31E84001E" isUnique="false" association="_420A62FD03B6445BA3A10016">
          <ownedComment xmi:id="_N0TlxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA3A90202">
            <body>Sterliizes the equipment and provides the sterilization number of the implanted device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0cvoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0cvouLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA3F501B1" name="equipmentUtilization" visibility="public" type="_420A62FD03B643E51B980274" isUnique="false" association="_420A62FD03B6445BA3EC026C">
          <ownedComment xmi:id="_N0cvpuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA3F501B1">
            <body>Contains the Date and time  and  durationthe piece of Equipment was in use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0cvqOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0cvqeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E8A703E6" name="fluidAudit" visibility="public" type="_420A62FD03B642F896C80098" isUnique="false" association="_420A62FD03B64305E8A60380">
          <ownedComment xmi:id="_NxeULeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E8A703E6">
            <body>A methodical examination or review of the fluid utilized in the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUMOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308FB260253" name="function" visibility="public" type="_420A62FD03B64308F7FF0072" isUnique="false" association="_420A62FD03B64308FB24023C">
          <ownedComment xmi:id="_Ny0YBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FB260253">
            <body> Assigned duty or activity performed by the medical specialist who performs surgery :  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny9h4eLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny9h4uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643062D52001E" name="image" visibility="public" type="_420A62FD03B6458687500084" isUnique="false" association="_420A62FD03B643062D4F031D">
          <ownedComment xmi:id="_NxoFMOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643062D52001E">
            <body>Identifies the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxxPEeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxxPEuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308A52B02AD" name="irrigation" visibility="public" type="_420A62FD03B642E64D9900D2" isUnique="false" association="_420A62FD03B64308A52A0161">
          <ownedComment xmi:id="_Nyqm-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308A52B02AD">
            <body>cleaning a wound or body organ by flushing or washing out with water or a medicated solution   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyqm--LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyqm_OLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E526ED01A3" name="labRequest" visibility="public" type="_420A62FD03B6458956DC035E" isUnique="false" association="_420A62FD03B643E526E20229">
          <ownedComment xmi:id="_N0J0suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E526ED01A3">
            <body>Request for lab tests to be performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0J0tOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0J0teLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643060D2501B5" name="location" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643060D1F03A1">
          <ownedComment xmi:id="_NxoFKeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643060D2501B5">
            <body>Defines the location ward room, and service organization for the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxoFK-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxoFLOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZVwsMLXQEeG5iLlDZ6ytzA" name="medicalSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" association="_ZVpXcLXQEeG5iLlDZ6ytzA">
          <ownedComment xmi:id="_e4MaALXQEeG5iLlDZ6ytzA" annotatedElement="_ZVwsMLXQEeG5iLlDZ6ytzA">
            <body>Identifies the medical specialty credited for doing this non-OR procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZVzvgLXQEeG5iLlDZ6ytzA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZV0WkLXQEeG5iLlDZ6ytzA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64310900000CC" name="occurrence" visibility="public" type="_420A62FD03B643074F510277" isUnique="false" association="_420A62FD03B643108FFB01C9">
          <ownedComment xmi:id="_Ny9h7-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64310900000CC">
            <body>Identifies the non surgical procedure/s that were performed during the Surgical process.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NzHS4eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NzHS4uLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA37702DC" name="physiologicMonitoring" visibility="public" type="_420A62FD03B642C045F301C0" isUnique="false" association="_420A62FD03B6445BA36C02FF">
          <ownedComment xmi:id="_N0TltuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA37702DC">
            <body>Monitor the differing in, involving, or affecting physiological factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0TluOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0TlueLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DA2A20148" name="preOpInrLabRequest" visibility="public" type="_420A62FD03B6458956DC035E" isUnique="false" association="_420A62FD03B6447DA29D03D6">
          <ownedComment xmi:id="_N05bkOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA2A20148">
            <body>PreOpInr request for lab test to be performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N05bkuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N05bk-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA39802E4" name="restraintPosition" visibility="public" type="_420A62FD03B642C026910331" isUnique="false" association="_420A62FD03B6445BA38E0109">
          <ownedComment xmi:id="_N0TlveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA39802E4">
            <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0Tlv-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0TlwOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305EA6603C1" name="skinPrep" visibility="public" type="_420A62FD03B642C025620069" isUnique="false" association="_420A62FD03B64305EA6503D3">
          <ownedComment xmi:id="_NxoFIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305EA6603C1">
            <body>The act of preparing the patient's operative site by washing the site with a disinfectant agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxoFJOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxoFJeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E3DF0006" name="surgeryCategory" visibility="public" type="_420A62FD03B642F282E203B7" isUnique="false" association="_420A62FD03B64305E3DE013B">
          <ownedComment xmi:id="_NxUjNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E3DF0006">
            <body>Identifies the category of the surgeon.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUIeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUIuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Au9VYLWrEeGePaUJ9YIobg" name="surgeryPatientMovement" visibility="public" type="_420A62FD03B642C032C40062" association="_Au6SELWrEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Au-jgLWrEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Au-jgbWrEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F260F60141" name="surgicalSpecialty" visibility="public" type="_420A62FD03B642F260E40108" isUnique="false" association="_420A62FD03B642F260F50135">
          <ownedComment xmi:id="_NwSBUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260F60141">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwSBVOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwSBVeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431091D301BE" name="tourniquet" visibility="public" type="_420A62FD03B642FCF33600D6" isUnique="false" association="_420A62FD03B6431091D10233">
          <ownedComment xmi:id="_NzHS5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431091D301BE">
            <body>A device, typically a tightly encircling bandage, used to check bleeding by temporarily stopping the flow of blood through a large artery in a limb.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NzHS6OLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NzHS6eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F14DCA034B" name="treatment" visibility="public" type="_420A62FD03B642F14CE002AE" isUnique="false" association="_420A62FD03B642F14DC900D3">
          <ownedComment xmi:id="_NwIQXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14DCA034B">
            <body>Administration or application of remedies to a patient or for a disease or an injury; medicinal or surgical management; therapy.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQX-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQYOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE8203C4" name="verification" visibility="public" type="_420A62FD03B642FCFCD001A3" isUnique="false" association="_420A62FD03B642FCFE7F00F8">
          <ownedComment xmi:id="_Nwk8SeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE8203C4">
            <body>Contains dates that verifications were completed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nwk8S-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nwk8TOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E2mUgN2ZEeaby7vXKhx5Xg" name="performance" visibility="private" type="_Wv-bwN2XEeaby7vXKhx5Xg" association="_E2kfUN2ZEeaby7vXKhx5Xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2m7kN2ZEeaby7vXKhx5Xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2nioN2ZEeaby7vXKhx5Xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_opV3sN5gEeaSVd0Fmxi4nQ" name="surgeon" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z-n6QN5hEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z-n6Qd5hEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8-jn4N5hEeaSVd0Fmxi4nQ" name="attender" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8-jn4t5hEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8-jn4d5hEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F12FFA021A" name="BodilyFluidProduct">
        <eAnnotations xmi:id="_NoYpnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NoYplOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F12FFA021A">
          <body>The liquid parts of the body ie Blood etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F130420232" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NoYpmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F130420232">
            <body>Contains the unique identification characters assigned by the local blood bank for type specific blood components.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F130420228" name="supplierId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NoYpl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F130420228">
            <body>Contains the unique identification number or code provided by the supplier of this replacement fluid.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F142D1012F" name="CardiacSurgeryEvaluation">
        <eAnnotations xmi:id="_Nohzh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NoYpn-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F142D1012F">
          <body>Evaluation of the cardiac surgery for the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F1447A00A4" name="arteryBypassGraftNumber" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NohzguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F1447A00A4">
            <body>This is the number of coronary artery bypass graft (CABG) anastomoses to native coronary arteries with radial artery(ies) regardless of whether other procedures were performed. Do not leave blank, enter &quot;zero&quot; in the appropriate place if no coronary artery bypass grafts were performed with radial artery.  Note that any CABG distal anastomoses performed without placing the patient on cardiopulmonary bypass are to be recorded.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F142FC00C3" name="totalCpbTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NohzheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F142FC00C3">
            <body>Record in minutes the total cardiopulmonary bypass time.  This includes the total duration of full and partial cardiopulmonary bypass from all episodes of cardiopulmonary bypass.  This information can generally be found on the perfusionist record and/or the anesthesia record.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F14CE002AE" name="Treatment">
        <eAnnotations xmi:id="_Norkh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NohziuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14CE002AE">
          <body>Administration or application of remedies to a patient or for a disease or an injury; medicinal or surgical management; therapy.   Source: The American Heritage  Stedman's Medical Dictionary   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F14D1D027A" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NohzjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14D1D027A">
            <body>This is date and time that the treatment was started.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643145A4A006D" name="description" visibility="public">
          <ownedComment xmi:id="_NorkheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643145A4A006D">
            <body>Contains the treatment instituted as a result of this non-O.R. procedure occurrence.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445B51B6033C" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NorkguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445B51B6033C">
            <body>Unique Identifier for the treatment</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F260E40108" name="SurgicalSpecialty">
        <eAnnotations xmi:id="_No1VhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NorkiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260E40108">
          <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64241D66F02DB" name="surgicalSpecialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_No1VguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241D66F02DB">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F282E203B7" name="SurgeonCategory">
        <eAnnotations xmi:id="_No1VjuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_No1Vh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F282E203B7">
          <body>This field indicates the category of the chief surgeon. The suggested code choices are: V=VA Team, M=Mixed VA and non VA, N=Non VA, 1=Staff FT, 2-Staff PT, 3=Consultant, 4=Attending, 5=Fee Basis, 6=Resident, 7=Other (Includes Interns), ETC.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424307BC03B1" name="typeOfSurgeon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_No1VjOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_No1ViuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424307BC03B1">
            <body>First in the list is the Chief Surgeon; 2nd in the list is the first assistant.  This field indicates the category of the chief surgeon. The suggested code choices are: V=VA Team, M=Mixed VA and non VA, N=Non VA, 1=Staff FT, 2-Staff PT, 3=Consultant, 4=Attending, 5=Fee Basis, 6=Resident, 7=Other (Includes Interns), ETC. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBBOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBBeLjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F896C80098" name="FluidAudit">
        <eAnnotations xmi:id="_No-fd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_No1VkeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F896C80098">
          <body>A methodical examination or review of the fluid utilized in the surgical event. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F89B6B0167" name="bloodLoss" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_No-fcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F89B6B0167">
            <body>Contains the volume of blood loss during the surgical event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F89B7203DE" name="totalUrineOutput" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_No-fdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F89B7203DE">
            <body>Contains the total urine output post surgery.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCF33600D6" name="TourniquetEvent">
        <eAnnotations xmi:id="_Npk8ZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpbLYeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCF33600D6">
          <body>A device, typically a tightly encircling bandage, used to check bleeding by temporarily stopping the flow of blood through a large artery in a limb.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCFEDE00A5" name="siteApplied" visibility="public">
          <ownedComment xmi:id="_NpbLZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFEDE00A5">
            <body>Textual description defining the site where the cuff was applied.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFDD903CB" name="timeApplied" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NpbLauLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFDD903CB">
            <body>Contains the date and time that the tourniquet was applied.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE3C0084" name="timeReleased" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8YuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE3C0084">
            <body>Date and time the tourniquet was released.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE500155" name="tourniquetPressure" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_NpbLZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE500155">
            <body>Force applied uniformly over a surface, measured as force per unit of area.   Source: The American Heritage  Stedman's Medical Dictionary   </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCFCD001A3" name="Verification">
        <eAnnotations xmi:id="_NpuGVOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Npk8Z-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFCD001A3">
          <body>An act or process of verifying the results of counts, etc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD19016C" name="imagingDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8auLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD19016C">
            <body>Contains the Date and time the Imaging was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD3C0298" name="siteMarkDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8beLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD3C0298">
            <body>Contains the Date and time the Site Marked was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD1202DE" name="tovDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NpuGUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD1202DE">
            <body>Contains date and time the TOV modified.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64301CF670233" name="CellSaverEvent">
        <eAnnotations xmi:id="_NpuGXOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpuGV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64301CF670233">
          <body>Cell Saver for the surgical event.</body>
        </ownedComment>
        <generalization xmi:id="_GdJz0N5jEeaSVd0Fmxi4nQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64301CFAD025B" name="cellSaverId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NpuGWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64301CFAD025B">
            <body>This field identifies the cell saver that was used during this procedure.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430222CF010F" name="cellSaver" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6430222CB03E5">
          <ownedComment xmi:id="_Nw33MOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430222CF010F">
            <body>The amount of fluid collected during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33MuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33M-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643022489018D" name="cellSalvage" visibility="public" type="_420A62FD03B6430222E0029A" isUnique="false" association="_420A62FD03B64302248802E0">
          <ownedComment xmi:id="_Nw33N-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643022489018D">
            <body>Determines the amount of fluid in milliliters collected during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33OeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33OuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64302248F036C" name="cellReinfusion" visibility="public" type="_420A62FD03B64302243A0035" isUnique="false" association="_420A62FD03B64302248F00D7">
          <ownedComment xmi:id="_Nw33PuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302248F036C">
            <body>The amount of fluid  reinfused during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33QOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33QeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430225A40339" name="disposableUsed" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6430225A2032C">
          <ownedComment xmi:id="_NxBoMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430225A40339">
            <body>Identifies the disposable products used during the surgical process.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxBoNOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxBoNeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sihoYN5jEeaSVd0Fmxi4nQ" name="primaryPerformer" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sihoYt5jEeaSVd0Fmxi4nQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sihoYd5jEeaSVd0Fmxi4nQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6430222E0029A" name="CellSalvage">
        <eAnnotations xmi:id="_Np33VOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpuGX-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430222E0029A">
          <body>Determines the amount of fluid in milliliters collected during the procedure.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6430224170251" name="amount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Np33UuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430224170251">
            <body>This is the amount of fluid in milliliters collected during the procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64302243A0035" name="CellReinfusion">
        <eAnnotations xmi:id="_Np33XOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Np33V-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302243A0035">
          <body>Determines the amount of fluid in milliliters reinfused during the procedure.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64302244A0363" name="amount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Np33WuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302244A0363">
            <body>This is the amount of fluid in milliliters that was reinfused into the patient during this procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643074F510277" name="OccurrenceAssessment">
        <eAnnotations xmi:id="_NqUjROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqKyROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643074F510277">
          <body>The gathering of a occurence assessment  information(  non surgical procedure/s that were performed during the Surgical process).  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64309E2D50244" name="categoryGrouping" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqKyR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E2D50244">
            <body>This is the name of the category in which this occurrence may be grouped.  It should be entered for all occurrences and will be used by Surgery Central Office for reporting needs.  Required for National reporting  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E8800041" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NqKySuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E8800041">
            <body>Contains the date and time of the occurrence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DBF3901BA" name="occurrenceId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqUjQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431DBF3901BA">
            <body>Unique Identifier for the Occurrence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308FC010262" name="result" visibility="public" type="_420A62FD03B64308FBBB00B3" isUnique="false" association="_420A62FD03B64308FC0001B6">
          <ownedComment xmi:id="_Ny9h6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FC010262">
            <body>The response result to an non surgical occurrence assessment question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny9h6uLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny9h6-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64307A78B01A2" name="AnesthesiaAdministrativeEvent">
        <eAnnotations xmi:id="_NqeUSOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedAttribute xmi:id="_420A62FD03B64307A91702A5" name="careDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NqUjSuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A91702A5">
            <body>Contains the date and time for the duration of the Anesthesia event during the surgery.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A92303E3" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqeUQOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A92303E3">
            <body>Uniquely identifies the anesthesia administration event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A92B0041" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqeUQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A92B0041">
            <body>The value specifying the state of this patient surgical encounter (based on the RIM Act class state machine), for example, active, aborted, completed  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A93201B4" name="postNoteDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NqeURuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A93201B4">
            <body>Date and Time of the post note.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64308F7FF0072" name="SurgeonFunction">
        <eAnnotations xmi:id="_NqnePOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqneN-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308F7FF0072">
          <body>Assigned duty or activity performed by the medical specialist who performs surgery :  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64308F84B016C" name="functionPerformed" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqneOuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308F84B016C">
            <body>Contains the codeset that assign the duty or activity performed by the medical specialist who performs surgery :  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64308FBBB00B3" name="OccurrenceAssessmentResult">
        <eAnnotations xmi:id="_NqxPN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqneP-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FBBB00B3">
          <body>Contains comments regarding the responses to the group of related non  surgical occurrence assessment questions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64309E446017C" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqxPMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E446017C">
            <body>uniquely identifies the intraoperative occurrence.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E4460190" name="occurenceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqxPNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E4460190">
            <body>Code indicating the question asked as part of the non surgical occurrence assessment performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E632029B" name="resultText" visibility="public">
          <ownedComment xmi:id="_Nq6ZKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E632029B">
            <body>Contains the response to an non surgical occurrence assessment question requiring a textual answer.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6430F13EA0391" name="SurgeryDevice">
        <eAnnotations xmi:id="_NrXFEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nq6ZL-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430F13EA0391">
          <body>A piece of equipment and or a mechanism designed to serve a special purpose or perform a special function.  This class represents devices used to perform a surgery, such as lasers, as well as devices that might be implanted in the patient as a result of the surgery, such as a prosthesis or a stent.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643108C200346" name="deviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrEKK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643108C200346">
            <body>Provices a categorization of the device.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431372650171" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrN7JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431372650171">
            <body>Contains the number of device(s) involved in the surgical procedure</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_og7qAN2ZEeaby7vXKhx5Xg" name="deviceInstance" visibility="private" type="_MsausFCxEeCsN-3dTKIrUA" association="_og500N2ZEeaby7vXKhx5Xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_og8REN2ZEeaby7vXKhx5Xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_og8REd2ZEeaby7vXKhx5Xg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6431469C10110" name="ElectrodePositionProcedure">
        <eAnnotations xmi:id="_NrzxDOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NrzxBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431469C10110">
          <body>A collector or emitter of electric charge or of electric-charge carriers, as in a semiconducting device.   Source: The American Heritage  Stedman's Medical Dicti  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643146AA603C3" name="electrodePosition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrzxB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146AA603C3">
            <body>Contains a code corresponding to the area of placement of the dispersive electrode pad.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643146C9C0021" name="positionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NrzxCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146C9C0021">
            <body>Unique identifier for the elctrode position</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DA3DC0009" name="electrode" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6447DA3D000FC">
          <ownedComment xmi:id="_N05bl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA3DC0009">
            <body>A piece of electro surgical equipment perfoming a special surgical function   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N05bmeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N05bmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64317A4F6006E" name="AsaClassObservation">
        <eAnnotations xmi:id="_Nr9iBOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NrzxD-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A4F6006E">
          <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64317A513034B" name="asaClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nr9iAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A513034B">
            <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCCB7F0380" name="SurgeryAssessmentQuestion">
        <eAnnotations xmi:id="_NsGr9eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nr9iB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCB7F0380">
          <body>Container to hold the response result from a test or instrument, questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCCBE503E0" name="questionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Nr9iCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCBE503E0">
            <body>Unique identifier for the assessment response result.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCCC04039F" name="surgeryAssesmentCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NsGr8OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCC04039F">
            <body>Code that identifies the assessment being performed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCD02D02C4" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_NpSBfOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCD02D02C4">
            <body>Contains the response to an surgical assessment question that can be expressed as a code.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E51B980274" name="EquipmentUtilizationObservation">
        <eAnnotations xmi:id="_NsQc9uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NsGr-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E51B980274">
          <body>Contains the Date and time  and  durationthe piece of Equipment was in use.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E51C290114" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NsGr--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E51C290114">
            <body>The date and time the surgical device was in use. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NgMTkLWoEeGePaUJ9YIobg" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" association="_NgKeYLWoEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgM6oLWoEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgM6obWoEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643F31E84001E" name="EquipmentSterilizationEvent">
        <eAnnotations xmi:id="_NsaN8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NsQc-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643F31E84001E">
          <body>Sterliizes the equipment and provides the sterilization number of the implanted device</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643108AE900FA" name="sterilizationNumber" visibility="public">
          <ownedComment xmi:id="_NsQc_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643108AE900FA">
            <body>Contains the sterilization number of the implanted device  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643F31ECE02C3" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B643F31ECD0254">
          <ownedComment xmi:id="_N0J0ueLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643F31ECE02C3">
            <body>Contains the sterilization number of the implanted device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0J0u-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0J0vOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C026C0036B" name="restraintPositionEvent_restrainingAid" memberEnd="_420A62FD03B642C026C10240 _420A62FD03B642C026C1024A">
        <ownedEnd xmi:id="_420A62FD03B642C026C1024A" name="" visibility="public" type="_420A62FD03B642C026910331" isUnique="false" association="_420A62FD03B642C026C0036B"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C032E902AA" name="surgeryPatientMovement_vehicle" memberEnd="_420A62FD03B642C032EA01F7 _420A62FD03B642C032EA020B">
        <ownedEnd xmi:id="_420A62FD03B642C032EA020B" name="" visibility="public" type="_420A62FD03B642C032C40062" isUnique="false" association="_420A62FD03B642C032E902AA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C046400171" name="physiologicMonitoringEvent_monitoringDevice" memberEnd="_420A62FD03B642C046410046 _420A62FD03B642C04641005A">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C049630157" name="intubationEvent_laryngoscope" memberEnd="_420A62FD03B642C049640163 _420A62FD03B642C049640177">
        <ownedEnd xmi:id="_420A62FD03B642C049640177" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C049630157"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C049CF02E3" name="intubationEvent_stylet" memberEnd="_420A62FD03B642C049D001FE _420A62FD03B642C049D0021C">
        <ownedEnd xmi:id="_420A62FD03B642C049D0021C" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C049CF02E3"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C04A7E01A4" name="intubationEvent_endotrachealTube" memberEnd="_420A62FD03B642C04A800107 _420A62FD03B642C04A80011B">
        <ownedEnd xmi:id="_420A62FD03B642C04A80011B" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C04A7E01A4"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C05D430215" name="anesthesiaSubEvent_intubation" memberEnd="_420A62FD03B642C05D44022A _420A62FD03B642C05D440235">
        <ownedEnd xmi:id="_420A62FD03B642C05D440235" name="" visibility="public" type="_420A62FD03B642C047E70093" isUnique="false" association="_420A62FD03B642C05D430215"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C05E62031C" name="intubationEvent_biteBlock" memberEnd="_420A62FD03B642C05E650244 _420A62FD03B642C05E65026C">
        <ownedEnd xmi:id="_420A62FD03B642C05E65026C" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C05E62031C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642D50818001A" name="anesthesiaSubEvent_baricity" memberEnd="_420A62FD03B642D508180309 _420A62FD03B642D508180313">
        <ownedEnd xmi:id="_420A62FD03B642D508180313" name="" visibility="public" type="_420A62FD03B642C047E70093" isUnique="false" association="_420A62FD03B642D50818001A"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F12D9402C2" name="surgicalEvent_comments" memberEnd="_420A62FD03B642F12D9501BF _420A62FD03B642F12D9501C9">
        <ownedEnd xmi:id="_420A62FD03B642F12D9501C9" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F12D9402C2"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F130700007" name="bodilyFluidAdministration_typeFluid" memberEnd="_420A62FD03B642F1307100BD _420A62FD03B642F1307100BF">
        <ownedEnd xmi:id="_420A62FD03B642F1307100BF" name="" visibility="public" type="_420A62FD03B642C042380238" isUnique="false" association="_420A62FD03B642F130700007"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F147CC002E" name="cardiacSurgeryEvent_evaluation" memberEnd="_420A62FD03B642F147CC036D _420A62FD03B642F147CC036F">
        <ownedEnd xmi:id="_420A62FD03B642F147CC036F" name="" visibility="public" type="_420A62FD03B642C02B2E0055" isUnique="false" association="_420A62FD03B642F147CC002E"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F14DC900D3" name="surgicalEvent_treatment" memberEnd="_420A62FD03B642F14DCA034B _420A62FD03B642F14DCA034D">
        <ownedEnd xmi:id="_420A62FD03B642F14DCA034D" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F14DC900D3"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F260F50135" name="surgicalEvent_surgicalSpecialty" memberEnd="_420A62FD03B642F260F60141 _420A62FD03B642F260F6019B">
        <ownedEnd xmi:id="_420A62FD03B642F260F6019B" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F260F50135">
          <ownedComment xmi:id="_NwSBV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260F6019B">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCCDBA0254" name="surgeryAssessment_result" memberEnd="_420A62FD03B642FCCDBB03A0 _420A62FD03B642FCCDBB03A2">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCEB550086" name="surgicalEvent_anesthesia" memberEnd="_420A62FD03B642FCEB5B0034 _420A62FD03B642FCEB5B0052">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCFE7F00F8" name="surgicalEvent_verification" memberEnd="_420A62FD03B642FCFE8203C4 _420A62FD03B642FCFE8203C6">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64300B24A00E1" name="cardiacSurgeryEvent_caridiacProsthesis" memberEnd="_420A62FD03B64300B24B00A6 _420A62FD03B64300B24B00A8">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64302228A020B" name="surgicalEvent_cellSaver" memberEnd="_420A62FD03B64302228B014E _420A62FD03B64302228B0150">
        <ownedEnd xmi:id="_420A62FD03B64302228B0150" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B64302228A020B"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6430222CB03E5" name="cellSaverEvent_cellSaver" memberEnd="_420A62FD03B6430222CF010F _420A62FD03B6430222CF0119">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64302248F00D7" name="cellSaverEvent_cellReinfusion" memberEnd="_420A62FD03B64302248F036C _420A62FD03B64302248F036E">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6430225A2032C" name="cellSaverEvent_disposableUsed" memberEnd="_420A62FD03B6430225A40339 _420A62FD03B6430225A4034D">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64305DB120039" name="surgicalEvent_assessment" memberEnd="_420A62FD03B64305DB120300 _420A62FD03B64305DB12030A">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64305E3DE013B" name="surgicalEvent_surgeryCategory" memberEnd="_420A62FD03B64305E3DF0006 _420A62FD03B64305E3DF0008">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64305E3FF032E" name="surgicalEvent_bodyFluid" memberEnd="_420A62FD03B64305E40001E4 _420A62FD03B64305E40001EF">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64305E8A60380" name="surgicalEvent_fluidAudit" memberEnd="_420A62FD03B64305E8A703E6 _420A62FD03B64305E8A703E8">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64305EA6503D3" name="surgicalEvent_skinPrep" memberEnd="_420A62FD03B64305EA6603C1 _420A62FD03B64305EA6603CB">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643060D1F03A1" name="surgicalEvent_location" memberEnd="_420A62FD03B643060D2501B5 _420A62FD03B643060D2501D3">
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        <body>This domain contains those clinical observations collectively known as &quot;Vital Signs&quot;.  There is nothing particular about vital signs that is not in the Clinical Observations domain, so this package contains only one new class, which is a container (VitalSignsObservationList) to hold a collection of vital sign observations.&#xD;
&#xD;
This package contains sub-packages for each of the seven vital signs.  These sub-packages contain a &quot;Detailed Clinical Model&quot; (DCM) in which we constrain (using UML re-defines) and extend the generic clinical Observation to define a particular vital sign.  Note that a DCM is analogous to a FHIR Profile.</body>
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        <body>This package contains a collection of clinical Observations traditionally called “Vital Signs” because they are measurements of the body’s basic functions.  The absence of a pulse, respiration, or blood pressure are indications that the patient is dead, hence the term “vital” in the name.  Traditionally, there are four vital signs: Heart rate or pulse; Respiration rate, Blood pressure, and Body temperature.  Body height and Body weight are also often included among vital signs because these measurements are often used (in conjunction with other observations) to provide a gross indication of potential health concerns.  The FHIM includes a seventh vital sign, Blood oxygen saturation, as the human body requires a specific balance of oxygen in the blood below which organ function may be compromised.&#xD;
&#xD;
Another reason why vital signs are treated separately from other observations is that historically, vital signs have been located in a particular location in a paper medical record.&#xD;
&#xD;
Individual organizations or medical specialties will often include other common clinical observation under the heading of “vital signs”, such as a Pain scale, or Head circumference (for newborns).  The FHIM treats these measurements as simply other clinical observations.  Again, there is no difference between a vital sign observation and a non-vital sign observation, other than vital signs are a named set of observations.&#xD;
&#xD;
This package contains sub-packages for each of the seven vital signs.  These sub-packages contain an example &quot;Detailed Clinical Model&quot; (DCM) in which we constrain (using UML re-defines) and extend the generic clinical Observation to define a particular vital sign.  These sub-packages are meant to show how such DCMs would be modeled.  Note that a DCM is analogous to a FHIR Profile.</body>
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          <body>This class contains a collection of clinical Observations traditionally called “Vital Signs” because they are measurements of the body’s basic functions.  The absence of a pulse, respiration, or blood pressure are indications that the patient is dead, hence the term “vital” in the name.  Traditionally, there are four vital signs: Heart rate or pulse; Respiration rate, Blood pressure, and Body temperature.  Body height and Body weight are also often included among vital signs because these measurements are often used (in conjunction with other observations) to provide a gross indication of potential health concerns.  The FHIM includes a seventh vital sign, Blood oxygen saturation, as the human body requires a specific balance of oxygen in the blood below which organ function may be compromised.&#xD;
&#xD;
Another reason why vital signs are treated separately from other observations is that historically, vital signs have been located in a particular location in a paper medical record.&#xD;
&#xD;
Individual organizations or medical specialties will often include other common clinical observation under the heading of “vital signs”, such as a Pain scale or Head circumference (for newborns).  The FHIM treats these measurements as simply other kinds of clinical observations.  Again, there is no difference between a vital sign observation and a non-vital sign observation, other than vital signs are a named set of observations.</body>
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            <body>Pointer to a set (of zero to many) of Clinical Observations which are of a type considered to be a &quot;vital sign&quot;.  Although the structure does allow for the observations to be from multiple patients, this set will almost always be for a single patient.</body>
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        <ownedEnd xmi:id="_9ySCYH-1EeOzENpLs8HIcg" name="" visibility="public" type="_sXpXgH-1EeOzENpLs8HIcg" association="_9yMi0H-1EeOzENpLs8HIcg">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9yTQgX-1EeOzENpLs8HIcg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_aLjcEIdsEeOZ2vW3WfDP5Q" name="BloodPressure">
        <eAnnotations xmi:id="_aLkqMIdsEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_Tqw6gN02EeSZfdq7h5ueSA" annotatedElement="_aLjcEIdsEeOZ2vW3WfDP5Q">
          <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Blood Pressure.  Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  In some situations only one of these two are needed and recorded, and some medical devices record only one (either the diastolic or the systolic).  Therefore, this package describes the classic “blood pressure observation” as a set of one systolic and one diastolic observation, each of which can be stand-alone observations in their own right.  To avoid duplicating such qualifying information as body site and method when collecting a diastolic and systolic observation into a blood pressure observation, these three observation types are modeled as subtypes of an AbstractBloodPressureObservation, which contains properties common to all three types.  Thus from this model, one could instantiate a diastolic observation, a systolic observation, or a blood pressure observation with a systolic and diastolic value.&#xD;
&#xD;
Blood pressure measurements can be affected by the device used, the patient’s body position, whether the patient was awake or asleep, etc.  This package contains four qualifier classes to carry this information.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_JZJUsJdYEeOCbc0pwOBboA" name="AbstractBloodPressureObservation" isAbstract="true">
          <ownedComment xmi:id="_2ALHoN06EeSZfdq7h5ueSA" annotatedElement="_JZJUsJdYEeOCbc0pwOBboA">
            <body>&quot;Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.&quot; – Wikipedia.&#xD;
&#xD;
Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  In some situations only one of these two are needed and recorded, and some medical devices record only one (either the diastolic or the systolic).  Therefore, this abstract class defines those properties that are common to individual systolic and diastolic observations as well as the classic “blood pressure” observation that contains both systolic and diastolic values as if it were one observation.  This class defines the bodySite and method that may be needed in order to interpret the observation, as well as pointers to the four qualifier observations that may affect the interpretation.</body>
          </ownedComment>
          <generalization xmi:id="_JZJUsZdYEeOCbc0pwOBboA" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_JZJUspdYEeOCbc0pwOBboA" name="bodySite" visibility="public">
            <eAnnotations xmi:id="_JZJUs5dYEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_JZJUtJdYEeOCbc0pwOBboA" key="redefine"/>
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            <ownedComment xmi:id="_JZJUtZdYEeOCbc0pwOBboA" annotatedElement="_JZJUspdYEeOCbc0pwOBboA">
              <body>Certain disease states may cause a person’s blood pressure to be different in different parts of the body. It is therefore often important to know where on the body the blood pressure was measured, especially when comparing to other blood pressure measurements.&#xD;
&#xD;
This property contains the code that specifies the anatomical site or system that is the focus of the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to Blood Pressure measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_OxHxsMEAEeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementSite?"/>
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            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JZJUtpdYEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JZJUv5dYEeOCbc0pwOBboA" name="method" visibility="public">
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            </eAnnotations>
            <ownedComment xmi:id="_JZJUwpdYEeOCbc0pwOBboA" annotatedElement="_JZJUv5dYEeOCbc0pwOBboA">
              <body>This property contains a code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LuKo8MD-EeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementMethod?"/>
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            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JZJUw5dYEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_rYewUHQbEeivUP8hArZexg" name="cuffSizeQualifier" visibility="public">
            <ownedComment xmi:id="_9U1BIHQbEeivUP8hArZexg" annotatedElement="_rYewUHQbEeivUP8hArZexg">
              <body>The most common method of measuring blood pressure involves the use of an inflatable (Riva-Rocci) cuff to constrict the blood flow during measurement. These cuffs are designed to operate on a specific range of body-part (e.g., arm, thigh) circumferences. Occasionally a cuff is used that is not of the ideal size for the given patient (i.e., the patient may be an infant or an obese adult), usually because the appropriate sized cuff is not available. The use of a non-ideal sized cuff may result in an inaccurate reading, and therefore must be noted. This property indicates the cuff size that was used to obtain the Blood Pressure measurement.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_OCbtcMEFEeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureCuffSize?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uZJE8HQbEeivUP8hArZexg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uZJE8XQbEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_vLVW4HQbEeivUP8hArZexg" name="diastolicEndpointQualifier" visibility="public">
            <ownedComment xmi:id="_XqXxgHQcEeivUP8hArZexg" annotatedElement="_vLVW4HQbEeivUP8hArZexg">
              <body>Of the five sounds defined by Korotkof early in the 20th century, there has been disagreement on whether diastolic pressure should be measured at phase IV (muffling of sound) or phase V (disappearance of sound). In some patients, the measurements can differ significantly. In cases where the distinction is significant, local policy may specify one point or the other: in at least these cases, and potentially all, the phase, or &quot;end point,&quot; at which the measurement is taken should be recorded. - Adapted from Practical Management of Hypertension (Birkenhäger, ed.); ABC of Hypertension (Beevers et al); The 5-minute Pediatric Consult (Schwartz, ed).&#xD;
&#xD;
This property indicates the phase at which the diastolic pressure was measured.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ZCu6gMNoEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementDiastolicEndpoint?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vLVW4nQbEeivUP8hArZexg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vLVW4XQbEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_A6RTQHQbEeivUP8hArZexg" name="bodyPositionQualifier" visibility="public">
            <ownedComment xmi:id="_A6RTQXQbEeivUP8hArZexg" annotatedElement="_A6RTQHQbEeivUP8hArZexg">
              <body>Certain disease states can be detected by observing differences in heart rate, blood pressure, or respiration when the patient’s body is in different positions (e.g., sitting, standing, etc.). It therefore may be necessary to record the patient’s body position when recording the primary observation. This property records an observation of the patient’s body position during the time the heart rate, blood pressure, or respiration rate was observed.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_IbyfILxREeSyBtXdDFDzRA?FHIM_Vocab/VitalSignsVocab/PatientMeasurementBodyPosition?"/>
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            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A6RTQnQbEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_D73KEHQdEeivUP8hArZexg" name="patientStateExertionQualifier" visibility="public">
            <ownedComment xmi:id="_D73KEXQdEeivUP8hArZexg" annotatedElement="_D73KEHQdEeivUP8hArZexg">
              <body>Heart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise. This property records an sub-observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D73KE3QdEeivUP8hArZexg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D73KEnQdEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_vNJUwHQbEeivUP8hArZexg" name="sleepStatusQualifier" visibility="public">
            <ownedComment xmi:id="_s2uagHQcEeivUP8hArZexg" annotatedElement="_vNJUwHQbEeivUP8hArZexg">
              <body>Blood pressure normally rises and falls depending on whether a person is awake or asleep. This indicates whether the patient was awake or asleep at the time that the Blood Pressure measurement was taken.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_kH664L61EeSMg-kgsnPV3w?FHIM_Vocab/VitalSignsVocab/PatientMeasurementSleepStatus?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vNJUwnQbEeivUP8hArZexg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vNJUwXQbEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_X9r8MJdYEeOCbc0pwOBboA" name="BloodPressureObservation">
          <ownedComment xmi:id="_B1iI4N03EeSZfdq7h5ueSA" annotatedElement="_X9r8MJdYEeOCbc0pwOBboA">
            <body>&quot;Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.&quot; – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Blood Pressure.  Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  Therefore, the value of this “blood pressure observation” is made up of a set of one systolic and one diastolic observation.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 55284-4.</body>
          </ownedComment>
          <ownedRule xmi:id="_U_B3gHQaEeivUP8hArZexg" name="TopicIsBloodPressure" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_U_B3gXQaEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '55284-4'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_joaMAJdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_6xWdgJdaEeOCbc0pwOBboA" name="diastolicBloodPressureObservation" visibility="public" type="_adk0IJdaEeOCbc0pwOBboA" association="_6xSzIJdaEeOCbc0pwOBboA">
            <ownedComment xmi:id="_6-lNQN04EeSZfdq7h5ueSA" annotatedElement="_6xWdgJdaEeOCbc0pwOBboA">
              <body>Pointer to a measurement (or “clinical observation”) of the patient’s Diastolic Blood Pressure, which is the minimum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6xXroJdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6xXroZdaEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_7a-pUJdaEeOCbc0pwOBboA" name="systolicBloodPressureObservation" visibility="public" type="_aZAdMJdaEeOCbc0pwOBboA" association="_7a9bMJdaEeOCbc0pwOBboA">
            <ownedComment xmi:id="_TO-EcN04EeSZfdq7h5ueSA" annotatedElement="_7a-pUJdaEeOCbc0pwOBboA">
              <body>Pointer to the measurement (or “clinical observation”) of the patient’s Systolic Blood Pressure, which is the maximum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7a_QYJdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7a_QYZdaEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_aZAdMJdaEeOCbc0pwOBboA" name="SystolicBloodPressureObservation">
          <ownedComment xmi:id="_OsKnoN04EeSZfdq7h5ueSA" annotatedElement="_aZAdMJdaEeOCbc0pwOBboA">
            <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure”– Wikipedia.&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Systolic Blood Pressure, which is the maximum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8680-6.</body>
          </ownedComment>
          <ownedRule xmi:id="_jp6XkHQaEeivUP8hArZexg" name="TopicIsSystolicBloodPressure" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_jp6XkXQaEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8680-6'</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_Ow1BIHQgEeivUP8hArZexg" name="ValueIsSystolic" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_Ow1BIXQgEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.value.unit.code = 'mm[Hg]' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 300&#xD;
-- need to verify lower and upper limits</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_kPGYkJdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_aZAdOJdaEeOCbc0pwOBboA" name="value" visibility="public" type="_420A62FD03B641886F630221">
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              <details xmi:id="_aZAdOpdaEeOCbc0pwOBboA" key="redefine"/>
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            <ownedComment xmi:id="_aZAdO5daEeOCbc0pwOBboA" annotatedElement="_aZAdOJdaEeOCbc0pwOBboA">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood Pressure is generally expressed in terms of millimeters of mercury (mmHg).  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bwLeYLyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bwLeYbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_adk0IJdaEeOCbc0pwOBboA" name="DiastolicBloodPressureObservation">
          <ownedComment xmi:id="_aaqPEN04EeSZfdq7h5ueSA" annotatedElement="_adk0IJdaEeOCbc0pwOBboA">
            <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure”– Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Diastolic Blood Pressure, which is the minimum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8462-4.</body>
          </ownedComment>
          <ownedRule xmi:id="_YSGYgHQfEeivUP8hArZexg" name="ValueIsDiastolic" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_YSGYgXQfEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.value.unit.code = 'mm[Hg]' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 300&#xD;
-- need to verify lower and upper limits</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_eT8_gHQaEeivUP8hArZexg" name="TopicIsDiastolicBloodPressure" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_eT8_gXQaEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8462-4'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_qGWf0JdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_adk0KJdaEeOCbc0pwOBboA" name="value" visibility="public" type="_420A62FD03B641886F630221">
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              <details xmi:id="_adk0KpdaEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_adk0K5daEeOCbc0pwOBboA" annotatedElement="_adk0KJdaEeOCbc0pwOBboA">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood Pressure is generally expressed in terms of millimeters of mercury (mmHg).  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aGHJQLyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aGHJQbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_6xSzIJdaEeOCbc0pwOBboA" memberEnd="_6xWdgJdaEeOCbc0pwOBboA _6xY5wJdaEeOCbc0pwOBboA">
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_7a9bMJdaEeOCbc0pwOBboA" memberEnd="_7a-pUJdaEeOCbc0pwOBboA _7a_3cJdaEeOCbc0pwOBboA">
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        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_3-lYkMEAEeSD-sVrqweICQ" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LuKo8MD-EeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementMethod?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_V2grkMNnEeSFjdDJNF9NPA" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_OxHxsMEAEeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementSite?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_4FXLQHQeEeivUP8hArZexg" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_OCbtcMEFEeSD-sVrqweICQ?FHIM_Vocab/VitalSignsVocab/BloodPressureCuffSize?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_48iq4HQeEeivUP8hArZexg" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ZCu6gMNoEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/BloodPressureMeasurementDiastolicEndpoint?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_5o-6IHQeEeivUP8hArZexg" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_IbyfILxREeSyBtXdDFDzRA?FHIM_Vocab/VitalSignsVocab/PatientMeasurementBodyPosition?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_6CV1UHQeEeivUP8hArZexg" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_6eeXsHQeEeivUP8hArZexg" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_kH664L61EeSMg-kgsnPV3w?FHIM_Vocab/VitalSignsVocab/PatientMeasurementSleepStatus?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_gY2Z4IduEeOZ2vW3WfDP5Q" name="HeartRate">
        <eAnnotations xmi:id="_gY3A8IduEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_fsInoNynEeS8W_uFU6RjUw" annotatedElement="_gY2Z4IduEeOZ2vW3WfDP5Q">
          <body>Heart rate is the speed of the heartbeat measured by the number of poundings of the heart per unit of time — typically beats per minute (bpm).  The heart rate is commonly measured by observing the patient’s pulse, which is the physical expansion of the artery. The pulse commonly taken is from the radial artery at the wrist. Sometimes the pulse cannot be taken at the wrist and is taken at the elbow (brachial artery), at the neck against the carotid artery (carotid pulse), behind the knee (popliteal artery), or in the foot dorsalis pedis or posterior tibial arteries.  In addition, the heart rate may be measured directly electrocardiography (adapted from Wikipedia).&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s heart rate.  It contains an Observation sub-type that constrains the type of observation to that of heart rate, and redefines the body Site and method properties to reference specific value sets for heart rate observation.  It also contains a redefined observation qualifier class that indicates how the patient’s body was positioned during the heart rate measurement.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_EVpMQH-3EeOzENpLs8HIcg" name="HeartRateObservation">
          <ownedComment xmi:id="_esezYNylEeS8W_uFU6RjUw" annotatedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <body>Heart rate is the speed of the heartbeat measured by the number of poundings of the heart per unit of time — typically beats per minute (bpm).  The heart rate is commonly measured by observing the patient’s pulse, which is the physical expansion of the artery. The pulse commonly taken is from the radial artery at the wrist. Sometimes the pulse cannot be taken at the wrist and is taken at the elbow (brachial artery), at the neck against the carotid artery (carotid pulse), behind the knee (popliteal artery), or in the foot dorsalis pedis or posterior tibial arteries.  In addition, the heart rate may be measured directly electrocardiography (adapted from Wikipedia).&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s heart rate.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8867-4 and to set the data type of the observation value to a Physical Quantity Ratio. It also redefines the bodySite and method properties such that they are bound to the Heart Rate Measurement Site and Heart Rate Measurement Method valuesets, respectively.</body>
          </ownedComment>
          <ownedRule xmi:id="_LI9LYHKHEeiXDYZdidzgig" name="ValueIsBPM" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_LI9ycHKHEeiXDYZdidzgig">
              <language>OCL</language>
              <body>self.value.unit.code = '{beats}/min' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 300&#xD;
-- need to verify upper limit</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_jgjbgHP_Eei9gZpjuTbcAw" name="TopicIsHeartRate" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_jgjbgXP_Eei9gZpjuTbcAw">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8867-4'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_8YJ9YIduEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_qKVFkIdvEeOZ2vW3WfDP5Q" name="bodySite" visibility="public">
            <eAnnotations xmi:id="_sPjFoIdvEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_sPjssIdvEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_qKVFkYdvEeOZ2vW3WfDP5Q" annotatedElement="_qKVFkIdvEeOZ2vW3WfDP5Q">
              <body>This property contains the code that specifies the anatomical site or system that is the focus of the observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_A8YIEMN0EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/HeartRateMeasurementSite?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qKVFk4dvEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qKVFkodvEeOZ2vW3WfDP5Q" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SkiDgIdwEeOZ2vW3WfDP5Q" name="method" visibility="public">
            <eAnnotations xmi:id="_TbtjIIdwEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_TbtjIYdwEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_SkiDgYdwEeOZ2vW3WfDP5Q" annotatedElement="_SkiDgIdwEeOZ2vW3WfDP5Q">
              <body>This property contains the code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ZwU_UMNzEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/HeartRateMeasurementMethod?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SkiDg4dwEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SkiDgodwEeOZ2vW3WfDP5Q" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_qYV1YH-5EeOzENpLs8HIcg" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_sPmI8IdvEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_sPmI8YdvEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_qYV1YX-5EeOzENpLs8HIcg" annotatedElement="_qYV1YH-5EeOzENpLs8HIcg">
              <body>This property contains the result, or value of the clinical Observation. In the generic clinical Observation class, the data type for this property can be anything. Heart rate is expressed in terms of beats per minute. Therefore, this property has been re-defined to constrain the data type to be a Quantity, expressed in terms of beats per minute. Note that while beats per minute is technically a Ratio, it is always expressed in terms of one minute, so it can be thought of as a unit of measure rather than a full-fledged ratio.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mEeYsLyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mEeYsbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_U1DIIHKFEeiXDYZdidzgig" name="patientPositionQualifier" visibility="public">
            <ownedComment xmi:id="_U1DIIXKFEeiXDYZdidzgig" annotatedElement="_U1DIIHKFEeiXDYZdidzgig">
              <body>Certain disease states can be detected by observing differences in heart rate, blood pressure, or respiration when the patient’s body is in different positions (e.g., sitting, standing, etc.). It therefore may be necessary to record the patient’s body position when recording the primary observation. This property records an observation of the patient’s body position during the time the heart rate, blood pressure, or respiration rate was observed.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_IbyfILxREeSyBtXdDFDzRA?FHIM_Vocab/VitalSignsVocab/PatientMeasurementBodyPosition?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U1DII3KFEeiXDYZdidzgig"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U1DIInKFEeiXDYZdidzgig" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_9K-fgHKEEeiXDYZdidzgig" name="patientStateExertionQualifier" visibility="public">
            <ownedComment xmi:id="_H7VDsHKFEeiXDYZdidzgig" annotatedElement="_9K-fgHKEEeiXDYZdidzgig">
              <body>Heart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise. This property records an sub-observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__dXY4HKEEeiXDYZdidzgig"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__dXY4XKEEeiXDYZdidzgig" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_b06C0HQdEeivUP8hArZexg" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_A8YIEMN0EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/HeartRateMeasurementSite?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_cMTPIHQdEeivUP8hArZexg" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_ZwU_UMNzEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/HeartRateMeasurementMethod?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_csa5oHQdEeivUP8hArZexg" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_IbyfILxREeSyBtXdDFDzRA?FHIM_Vocab/VitalSignsVocab/PatientMeasurementBodyPosition?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_dISWQHQdEeivUP8hArZexg" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_jPnxsId5EeOZ2vW3WfDP5Q" name="Height">
        <eAnnotations xmi:id="_jPnxsYd5EeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_IlQY8N0mEeSZfdq7h5ueSA" annotatedElement="_jPnxsId5EeOZ2vW3WfDP5Q">
          <body>“Human height or stature is the distance from the bottom of the feet to the top of the head, standing erect. … Growth has long been recognized as a measure of the health of individuals” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s height or stature.  It contains an Observation sub-type that constrains the type of observation to that of Height, and a redefined observation qualifier class that indicates whether the height was actually measured or estimated.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_jPo_4Id5EeOZ2vW3WfDP5Q" name="HeightObservation">
          <ownedComment xmi:id="_cvuuMN0mEeSZfdq7h5ueSA" annotatedElement="_jPo_4Id5EeOZ2vW3WfDP5Q">
            <body>“Human height or stature is the distance from the bottom of the feet to the top of the head, standing erect. … Growth has long been recognized as a measure of the health of individuals” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Height.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8302-2 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <ownedRule xmi:id="_3nySgHPeEeiV16BdsfE5oQ" name="ValueIsHeight" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_3nySgXPeEeiV16BdsfE5oQ">
              <language>OCL</language>
              <body>(self.value.unit.code = 'cm' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 300.0 ) or&#xD;
(self.value.unit.code = 'in_i' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 120.0 )&#xD;
-- note: the tallest human ever recorded was 272 cm tall (107&quot; or 8'11&quot;)</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_3nxrcHPeEeiV16BdsfE5oQ" name="TopicIsHeight" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_3nxrcXPeEeiV16BdsfE5oQ">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8302-2'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_jPo_4Yd5EeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_u-71EHPYEeiV16BdsfE5oQ" name="method" visibility="public">
            <eAnnotations xmi:id="_G_E0UHPZEeiV16BdsfE5oQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_G_E0UXPZEeiV16BdsfE5oQ" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_N1xNEHPeEeiV16BdsfE5oQ" annotatedElement="_u-71EHPYEeiV16BdsfE5oQ">
              <body>Occasionally, the patient’s Height cannot be measured directly, leading the clinician to estimate the Height, or rely on the patient’s stated Height.  This class records an observation of how the patient’s Height was determined.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_7T6H4MNsEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientHeightDeterminationMethod?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y94W4HPYEeiV16BdsfE5oQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y9498HPYEeiV16BdsfE5oQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jPo_9Yd5EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_jPo_9od5EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_jPo_94d5EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_jPo_-Id5EeOZ2vW3WfDP5Q" annotatedElement="_jPo_9Yd5EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Height is expressed in terms of centimeters or inches.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p2pp0LyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p2pp0byqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_G4rTkHPoEeiV16BdsfE5oQ" name="bodyPositionQualifier" visibility="public">
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_leolsHPnEeiV16BdsfE5oQ?FHIM_Vocab/VitalSignsVocab/HeightMeasurementBodyPosition?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MWGlkHPoEeiV16BdsfE5oQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MWGlkXPoEeiV16BdsfE5oQ" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_-7vQAHPYEeiV16BdsfE5oQ" client="_jPo_4Id5EeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_7T6H4MNsEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientHeightDeterminationMethod?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_APgnMHPoEeiV16BdsfE5oQ" client="_jPo_4Id5EeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_leolsHPnEeiV16BdsfE5oQ?FHIM_Vocab/VitalSignsVocab/HeightMeasurementBodyPosition?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_7n4HQId_EeOZ2vW3WfDP5Q" name="O2Saturation">
        <eAnnotations xmi:id="_7n4HQYd_EeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_wLy5ANycEeS8W_uFU6RjUw" annotatedElement="_7n4HQId_EeOZ2vW3WfDP5Q">
          <body>“Oxygen saturation is a term referring to the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal blood oxygen levels in humans are considered 95-100 percent. ... Levels below 80 percent may compromise organ function, such as the brain and heart” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s blood oxygen saturation level.  It contains an Observation sub-type that constrains the type of observation to that of oxygen saturation in arterial blood, and contains two observation qualifier classes that indicate whether and how the patient was on supplemental observation at the time of the observation.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_7n58iId_EeOZ2vW3WfDP5Q" name="OxygenSaturationObservation">
          <ownedComment xmi:id="_lWtNgNyWEeS8W_uFU6RjUw" annotatedElement="_7n58iId_EeOZ2vW3WfDP5Q">
            <body>“Oxygen saturation is a term referring to the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal blood oxygen levels in humans are considered 95-100 percent. ... Levels below 80 percent may compromise organ function, such as the brain and heart” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s blood oxygen saturation level.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 2708-6 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <ownedRule xmi:id="_TPwv4HKGEeiXDYZdidzgig" name="TopicIsO2Sat" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_TPzzMHKGEeiXDYZdidzgig">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '2708-6'</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_YBj0MHP1EeiV16BdsfE5oQ" name="ValueIsLPM" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_YBj0MXP1EeiV16BdsfE5oQ">
              <language>OCL</language>
              <body>self.value.unit.code = 'L/min' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 30.0&#xD;
-- need to verify upper limit</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_7n58iYd_EeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_7n58nYd_EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_7n58nod_EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_7n58n4d_EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_7n58oId_EeOZ2vW3WfDP5Q" annotatedElement="_7n58nYd_EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood oxygen saturation is expressed as a percentage of the total hemoglobin that is oxygen-saturated.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity (where the unit of measure is per cent).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zwF0ILyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zwF0IbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LThm4HPrEeiV16BdsfE5oQ" name="oxygenProvisionDeviceQualifier" visibility="public">
            <ownedComment xmi:id="_LTiN8HPrEeiV16BdsfE5oQ" annotatedElement="_LThm4HPrEeiV16BdsfE5oQ">
              <body>If the patient was receiving supplemental oxygen during the time that the patient’s blood oxygen saturation level or respiration rate was measured, this class will indicate what kind of device was being used to administer the oxygen. This information is important to know when interpreting the value of the primary observation. The value of this property is constrained to be one of a set of codes from the SNOMED-CT coding system that categorizes the kind of device that was used to administer supplemental oxygen.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LeZXgMODEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/OxygenProvisionDevice?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LTiN8nPrEeiV16BdsfE5oQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LTiN8XPrEeiV16BdsfE5oQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-7y1MHPqEeiV16BdsfE5oQ" name="patientStateExertionQualifier" visibility="public">
            <ownedComment xmi:id="_-7y1MXPqEeiV16BdsfE5oQ" annotatedElement="_-7y1MHPqEeiV16BdsfE5oQ">
              <body>Heart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise. This property records an sub-observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-7y1M3PqEeiV16BdsfE5oQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-7y1MnPqEeiV16BdsfE5oQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LqHh8HPrEeiV16BdsfE5oQ" name="supplementalOxygenRateQualifier" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_LqHh8XPrEeiV16BdsfE5oQ" annotatedElement="_LqHh8HPrEeiV16BdsfE5oQ">
              <body>If the patient was receiving supplemental oxygen during the time that the patient’s blood oxygen saturation level was measured, this property will indicate the amount of supplemental oxygen that the patient was receiving. This information is important to know when interpreting the value of the primary observation, that of the patient’s arterial blood oxygen saturation. Supplemental oxygen is generally expressed in terms of liters (of oxygen flow) per minute. While liters per minute is technically a ratio, this measurement is treated as a simple measurement with the unit of L/min (liters per minute).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LqHh83PrEeiV16BdsfE5oQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LqHh8nPrEeiV16BdsfE5oQ" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_y69OoHPsEeiV16BdsfE5oQ" client="_7n58iId_EeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_zobYoHPsEeiV16BdsfE5oQ" client="_7n58iId_EeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LeZXgMODEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/OxygenProvisionDevice?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_dbRB4IeDEeOZ2vW3WfDP5Q" name="RespirationRate">
        <eAnnotations xmi:id="_dbRB4YeDEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_9xJucN0rEeSZfdq7h5ueSA" annotatedElement="_dbRB4IeDEeOZ2vW3WfDP5Q">
          <body>“The respiratory rate (RR), also known as the respiration rate, ventilation rate, ventilatory rate, ventilation frequency (Vf), respiration frequency (Rf), pulmonary ventilation rate, or breathing frequency, is the rate (frequency) of ventilation, that is, the number of breaths (inhalation-exhalation cycles) taken within a set amount of time (typically 60 seconds)” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Respiration Rate.  It contains an Observation sub-type that constrains the type of observation to that of Respiration Rate, and two redefined observation qualifier classes that indicate: a) whether the patient at rest or exercising during the measurement, and b) what kind (if any) of assisted ventilation device was in use during the measurement.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_dbSQyIeDEeOZ2vW3WfDP5Q" name="RespirationObservation">
          <ownedComment xmi:id="_7hrmMN0rEeSZfdq7h5ueSA" annotatedElement="_dbSQyIeDEeOZ2vW3WfDP5Q">
            <body>“The respiratory rate (RR), also known as the respiration rate, ventilation rate, ventilatory rate, ventilation frequency (Vf), respiration frequency (Rf), pulmonary ventilation rate, or breathing frequency, is the rate (frequency) of ventilation, that is, the number of breaths (inhalation-exhalation cycles) taken within a set amount of time (typically 60 seconds)” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Respiration Rate.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 9279-1 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <ownedRule xmi:id="_pfN2gHP4EeiV16BdsfE5oQ" name="ValueIsBPM" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_pfN2gXP4EeiV16BdsfE5oQ">
              <language>OCL</language>
              <body>self.value.literal >= 0.0 and self.value.literal &lt;= 60&#xD;
-- note the unit of measure (breaths per minute) is assumed.&#xD;
-- need to verify upper limit</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_Pxjr4HQAEei9gZpjuTbcAw" name="TopicIsRespirationRate" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_Pxjr4XQAEei9gZpjuTbcAw">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '9279-1'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_dbSQyYeDEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_dbS3H4eDEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
            <eAnnotations xmi:id="_dbS3IIeDEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_dbS3IYeDEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_dbS3IoeDEeOZ2vW3WfDP5Q" annotatedElement="_dbS3H4eDEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Respiration Rate is generally expressed in terms of breaths per minute.  Therefore, this property has been re-defined to constrain the data type to be a Rate Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3b4JYLyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3b4JYbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_k8mbYHQCEei9gZpjuTbcAw" name="oxygenProvisionDeviceQualifier" visibility="public">
            <ownedComment xmi:id="_k8mbYXQCEei9gZpjuTbcAw" annotatedElement="_k8mbYHQCEei9gZpjuTbcAw">
              <body>If the patient was receiving supplemental oxygen during the time that the patient’s blood oxygen saturation level or respiration rate was measured, this class will indicate what kind of device was being used to administer the oxygen. This information is important to know when interpreting the value of the primary observation. The value of this property is constrained to be one of a set of codes from the SNOMED-CT coding system that categorizes the kind of device that was used to administer supplemental oxygen.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LeZXgMODEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/OxygenProvisionDevice?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k8mbY3QCEei9gZpjuTbcAw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k8mbYnQCEei9gZpjuTbcAw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_1mX78HQAEei9gZpjuTbcAw" name="patientStateExertionQualifier" visibility="public">
            <ownedComment xmi:id="_1mX78XQAEei9gZpjuTbcAw" annotatedElement="_1mX78HQAEei9gZpjuTbcAw">
              <body>Heart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise. This property records an sub-observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1mX783QAEei9gZpjuTbcAw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1mX78nQAEei9gZpjuTbcAw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_nO-GoHQCEei9gZpjuTbcAw" client="_dbSQyIeDEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_LeZXgMODEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/OxygenProvisionDevice?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_nlNcYHQCEei9gZpjuTbcAw" client="_dbSQyIeDEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_Drv0MMN7EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientStateExertionStatus?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_6SUBgIeKEeOZ2vW3WfDP5Q" name="Temperature">
        <eAnnotations xmi:id="_6SUBgYeKEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_5v14UN0vEeSZfdq7h5ueSA" annotatedElement="_6SUBgIeKEeOZ2vW3WfDP5Q">
          <body>“Temperature recording gives an indication of core body temperature which is normally tightly controlled (thermoregulation) as it affects the rate of chemical reactions. … The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a fever (temp > 38.5 °C/101.3 °F or sustained temp > 38 °C/100.4 °F), or elevated significantly above the individual's normal temperature” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Temperature.  It contains an Observation sub-type that constrains the type of observation to that of Temperature.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_6SWd3oeKEeOZ2vW3WfDP5Q" name="TemperatureObservation">
          <ownedComment xmi:id="_31coMN0vEeSZfdq7h5ueSA" annotatedElement="_6SWd3oeKEeOZ2vW3WfDP5Q">
            <body>“Temperature recording gives an indication of core body temperature which is normally tightly controlled (thermoregulation) as it affects the rate of chemical reactions. … The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a fever (temp > 38.5 °C/101.3 °F or sustained temp > 38 °C/100.4 °F), or elevated significantly above the individual's normal temperature” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Temperature.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8310-5 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <ownedRule xmi:id="_VsPk0HQEEei9gZpjuTbcAw" name="TopicIsTempurature" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_VsPk0XQEEei9gZpjuTbcAw">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8310-5'</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_s0zb0HQEEei9gZpjuTbcAw" name="ValueIsTempurature" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_s0zb0XQEEei9gZpjuTbcAw">
              <language>OCL</language>
              <body>(self.value.unit.code = 'degF' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 120.0 ) or&#xD;
(self.value.unit.code = 'CEL' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 40.0 )&#xD;
-- note: need to verify upper and lower limits</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_6SWd34eKEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_6SWd4IeKEeOZ2vW3WfDP5Q" name="bodySite" visibility="public">
            <eAnnotations xmi:id="_6SWd4YeKEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_6SWd4oeKEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_6SWd44eKEeOZ2vW3WfDP5Q" annotatedElement="_6SWd4IeKEeOZ2vW3WfDP5Q">
              <body>“Different parts of the body have different temperatures. Rectal and vaginal measurements taken directly inside the body cavity are typically slightly higher than oral measurements, and oral measurements are somewhat higher than skin measurements. Other places, such as under the arm or in the ear, produce different typical temperatures” – Wikipedia.&#xD;
&#xD;
This property contains the code that specifies the anatomical site or system that is the focus of the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to Temperature measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_BxlrEMNvEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientBodyTemperatureMeasurementSite?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6SWd5YeKEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6SWd5IeKEeOZ2vW3WfDP5Q" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6SWd84eKEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_6SWd9IeKEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_6SWd9YeKEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_6SWd9oeKEeOZ2vW3WfDP5Q" annotatedElement="_6SWd84eKEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Temperature is generally expressed in terms of degrees Celsius or degrees Fahrenheit.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5oNeELyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5oNeEbyqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_6SWeA4eKEeOZ2vW3WfDP5Q" client="_6SWd3oeKEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_BxlrEMNvEeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientBodyTemperatureMeasurementSite?"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_MNRVwIeMEeOZ2vW3WfDP5Q" name="Weight">
        <eAnnotations xmi:id="_MNRVwYeMEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_fWl7YN0pEeSZfdq7h5ueSA" annotatedElement="_MNRVwIeMEeOZ2vW3WfDP5Q">
          <body>Human body weight refers “to a person's mass or weight. Body weight is measured in kilograms … or pounds. Strictly speaking, body weight is the measurement of weight without items located on the person. Practically though, body weight is measured with clothes on, but without shoes or heavy accessories such as mobile phones and wallets and using manual or digital weighing scales. Excess or reduced body weight is regarded as an indicator of determining a person's health, with body volume measurement providing an extra dimension by calculating the distribution of body weight.” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Weight.  It contains an Observation sub-type that constrains the type of observation to that of Weight, and two redefined observation qualifier classes that indicate: a) whether the patient was clothed during the measurement, and b) whether the weight was actually measured or estimated.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_MNR9zIeMEeOZ2vW3WfDP5Q" name="WeightObservation">
          <ownedComment xmi:id="_a_fYQN0pEeSZfdq7h5ueSA" annotatedElement="_MNR9zIeMEeOZ2vW3WfDP5Q">
            <body>Human body weight refers “to a person's mass or weight. Body weight is measured in kilograms … or pounds. Strictly speaking, body weight is the measurement of weight without items located on the person. Practically though, body weight is measured with clothes on, but without shoes or heavy accessories such as mobile phones and wallets and using manual or digital weighing scales. Excess or reduced body weight is regarded as an indicator of determining a person's health, with body volume measurement providing an extra dimension by calculating the distribution of body weight.” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Weight.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 3141-9 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <ownedRule xmi:id="_JtPXAHQWEeivUP8hArZexg" name="TopicIsWeight" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_JtPXAXQWEeivUP8hArZexg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '3141-9'</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_MSVUgHQXEeivUP8hArZexg" name="ValueIsWeight" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_MSVUgXQXEeivUP8hArZexg">
              <language>OCL</language>
              <body>(self.value.unit.code = 'kg' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 700.0 ) or&#xD;
(self.value.unit.code = 'lb_av' and self.value.value.literal >= 0.0 and self.value.value.literal &lt;= 1540.0 )&#xD;
-- note: the heaviest human ever recorded weighed 635 Kg (1400 lbs)</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_MNR9zYeMEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_c8W3QHQWEeivUP8hArZexg" name="method" visibility="public">
            <eAnnotations xmi:id="_c8W3QXQWEeivUP8hArZexg" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_c8W3QnQWEeivUP8hArZexg" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_c8W3Q3QWEeivUP8hArZexg" annotatedElement="_c8W3QHQWEeivUP8hArZexg">
              <body>Occasionally, the patient’s Weight cannot be measured directly, leading the clinician to estimate the Weight, or rely on the patient’s stated Weight. This property indicates how the patient’s Weight was determined.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_sjs9wMN-EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientWeightDeterminationMethod?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c8W3RXQWEeivUP8hArZexg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c8W3RHQWEeivUP8hArZexg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MNR94YeMEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_MNSj4IeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNSj4YeMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_MNSj4oeMEeOZ2vW3WfDP5Q" annotatedElement="_MNR94YeMEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Weight is generally expressed in terms of kilograms or pounds.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8xlp0LyqEea_DaXmJ278Kw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8xlp0byqEea_DaXmJ278Kw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MNR924eMEeOZ2vW3WfDP5Q" name="deviceTypeQualifier" visibility="public">
            <eAnnotations xmi:id="_MNR93IeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_1KN_wN0pEeSZfdq7h5ueSA" annotatedElement="_MNR924eMEeOZ2vW3WfDP5Q">
              <body>This property contains a code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <type xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_CGifAMN9EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientWeightDeterminationDevice?"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNR94IeMEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNR934eMEeOZ2vW3WfDP5Q" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_5dSUwMN9EeSFjdDJNF9NPA" client="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_CGifAMN9EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientWeightDeterminationDevice?"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_HjuQUHQXEeivUP8hArZexg" client="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="FHIM_Vocab.emx#_sjs9wMN-EeSFjdDJNF9NPA?FHIM_Vocab/VitalSignsVocab/PatientWeightDeterminationMethod?"/>
        </packagedElement>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436137C60273" name="WomensHealth">
      <eAnnotations xmi:id="_OA-IteLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_OBRDoOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_MrX2MOTdEeaMP8OhjVeyrg" annotatedElement="_420A62FD03B6436137C60273">
        <body>The Women's Health domain originates from the VA VistA system, and had not yet been modeled in the FHIM. It is therefore recommended that the contents of this domain be viewed with caution as the contents have not been vetted.</body>
      </ownedComment>
      <ownedComment xmi:id="_N4WmsOTdEeaMP8OhjVeyrg">
        <body>The Women's Health domain originates from the VA VistA system, and had not yet been modeled in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3333201E3" name="WomensHealthCaseSummary">
        <eAnnotations xmi:id="_N6aNuuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N6aNteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3333201E3">
          <body>This class captures pertinent information of women's health case summarization of a patient for an assigned caseManager.  </body>
        </ownedComment>
        <generalization xmi:id="_qsekYN5xEeaSVd0Fmxi4nQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_wJ-D8IoVEd-_v4Q8joL6LQ" name="breastCancerFamilyHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wJ-D8YoVEd-_v4Q8joL6LQ" annotatedElement="_wJ-D8IoVEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient or the one of the patient's relatives have had breast cancer.  Possible values include: No family history,  2nd degree relative, 1st degree relative, 3: More than one 1st degree relatives, Personal history, or Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3375E035B" name="breastTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N6tvsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3375E035B">
            <body>Identifies the current or next breast procedure or treatment recommended for this patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3377102FE" name="breastTreatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N6j-veLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3377102FE">
            <body>The date when the current or next breast procedure or treatment should be completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZfDZoN5yEeaSVd0Fmxi4nQ" name="caseManager" visibility="public" type="__uCqINw2EeaxScmtI1Szow"/>
        <ownedAttribute xmi:id="_420A62FD03B643C3368800DD" name="cervicalTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N6j-teLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3368800DD">
            <body>Identifies the current or next cervical procedure or treatment recommended for this patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3369E0002" name="cervicalTreatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N6j-suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3369E0002">
            <body>The date when the current or next cervical procedure or treatment should be completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZNpagIoHEd-_v4Q8joL6LQ" name="estimatedDateOfConfinement" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_gQr_cIoHEd-_v4Q8joL6LQ" annotatedElement="_ZNpagIoHEd-_v4Q8joL6LQ">
            <body>An archaic term for the estimated date a baby might be born. It is determined based on the first day of a woman's last menstruation. See Naegele's rule.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0kvugIoHEd-_v4Q8joL6LQ" name="desDaughter" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_E2C9UIoJEd-_v4Q8joL6LQ" annotatedElement="_0kvugIoHEd-_v4Q8joL6LQ">
            <body>An indication of whether the patient was exposed to diethylstilbestrol (DES) in utero.  Possible values include: Yes, No, or Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PKlcUIoWEd-_v4Q8joL6LQ" name="historyOfSexualTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_azKpAIoWEd-_v4Q8joL6LQ" annotatedElement="_PKlcUIoWEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient has experienced any sexual trauma (rape, sexual assault, etc.) as a civilian.  Possible values include: Yes, No, Declined to answer, Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FnAyIIoHEd-_v4Q8joL6LQ" name="isPregnant" visibility="public">
          <ownedComment xmi:id="_eBD90IoVEd-_v4Q8joL6LQ" annotatedElement="_FnAyIIoHEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient is currently pregnant.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3371E025F" name="papRegimen" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N9sLMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3371E025F">
            <body>Identifies the current Pap regimen for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33738022A" name="papRegimenStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N9sLN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N9sLNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33738022A">
            <body>The date on which the patient began or will begin her current PAP regimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ewF78uLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ewF78-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dpQFUIoWEd-_v4Q8joL6LQ" name="remarks" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFE0960389" name="womensHealthNotification" visibility="public" type="_420A62FD03B643C3C79F037B" isUnique="false" association="_420A62FD03B643CFE08F00D6">
          <ownedComment xmi:id="_N_7m5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFE0960389">
            <body>Indicates the notification to the patient from the case manager.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N_7m6OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N_7m6eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DVrRYYn2Ed-_v4Q8joL6LQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_DVrRYIn2Ed-_v4Q8joL6LQ">
          <ownedComment xmi:id="_HnHRYIn2Ed-_v4Q8joL6LQ" annotatedElement="_DVrRYYn2Ed-_v4Q8joL6LQ">
            <body>Identifies the patient associated with the procedure, notification and/or refusal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DVrRYon2Ed-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DVrRY4n2Ed-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QFZIMYqZEd-LN5udiCQIHw" name="womensHealthProcedure" visibility="public" type="_420A62FD03B643C33BC1023E" association="_QFZIMIqZEd-LN5udiCQIHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QFZIMoqZEd-LN5udiCQIHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QFZIM4qZEd-LN5udiCQIHw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Kd-a8KMuEeOzLfgeAZKSFA" name="refusal" visibility="public" type="_420A62FD03B643C3CB600229" association="_Kd9M0KMuEeOzLfgeAZKSFA">
          <ownedComment xmi:id="_MUjiEKMuEeOzLfgeAZKSFA" annotatedElement="_Kd-a8KMuEeOzLfgeAZKSFA">
            <body>Indicates the procedure refused by the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kd_CAKMuEeOzLfgeAZKSFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kd_pEKMuEeOzLfgeAZKSFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C33BC1023E" name="WomensHealthProcedure">
        <eAnnotations xmi:id="_N7AqpuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N6tvt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33BC1023E">
          <body>This class captures information about the procedures a patient has undergone and will undergo in future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C565C10179" name="accessionId" visibility="public">
          <ownedComment xmi:id="_N6tvuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C565C10179">
            <body>Accession number of the procedure associated with this patient's notification. (composed of the procedure's abbreviated code, a four digit year and a sequential number).     </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33D8100CF" name="datePerformed" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N625p-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33D8100CF">
            <body>The date on which the procedure was performed. Dates in the future may not be entered.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yDuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yD-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33DB8018D" name="dateRequired" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N625rOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625quLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33DB8018D">
            <body>The date used to determine that this procedure record is delinquent when a closed status has not been entered in the record.     </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yEOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yEeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_06QxkN5yEeaSVd0Fmxi4nQ" name="performer" visibility="public" type="_420A62FD03B6418CF92600E1"/>
        <ownedAttribute xmi:id="_420A62FD03B643C33E0B01B4" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7AqoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625r-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33E0B01B4">
            <body>Contains the status of the procedure record.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yEuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yE-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0zoEwIoXEd-_v4Q8joL6LQ" name="procedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_0zeTwIoXEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0zoEwYoXEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0zoEwooXEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7F7A50144" name="procedureResult" visibility="public" type="_420A62FD03B643D7DF67000A" isUnique="false" association="_420A62FD03B643D7F7A10199">
          <ownedComment xmi:id="_OAOh0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7F7A50144">
            <body>Indicates the procedure result after the procedure is done to a patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAOh1eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OAOh1uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6uRMUYoZEd-_v4Q8joL6LQ" name="relatedProcedure" visibility="public" type="_-9c0cIoXEd-_v4Q8joL6LQ" association="_6uRMUIoZEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6uRMUooZEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6uRMU4oZEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7A3AE0264" name="treatmentFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643D7A3A501AC">
          <ownedComment xmi:id="_OAEw3uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7A3AE0264">
            <body>The name of the health care facility where this procedure was performed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAEw4OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OAEw4eLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3C79F037B" name="WomensHealthPatientNotification">
        <eAnnotations xmi:id="_N7Tlk-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N7AqqeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C79F037B">
          <body>This class captures information about notification.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7B7029A" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N7Aqr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7B7029A">
            <body>Indicates the method used to notify the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7A70156" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N7AqrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7A70156">
            <body>The date the notification was first created.  It may be today's date or a date in the past.  A future date cannot be associated with this record.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bL-F8IqXEd-LN5udiCQIHw" name="dateDue" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_bL-F8YqXEd-LN5udiCQIHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_bL-F8oqXEd-LN5udiCQIHw" annotatedElement="_bL-F8IqXEd-LN5udiCQIHw">
            <body>The date that this notification will be considered delinquent or past due if it does not have a status of closed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bL-F9IqXEd-LN5udiCQIHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bL-F84qXEd-LN5udiCQIHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CAEB0267" name="datePrinted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N7KbqeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7Kbp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CAEB0267">
            <body>The date on which this letter was or will be printed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yFuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yF-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bQjgcIqWEd-LN5udiCQIHw" name="dateToPrint" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_bQjgcYqWEd-LN5udiCQIHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_bQjgcoqWEd-LN5udiCQIHw" annotatedElement="_bQjgcIqWEd-LN5udiCQIHw">
            <body>The date on which this letter should be printed.  This date can then be used for automatic printing.  For &quot;reminder&quot; letters, the date to print would typically be based on the due date of the treatment need associated with the purpose for notification.  For &quot;results&quot; letters, the date to print would typically be the date that the results are made available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bQjgdIqWEd-LN5udiCQIHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bQjgc4qWEd-LN5udiCQIHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__p6KcIoaEd-_v4Q8joL6LQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ"/>
        <ownedAttribute xmi:id="_MCpowIobEd-_v4Q8joL6LQ" name="outcomeOrResults" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pGw4MIobEd-_v4Q8joL6LQ" annotatedElement="_MCpowIobEd-_v4Q8joL6LQ">
            <body>The results or outcome, which may be a goal or an event, associated with this patient's notification.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7C90386" name="purpose" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7KbpOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7KbouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7C90386">
            <body>Indicates the reason for the notification.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yFOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yFeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB400060" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7KbruLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7KbrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB400060">
            <body>The status for this notification.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yGOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yGeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CF18410081" name="notifyingFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643CF183D0356">
          <ownedComment xmi:id="_N-4eFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CF18410081">
            <body>The name of the health care facility that initiated and printed the letter or notification.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N_CPAeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N_CPAuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3CB600229" name="WomensHealthPatientRefusal">
        <eAnnotations xmi:id="_N7mgg-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N7dWlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB600229">
          <body>This class captures information about the procedures a patient has refused.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB670070" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N7dWl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB670070">
            <body>The date the patient refused the procedure, test or examination.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB8A0374" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7mggeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7dWneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB8A0374">
            <body>Indicates a general reason for why the patient refused treatment.   </body>
          </ownedComment>
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            <body>Identifies the procedure or type of health care the patient refused.    </body>
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        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7DF67000A" name="WomensHealthProcedureResult">
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          <body>This class captures information about procedure results of a patient.</body>
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        <ownedAttribute xmi:id="_MchHlIqaEd-LN5udiCQIHw" name="areMarginsClear" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
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            <body>Contains the diagnosis or impression resulting from the cytology examination. (Bethesda Classification)  </body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7F0F801E7" name="clinicalImpression" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Contains the impression of the clinician performing the exam.   </body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7100376" name="dateResultsReceived" visibility="public" type="_420A62FD03B64244824602F5">
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            <body>Date that the results were received/uploaded from the lab.   </body>
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        <ownedAttribute xmi:id="_MchHkIqaEd-LN5udiCQIHw" name="eccDysplasiaPresent" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Indicates whether ectocervical dysplasia was present, if an insufficient tissue sample was provided, or the sample was not examined for dysplasia.  Possible values include: Yes (present), No (not present), Not performed, Insufficient tissue present, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MchHmYqaEd-LN5udiCQIHw" name="isExamSatisfactory" visibility="public">
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        <ownedAttribute xmi:id="_MchHlYqaEd-LN5udiCQIHw" name="stageAtFinalDiagnosis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
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            <body>Documents the findings after testing for sexually transmitted diseases.   </body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_MchHl4qaEd-LN5udiCQIHw" name="nbrOfLesionQuadrants" visibility="public">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CF183D0356" name="womensHealthPatientNotification_notifyingFacility" memberEnd="_420A62FD03B643CF18410081 _420A62FD03B643CF1841010D">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CFE08F00D6" name="womensHealthCaseSummary_womensHealthNotification" memberEnd="_420A62FD03B643CFE0960389 _420A62FD03B643CFE096038B">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D7A3A501AC" name="womensHealthProcedure_treatmentFacility" memberEnd="_420A62FD03B643D7A3AE0264 _420A62FD03B643D7A3AE026E">
        <ownedEnd xmi:id="_420A62FD03B643D7A3AE026E" name="" visibility="public" type="_420A62FD03B643C33BC1023E" isUnique="false" association="_420A62FD03B643D7A3A501AC"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D7F7A10199" name="womensHealthProcedure_procedureResult" memberEnd="_420A62FD03B643D7F7A50144 _420A62FD03B643D7F7A5014E">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643E2720503B9" name="womensHealthProcedure_womensHealthPatientNotification" memberEnd="_420A62FD03B643E272070159 _420A62FD03B643E272070178">
        <ownedEnd xmi:id="_420A62FD03B643E272070159" name="" visibility="public" type="_420A62FD03B643C3C79F037B" isUnique="false" association="_420A62FD03B643E2720503B9">
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            <body>Accession number of the procedure associated with this patient's notification. (composed of the procedure's abbreviated code, a four digit year and a sequential number).    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAhcyOLiEduGJrQyRGTO1A"/>
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          <ownedComment xmi:id="_OAhcy-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E272070178">
            <body>Indicates the patient's notification information for a specific accession number.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OArNweLiEduGJrQyRGTO1A"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_DVrRYIn2Ed-_v4Q8joL6LQ" name="womensHealthCaseSummary_patient" memberEnd="_DVrRYYn2Ed-_v4Q8joL6LQ _DVrRZIn2Ed-_v4Q8joL6LQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_LwvO0IoaEd-_v4Q8joL6LQ" name="womensHealthProcedureResult_diagnosisList" memberEnd="_LwvO0YoaEd-_v4Q8joL6LQ _Lw4YwIoaEd-_v4Q8joL6LQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_Kd9M0KMuEeOzLfgeAZKSFA" name="womensHealthCaseSummary_refusal" memberEnd="_Kd-a8KMuEeOzLfgeAZKSFA _KeAQIKMuEeOzLfgeAZKSFA">
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_MMS2oEDFEeO2aaQpQxRerg" name="Person">
      <eAnnotations xmi:id="_MMqqEEDFEeO2aaQpQxRerg" source="uml2.diagrams"/>
      <ownedComment xmi:id="_FDxmULa2Ed-Y0_knsxZjWg">
        <body>The Person domain contains information about Persons and other living entities.  Despite the package name, this package also includes animals, because they might be recipients of care or might be the subject of tests for either research or public health purposes.&#xD;
&#xD;
The Person domain also contains concepts associated with Persons (or Animals) when they are acting in the role of a Patient or other subject of interest in a healthcare setting.  This includes employment and occupational information as well as contact party information and next of kin information.  Concepts associated with Persons acting in the role of a healthcare provider are not modeled here, but rather in a separate Provider package.  That package also contains educational and specialty information suitable for credentialing purposes.&#xD;
&#xD;
This package contains two additional packages, one for birth certificate information and one for death certificate information.  While nearly all Persons will have a birth certificate, and eventually a death certificate, this information is not needed about Persons in every circumstance.  That having been said, some information such as birth date is typically recorded about persons and is also found on the birth certificate.  To handle these overlaps, some information is duplicated in both the Person class and the birth or death certificate observations, some observations are shared between the two (such as cause of death), and others are expected to be derivable.  Implementers have the flexibility to determine how best to instantiate these concepts for their purposes.&#xD;
&#xD;
The Person domain references three other packages: Provider, Common, and Datatypes.&#xD;
&#xD;
Concepts associated with Persons (and Organizations) acting in the role of a healthcare Provider are modeled in the Provider package.&#xD;
 &#xD;
Classes that are used in multiple domains are modeled in the Common package.&#xD;
&#xD;
The FHIM uses simple or “primitive” datatypes wherever possible, but does define several common structures.  See the Datatypes package for details on these.</body>
      </ownedComment>
      <ownedComment xmi:id="_EaFQEFO0EeOPsNTFFieZWw">
        <body>Note that the &quot;main&quot; FHIM model does not distinguish between &quot;enumerated&quot; and &quot;non-enumerated&quot; (here called UnaffilliatedPerson) persons.  Indivudual &quot;Interoperability Models&quot;, which will be derived from the FHIM, will constrain the properties that are applicable to non-enumerated Persons, such as a Person who is acting as a Contact Party.</body>
      </ownedComment>
      <ownedComment xmi:id="_Mx8ZgNJqEeSWN8ZsMae6GQ">
        <body>Note that occasionally the FHIM will contain what appear to be circular references, for example, a Biological Entity can be a Patient (asPatient), which points to Animal and Person (subject).  When implementing the FHIM, one of these paths would be deleted based on the use case.  The FHIM shows that both pathways are potentially possible, but implementations will use different mechanisms to handle this.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Package" xmi:id="_IA_wsFjGEeG6Pp3Py7p1bw" name="BirthCertificate">
        <eAnnotations xmi:id="_IBBl4FjGEeG6Pp3Py7p1bw" source="uml2.diagrams"/>
        <ownedComment xmi:id="__SIHgLvrEeGQGoDxtoz2mA" annotatedElement="_bnjtEKBCEeGlSr96AT8gww _c5yJ8KBCEeGlSr96AT8gww">
          <body>Note: The information modeled in the Mother and Father classes can be derived from the Person class or could be stored in the BirthCertificate class.  The Mother and Father classes would probably *not* be instantiated in actual implementations.</body>
        </ownedComment>
        <ownedComment xmi:id="_u4O5EKCGEeKNT6obAX9SKQ" annotatedElement="_IA_wsFjGEeG6Pp3Py7p1bw">
          <body>This package contains information necessary to populate a Person's Birth Certificate, particularly the U.S. Standard Certificate of Live Birth, Revision 11/2003.  Note that some of the information in this package may be derived from a Person's demographic record; it is left to implementations to determine whether to store such information only once in the Person record or separately in both Person and Birth Certificate records.  Such information is modeled using derived properties, which appear on the diagram with a slash in front of the property name.  When deciding when to model a data element as a property of a Person or a property of their Birth Certificate, we tended to placing it in the Birth Certificate unless that property is commonly used elsewhere.  For example, although multipleBirthOrder is rarely needed about a Person throuhout their life, it is modeled in Person because it is used for identification and billing purposes for newborns.  On the other hand, the full postal address of a person's birthplace is only needed for the birthcertificate, so it is modeled in the Birth Certificate class.  Note that the Person class has a more abbreviated birth address, consisting of city and state, that is used for identifcation purposes.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_BvzTEH2fEeGy1_tR17zNdw" name="BirthCertificate">
          <ownedComment xmi:id="_QOaFgKCFEeKNT6obAX9SKQ" annotatedElement="_BvzTEH2fEeGy1_tR17zNdw">
            <body>&quot;A birth certificate is a vital record that documents the birth of a child.  Depending on the jurisdiction, a record of birth might or might not contain verification of the event by such as a midwife or doctor.  In the U.S., the issuance of birth certificates is a function of the states.  These forms are completed by the attendant at birth or a hospital administrator, which are then forwarded to a local or state registrar, who stores the record and issues certified copies upon request.  The U.S. National Center for Health Statistics creates standard forms that are recommended for use by the individual states to document births. However, states are free to create their own forms. [adapted from wikipedia].  This class represents a Person's Birth Certificate, as defined by the U.S. Standard Certificate of Live Birth, Revision 11/2003.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_nip4oH29EeGy1_tR17zNdw" name="apgarScore5Minutes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <ownedComment xmi:id="_2r61IH8uEeGaaPUCLjdvag" annotatedElement="_nip4oH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 51].  Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 5 minutes after the birth of the infant.    &quot;The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal.&quot; - Wikipedia.</body>
            </ownedComment>
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            <ownedComment xmi:id="_gbylgH8vEeGaaPUCLjdvag" annotatedElement="_tYDlwH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 51].  Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 10 minutes after the birth of the infant.  This property is required if the 5 minute Apgar score is less than 6.    &quot;The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal.&quot; - Wikipedia.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0zIQMH29EeGy1_tR17zNdw"/>
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          <ownedAttribute xmi:id="_3eO-0H2tEeGy1_tR17zNdw" name="attendantId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_QADn0KCCEeKNT6obAX9SKQ" annotatedElement="_3eO-0H2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the National Provider Identifier (NPI) of the attending clinician.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AqNfIIyxEeaPWbBiMJSPyg" value="1"/>
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          </ownedAttribute>
          <ownedAttribute xmi:id="_wFLtoH2tEeGy1_tR17zNdw" name="attendantName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
            <ownedComment xmi:id="_0mC4oH3MEeGy1_tR17zNdw" annotatedElement="_wFLtoH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the name of the attending clinician.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BO3rYIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BO3rYYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wFM7wH2tEeGy1_tR17zNdw" name="attendantTitleCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_2hWuwH3MEeGy1_tR17zNdw" annotatedElement="_wFM7wH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the title of the attending clinician.  Choices include: MD, DO, CNM/CM, Other Midwife, or Other (if Other is chosen, attendantTitleOther is used to specify).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B7v_gIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B7v_gYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wFNi0H2tEeGy1_tR17zNdw" name="attendantTitleOther" visibility="public">
            <ownedComment xmi:id="_II07wH3NEeGy1_tR17zNdw" annotatedElement="_wFNi0H2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the title of the attending clinician.  If attendantTitleCategory is &quot;Other&quot;, then this property is used to specify.  Otherwise this property is not used.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CfXC4IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CfXC4YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_rhxN0H2iEeGy1_tR17zNdw" name="birthPlaceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
            <ownedComment xmi:id="_M5BnQH3AEeGy1_tR17zNdw" annotatedElement="_rhxN0H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Fields 06 and 07].  The address of the location (i.e., institution, home, in the car on the way to the hospital) at which the infant was born.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DMeAgIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DMenkIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_g67xAH2tEeGy1_tR17zNdw" name="birthPlaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-Kvz8H3KEeGy1_tR17zNdw" annotatedElement="_g67xAH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  Categorizes the place at which the birth occurred .  Possible values include: Hospital; Freestanding birthing center; Home birth*; Clinic/Doctor's office; or Other**.  * = if Home birth is chosen, wasHomeDeliveryPlanned is used to indicate whether a home delivery was planned.  ** = if other is chosen, birthPlaceOther provides a free text in which to describe the location.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DrEBAIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DrEBAYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_lBcUYH2iEeGy1_tR17zNdw" name="birthPlaceFacility" visibility="public">
            <ownedComment xmi:id="_8Yt2oH2_EeGy1_tR17zNdw" annotatedElement="_lBcUYH2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 05].  The name of the facility at which the infant was born.  If not a facility (e.g., at home), the street address goes in field 5 on the report, but would be retreived from the BirthPlaceAddress property; this property would be unused.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EKmcsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EKmcsYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_TrfRAH2pEeGy1_tR17zNdw" name="birthPlaceFacilityId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_oW7mgH3DEeGy1_tR17zNdw" annotatedElement="_TrfRAH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 17].  Identifies the faclity at which the child was born.  Should be the National Provider Identifier for the facility.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FCXLIIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FCXLIYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_g68YEH2tEeGy1_tR17zNdw" name="birthPlaceOther" visibility="public">
            <ownedComment xmi:id="_RGcB4H3LEeGy1_tR17zNdw" annotatedElement="_g68YEH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  Provides further details in free text regarding the place at which the birth occurred .  Used only when birthPlaceCategory is &quot;Other&quot;.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fn46EIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fn_AsIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bIjvcH29EeGy1_tR17zNdw" name="birthWeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_sfyDMH8sEeGaaPUCLjdvag" annotatedElement="_bIjvcH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 49].  The weight of the infant at birth.  Can be expressed in either pounds/ounces or grams.  The use of grams is preferred.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GL93gIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GL93gYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kkmOEH2nEeGy1_tR17zNdw" name="certifierName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
            <ownedComment xmi:id="_wHzzwH3BEeGy1_tR17zNdw" annotatedElement="_kkmOEH2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the name of the person who certified the birth of the infant.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GuofsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GuumUIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5wT94H2nEeGy1_tR17zNdw" name="certifierTitleCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-oRMgH3BEeGy1_tR17zNdw" annotatedElement="_5wT94H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the title of the person who certified the birth of the infant.  Choices include: MD, DO, Hospital Administrator, CNM/CM, Other Midwife, or Other (if Other is chosen, certifierTitleOther is used to specify.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HOtt8IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HOtt8YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BxQVgH2oEeGy1_tR17zNdw" name="certifierTitleOther" visibility="public">
            <ownedComment xmi:id="__cmzgH3BEeGy1_tR17zNdw" annotatedElement="_BxQVgH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the title of the person who certified the birth of the infant.  If certifierTitleCategory is &quot;Other&quot;, then this property is used to specify.  Otherwise this property is not used.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IHIjsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IHIjsYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LRsxAH2oEeGy1_tR17zNdw" name="dateCertified" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_PaFj4H3CEeGy1_tR17zNdw" annotatedElement="_LRsxAH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 12].  Indicates the date that the infant's birth was certified.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jl8rEIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jl8rEYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LTGfMH2oEeGy1_tR17zNdw" name="dateFiledByRegistrar" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_SnQqgH3CEeGy1_tR17zNdw" annotatedElement="_LTGfMH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 13].  Indicates the date that the birth certificate was filed by the registrar.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KLLfEIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KLLfEYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bEBqMH28EeGy1_tR17zNdw" name="dateLastNormalMensesBegan" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_VgBSMH6EEeGaaPUCLjdvag" annotatedElement="_bEBqMH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 39].  Indicates the date on which the infant's mother last experienced the beginning of a normal menstrual cycle.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kr0G8IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kr0G8YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5sZDAH2uEeGy1_tR17zNdw" name="dateOfFirstPrenatalVisit" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_uhPysH3OEeGy1_tR17zNdw" annotatedElement="_5sZDAH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 29a].  Provides the date of the first pre-natal care visit for the pregnancy resulting in this birth.  Note that Box 29a also has a &quot;No Prenatal care&quot; checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LJ_QsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LKFXUIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_NtgVAH28EeGy1_tR17zNdw" name="dateOfLastLiveBirth" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_1CPYQH6DEeGaaPUCLjdvag" annotatedElement="_NtgVAH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35c].  Indicates the date on which the last child was born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0HGlsH6DEeGaaPUCLjdvag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0HHMwH6DEeGaaPUCLjdvag" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_TcIrwH28EeGy1_tR17zNdw" name="dateOfLastOtherPregnancyOutcome" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_HMx2EH6EEeGaaPUCLjdvag" annotatedElement="_TcIrwH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 36b].  Indicates the date on which the last &quot;other pregnancy outcome (spontaneous or induced losses or ectopic pregnancies)&quot; occurred.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNSgwIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNSgwYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5uFsIH2uEeGy1_tR17zNdw" name="dateOfLastPrenatalVisit" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_4hSUQH3OEeGy1_tR17zNdw" annotatedElement="_5uFsIH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 29b].  Provides the date of the last pre-natal care visit for the pregnancy resulting in this birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MixokIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mi3vMIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Xllp4H27EeGy1_tR17zNdw" name="didMotherReceiveWicFood" visibility="public">
            <ownedComment xmi:id="_nQS4IH3PEeGy1_tR17zNdw" annotatedElement="_Xllp4H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 34].  Indicates whether the mother received Women and Infant Children (WIC) food assistance for herself during this pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NPp8sIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NPp8sYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xarTMH2oEeGy1_tR17zNdw" name="hasPaternityAcknowledgementBeenSigned" visibility="public">
            <ownedComment xmi:id="_JK_H4H3DEeGy1_tR17zNdw" annotatedElement="_xarTMH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 15].  If the isMotherMarried property is false, i.e., the infant's mother was not married at birth, conception, or any time in between, this property indicates whether the father has signed a paternity acknowlegement.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OztwcIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ozz3EIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_glUdoH2-EeGy1_tR17zNdw" name="infantTransferredToFacility" visibility="public">
            <ownedComment xmi:id="_ISCh0H8wEeGaaPUCLjdvag" annotatedElement="_glUdoH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 56].  If the infant was transferred to another facility within 24 hours of delivery (i.e., wasInfantTransferred = true), this property is used to identify the receiving facility.  Not used when wasInfantTransferred = false.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PeZFIIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PeZsMIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_1_gHQH2-EeGy1_tR17zNdw" name="isInfantBreastFed" visibility="public">
            <ownedComment xmi:id="_Zj5rMH8wEeGaaPUCLjdvag" annotatedElement="_1_gHQH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 58].  Indicates whether the infant was being breastfed at the time of discharge.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QXfQUIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QXfQUYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ppmhkH2-EeGy1_tR17zNdw" name="isInfantLiving" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UmsxYH8wEeGaaPUCLjdvag" annotatedElement="_ppmhkH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 57].  Indicates whether the infant is living at the time the report (i.e., the US Standard Certificate Of Birth) was completed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q99acIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q99acYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ARtTsH27EeGy1_tR17zNdw" name="mothersHeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_sWY4IH3jEeGy1_tR17zNdw" annotatedElement="_ARtTsH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 31].  Indicates the infant's mother height (displayed in feet/inches).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SawvoIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SawvoYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JyPOwH27EeGy1_tR17zNdw" name="mothersPrePregnancyWeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_V0M0sH3PEeGy1_tR17zNdw" annotatedElement="_JyPOwH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 32].  Indicates the weight, in pounds, that the infant's mother normally weighed before this pregnancy.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S4WqkIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S4WqkYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QKsloH27EeGy1_tR17zNdw" name="mothersWeightAtDelivery" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_aYXjcH3PEeGy1_tR17zNdw" annotatedElement="_QKsloH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 33].  Indicates the weight, in pounds, that the infant's mother weighed just before delivery.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TZ-J4IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TZ-J4YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SY1kEH2uEeGy1_tR17zNdw" name="motherTransferedFromFacility" visibility="public">
            <ownedComment xmi:id="_RNFVEH3OEeGy1_tR17zNdw" annotatedElement="_SY1kEH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 28].  If the mother was transferred from another facility for maternal medical or fetal indications for delivery (i.e., wasMotherTransferred = true), this property is used to identify the transferring facility.  Not used when wasMotherTransferred = false.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T6_zUIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T6_zUYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-rpNcH29EeGy1_tR17zNdw" name="multipleBirthOrder" visibility="public" isDerived="true">
            <ownedComment xmi:id="_-rpNcX29EeGy1_tR17zNdw" annotatedElement="_-rpNcH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 53].  Note that this property can probably be derived, as it is stored as part of the infant's Person record.  &quot;When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field.&quot; - HL7 Version 2.8, PID-25.  If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first, and which was born second.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rpNc329EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rpNcn29EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QNhlQH29EeGy1_tR17zNdw" name="newbornsMedicalRecordId" visibility="public">
            <ownedComment xmi:id="_e5-1wH6FEeGaaPUCLjdvag" annotatedElement="_QNhlQH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 48].  Uniquely identifies the newborn's medical record within the institution's set of records.  Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VgHXAIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VgHXAYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6FOG0H27EeGy1_tR17zNdw" name="numberOfChildrenNowDead" visibility="public">
            <ownedComment xmi:id="_OIt6QH3QEeGy1_tR17zNdw" annotatedElement="_6FOG0H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35b].  Indicates the number, of the children born alive to this infant's mother before this infant was born, that have since died.  Note that Box 35b has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-D0DUH27EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-D0qYH27EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wog70H27EeGy1_tR17zNdw" name="numberOfChildrenNowLiving" visibility="public">
            <ownedComment xmi:id="_s7Rd8H3PEeGy1_tR17zNdw" annotatedElement="_wog70H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35a].  Indicates the number, of the children born alive to this infant's mother before this infant was born, that are still alive.  Note that Box 35a has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rKXMH27EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rK-QH27EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_DebR4H28EeGy1_tR17zNdw" name="numberOfOtherPregnancyOutcomes" visibility="public">
            <ownedComment xmi:id="_Ebpn8H3kEeGy1_tR17zNdw" annotatedElement="_DebR4H28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 36a].  Indicates the number of &quot;other pregnancy outcomes (spontaneous or induced losses or ectopic pregnancies)&quot;  Note that Box 36a has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or this property is equal to 0.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K5FsoH28EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K5GTsH28EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xXwTUH2uEeGy1_tR17zNdw" name="numberOfPrenatalVisits" visibility="public">
            <ownedComment xmi:id="_Aj8jIH3PEeGy1_tR17zNdw" annotatedElement="_xXwTUH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 30].  Provides the number of pre-natal care visits for the pregnancy resulting in this birth.  Note that Box 29a also has a &quot;No Prenatal care&quot; checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XKB7IIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XKB7IYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dXc60H27EeGy1_tR17zNdw" name="numberOfPreviousLiveBirths" visibility="public">
            <ownedComment xmi:id="_LamjoH3PEeGy1_tR17zNdw" annotatedElement="_dXc60H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35].  Indicates the number of children born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X7ragIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X7ragYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_gy2YwH29EeGy1_tR17zNdw" name="obstetricEstimateOfGestation" visibility="public" type="_420A62FD03B64239FAA800D9">
            <ownedComment xmi:id="_vZfbQH8sEeGaaPUCLjdvag" annotatedElement="_gy2YwH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 50].  Contains an estimate of gestational age of the infant, in weeks.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yaak8IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yaak8YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_XREsIJB3EeGFF50UGueAcQ" name="plurality" visibility="public">
            <ownedComment xmi:id="_nRjtMJB3EeGFF50UGueAcQ" annotatedElement="_XREsIJB3EeGFF50UGueAcQ">
              <body>[US Standard Certificate Of Birth Field 53].  The number of fetuses delivered live or dead at any time in the pregnancy regardless of gestational age or if the fetuses were delivered at different dates in the pregnancy.  ( Reabsorbed  fetuses, those which are not  delivered   (expulsed or extracted from the mother) should not be counted.)</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZVu9sIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZVu9sYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_heOtgH28EeGy1_tR17zNdw" name="principalPaymentSourceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Vzv78H6DEeGaaPUCLjdvag" annotatedElement="_heOtgH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 38].  Identifies the principal source of payment for this delivery.  Possible values include: Private Insurance; Medicaid; Self-pay; or Other.  If Other is chosen, the principalPaymentSourceOther property provides a free text in which the payment source could be specified.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zu6SsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zu6SsYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_mZNZwH28EeGy1_tR17zNdw" name="principalPaymentSourceOther" visibility="public">
            <ownedComment xmi:id="_tawpgH6DEeGaaPUCLjdvag" annotatedElement="_mZNZwH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 38].  If the principalPaymentSourceCategory property contains &quot;Other&quot;, this property provides a free text in which the payment source could be specified.  Not used if the principalPaymentSourceCategory property is anything other than &quot;Other&quot;.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aFowoIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aFowoYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_yMqw0H2oEeGy1_tR17zNdw" name="wasHomeDeliveryPlanned" visibility="public">
            <ownedComment xmi:id="_cqWxAH3LEeGy1_tR17zNdw" annotatedElement="_yMqw0H2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  If the birth took place at home (i.e., birthPlaceCategory=&quot;Home Birth&quot;), this property indicates whether such a home delivery was planned.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_asq7cIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_asq7cYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YjZ1oH2-EeGy1_tR17zNdw" name="wasInfantTransferred" visibility="public">
            <ownedComment xmi:id="_wSfYcH8vEeGaaPUCLjdvag" annotatedElement="_YjZ1oH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 56].  Indicates whether the infant was transferred to another facility within 24 hours of delivery.  If the answer is yes, the infantTransferredToFacility property is used to identify the receiving facility.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bwo54IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bwvAgIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BaLDgH2uEeGy1_tR17zNdw" name="wasMotherTransferred" visibility="public">
            <ownedComment xmi:id="_5SXoYH3NEeGy1_tR17zNdw" annotatedElement="_BaLDgH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 28].  Indicates whether the mother was transferred from another facility for maternal medical or fetal indications for delivery.  If the answer is yes, the motherTransferedFromFacility property is used to identify the transferring facility.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cQVGkIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cQVGkYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-rp0gH29EeGy1_tR17zNdw" name="wasMultipleBirth" visibility="public" isDerived="true">
            <eAnnotations xmi:id="_-rp0gX29EeGy1_tR17zNdw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_-rp0gn29EeGy1_tR17zNdw" annotatedElement="_-rp0gH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 52].  Note that this property can probably be derived, as it is stored as part of the infant's Person record.    &quot;This field indicates whether the patient was part of a multiple birth.&quot; - HL7 Version 2.8, PID-24    If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first, and which was born second.  An indication as to whether the person was born along with other siblings as part of a single pregnancy.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rp0hH29EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rp0g329EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_yHvNgH2oEeGy1_tR17zNdw" name="wasSsnRequested" visibility="public">
            <ownedComment xmi:id="_fApMkH3DEeGy1_tR17zNdw" annotatedElement="_yHvNgH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 16].  Indicates whether a Social Security Number has been requested for the child.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dHCFEIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dHCFEYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-p4dcH2-EeGy1_tR17zNdw" name="cigaretteSmoking" visibility="public" type="_veY1kH28EeGy1_tR17zNdw" association="_-p0MAH2-EeGy1_tR17zNdw">
            <ownedComment xmi:id="_UeB7oH6CEeGaaPUCLjdvag" annotatedElement="_-p4dcH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-p5EgH2-EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-p5rkH2-EeGy1_tR17zNdw" value="4"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CcP70H2_EeGy1_tR17zNdw" name="infection" visibility="public" type="_imFucH2xEeGy1_tR17zNdw" association="_CcOGoH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_EhkFoH6HEeGaaPUCLjdvag" annotatedElement="_CcP70H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 42].  Contains a list of infections present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CcQi4H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CcQi4X2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_FimowH2_EeGy1_tR17zNdw" name="laborAndDeliveryCharacteristic" visibility="public" type="_U9vM8H2yEeGy1_tR17zNdw" association="_Fii-YH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_ipNuEH8pEeGaaPUCLjdvag" annotatedElement="_FimowH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 45].  Contains a list of observations regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fin24H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fiod8H2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_GieKUH2_EeGy1_tR17zNdw" name="maternalMorbidity" visibility="public" type="_BYA4oH20EeGy1_tR17zNdw" association="_GiZ44H2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_xRZ0kH8rEeGaaPUCLjdvag" annotatedElement="_GieKUH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 47].  Contains a list of complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GifYcH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GifYcX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_I_lF8H2_EeGy1_tR17zNdw" name="newbornAbnormalCondition" visibility="public" type="_G4UDAH21EeGy1_tR17zNdw" association="_I_hbkH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_46DOsH8wEeGaaPUCLjdvag" annotatedElement="_I_lF8H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 54].  Contains a list of abnormal conditions of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I_mUEH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I_mUEX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_KLdDMH2_EeGy1_tR17zNdw" name="newbornCongenitalAnomaly" visibility="public" type="_G60kcH21EeGy1_tR17zNdw" association="_KLbOAH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_lXviUH9UEeG8JPxVazzwbQ" annotatedElement="_KLdDMH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 55].  Contains a list of congenital anomalies of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KLdqQH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KLdqQX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HAY1YH2_EeGy1_tR17zNdw" name="obstetricProcedure" visibility="public" type="_MfZ2EH2vEeGy1_tR17zNdw" association="_HAUj8H2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_nDUesH8lEeGaaPUCLjdvag" annotatedElement="_HAY1YH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 43].  Contains a list of obstetric procedures performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HAZccH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HAZccX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Hgf40H2_EeGy1_tR17zNdw" name="onsetOfLabor" visibility="public" type="_hdA7oH2zEeGy1_tR17zNdw" association="_HgcOcH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_Djl54H8pEeGaaPUCLjdvag" annotatedElement="_Hgf40H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 44].  Contains a list of adverse events associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HghG8H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HghuAH2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_IfDLwH2_EeGy1_tR17zNdw" name="riskFactor" visibility="public" type="_LZIKgH2vEeGy1_tR17zNdw" association="_IfAvgH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_BXkEQH6GEeGaaPUCLjdvag" annotatedElement="_IfDLwH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IfDy0H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IfEZ4H2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ygRQ4H8qEeGaaPUCLjdvag" name="methodOfDelivery" visibility="public" type="_wB79oH2zEeGy1_tR17zNdw" association="_yfYgEH8qEeGaaPUCLjdvag">
            <ownedComment xmi:id="_onIMEH8rEeGaaPUCLjdvag" annotatedElement="_ygRQ4H8qEeGaaPUCLjdvag">
              <body>[US Standard Certificate Of Birth Field 46].  Contains a list of observations regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ygTtIH8qEeGaaPUCLjdvag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ygUUMH8qEeGaaPUCLjdvag" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jPyeILvrEeGQGoDxtoz2mA" name="mother" visibility="public" type="_bnjtEKBCEeGlSr96AT8gww" association="_jPhYYLvrEeGQGoDxtoz2mA">
            <ownedComment xmi:id="_HuVCULvtEeGQGoDxtoz2mA" annotatedElement="_jPyeILvrEeGQGoDxtoz2mA">
              <body>Contains demographic information about the newborn's mother.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jP1hcLvrEeGQGoDxtoz2mA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jP2IgLvrEeGQGoDxtoz2mA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ulNeQLvrEeGQGoDxtoz2mA" name="father" visibility="public" type="_c5yJ8KBCEeGlSr96AT8gww" association="_ulJM0LvrEeGQGoDxtoz2mA">
            <ownedComment xmi:id="_LjbEkLvtEeGQGoDxtoz2mA" annotatedElement="_ulNeQLvrEeGQGoDxtoz2mA">
              <body>Contains demographic information about the newborn's father.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ulOsYLvrEeGQGoDxtoz2mA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ulPTcLvrEeGQGoDxtoz2mA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_LZIKgH2vEeGy1_tR17zNdw" name="RiskFactor">
          <ownedComment xmi:id="_zdI7UH6GEeGaaPUCLjdvag" annotatedElement="_LZIKgH2vEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_yZYBAH2xEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_1NSqUH6GEeGaaPUCLjdvag" annotatedElement="_yZYBAH2xEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l82ZwIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l82ZwYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_MfZ2EH2vEeGy1_tR17zNdw" name="ObstetricProcedure">
          <ownedComment xmi:id="_ruqMcH8lEeGaaPUCLjdvag" annotatedElement="_MfZ2EH2vEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 43].  This class represents obstetric procedures performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_UpSxgH2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_sr7tAH8lEeGaaPUCLjdvag" annotatedElement="_UpSxgH2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 43].  Categorizes the obstetric procedure performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jSly8IyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jSly8YyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_eqcYQH2xEeGy1_tR17zNdw" name="PreviousCesareanDelivery">
          <ownedComment xmi:id="_8eXEMH6GEeGaaPUCLjdvag" annotatedElement="_eqcYQH2xEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 41].  If the RiskFactor encountered during this pregnancy is &quot;Mother had a previous cesarean delivery&quot; this subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
          </ownedComment>
          <generalization xmi:id="_3FjcQH2xEeGy1_tR17zNdw" general="_LZIKgH2vEeGy1_tR17zNdw"/>
          <ownedAttribute xmi:id="__oPPAH2xEeGy1_tR17zNdw" name="quantity" visibility="public">
            <ownedComment xmi:id="_BDuFwH6HEeGaaPUCLjdvag" annotatedElement="__oPPAH2xEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  The number of previous cesarean deliveries experienced by the infant's mother prior to this pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k1WmMIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k1WmMYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_imFucH2xEeGy1_tR17zNdw" name="Infection">
          <ownedComment xmi:id="_YMhF8H6KEeGaaPUCLjdvag" annotatedElement="_imFucH2xEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 42].  This class represents an infection present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_MrJEoH2yEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_axiAYH6KEeGaaPUCLjdvag" annotatedElement="_MrJEoH2yEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 42].  Categorizes an infection present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5hZM4IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5hZM4YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_U9vM8H2yEeGy1_tR17zNdw" name="LaborAndDeliveryCharacteristic">
          <ownedComment xmi:id="_sRUbUH8qEeGaaPUCLjdvag" annotatedElement="_U9vM8H2yEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 45].  This class represents an observation regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_U9vM8X2yEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_vuPOIH8qEeGaaPUCLjdvag" annotatedElement="_U9vM8X2yEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 45].  Categorizes the observation regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Ra7oIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Ra7oYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hdA7oH2zEeGy1_tR17zNdw" name="OnsetOfLabor">
          <ownedComment xmi:id="_EXPkYH8pEeGaaPUCLjdvag" annotatedElement="_hdA7oH2zEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 44].  This class represents an adverse event associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_hdA7oX2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M08wgH8pEeGaaPUCLjdvag" annotatedElement="_hdA7oX2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 44].  Categorizes an adverse event associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kE29YIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kE3kcIyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_wB79oH2zEeGy1_tR17zNdw" name="MethodOfDelivery">
          <ownedComment xmi:id="_mjvYAH8rEeGaaPUCLjdvag" annotatedElement="_wB79oH2zEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 46].  This class represents an observation regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_wB79oX2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_u9iUgH8rEeGaaPUCLjdvag" annotatedElement="_wB79oX2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 46].  Categorizes the observation regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7s9FgIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7s9FgYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_BYA4oH20EeGy1_tR17zNdw" name="MaternalMorbidity">
          <ownedComment xmi:id="_SSFnQH8sEeGaaPUCLjdvag" annotatedElement="_BYA4oH20EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 47].  This class represents a complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_BYA4oX20EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_iloHMH8sEeGaaPUCLjdvag" annotatedElement="_BYA4oX20EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 47].  Categorizes  complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6_bRIIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6_bRIYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_G4UDAH21EeGy1_tR17zNdw" name="NewbornAbnormalCondition">
          <ownedComment xmi:id="_KsbrMH8xEeGaaPUCLjdvag" annotatedElement="_G4UDAH21EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 54].  This class represents an abnormal condition of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_G4UDAX21EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_ODAlcH8xEeGaaPUCLjdvag" annotatedElement="_G4UDAX21EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 54].  Categorizes the of abnormal condition of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MmaV8IyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MmaV8YyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_G60kcH21EeGy1_tR17zNdw" name="NewbornCongenitalAnomaly">
          <ownedComment xmi:id="_RNRXoH9VEeG8JPxVazzwbQ" annotatedElement="_G60kcH21EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 55].  This class represents a congenital anomaly of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_G60kcX21EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_TO4qEH9VEeG8JPxVazzwbQ" annotatedElement="_G60kcX21EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 55].  Categorizes the congenital anomaly of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_idaecIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_idaecYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_veY1kH28EeGy1_tR17zNdw" name="CigaretteSmoking">
          <ownedComment xmi:id="_baZQ0H6CEeGaaPUCLjdvag" annotatedElement="_veY1kH28EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.  This class is modeled such that there is one instance per time period, and therefore will have up to (exactly?) four instances.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_zFs6gH28EeGy1_tR17zNdw" name="timePeriodCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_lWFd4H6CEeGaaPUCLjdvag" annotatedElement="_zFs6gH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.  This class is modeled such that there is one instance per time period, and therefore will have up to (exactly?) four instances.  This property indicates which of the four time periods is being documented by the number of cigarettes or number of packs of cigarettes properties.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-6woH28EeGy1_tR17zNdw" name="numberOfCigarettes" visibility="public">
            <ownedComment xmi:id="_9WwooH6CEeGaaPUCLjdvag" annotatedElement="_4-6woH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes the average number of cigarettes smoked per day for the time period identified by the timePeriodCategory property.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__5QskH28EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__5RToH28EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_A01kAH29EeGy1_tR17zNdw" name="numberOfPacks" visibility="public">
            <ownedComment xmi:id="_MQ8I8H6DEeGaaPUCLjdvag" annotatedElement="_A01kAH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes the average number of packs of cigarettes smoked per day for the time period identified by the timePeriodCategory property.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A01kAn29EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A01kAX29EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_-p0MAH2-EeGy1_tR17zNdw" name="birthCertificate_cigaretteSmoking" memberEnd="_-p4dcH2-EeGy1_tR17zNdw _-p8u4H2-EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_-p8u4H2-EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_-p0MAH2-EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_CcOGoH2_EeGy1_tR17zNdw" name="birthCertificate_infection" memberEnd="_CcP70H2_EeGy1_tR17zNdw _CcTmMH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_CcTmMH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_CcOGoH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_Fii-YH2_EeGy1_tR17zNdw" name="birthCertificate_laborAndDeliveryCharacteristic" memberEnd="_FimowH2_EeGy1_tR17zNdw _FirhQH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_FirhQH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_Fii-YH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_GiZ44H2_EeGy1_tR17zNdw" name="birthCertificate_maternalMorbidity" memberEnd="_GieKUH2_EeGy1_tR17zNdw _GiibwH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_GiibwH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_GiZ44H2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_HAUj8H2_EeGy1_tR17zNdw" name="birthCertificate_obstetricProcedure" memberEnd="_HAY1YH2_EeGy1_tR17zNdw _HAbRoH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_HAbRoH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_HAUj8H2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_HgcOcH2_EeGy1_tR17zNdw" name="birthCertificate_onsetOfLabor" memberEnd="_Hgf40H2_EeGy1_tR17zNdw _HgkxUH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_HgkxUH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_HgcOcH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_IfAvgH2_EeGy1_tR17zNdw" name="birthCertificate_riskFactor" memberEnd="_IfDLwH2_EeGy1_tR17zNdw _IfFoAH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_IfFoAH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_IfAvgH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_I_hbkH2_EeGy1_tR17zNdw" name="birthCertificate_newbornAbnormalCondition" memberEnd="_I_lF8H2_EeGy1_tR17zNdw _I_pXYH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_I_pXYH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_I_hbkH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_KLbOAH2_EeGy1_tR17zNdw" name="birthCertificate_newbornCongenitalAnomaly" memberEnd="_KLdDMH2_EeGy1_tR17zNdw _KLffcH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_KLffcH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_KLbOAH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_yfYgEH8qEeGaaPUCLjdvag" name="birthCertificate_methodOfDelivery" memberEnd="_ygRQ4H8qEeGaaPUCLjdvag _yghvkH8qEeGaaPUCLjdvag">
          <ownedEnd xmi:id="_yghvkH8qEeGaaPUCLjdvag" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_yfYgEH8qEeGaaPUCLjdvag"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_bnjtEKBCEeGlSr96AT8gww" name="Mother">
          <ownedComment xmi:id="_GhWR0LvtEeGQGoDxtoz2mA" annotatedElement="_bnjtEKBCEeGlSr96AT8gww">
            <body>Contains demographic information about the newborn's mother.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_q-n1wH2oEeGy1_tR17zNdw" name="isMotherMarried" visibility="public" isDerived="true">
            <ownedComment xmi:id="_Fz0XwH3DEeGy1_tR17zNdw" annotatedElement="_q-n1wH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 15].  Indicates whether the infant's mother was married at birth, conception, or any time in between.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9FwEcIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9FwEcYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xWn5oH2oEeGy1_tR17zNdw" name="isMothersMailingAddressSameAsResidence" visibility="public" isDerived="true">
            <ownedComment xmi:id="__ngmgH3CEeGy1_tR17zNdw" annotatedElement="_xWn5oH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 14].  Indicates whether the mother's mailing address and the mother's residence address at the time of the infant's birth are the same or different.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CLdaAIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CLdaAYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wcnIcH2oEeGy1_tR17zNdw" name="isMothersResidenceInsideCityLimits" visibility="public" isDerived="true">
            <ownedComment xmi:id="_pOOs0H3BEeGy1_tR17zNdw" annotatedElement="_wcnIcH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 09g].  Indicates whether the mother's residence at the time of the infant's birth is within city limits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C93HUIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C93HUYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QPLw8H2jEeGy1_tR17zNdw" name="mothersBirthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_O22JYH3BEeGy1_tR17zNdw" annotatedElement="_QPLw8H2jEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08d].  The birthplace (limited to State, Territory, or Foreign Country) of the infant's mother.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FrZroIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FrfyQIyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xyKN0H2iEeGy1_tR17zNdw" name="mothersCurrentLegalName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_bOsFQH3AEeGy1_tR17zNdw" annotatedElement="_xyKN0H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08a].  The legal name of the infant's mother at the time of the infant's birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GPOKYIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GPOKYYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3_hvAH2iEeGy1_tR17zNdw" name="mothersDateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
            <ownedComment xmi:id="_m48F4H3AEeGy1_tR17zNdw" annotatedElement="_3_hvAH2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08b].  The infant's mother's date of birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G6CB8IyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G6CpAIyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kY0xAH2pEeGy1_tR17zNdw" name="mothersEducationLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_XvpOsH3EEeGy1_tR17zNdw" annotatedElement="_kY0xAH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 20].  Categorizes the degree or level of school completed by the infant's mother at the time of delivery.  Possible values include: 8th grade or less; 9th-12th grade, no diploma; High school graduate or GED completed; Some college credit, but no degree; Associate degree (e.g., AA, AS); Bachelor's degree (e.g., BA, AB, BS); Master's degree (e.g., MA, MS, MEng, MSW, MBA); Doctorate (e.g., PhD, EdD), or Professional degree (e.g., MD, DDS, DVM, LLB, JD).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HcZIIIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HcZvMIyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_vuEqoH2sEeGy1_tR17zNdw" name="motherHispanicOriginCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_8Q-doH3EEeGy1_tR17zNdw" annotatedElement="_vuEqoH2sEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 21].  Indicates whether the infant's mother is of Hispanic origin, and if so, further categorizes her ethnicity.  Possible values include: No, not Spanish/Hispanic/Latina; Yes, Mexican, Mexican American, Chicana; Yes, Puerto Rican; Yes, Cuban; and Yes, other Spanish/Hispanic/Latina.  If &quot;Yes, other Spanish/Hispanic/Latina&quot; is chosen, then the motherHispanicOriginOther is used to further specify.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EbT8wIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EbT8wYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__BACIH2sEeGy1_tR17zNdw" name="motherHispanicOriginOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_lyBAcH3IEeGy1_tR17zNdw" annotatedElement="__BACIH2sEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 21].  If motherHispanicOriginCategory is &quot;Yes, other Spanish/Hispanic/Latina&quot;, then this free text property is used to further specify the infant's mother's ethnicity.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FHVVQIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FHbb4IyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-2Mr4H2iEeGy1_tR17zNdw" name="mothersMaidenName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_9gQ4EH3AEeGy1_tR17zNdw" annotatedElement="_-2Mr4H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08c].  The legal name of the infant's mother at the time of her birth.  Note that this might be derived from the infant's Person record, as this is used as a Person Demographic property for purposes of Identity Management.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H-70gIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_B7IIyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SQCcIH2oEeGy1_tR17zNdw" name="mothersMailingAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_q4px0H3CEeGy1_tR17zNdw" annotatedElement="_SQCcIH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 14].  The mailing address of the mother at the time of the infant's birth.  Used if different than the mothersResidenceAddress</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IgELoIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IgELoYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_n3feAH2uEeGy1_tR17zNdw" name="mothersMedicalRecordId" visibility="public" isDerived="true">
            <ownedComment xmi:id="_atws8H6FEeGaaPUCLjdvag" annotatedElement="_n3feAH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 40].  Uniquely identifies the mother's medical record within the institution's set of records.  Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JJx3AIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JJx3AYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HLYCkH2tEeGy1_tR17zNdw" name="mothersRaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_Hwf4IH3JEeGy1_tR17zNdw" annotatedElement="_HLYCkH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 22].  Indicates the race(s) that the infant's mother considers herself to be.  Possible values include: White; Black, or African American; American Indian or Alaska Native**; Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian**; Native Hawaiian; Guamanian or Chamorro; Samoan; Other Pacific Islander**; Other**.  **If Alaska Native is chosen, the mothersRaceOther free text field is used to specify the name of her enrolled or principal tribe; if Other Asian, Other Pacific Islander, or Other is chosen, the mothersRaceOther free text field is used to provide further specificity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IYcB4H3JEeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IYcB4X3JEeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HLZQsH2tEeGy1_tR17zNdw" name="mothersRaceOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_Yz_Y4H3KEeGy1_tR17zNdw" annotatedElement="_HLZQsH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 22].  Provides further specificity for the infant's mother's race.  Used only if mothersRaceCategory is Alaska Native, Other Asian, Other Pacific Islander, or Other.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KITUwIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KITUwYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5vbCgH2mEeGy1_tR17zNdw" name="mothersResidenceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_i0arEH3BEeGy1_tR17zNdw" annotatedElement="_5vbCgH2mEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 09a-f].  The address of the mother's residence at the time of the infant's birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K04t8IyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K04t8YyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hrb9sH2pEeGy1_tR17zNdw" name="mothersSsn" visibility="public" isDerived="true">
            <ownedComment xmi:id="_u4P-cH3DEeGy1_tR17zNdw" annotatedElement="_hrb9sH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 18].  The Social Security Number of the infant's mother.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L1pAUIyyEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L1pAUYyyEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_eFtKgKBCEeGlSr96AT8gww" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_eFrVUKBCEeGlSr96AT8gww">
            <ownedComment xmi:id="_XvjqQLvtEeGQGoDxtoz2mA" annotatedElement="_eFtKgKBCEeGlSr96AT8gww">
              <body>A pointer to the Person record of the newborn's mother.  This shows the logical relationship between the Mother role and the Person class, yet this property might not be actually instantiated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eFtxkKBCEeGlSr96AT8gww" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eFuYoKBCEeGlSr96AT8gww" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_c5yJ8KBCEeGlSr96AT8gww" name="Father">
          <ownedComment xmi:id="_Kcw-gLvtEeGQGoDxtoz2mA" annotatedElement="_c5yJ8KBCEeGlSr96AT8gww">
            <body>Contains demographic information about the newborn's father.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_fQw88H2nEeGy1_tR17zNdw" name="fathersBirthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_S_lgYH3BEeGy1_tR17zNdw" annotatedElement="_fQw88H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10c].  The birthplace (limited to State, Territory, or Foreign Country) of the infant's father.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0SRcoIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0SRcoYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YiAl8H2nEeGy1_tR17zNdw" name="fathersCurrentLegalName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_fvCD8H3AEeGy1_tR17zNdw" annotatedElement="_YiAl8H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10a].  The legal name of the infant's father at the time of the infant's birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_05t3IIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_050k0IyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cCBJAH2nEeGy1_tR17zNdw" name="fathersDateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
            <ownedComment xmi:id="_qB4z0H3AEeGy1_tR17zNdw" annotatedElement="_cCBJAH2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10b].  The infant's father's date of birth.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1gY1kIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1gY1kYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JwfyEH2qEeGy1_tR17zNdw" name="fathersEducationLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_ZjnGsH3EEeGy1_tR17zNdw" annotatedElement="_JwfyEH2qEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 23].  Categorizes the degree or level of school completed by the infant's father at the time of delivery.  Possible values include: 8th grade or less; 9th-12th grade, no diploma; High school graduate or GED completed; Some college credit, but no degree; Associate degree (e.g., AA, AS); Bachelor's degree (e.g., BA, AB, BS); Master's degree (e.g., MA, MS, MEng, MSW, MBA); Doctorate (e.g., PhD, EdD), or Professional degree (e.g., MD, DDS, DVM, LLB, JD).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2DCPoIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2DCPoYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O5-tAH2tEeGy1_tR17zNdw" name="fatherHispanicOriginCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_9-_-UH3HEeGy1_tR17zNdw" annotatedElement="_O5-tAH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 24].  Indicates whether the infant's father is of Hispanic origin, and if so, further categorizes her ethnicity.  Possible values include: No, not Spanish/Hispanic/Latino; Yes, Mexican, Mexican American, Chicano; Yes, Puerto Rican; Yes, Cuban; and Yes, other Spanish/Hispanic/Latino.  If &quot;Yes, other Spanish/Hispanic/Latino&quot; is chosen, then the fatherHispanicOriginOther is used to further specify.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y_4AoIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y_4AoYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O5_7IH2tEeGy1_tR17zNdw" name="fatherHispanicOriginOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_9KEsAH3IEeGy1_tR17zNdw" annotatedElement="_O5_7IH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 24].  If fatherHispanicOriginCategory is &quot;Yes, other Spanish/Hispanic/Latino&quot;, then this free text property is used to further specify the infant's father's ethnicity.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zrH9EIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zrH9EYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O6BJQH2tEeGy1_tR17zNdw" name="fathersRaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_QXnCcH3KEeGy1_tR17zNdw" annotatedElement="_O6BJQH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 25].  Indicates the race(s) that the infant's father considers himself to be.  Possible values include: White; Black, or African American; American Indian or Alaska Native**; Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian**; Native Hawaiian; Guamanian or Chamorro; Samoan; Other Pacific Islander**; Other**.  **If Alaska Native is chosen, the fathersRaceOther free text field is used to specify the name of his enrolled or principal tribe; if Other Asian, Other Pacific Islander, or Other is chosen, the fathersRaceOther free text field is used to provide further specificity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2hS48IyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2hS48YyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O6BwUH2tEeGy1_tR17zNdw" name="fathersRaceOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_qFLM0H3KEeGy1_tR17zNdw" annotatedElement="_O6BwUH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 25].  Provides further specificity for the infant's father's race.  Used only if fathersRaceCategory is Alaska Native, Other Asian, Other Pacific Islander, or Other.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3JFRsIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3JF4wIyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ttKqMH2pEeGy1_tR17zNdw" name="fathersSsn" visibility="public" isDerived="true">
            <ownedComment xmi:id="_wPDZUH3DEeGy1_tR17zNdw" annotatedElement="_ttKqMH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 19].  The Social Security Number of the infant's father.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3utuUIyxEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3utuUYyxEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_evRr8KBCEeGlSr96AT8gww" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_evNagKBCEeGlSr96AT8gww">
            <ownedComment xmi:id="_Y0J60LvtEeGQGoDxtoz2mA" annotatedElement="_evRr8KBCEeGlSr96AT8gww">
              <body>A pointer to the Person record of the newborn's father.  This shows the logical relationship between the Father role and the Person class, yet this property might not be actually instantiated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evSTAKBCEeGlSr96AT8gww" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evS6EKBCEeGlSr96AT8gww" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_eFrVUKBCEeGlSr96AT8gww" name="mother_asPerson" memberEnd="_eFtKgKBCEeGlSr96AT8gww _eFvmwKBCEeGlSr96AT8gww">
          <ownedEnd xmi:id="_eFvmwKBCEeGlSr96AT8gww" name="" visibility="public" type="_bnjtEKBCEeGlSr96AT8gww" association="_eFrVUKBCEeGlSr96AT8gww"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_evNagKBCEeGlSr96AT8gww" name="father_asPerson" memberEnd="_evRr8KBCEeGlSr96AT8gww _evVWUKBCEeGlSr96AT8gww">
          <ownedEnd xmi:id="_evVWUKBCEeGlSr96AT8gww" name="" visibility="public" type="_c5yJ8KBCEeGlSr96AT8gww" association="_evNagKBCEeGlSr96AT8gww"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_jPhYYLvrEeGQGoDxtoz2mA" name="birthCertificate_mother" memberEnd="_jPyeILvrEeGQGoDxtoz2mA _jP5y4LvrEeGQGoDxtoz2mA">
          <ownedEnd xmi:id="_jP5y4LvrEeGQGoDxtoz2mA" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_jPhYYLvrEeGQGoDxtoz2mA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ulJM0LvrEeGQGoDxtoz2mA" name="birthCertificate_father" memberEnd="_ulNeQLvrEeGQGoDxtoz2mA _ulSWwLvrEeGQGoDxtoz2mA">
          <ownedEnd xmi:id="_ulSWwLvrEeGQGoDxtoz2mA" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_ulJM0LvrEeGQGoDxtoz2mA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_E_Oo0FjGEeG6Pp3Py7p1bw" name="DeathCertificate">
        <eAnnotations xmi:id="_E_ZA4FjGEeG6Pp3Py7p1bw" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_XDFE4NmHEeChWYqvVB0Hpw" name="Informant">
          <ownedComment xmi:id="_xXHAcDG6EeGoIvbvHHPRDA" annotatedElement="_XDFE4NmHEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 13a - c].  Identifies the person who informed the authorities  of the decedent's death.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_e_cMsKCMEeKNT6obAX9SKQ" name="informantsName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_e_cMsaCMEeKNT6obAX9SKQ" annotatedElement="_e_cMsKCMEeKNT6obAX9SKQ">
              <body>[US Standard Certificate Of Death Fields 13a].  The legal name of the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WQQvoIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WQQvoYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_e_da0KCMEeKNT6obAX9SKQ" name="informantsMailingAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_e_da0aCMEeKNT6obAX9SKQ" annotatedElement="_e_da0KCMEeKNT6obAX9SKQ">
              <body>[US Standard Certificate Of Death Fields 13c].  The mailing address of the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Vrf1sIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Vrf1sYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_66PVcNmHEeChWYqvVB0Hpw" name="relationToDecedent" visibility="public">
            <ownedComment xmi:id="_2ZpGMDG6EeGoIvbvHHPRDA" annotatedElement="_66PVcNmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 13b].  Specifies the relationship between the person who informed the authorities  of the decedent's death to the decedent.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W1SvUIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1SvUYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bzBl0dmHEeChWYqvVB0Hpw" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_bzBl0NmHEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_OHKoAKCMEeKNT6obAX9SKQ" annotatedElement="_bzBl0dmHEeChWYqvVB0Hpw">
              <body>A pointer to the Person record of the informant, where name and address information may be obtained.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bzBl0tmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bzBl09mHEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_AYmwsNmKEeChWYqvVB0Hpw" name="Injury">
          <ownedComment xmi:id="_3TwP8DG4EeGoIvbvHHPRDA" annotatedElement="_AYmwsNmKEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 38 - 44].  Information related to cases where the decedents death was due to injury or poisoning.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_FxVI4NmKEeChWYqvVB0Hpw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_DbdooDG5EeGoIvbvHHPRDA" annotatedElement="_FxVI4NmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 38].  The date and time that the injury or poisoning occurred  that eventually lead to the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XsZWcIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XsZWcYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_j5AuINmKEeChWYqvVB0Hpw" name="howInjuryOccurred" visibility="public">
            <ownedComment xmi:id="_lFQCsDG5EeGoIvbvHHPRDA" annotatedElement="_j5AuINmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 43].  A textual description of how the injury occurred .</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YdcY4IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YdcY4YyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_IaVygNmKEeChWYqvVB0Hpw" name="injuryPlace" visibility="public">
            <ownedComment xmi:id="_Z2-MYDG5EeGoIvbvHHPRDA" annotatedElement="_IaVygNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 40].  The general place (such as restaurant, vacant lot, or home) where the injury occurred.  Company or organization names are not to be used. (For example,  factory , not  Standard Manufacturing, Inc. )</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZCZgEIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZCZgEYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_T0h94NmKEeChWYqvVB0Hpw" name="injuryPlaceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
            <ownedComment xmi:id="_oc1CgDG5EeGoIvbvHHPRDA" annotatedElement="_T0h94NmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 42].  The street address of the location at which the injury or poisoning occurred .</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZniNcIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZniNcYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hpQO0NmGEeChWYqvVB0Hpw" name="transportationInjuryCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-h4OEDG5EeGoIvbvHHPRDA" annotatedElement="_hpQO0NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 44].  If the injury was transportation related, this property categories whether the injury occurred  while the decedent was a: Driver/Operator, Passenger, Pedestrian, or Other.  Driver/operator and passenger should be designated for modes other than motor vehicles such as bicycles. Other applies to watercraft, aircraft, animal, or people attached to outside of vehicles (e.g. surfers).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aI8RYIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aI8RYYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_M9fNkNmKEeChWYqvVB0Hpw" name="wasWorkplaceInjury" visibility="public">
            <ownedComment xmi:id="_FMHRcDG6EeGoIvbvHHPRDA" annotatedElement="_M9fNkNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 41].  Indicates whether the injury or poisoning occurred at work.  An injury may occur at work regardless of whether the injury occurred in the course of the decedent's usual occupation.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_atB14IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_atB14YyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="__qoF0NmIEeChWYqvVB0Hpw" name="PronouncementOfDeath">
          <ownedComment xmi:id="_AfCMYDG8EeGoIvbvHHPRDA" annotatedElement="__qoF0NmIEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 24 - 31].  The opinion or determination, based on a physical assessment, that life has ceased.  A series of steps that need to occur to determine that a death has occurred. Involves examining patients to determine death, notifying families and in recording proper documentation of a death.  Death pronouncements are generally conducted by a physician.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_h-CxcN5tEeaSVd0Fmxi4nQ" name="author" visibility="public" type="__uCqINw2EeaxScmtI1Szow">
            <ownedComment xmi:id="_x0V7wN5tEeaSVd0Fmxi4nQ" annotatedElement="_h-CxcN5tEeaSVd0Fmxi4nQ">
              <body>[US Standard Certificate Of Death Field 27].  The person who pronounced or certified the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nk8IgN5tEeaSVd0Fmxi4nQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nk8Igd5tEeaSVd0Fmxi4nQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_aL_rsNmJEeChWYqvVB0Hpw" name="dateTimeOfActualOrPresumedDeath" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_XZGRMDG4EeGoIvbvHHPRDA" annotatedElement="_aL_rsNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 29 and 30].  Contains the actual or presumed date and time of death as completed by person who pronounced or certified the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bpdB4IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bpjIgIyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0YLhMNmIEeChWYqvVB0Hpw" name="dateTimePronouncedDead" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_6yutsDG3EeGoIvbvHHPRDA" annotatedElement="_0YLhMNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 24 and 25].  Date and time that the decedent was pronounced dead.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cN06QIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cN06QYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UVrYkNmJEeChWYqvVB0Hpw" name="dateTimeSigned" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_ICc3UDG4EeGoIvbvHHPRDA" annotatedElement="_UVrYkNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 28].  Date that the person who pronounced or certified the decedent's death signed the Certificate of Death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cuYpoIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cuewQIyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jKbmUNmJEeChWYqvVB0Hpw" name="wasMedicalExaminerOrCoronerContacted" visibility="public">
            <ownedComment xmi:id="_NR7z8DG4EeGoIvbvHHPRDA" annotatedElement="_jKbmUNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 31].  Indicates whether the medical examiner or coroner was contacted.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dRzfwIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dRzfwYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_SNJ_INmEEeChWYqvVB0Hpw" name="DeathCertificate">
          <ownedComment xmi:id="_TnQmADGyEeGoIvbvHHPRDA" annotatedElement="_SNJ_INmEEeChWYqvVB0Hpw">
            <body>A document issued by a medical practitioner certifying the deceased state of a person.  In the United States, this is typically the U.S. Standard Certificate of Death (Rev. 11/2003).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_5NgXIN5sEeaSVd0Fmxi4nQ" name="certifier" visibility="public" type="_420A62FD03B6418CF92600E1">
            <ownedComment xmi:id="_C_f1oN5tEeaSVd0Fmxi4nQ" annotatedElement="_5NgXIN5sEeaSVd0Fmxi4nQ">
              <body>[US Standard Certificate Of Death Fields 45, 47 - 49].  The practitioner who certified the information contained in the Certificate of Death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__rB0MN5sEeaSVd0Fmxi4nQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__rB0Md5sEeaSVd0Fmxi4nQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0xaOoNmKEeChWYqvVB0Hpw" name="dateFiled" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_xrWEsDGyEeGoIvbvHHPRDA" annotatedElement="_0xaOoNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 50].  The date the Certificate of Death was filed with the Registrar.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L7qTUIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L7qTUYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_NPUhQNmGEeChWYqvVB0Hpw" name="didTobaccoUseContribute" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_9DS0YDGyEeGoIvbvHHPRDA" annotatedElement="_NPUhQNmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 35].  Indicates whether it is the opinion of the Medical Certifier that the use of tobacco contributed to he person's death.  Possible values include: Yes, No, Probably, Unknown.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Msuj4IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Msuj4YyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_61KTENmFEeChWYqvVB0Hpw" name="dispositionCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_MFQ-wDGzEeGoIvbvHHPRDA" annotatedElement="_61KTENmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 18].  Categories the method of the disposition of the body.  Possible values include: Burial, Cremation, Donation, Entombment, Removal from State.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bZFuIDGzEeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bZFuITGzEeGoIvbvHHPRDA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_W78ssNmIEeChWYqvVB0Hpw" name="dispositionOther" visibility="public">
            <ownedComment xmi:id="_akbXADGzEeGoIvbvHHPRDA" annotatedElement="_W78ssNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 18].  A textual description of the method of the disposition of the body, when none of possible values of dispositionCategory applies (in other words, a description for &quot;Other&quot;).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d6zc8DGzEeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d6zc8TGzEeGoIvbvHHPRDA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_v22IMNmBEeChWYqvVB0Hpw" name="mannerOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_WNi9UNmCEeChWYqvVB0Hpw" annotatedElement="_v22IMNmBEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 37].  Categorizes the underlying cause of death.  Possible values include: Natural, Homicide, Accident, Suicide, Pending Investigation, Could not be Determined.  For more details, see http://www.cdc.gov/nchs/data/misc/hb_cod.pdf </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OtDc4IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OtDc4YyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0kEvgNmFEeChWYqvVB0Hpw" name="placeOfDeathCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_0kEvgdmFEeChWYqvVB0Hpw" annotatedElement="_0kEvgNmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 14].  Categories the location of the person's death.  Possible values include: If death occurred  in a Hospital:  Inpatient, Emergency Room/Outpatient, Dead on Arrival; If death occurred  somewhere other than in a Hospital:  Hospice facility, Nursing home/Long term care facility, Decedent s home.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PWsPwIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PWsPwYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_n66IMNmIEeChWYqvVB0Hpw" name="placeOfDeathOther" visibility="public">
            <ownedComment xmi:id="_e6FTMDG0EeGoIvbvHHPRDA" annotatedElement="_n66IMNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 14].  A textual description of the place of death, when none of possible values of placeOfDeath applies (in other words, a description for &quot;Other&quot;).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QBF3oIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QBF3oYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_WApM8NmGEeChWYqvVB0Hpw" name="pregnancyStatusCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_BJ_SEDG1EeGoIvbvHHPRDA" annotatedElement="_WApM8NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 36].  If the decedent is female, this property provides an indication of whether she was pregnant at or near the time of death.  This information is important in determining pregnancy-related mortality.  Possible values include: Not pregnant within past year, Pregnant at time of death, Not pregnant, but pregnant within 42 days of death, Not pregnant, but pregnant 43 days to 1 year before death, Unknown if pregnant within the past year.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BrA7gDG1EeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BrA7gTG1EeGoIvbvHHPRDA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_PXggUNmHEeChWYqvVB0Hpw" name="survivingSpousesName" visibility="public">
            <ownedComment xmi:id="_UR9BcDG1EeGoIvbvHHPRDA" annotatedElement="_PXggUNmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 10].  If the decedent was married at the time of death, this property contains the full name of the surviving spouse. If the surviving spouse is the wife, her name prior to first marriage should be entered. This item is used in establishing proper insurance settlements and other survivor benefits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RJlJsIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RJlJsYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QnyR4NmGEeChWYqvVB0Hpw" name="wasAutopsyFindingsAvailable" visibility="public">
            <ownedComment xmi:id="_kNWuMDG1EeGoIvbvHHPRDA" annotatedElement="_QnyR4NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 34].  If an autopsy was performed, this property indicates whether the autopsy findings were available to complete the cause of death.  This property should be null (i.e., &quot;blank&quot;) if no autopsy was performed.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RzpaYIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RzpaYYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JYzisNmGEeChWYqvVB0Hpw" name="wasAutopsyPerformed" visibility="public">
            <ownedComment xmi:id="_k3URMDG1EeGoIvbvHHPRDA" annotatedElement="_JYzisNmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 33].  Indicates whether either a partial or full autopsy was performed.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Scm30IyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Scm30YyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_iwEiYNmFEeChWYqvVB0Hpw" name="wasEverInArmedForces" visibility="public">
            <ownedComment xmi:id="_C8mCsDG2EeGoIvbvHHPRDA" annotatedElement="_iwEiYNmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 8].  Indicates whether the decedent was ever in the U.S. Armed Forces.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TAzxEIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TAzxEYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bplA0NmFEeChWYqvVB0Hpw" name="wasResidenceInsideCityLimits" visibility="public">
            <ownedComment xmi:id="_J2TsgDG2EeGoIvbvHHPRDA" annotatedElement="_bplA0NmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 7g].  Indicates whether the decedent's residence is inside city limits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TuVlcIyzEeaPWbBiMJSPyg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TuVlcYyzEeaPWbBiMJSPyg" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bMDFYdmHEeChWYqvVB0Hpw" name="informant" visibility="public" type="_XDFE4NmHEeChWYqvVB0Hpw" association="_bMDFYNmHEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_spieEDG6EeGoIvbvHHPRDA" annotatedElement="_bMDFYdmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 13a - c].  Identifies the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bMDFYtmHEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bMDFY9mHEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Mmf70dmIEeChWYqvVB0Hpw" name="facilityAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" association="_Mmf70NmIEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_nbwucDG2EeGoIvbvHHPRDA" annotatedElement="_Mmf70dmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 15 - 17].  Place at which death occurred.  If death did not occur at an institution, only the address is used.  Note that the address includes County.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mmf70tmIEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mmf709mIEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_er1JgNmIEeChWYqvVB0Hpw" name="funeralFacility" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_errYgNmIEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_rTw6wDG2EeGoIvbvHHPRDA" annotatedElement="_er1JgNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 21 and 23].  Identifies the funeral facility, including license information.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_er1JgdmIEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_er1JgtmIEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ncBXUdmJEeChWYqvVB0Hpw" name="pronouncementOfDeath" visibility="public" type="__qoF0NmIEeChWYqvVB0Hpw" association="_ncBXUNmJEeChWYqvVB0Hpw">
            <ownedComment xmi:id="__n2FsDG7EeGoIvbvHHPRDA" annotatedElement="_ncBXUdmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 24 - 31].  The opinion or determination, based on a physical assessment, that life has ceased.  A series of steps that need to occur to determine that a death has occurred. Involves examining patients to determine death, notifying families and in recording proper documentation of a death.  Death pronouncements are generally conducted by a physician.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ncBXUtmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ncBXU9mJEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ZLA6YdmKEeChWYqvVB0Hpw" name="injury" visibility="public" type="_AYmwsNmKEeChWYqvVB0Hpw" association="_ZLA6YNmKEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_22ly0DG4EeGoIvbvHHPRDA" annotatedElement="_ZLA6YdmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 38 - 44].  Information related to cases where the decedents death was due to injury or poisoning.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZLA6YtmKEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZLA6Y9mKEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_bMDFYNmHEeChWYqvVB0Hpw" name="deathCertificate_informant" memberEnd="_bMDFYdmHEeChWYqvVB0Hpw _bMMPUNmHEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_bMMPUNmHEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_bMDFYNmHEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bMMPUdmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bMMPUtmHEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_Mmf70NmIEeChWYqvVB0Hpw" name="deathCertificate_facilityAtDeath" memberEnd="_Mmf70dmIEeChWYqvVB0Hpw _Mmf71NmIEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_Mmf71NmIEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_Mmf70NmIEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mmf71dmIEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mmf71tmIEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ncBXUNmJEeChWYqvVB0Hpw" name="deathCertificate_pronouncementOfDeath" memberEnd="_ncBXUdmJEeChWYqvVB0Hpw _ncLIUNmJEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_ncLIUNmJEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_ncBXUNmJEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ncLIUdmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ncLIUtmJEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_errYgNmIEeChWYqvVB0Hpw" name="deathCertificate_funeralFacility" memberEnd="_er1JgNmIEeChWYqvVB0Hpw _er1Jg9mIEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_er1Jg9mIEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_errYgNmIEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_er1JhNmIEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_er1JhdmIEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ZLA6YNmKEeChWYqvVB0Hpw" name="deathCertificate_injury" memberEnd="_ZLA6YdmKEeChWYqvVB0Hpw _ZLA6ZNmKEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_ZLA6ZNmKEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_ZLA6YNmKEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZLA6ZdmKEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZLA6ZtmKEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_bzBl0NmHEeChWYqvVB0Hpw" name="informant_asPerson" memberEnd="_bzBl0dmHEeChWYqvVB0Hpw _bzLW0NmHEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_bzLW0NmHEeChWYqvVB0Hpw" name="" visibility="public" type="_XDFE4NmHEeChWYqvVB0Hpw" association="_bzBl0NmHEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bzLW0dmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bzLW0tmHEeChWYqvVB0Hpw" value="1"/>
          </ownedEnd>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sdrb8I0tEeCD3bb30FJGhQ" name="AdvanceDirective">
        <ownedComment xmi:id="_nN9-EJX6EeCD7vwmJe8BlA" annotatedElement="_sdrb8I0tEeCD3bb30FJGhQ">
          <body>A legal document (as a living will or durable power of attorney for healthcare) signed by a competent person to provide guidance for medical and health-care decisions (as the termination of life support or organ donation) in the event the person becomes incompetent to make such decisions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zUydsI0tEeCD3bb30FJGhQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OP9UQJXtEeCD7vwmJe8BlA" annotatedElement="_zUydsI0tEeCD3bb30FJGhQ">
            <body>Categorizes the kind of Advance Directive.&#xD;
&quot;Indicates the patient's instructions to the healthcare facility.&quot; - HL7 Version 2.8, PD1-15.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4p1i0Is9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4p2J4Is9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YVyVwAYwEeGz0dkadElrkQ" name="comments" visibility="public">
          <ownedComment xmi:id="_roDrkDG9EeGoIvbvHHPRDA" annotatedElement="_YVyVwAYwEeGz0dkadElrkQ">
            <body>Remarks concerning the Advance Directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JAsc4MJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JAtD8MJLEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S38RAMJaEeK_EPjbFxtubQ" name="dateLastVerified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_m2_ZYMJaEeK_EPjbFxtubQ" annotatedElement="_S38RAMJaEeK_EPjbFxtubQ">
            <body>&quot;The date that ... the advance directive [was] last validated.&quot; - HL7 Version 2.8, PD1-21.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XdGeQMJaEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XdHFUMJaEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zUx2oI0tEeCD3bb30FJGhQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_df5CIJXtEeCD7vwmJe8BlA" annotatedElement="_zUx2oI0tEeCD3bb30FJGhQ">
            <body>The time period over which the Advance Directive is effective.  Note that the end date is typically blank for active Advance Directives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LqfwsMJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LqfwscJLEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O8sfcAYwEeGz0dkadElrkQ" name="image" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_isUfoDG9EeGoIvbvHHPRDA" annotatedElement="_O8sfcAYwEeGz0dkadElrkQ">
            <body>A scanned image of the signed paper form, if applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kJmV8DG9EeGoIvbvHHPRDA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kJmV8TG9EeGoIvbvHHPRDA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SP7x0AYwEeGz0dkadElrkQ" name="paperLocator" visibility="public">
          <ownedComment xmi:id="_pw4ukDG9EeGoIvbvHHPRDA" annotatedElement="_SP7x0AYwEeGz0dkadElrkQ">
            <body>Information to locate the original paper form, if applicable.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kos8gMJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KotjkMJLEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eXxsYJXtEeCD7vwmJe8BlA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_eXxsYZXtEeCD7vwmJe8BlA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_eXxsYpXtEeCD7vwmJe8BlA" annotatedElement="_eXxsYJXtEeCD7vwmJe8BlA">
            <body>Indicates the state of the Advance Directive, as defined in the Act state-transition model in the HL7 RIM.  Possible values include: New, Held, Canceled, Active, Suspended, Aborted, Completed, Nullified, and Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eXxsZJXtEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eXxsY5XtEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oYIbwO_4Ed6OG-vjYTopTQ" name="AnimalPatient">
        <ownedComment xmi:id="_q51eYALOEd-4q5si9Q3m-w" annotatedElement="_oYIbwO_4Ed6OG-vjYTopTQ">
          <body>A specialization of the Patient role containing information specific to non-human patients.</body>
        </ownedComment>
        <generalization xmi:id="_OALocBA1Ed-2E9qx-lgHBg" general="_420A62FD03B6418A4E500034"/>
        <ownedAttribute xmi:id="_CFWpcYVKEd-6PJo369YzhQ" name="subject" visibility="public" type="_N8vOgOaWEd6YGfoXAoNmMA" association="_CFWpcIVKEd-6PJo369YzhQ">
          <ownedComment xmi:id="_bSEY0O6uEd-crcWiXVDZrQ" annotatedElement="_CFWpcYVKEd-6PJo369YzhQ">
            <body>Pointer to the animal playing the role of patient (AnimalPatient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CFWpcoVKEd-6PJo369YzhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CFWpc4VKEd-6PJo369YzhQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KBfhMOEVEd6EKMSYA1gKjA" name="BiologicalEntity" isAbstract="true">
        <ownedComment xmi:id="_PUrMYBqMEd-j8JC21F3W2A" annotatedElement="_KBfhMOEVEd6EKMSYA1gKjA">
          <body>This class represents an organism, whether it is currently alive or not.  This class is equivalent to the HL7 V3 Living Subject class.</body>
        </ownedComment>
        <generalization xmi:id="_covX0BA2Ed-2E9qx-lgHBg" general="_MF0JYOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_9kHJAFjvEeG6Pp3Py7p1bw" name="isOrganDonor" visibility="public">
          <ownedComment xmi:id="_GX22kFjwEeG6Pp3Py7p1bw" annotatedElement="_9kHJAFjvEeG6Pp3Py7p1bw">
            <body>Indicates whether the patient has consented to be an organ donor upon their demise.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DLCVQMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DLC8UMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ey3dgIq5Ed-W_sKBWcwIbA" name="age" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_diPhUIq5Ed-W_sKBWcwIbA" annotatedElement="_Ey3dgIq5Ed-W_sKBWcwIbA">
            <body>The length of time that an organism has lived.  Note that this property will typically be derived or calculated as needed, and as such may not always be present as a separate concept.  Added 7/8/10 for vMR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QZQ44Iq5Ed-W_sKBWcwIbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QZQ44Yq5Ed-W_sKBWcwIbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tmvb0Pc6Ed-hU-zq4VwY5Q" name="ageAtDeath" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_EC7pIPdIEd-hU-zq4VwY5Q" annotatedElement="_tmvb0Pc6Ed-hU-zq4VwY5Q">
            <body>The length of time that a now-deceased organism had lived. Note that this property will typically be derived or calculated as needed, and as such may not always be present as a separate concept. Added 11/23/2010 for Problem List.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tmyfIvc6Ed-hU-zq4VwY5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tmyfIfc6Ed-hU-zq4VwY5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h_4ZcMChEeGTTrvHOo3_pw" name="ageGroup" visibility="public" isDerived="true">
          <ownedComment xmi:id="_h_4ZccChEeGTTrvHOo3_pw" annotatedElement="_h_4ZcMChEeGTTrvHOo3_pw">
            <body>This is a user-defined property that categorizes a person or animal entity based on their age.  The strata used to classify the entity vary according to the purpose of use, therefore this property is derived and ought never be considered outside the context of the stratification.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h_4Zc8ChEeGTTrvHOo3_pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h_4ZcsChEeGTTrvHOo3_pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E8690032C" name="dateOfBirth" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yKfUsBqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6426E8690032C">
            <body>The date and time of the birth or hatching of the living subject.&#xD;
&#xD;
&quot;The patient's date and time of birth.&quot; - HL7 Version 2.8, PID-7.&#xD;
&quot;The next of kin/associated party's birth date and time.&quot; - HL7 Version 2.8, NK1-16.&#xD;
&quot;The birth date for the person.&quot; - HL7 FHIR, Person.birthDate.&#xD;
&quot;The date of birth for the individual.&quot; - HL7 FHIR, Patient.birthDate.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_E_gMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_E_gcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E008E" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NQP2YeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_24iYMBqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E008E">
            <body>This property contains the date (and optionally time) that the subject died. If the date of death is known, the isDeceased property should be set to true.  However, in some cases it might only be known that the subject is deceased while the actual date of death might be unknown, so it is possible that the isDeceased property could be true even though this dateOfDeath property is empty.&#xD;
&#xD;
&quot;Contains the date and time at which the patient death occurred.&quot; - HL7 Version 2.8, PID-29.&#xD;
&quot;Indicates if the individual is deceased or not.&quot; - HL7 FHIR, Patient.deceased[x]. Note that FHIR has a single concept with a choice of datatypes (dateTime or boolean), thus FHIR handles both the dateOfDeath and isDeceased concepts in a single field. The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLLuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLL-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E00AD" name="isDeceased" visibility="public">
          <eAnnotations xmi:id="_NQP2b-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_7SKq4BqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E00AD">
            <body>This property indicates whether or not the subject is deceased.  Among other uses, this field (as an alternative to examining the date of death) is often used to quickly separate living patients from dead ones.  If the date of death is known, this field could be calculated on the basis of whether the date of death is filled in.  However, in some cases it might only be known that the patient is deceased while the actual date of death might be unknown.  Therefore this property is not modeled as a calculated field, but can be manually populated.&#xD;
&#xD;
&quot;Indicates whether the patient is deceased.&quot; - HL7 Version 2.8, PID-30.&#xD;
&quot;Indicates if the individual is deceased or not.&quot; - HL7 FHIR, Patient.deceased[x]. Note that FHIR has a single concept with a choice of datatypes (dateTime or boolean), thus FHIR handles both the dateOfDeath and isDeceased concepts in a single field. The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLNOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLNeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q_1pgOm_Ed6i8ZcSzaiIHw" name="multipleBirthOrder" visibility="public">
          <ownedComment xmi:id="_AM4RYBqNEd-j8JC21F3W2A" annotatedElement="_Q_1pgOm_Ed6i8ZcSzaiIHw">
            <body>If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first and which was born second.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.&#xD;
&quot;When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field.&quot; - HL7 Version 2.8, PID-25.&#xD;
&quot;Indicates whether the patient is part of a multiple or indicates the actual birth order.&quot; - HL7 FHIR, Patient.multipleBirth[x]. Note that FHIR has a single concept with a choice of datatypes (boolean or integer), thus FHIR handles both the multipleBirthOrder and wasMultipleBirth concepts in a single field. The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FBH68AIMEd-VSqNkiZ4fOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FBH68QIMEd-VSqNkiZ4fOA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E007E" name="wasMultipleBirth" visibility="public">
          <eAnnotations xmi:id="_NQ1sROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_I9UMQBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E007E">
            <body>This property serves as an indication as to whether the person was born along with other siblings as part of a single pregnancy.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.&#xD;
&quot;Indicates whether the patient was part of a multiple birth.&quot; - HL7 Version 2.8, PID-24.&#xD;
&quot;Indicates whether the patient is part of a multiple or indicates the actual birth order.&quot; - HL7 FHIR, Patient.multipleBirth[x]. Note that FHIR has a single concept with a choice of datatypes (boolean or integer), thus FHIR handles both the multipleBirthOrder and wasMultipleBirth concepts in a single field. The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLRuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLR-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456339840258" name="asPatient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B64563398301DB">
          <ownedComment xmi:id="_TzgNcC6SEd6RGqZb7W4v4w" annotatedElement="_420A62FD03B6456339840258">
            <body>Pointer to the role of a person or animal as a recipient of health care services from a healthcare provider.  Note that if the person or animal is a research subject, a different association (asResearchSubject) is used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NUtfsuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NUtfs-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E2uWQNmUEeChWYqvVB0Hpw" name="causeOfDeath" visibility="public" type="_7TcCINmTEeChWYqvVB0Hpw" association="_E2r6ANmUEeChWYqvVB0Hpw">
          <ownedComment xmi:id="_z22ucDG8EeGoIvbvHHPRDA" annotatedElement="_E2uWQNmUEeChWYqvVB0Hpw">
            <body>A pointer to zero or more Cause Of Death instances that provide information on the condition(s) that caused or contributed to the death of the organism.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2u9UNmUEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2vkYNmUEeChWYqvVB0Hpw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7TcCINmTEeChWYqvVB0Hpw" name="CauseOfDeath">
        <ownedComment xmi:id="_NMLG4On-EeCkWsmL2aWuUQ" annotatedElement="_7TcCINmTEeChWYqvVB0Hpw">
          <body>The condition(s) that caused or contributed to the death of the organism.    For Humans, the U.S. Standard Certificate of Death (Rev 11/2003) requires the entry of &quot;the chain of events-diseases, injuries, or complications-that directly caused the death&quot;, beginning with the &quot;immediate cause (final disease or condition resulting in death)&quot; and ending with the &quot;underlying cause (disease or injury that initiated the events resulting in death).&quot;  Note the CDC Center for Vital Statistics is required to report this information to the World Health Organization (WHO).  The WHO requires that this data be reported using ICD-10 codes.  For Non-humans, the coding system to be used for non-humans has not been determined at this time.  Added 11/23/2010 for Problem List.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_nPnSANmUEeChWYqvVB0Hpw" name="causeOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nPnSAdmUEeChWYqvVB0Hpw" annotatedElement="_nPnSANmUEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Field 32].  A condition that caused or contributed to the death of the organism.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nPnSA9mUEeChWYqvVB0Hpw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nPnSAtmUEeChWYqvVB0Hpw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cbKQ8NmUEeChWYqvVB0Hpw" name="precedence" visibility="public">
          <ownedComment xmi:id="_OUwwoDG9EeGoIvbvHHPRDA" annotatedElement="_cbKQ8NmUEeChWYqvVB0Hpw">
            <body>Causal order of the cause of death entries, i.e., primary, secondary, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7xYikIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7xZJoIs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jrPhcNmWEeChWYqvVB0Hpw" name="timeInterval" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_ET_2UDG9EeGoIvbvHHPRDA" annotatedElement="_jrPhcNmWEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Field 32].  The approximate interval between onset of the identified condition and death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8NsrIIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8NsrIYs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rcGNABsvEd--ZY2-pbJ-Pw" name="Citizen">
        <ownedComment xmi:id="_eV2hoDA6Ed-1aYBV65Lrnw" annotatedElement="_rcGNABsvEd--ZY2-pbJ-Pw">
          <body>'A native or naturalized member of a state or nation who owes allegiance to its government and is entitled to its protection' - Dictionary.com&#xD;
&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4x_3IRsvEd--ZY2-pbJ-Pw" name="country" visibility="public" type="_mHCz4BsvEd--ZY2-pbJ-Pw" association="_4x_3IBsvEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_J0AYwDA7Ed-1aYBV65Lrnw" annotatedElement="_4x_3IRsvEd--ZY2-pbJ-Pw">
            <body>'A relatively large group of people organized under a single, usually independent government; a country.' - American Heritage Dictionary.  An organization created to govern a country, which has the power to grant citizenship to its people.&#xD;
&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4x_3IhsvEd--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4x_3IxsvEd--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Lpwo8I3oEeC71dGAKsmahg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_85j44JNqEeCyufOLCDZkFA" annotatedElement="_Lpwo8I3oEeC71dGAKsmahg">
            <body>The time period during which the person is or was a citizen of the associated Nation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Otk_QI3oEeC71dGAKsmahg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OtlmUI3oEeC71dGAKsmahg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64248829E032E" name="ContactParty">
        <eAnnotations xmi:id="_NThM1OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_7YV5cBqOEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64248829E032E">
          <body>The person who should be contacted on the patients behalf under specified situations.&#xD;
&quot;A contact party (e.g. guardian, partner, friend) for the patient.&quot; - HL7 FHIR, Patient.contact.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_p4Fc0AMxEeKTM4I4vlc5xg" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_p3ZgUAMxEeKTM4I4vlc5xg">
          <ownedComment xmi:id="_GdnYgKCTEeKNT6obAX9SKQ" annotatedElement="_p4Fc0AMxEeKTM4I4vlc5xg">
            <body>A pointer to a Person who is acting in the Role of ContactParty.&#xD;
&quot;A name associated with the contact person.&quot; - HL7 FHIR, Patient.contact.name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p4HSAAMxEeKTM4I4vlc5xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p4HSAQMxEeKTM4I4vlc5xg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6455390F101F8" name="contactCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JPzRIBqSEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6455390F101F8">
            <body>Indicates the circumstances under which this person is the contact party for the person identified in the owning Person class.&#xD;
&quot;Indicates the specific relationship role....  This field specifies the role that the next of kin/associated parties plays with regard to the patient.&quot; - HL7 Version 2.8, NK1-7.  See HL7 Table 131 for suggested values.&#xD;
&quot;The nature of the relationship between the patient and the contact person.&quot; - HL7 FHIR, Patient.contact.relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XQYIAOoEEeCkWsmL2aWuUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XQYIAeoEEeCkWsmL2aWuUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KCvJ0AS7EeKZRNRj-xVwIw" name="contactReason" visibility="public">
          <ownedComment xmi:id="_PFMXEAS7EeKZRNRj-xVwIw" annotatedElement="_KCvJ0AS7EeKZRNRj-xVwIw">
            <body>&quot;Identifies how the contact should be used (e.g., contact employer if patient is unable to work).&quot; - HL7 Version 2.8, NK1-29.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1u6UAS7EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1vhYAS7EeKZRNRj-xVwIw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64248831F005A" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_LSoEgBqSEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64248831F005A">
            <body>The date range during which this person is a contact party for the patient.&#xD;
&quot;The start date of the contact role.&quot; - HL7 Version 2.8, NK1-8.&#xD;
&quot;The end date of the contact role.&quot; - HL7 Version 2.8, NK1-9.&#xD;
&quot;The period during which this contact person or organization is valid to be contacted relating to this patient.&quot; - HL7 FHIR, Patient.contact.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dwQU0MJOEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dwQ74MJOEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_397OgFjtEeG6Pp3Py7p1bw" name="isPrimaryContact" visibility="public">
          <ownedComment xmi:id="_B4Z6oFjuEeG6Pp3Py7p1bw" annotatedElement="_397OgFjtEeG6Pp3Py7p1bw">
            <body>Indicates whether this person is the primary one to contact.  Added for MyHealtheVet.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hjhLEMJOEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hjhyIMJOEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3yy8ARPHEee2yObkTlcn4g" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_3yy8ABPHEee2yObkTlcn4g">
          <ownedComment xmi:id="_LfizcBPIEee2yObkTlcn4g" annotatedElement="_3yy8ARPHEee2yObkTlcn4g">
            <body>If the Contact Party is representing an Organization, this is a pointer to that Organization.&#xD;
&quot;Organization on behalf of which the contact is acting or for which the contact is working.&quot; - HL7 FHIR, Patient.contact.organization</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3yy8AhPHEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3yy8AxPHEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C_PE0BQAEee2yObkTlcn4g" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_C_PE0RQAEee2yObkTlcn4g" annotatedElement="_C_PE0BQAEee2yObkTlcn4g">
            <body>Indicates how the target Person serving in the Contact Party role is related to the person identified in the owning Person class.&#xD;
&quot;The nature of the relationship between the patient and the contact person.&quot; - HL7 FHIR, Patient.contact.relationship</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C_PE0xQAEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C_PE0hQAEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mHCz4BsvEd--ZY2-pbJ-Pw" name="Country">
        <ownedComment xmi:id="_H7pI8DA7Ed-1aYBV65Lrnw" annotatedElement="_mHCz4BsvEd--ZY2-pbJ-Pw">
          <body>&quot;A community of people composed of one or more nationalities and possessing a more or less defined territory and government.&quot; – Merriam-Webster.  An organization created to govern a country, which has the power to grant citizenship to its people.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_N5_kkBswEd--ZY2-pbJ-Pw" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Tz_3ADA7Ed-1aYBV65Lrnw" annotatedElement="_N5_kkBswEd--ZY2-pbJ-Pw">
            <body>Identifies the country.&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6SYN8Is9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6SY1AIs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A501902C7" name="Worker">
        <eAnnotations xmi:id="_NPfofeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_cFvOoBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A501902C7">
          <body>This class represents information about a person in the role of an employee of some organization.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Ldad8Jo6EeeTspZjMaHiqg" name="daysWorkedPerWeek" visibility="public">
          <ownedComment xmi:id="_6jtGEA3NEeie6_BiWHdsTA" annotatedElement="_Ldad8Jo6EeeTspZjMaHiqg">
            <body>The typical number of days worked in a week by a person at one job.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ldad85o6EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ldad8po6EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q-x98ANSEeKTM4I4vlc5xg" name="employeeId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_0-z2oANSEeKTM4I4vlc5xg" annotatedElement="_Q-x98ANSEeKTM4I4vlc5xg">
            <body>&quot;The number that the employer assigns to the employee that is acting as next of kin/associated parties. However, if the contact role is the patient's employer, this field contains the employee number of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Rc4sAinEeKmtKel3KkMBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6RdfwAinEeKmtKel3KkMBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642131AEA03BA" name="employmentDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_frXRgBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B642131AEA03BA">
            <body>The date range during which a person is an employee in a given employment relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaMuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaM-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3EGbcJo5EeeTspZjMaHiqg" name="hoursWorkedPerDay" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="__NkNIA3NEeie6_BiWHdsTA" annotatedElement="_3EGbcJo5EeeTspZjMaHiqg">
            <body>The number of hours worked in a day or shift at one job by a person. For those working a split shift (divided into two parts that are separated by an interval longer than a normal rest period), it is the total of both periods of time in a shift.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3EGbc5o5EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3EGbcpo5EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5e-gYLZJEeGWl-7OlqBMDw" name="industryClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5uJ58LZLEeGWl-7OlqBMDw" annotatedElement="_5e-gYLZJEeGWl-7OlqBMDw">
            <body>Categorizes the type of industry in which the person is/was engaged. Note that this property is required, and that wherever possible, a code is expected. In the few cases where a person is engaged in an industry that does not fit the current content of the coding system, it is expected that the code.displayText property will be utilized to hold free text, and that the code.nullFlavor will contain a value of unencoded.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k7sFoOV0EeGA8s9JtidNVQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k7sssOV0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rDSNkJo8EeeTspZjMaHiqg" name="isCurrent" visibility="public">
          <eAnnotations xmi:id="_rDSNkZo8EeeTspZjMaHiqg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rDSNk5o8EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rDSNkpo8EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YSbokJo6EeeTspZjMaHiqg" name="jobDuty" visibility="public">
          <eAnnotations xmi:id="_YSbokZo6EeeTspZjMaHiqg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_EPYhMA3OEeie6_BiWHdsTA" annotatedElement="_YSbokJo6EeeTspZjMaHiqg">
            <body>The regular actions performed at a single job.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSbolJo6EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSbok5o6EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64266779500EB" name="jobTitle" visibility="public">
          <eAnnotations xmi:id="_NPWej-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_pHUOkBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64266779500EB">
            <body>The title of the job held, for example, Vice President, Senior Technical Analyst. This is the employer's term for the work performed by the employee, that doesn't necessarily correspond to any scheme for categorizing occupation.&#xD;
&quot;The title of the next of kin/associated parties at their place of employment.  However, if the contact role is the patient's employer, this field contains the job title of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-10.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaNOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaNeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oFBQruwVEd6PwKowkorMOw" name="occupationClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_soBVMBqNEd-j8JC21F3W2A" annotatedElement="_oFBQruwVEd6PwKowkorMOw">
            <body>Categorizes the type of work in which the person is/was engaged. Note that this property is required, and that wherever possible, a code is expected. In the few cases where a person is engaged in an occupation that does not fit the current content of the coding system, it is expected that the code.displayText property will be utilized to hold free text, and that the code.nullFlavor will contain a value of unencoded.&#xD;
&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The employer's job code and the employee classification used for the next of kin/associated parties at their place of employment. However, if the contact role is the patient's employer, this field contains the job code/class of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oFBQsuwVEd6PwKowkorMOw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oFBQsewVEd6PwKowkorMOw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N2p7UJo8EeeTspZjMaHiqg" name="occupationalHazard" visibility="public">
          <eAnnotations xmi:id="_N2p7UZo8EeeTspZjMaHiqg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_WPa_MA3OEeie6_BiWHdsTA" annotatedElement="_N2p7UJo8EeeTspZjMaHiqg">
            <body>A hazard that is specific to a person's work or work environment for a single job and with which the person might come in contact. A hazard is a source of potential harm to an individual's physical or mental health (e.g., biological, chemical, physical, psychological, radiological).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N2p7U5o8EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N2p7Upo8EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PWDDwJo3EeeTspZjMaHiqg" name="supervisoryLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oYiq0LtHEeeo-pbyiB8NZw" annotatedElement="_PWDDwJo3EeeTspZjMaHiqg">
            <body>Code system is in PhinVads.  Got some Loinc codes but waiting on snomed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PWDDw5o3EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PWDDwpo3EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EXqYsJo5EeeTspZjMaHiqg" name="workClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2JddALtHEeeo-pbyiB8NZw" annotatedElement="_EXqYsJo5EeeTspZjMaHiqg">
            <body>The classification of a person's job (one job) as defined by compensation and sector (e.g. paid, unpaid, self-employed, government, etc.). This is different from employment status: a person who is a volunteer (work classification) may have chosen not to be in the labor force (employment status). See PhinVads: 2.16.840.1.114222.4.11.7597</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EXqYs5o5EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EXqYspo5EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_t1OREJo5EeeTspZjMaHiqg" name="workSchedule" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_GTOV4LtIEeeo-pbyiB8NZw" annotatedElement="_t1OREJo5EeeTspZjMaHiqg">
            <body>see phin vads: 2.16.840.1.114222.4.11.7130</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_t1ORE5o5EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_t1OREpo5EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aP2xshAyEd-2E9qx-lgHBg" name="workAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_w7ZO4BqNEd-j8JC21F3W2A" annotatedElement="_aP2xshAyEd-2E9qx-lgHBg">
            <body>The person's office address.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nzsTMMJPEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nzsTMcJPEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aP2xsBAyEd-2E9qx-lgHBg" name="workPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1ZWA4BqNEd-j8JC21F3W2A" annotatedElement="_aP2xsBAyEd-2E9qx-lgHBg">
            <body>The person's office telephone number.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_og4wYMJPEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_og5XcMJPEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rbFH0LZJEeGWl-7OlqBMDw" name="Employer">
        <ownedComment xmi:id="_mIs9ULZLEeGWl-7OlqBMDw" annotatedElement="_rbFH0LZJEeGWl-7OlqBMDw">
          <body>A person or business that employs one or more people, especially for wages or salary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0eJq0LZJEeGWl-7OlqBMDw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_0eFZYLZJEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_qf_GoLZLEeGWl-7OlqBMDw" annotatedElement="_0eJq0LZJEeGWl-7OlqBMDw">
            <body>Pointer to the organization playing the role of employer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0eK48LZJEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0eLgALZJEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MF0JYOEVEd6EKMSYA1gKjA" name="Entity" isAbstract="true">
        <ownedComment xmi:id="__7Ux4BqNEd-j8JC21F3W2A" annotatedElement="_MF0JYOEVEd6EKMSYA1gKjA">
          <body>'A physical thing, group of physical things or an organization capable of participating in Acts while in a role.  An entity is a physical object that has, had or will have existence. The only exception to this is Organization, which while not having a physical presence, fulfills the other characteristics of an Entity.  Entity stipulates the thing itself, not the Roles it may play: the Role of Patient, e.g., is played by the Person Entity.'  HL7 RIM.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8ABmQBsXEd--ZY2-pbJ-Pw" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_RcE4IBsYEd--ZY2-pbJ-Pw" annotatedElement="_8ABmQBsXEd--ZY2-pbJ-Pw">
            <body>An identifier that uniquely identifies the individual.  Note that this property can hold more than one value, and that the datatype contains an indicator of the kind of identifier that is assigned.  For example, a Person record might contain an SSN, a driver's license number, and a locally-assigned id.  These identifiers, while different, all identify the same individual.  However, the FHIM calls out certain Ids that are specifically required.  For example, the Person class explictly contains an SSN property.  In the case when an Id is explicitly modeled, that Id type should not be included in this property.  Therefore, an SSN should not be instantiated in this property, because a separate SSN field exists for that purpose.&#xD;
&quot;This field contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3&#xD;
&quot;Identifier for a person within a particular scope.&quot; - HL7 FHIR, Person.identifier.&#xD;
&quot;Identifier for the organization that is used to identify the organization across multiple disparate systems.&quot; - HL7 FHIR, Organization.identifier&#xD;
&quot;Identifier for a person within a particular scope.&quot; - HL7 FHIR, RelatedPerson.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_to6m4IAbEeGE1-mzJa42fw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_to7N8IAbEeGE1-mzJa42fw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vDN9UF-OEd-WjrW-OJ9BNQ" name="HealthRecord">
        <ownedComment xmi:id="_vDN9UV-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9UF-OEd-WjrW-OJ9BNQ">
          <body>This class is used to store a reference to the health record that is the subject of the consent rules in the Consent Directive.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_vDN9Ul-OEd-WjrW-OJ9BNQ" name="recordId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_vDN9U1-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9Ul-OEd-WjrW-OJ9BNQ">
            <body>The id of the record that is the target of a consent directive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vDN9VV-OEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vDN9VF-OEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vDN9Vl-OEd-WjrW-OJ9BNQ" name="recordLocation" visibility="public">
          <ownedComment xmi:id="_vDN9V1-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9Vl-OEd-WjrW-OJ9BNQ">
            <body>The location of the record that is the target of a consent directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vDN9WV-OEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vDN9WF-OEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_l0XegO_4Ed6OG-vjYTopTQ" name="HumanPatient">
        <ownedComment xmi:id="_uyCgQBqOEd-j8JC21F3W2A" annotatedElement="_l0XegO_4Ed6OG-vjYTopTQ">
          <body>A specialization of the Patient role containing information specific to only human patients (such as confidentiality code).&#xD;
&#xD;
Notes:&#xD;
We removed veryImportantPerson code (4/4/2013) because we do not have a use-case for it.  It was perhaps more useful pre-HIPAA for privacy reasons, or intra-organizational for special treatment purposes, but we do not foresee any inter-organizational requirements at this time.  Note that this property mapped to PV1-16.</body>
        </ownedComment>
        <generalization xmi:id="_NU0XQBA1Ed-2E9qx-lgHBg" general="_420A62FD03B6418A4E500034"/>
        <ownedAttribute xmi:id="_dTlJsFLTEd-aupaAgPbDFw" name="subject" visibility="public" type="_420A62FD03B6425125E800E0" association="_dTbYsFLTEd-aupaAgPbDFw">
          <ownedComment xmi:id="_l4DbUIVLEd-6PJo369YzhQ" annotatedElement="_dTlJsFLTEd-aupaAgPbDFw">
            <body>Pointer to the person who is playing the role of patient (HumanPatient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dTlJsVLTEd-aupaAgPbDFw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dTlJslLTEd-aupaAgPbDFw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A95BD037E" name="LanguageCapability">
        <eAnnotations xmi:id="_NRInM-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_FLhqwBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A95BD037E">
          <body>The language communication capabilities for a Person.&#xD;
&quot;The patient's primary language.  HL7 recommends using ISO table 639&quot; - HL7 Version 2.8, PID-15.&#xD;
&quot;The next of kin/associated party's primary speaking language.&quot; - HL7 Version 2.8, NK1-20.&#xD;
&quot;Languages which may be used to communicate with the patient about his or her health&quot; - HL7 FHIR, Patient.communication.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6418A994A0104" name="isPreferred" visibility="public">
          <eAnnotations xmi:id="_NQ_dROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_I4KUkBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A994A0104">
            <body>Specifies whether or not the language is preferred by the person for the associated method of expression.&#xD;
&quot;Indicates whether or not the Patient prefers this language (over other languages he masters up a certain level).&quot; - HL7 FHIR, Patient.communication.preferred.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLSOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLSeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A96D500A5" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KjvsoBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A96D500A5">
            <body>A language for which the Person has some level of proficiency for written or spoken communication.&#xD;
&quot;The patient's primary language.  HL7 recommends using ISO table 639&quot; - HL7 Version 2.8, PID-15.&#xD;
&quot;The next of kin/associated party's primary speaking language.&quot; - HL7 Version 2.8, NK1-20.&#xD;
&quot;The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case. E.g. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English.&quot; - HL7 FHIR, Patient.communication.language.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLSuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLS-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A983702B7" name="methodOfExpression" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MFyuMBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A983702B7">
            <body>The means by which the person is capable of communicating in the language.  Examples of method of expression would be written and spoken.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLTOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLTeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A98AA03A3" name="proficiencyLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_NRInMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_OJ-McBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A98AA03A3">
            <body>&quot;A value representing the level of proficiency in a language.&quot; - HL7 V3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLTuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLT-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N8vOgOaWEd6YGfoXAoNmMA" name="Animal">
        <ownedComment xmi:id="_L_cjsBqREd-j8JC21F3W2A" annotatedElement="_N8vOgOaWEd6YGfoXAoNmMA">
          <body>A subtype of LivingSubject that includes all animals except the species homo sapiens which might be the subject of Healthcare-related activities. Note that this class does not include microorganisms, insects, plants, etc. A separate MicroOrganism class exists in Laboratory to handle identification of microorganisms in Laboratory Tests.&#xD;
&quot;This patient is known to be an animal.&quot; - HL7 FHIR, Patient.animal</body>
        </ownedComment>
        <generalization xmi:id="_XYBsIBA2Ed-2E9qx-lgHBg" general="_KBfhMOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_420A62FD03B6455395A201F1" name="biologicalSex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NQixVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6455395A201F1">
            <body>The sex of a living subject.  Note that the biological sex is different from administrative gender which is defined for administrative purposes.  This attribute reflects the karyotypic sex of the patient, regardless of whether sexual organs may have been altered.  For example, a neutered dog will still have the same underlying chromosomes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gMzrsI3nEeC71dGAKsmahg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gM050I3nEeC71dGAKsmahg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aQFIEIVKEd-6PJo369YzhQ" name="name" visibility="public">
          <ownedComment xmi:id="_sjImEO6wEd-crcWiXVDZrQ" annotatedElement="_aQFIEIVKEd-6PJo369YzhQ">
            <body>A name used to identify the non-human individual.  Typically used only when the individual is a pet or a beast of burden.  Examples include &quot;Spot&quot;, &quot;Fido&quot;, &quot;Seattle Slew&quot;. Note that this property is typically not used when the subject is a lower order organism or a stock animal.&#xD;
&quot;Contains one or more of the names of the patient....  For animals, if a Name Type of &quot;R&quot; is used, use &quot;Name Context&quot; to identify the authority with which the animal's name is registered.&quot; - HL7 Version 2.8, PID-5.&#xD;
&quot;A name associated with the individual.&quot; - HL7 FHIR, Patient.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SK7cAMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SK8DEMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QGMWELKLEeK_s63jeeMxMg" name="isNeutered" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_602C4LKLEeK_s63jeeMxMg" annotatedElement="_QGMWELKLEeK_s63jeeMxMg">
            <body>Indicates whether the animal has been altered such that they cannot procreate.  Note that information that the animal has been neutered can also be modeled in a clinical domain as a procedure or observation, however it is captured in this domain as a simple property.&#xD;
&quot;Indicates the current state of the animal's reproductive organs.&quot; - HL7 FHIR, Patient.animal.genderStatus. Note that FHIR models this concept as a code with values Neutered, Intact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_agejoLKLEeK_s63jeeMxMg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_agfKsLKLEeK_s63jeeMxMg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l4p8UOOSEd-8X4J7aT-aiQ" name="primaryIntent" visibility="public">
          <ownedComment xmi:id="_uq_VUO6uEd-crcWiXVDZrQ" annotatedElement="_l4p8UOOSEd-8X4J7aT-aiQ">
            <body>&quot;The primary use for which the living subject was bred or grown.&quot; - HL7 Version 2.8, PID-38.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGOZUMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGPAYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KpChwIVKEd-6PJo369YzhQ" name="organismTaxon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0JMqcO6uEd-crcWiXVDZrQ" annotatedElement="_KpChwIVKEd-6PJo369YzhQ">
            <body>A categorization of non-human biological entities. Possible values include canine, German Shepherd, staphylococcus aureus, etc.&#xD;
Note that breed is no longer a stand-alone concept, as this information is included in the SNOMED species hierarchy.  Thus, this property handles both species and breed, and the separate breed property was removed.&#xD;
&#xD;
&quot;The species of living organism.  This may include the common or scientific name, based on the coding system(s) used.  SNOMED is the recommended coding system.&quot; - HL7 Version 2.8, PID-35.&#xD;
&quot;The specific breed of animal.  This field, unlike Species and Strain is specific to animals and cannot be generally used for all living organisms.  SNOMED is the recommended coding system.&quot; - HL7 Version 2.8, PID-36.&#xD;
&quot;Identifies the high level taxonomic categorization of the kind of animal.&quot; - HL7 FHIR, Patient.animal.species.&#xD;
&quot;Identifies the detailed categorization of the kind of animal.&quot; - HL7 FHIR, Patient.animal.breed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eWspkGy2EeKS_YH7dVt7vw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eWtQoGy2EeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Np3dgJ1WEeKGRqm0H7Eu1A" name="OccupationalHistoryObservation">
        <ownedComment xmi:id="_5Q4agC7CEeiK-Nu2QYEazg" annotatedElement="_Np3dgJ1WEeKGRqm0H7Eu1A">
          <body>**An observation of the occupations that a person has held over time. Ideally this will contain all the occupations that a person held over their lifetime, but it may contain only a partial set, or a set of relevant jobs.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7WdIoLTsEee8ToGyn6JwPw" name="combatZoneWorkObservation" visibility="public" type="_f2n5IJpCEeeTspZjMaHiqg" association="_7WTXoLTsEee8ToGyn6JwPw">
          <ownedComment xmi:id="_yiRqkAw-Eei1jIj8YfdPPg" annotatedElement="_7WdIoLTsEee8ToGyn6JwPw">
            <body>Pointer to the period of time a person's work is or was in a combat zone. In addition to military personnel, civilians also may work or have worked in a combat zone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7WdIobTsEee8ToGyn6JwPw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7WdIorTsEee8ToGyn6JwPw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FmDz4E42EeOOotSac0xoEA" name="currentIndustryClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_FmDz4U42EeOOotSac0xoEA" annotatedElement="_FmDz4E42EeOOotSac0xoEA">
            <body>A categorization of the type of activity in which an organization is engaged.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FmDz4042EeOOotSac0xoEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FmDz4k42EeOOotSac0xoEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BSY_QE42EeOOotSac0xoEA" name="currentOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_BSY_QU42EeOOotSac0xoEA" annotatedElement="_BSY_QE42EeOOotSac0xoEA">
            <body>&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The employer's job code and the employee classification used for the next of kin/associated parties at their place of employment. However, if the contact role is the patient's employer, this field contains the job code/class of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-11.&#xD;
Phin Vads 2.16.840.1.114222.4.11.7186</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BSY_Q042EeOOotSac0xoEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BSY_Qk42EeOOotSac0xoEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k_CfAEGrEeOEEpWN37sQ2g" name="dateObserved" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vnUFQEGrEeOEEpWN37sQ2g" annotatedElement="_k_CfAEGrEeOEEpWN37sQ2g">
            <body>The date upon which the observation of the Person's Occupational History was made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pdHz4EGrEeOEEpWN37sQ2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pdIa8EGrEeOEEpWN37sQ2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xcyKcZo1EeeTspZjMaHiqg" name="pastOrPresentJobObservation" visibility="public" type="_DiyjAJo1EeeTspZjMaHiqg" association="_xcyKcJo1EeeTspZjMaHiqg">
          <ownedComment xmi:id="_DSkMYAxJEei1jIj8YfdPPg" annotatedElement="_xcyKcZo1EeeTspZjMaHiqg">
            <body>Pointer to individual work positions that a person has held over time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xcyKcpo1EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xcyKc5o1EeeTspZjMaHiqg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BpV2ILtHEeeo-pbyiB8NZw" name="retirement" visibility="public" type="_AoO-cLtHEeeo-pbyiB8NZw" association="_BpUA8LtHEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_Tvw_oAw-Eei1jIj8YfdPPg" annotatedElement="_BpV2ILtHEeeo-pbyiB8NZw">
            <body>Pointer to a person's self-identified retirement date. A person may retire multiple times.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BpWdMLtHEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BpXEQLtHEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OvALkOV1EeGA8s9JtidNVQ" name="usualIndustry" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OvALk-V1EeGA8s9JtidNVQ" annotatedElement="_OvALkOV1EeGA8s9JtidNVQ">
            <body>The kind of industry in which the Person normally works; generally this will be the industry in which the Person has longest worked.&#xD;
Phin Vads 2.16.840.1.114222.4.11.7187</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OvALleV1EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OvALlOV1EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__IYcAOV0EeGA8s9JtidNVQ" name="usualOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__IYcAuV0EeGA8s9JtidNVQ" annotatedElement="__IYcAOV0EeGA8s9JtidNVQ">
            <body>The kind of work in which the Person has been engaged the most amount of time.&#xD;
&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
Note that the definition of this property needs to be refined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__IYcBOV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__IYcA-V0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8zk5sLtJEeeo-pbyiB8NZw" name="usualOccupationStartYear" visibility="public">
          <ownedComment xmi:id="_G3M2YBfyEeiwcpUehaEhrA" annotatedElement="_8zk5sLtJEeeo-pbyiB8NZw">
            <body>The year when a person first started working in their usual occupation.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YKZ_kLtYEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YKZ_kbtYEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UQyyYBSXEeKpJeaG5gXc6Q" name="usualOccupationYears" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_xlc_QBSXEeKpJeaG5gXc6Q" annotatedElement="_UQyyYBSXEeKpJeaG5gXc6Q">
            <body>The length of time in years in which the Person has been engaged in the occupation in which he or she has longest held.  Added for Public Health Reporting Initiative, 10/12/2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZSgYwBSXEeKpJeaG5gXc6Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZSg_0BSXEeKpJeaG5gXc6Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9_9I8AQAEeKZsvne-rOhhA" name="OrganizationalRepresentative">
        <ownedComment xmi:id="_CD6toAQBEeKZsvne-rOhhA" annotatedElement="_9_9I8AQAEeKZsvne-rOhhA">
          <body>Represents an Organization that has an interest in or may represent a Person, for example, a Veteran Service Organization.&#xD;
&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SEkAUAS9EeKZRNRj-xVwIw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_SEkAUQS9EeKZRNRj-xVwIw" annotatedElement="_SEkAUAS9EeKZRNRj-xVwIw">
            <body>&quot;The addresses of the contact person depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically used when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-32.&#xD;
&quot;Address for the contact person.&quot; - HL7 FHIR, Patient.contact.address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SEkAUwS9EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SEkAUgS9EeKZRNRj-xVwIw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ecamoPm7EeSJ3abZ9RQzyQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_ecamofm7EeSJ3abZ9RQzyQ" annotatedElement="_ecamoPm7EeSJ3abZ9RQzyQ">
            <body>The date range during which this person is a contact party for the patient.&#xD;
&quot;The start date of the contact role.&quot; - HL7 Version 2.8, NK1-8.&#xD;
&quot;The end date of the contact role.&quot; - HL7 Version 2.8, NK1-9.&#xD;
&quot;The period during which this contact person or organization is valid to be contacted relating to this patient.&quot; - HL7 FHIR, Patient.contact.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ecamo_m7EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ecamovm7EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DoRcUAQBEeKZsvne-rOhhA" name="name" visibility="public">
          <ownedComment xmi:id="_G7xNYAQBEeKZsvne-rOhhA" annotatedElement="_DoRcUAQBEeKZsvne-rOhhA">
            <body>&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.&#xD;
&quot;Organization on behalf of which the contact is acting or for which the contact is working.&quot; - HL7 FHIR, Patient.contact.organization.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yNTkQIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yNTkQYs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SEiyMAS9EeKZRNRj-xVwIw" name="pointOfContactName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_SEiyMQS9EeKZRNRj-xVwIw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_SEiyMwS9EeKZRNRj-xVwIw" annotatedElement="_SEiyMAS9EeKZRNRj-xVwIw">
            <body>&quot;Contains one or more of the names of the person to contact, depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically needed when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-30.&#xD;
&quot;A name associated with the contact person.&quot; - HL7 FHIR, Patient.contact.name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SEiyNQS9EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SEiyNAS9EeKZRNRj-xVwIw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SEkAVAS9EeKZRNRj-xVwIw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_SEkAVQS9EeKZRNRj-xVwIw" annotatedElement="_SEkAVAS9EeKZRNRj-xVwIw">
            <body>&quot;The telephone numbers of the contact person depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically needed when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-31.&#xD;
&quot;A contact detail for the person, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Patient.contact.telecom.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d5n58MJTEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d5ohAMJTEeK_EPjbFxtubQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Tagw0RPGEee2yObkTlcn4g" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_Tagw0BPGEee2yObkTlcn4g">
          <ownedComment xmi:id="_nAeq0BPGEee2yObkTlcn4g" annotatedElement="_Tagw0RPGEee2yObkTlcn4g">
            <body>Pointer to the Organization that is acting as a representative for the Person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tagw0hPGEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tagw0xPGEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A4E500034" name="Patient">
        <eAnnotations xmi:id="_NPWeguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_RFfQcBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A4E500034">
          <body>A role of a person or animal as a recipient of health care services from a healthcare provider.&#xD;
&quot;Demographics and other administrative information about an individual or animal receiving care or other health-related services.&quot; - HL7 FHIR, Patient</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2-aeMNghEeG3E4mt6RKX5Q" name="beginDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Gbo6MKChEeKNT6obAX9SKQ" annotatedElement="_2-aeMNghEeG3E4mt6RKX5Q">
            <body>The first date upon which the Person or Animal was a Patient of the associated Healthcare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HkQ_UMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HkRmYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8a5VANghEeG3E4mt6RKX5Q" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ywg_wKChEeKNT6obAX9SKQ" annotatedElement="_8a5VANghEeG3E4mt6RKX5Q">
            <body>The last date upon which the Person or Animal was a Patient of the associated Healthcare Provider.  For inactive patients, particularly in outpatient situations, this date is often not known.  Each organization will set its own rules regarding when a patient is no longer considered active, often if they have not seen nor heard from the patient in over a year.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_INC2kMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_INDdoMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VL1fMNrKEd-fKY5dgJoxiA" name="mothersIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_B_P0QO6vEd-crcWiXVDZrQ" annotatedElement="_VL1fMNrKEd-fKY5dgJoxiA">
            <body>A unique identifer for the person's mother.&#xD;
&quot;This field is used, for example, as a link field for newborns.  Typically a patient ID or account number may be used.  This field can contain multiple identifiers for the same mother.&quot; - HL7 Version 2.8, PID-21.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_enUiMNrKEd-fKY5dgJoxiA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_enUiMdrKEd-fKY5dgJoxiA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422B959E03BD" name="patientId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_XPxocBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6422B959E03BD">
            <body>A unique identifier for the Person or Animal while in the role of Patient.  Note that the patient Id is assigned by the Healthcare Provider (organization), and that the Id data type includes an assigning authority component which identifies the organization that assigned the id.  A single Person will typically have multiple patient Ids; one at each organization which considers that Person a Patient.&#xD;
&quot;Contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3.&#xD;
&quot;An identifier for this patient.&quot; - HL7 FHIR, Patient.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaLuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaL-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424898A200CA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NPMthOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424898A200CA">
            <body>Indicates the state of the Patient Role instance.  This property is used, among other purposes, to determine whether the Patient should be included in a particular population, such as the &quot;denominator&quot; for various quality-reporting criteria.  Possible values are Active, Inactive-Moved or gone elsewhere, Inactive-Lost to follow up, Inactive-Unspecified, Inactive-Permanently.  Note that the preceeding four Inactive states correspond to the V3 Terminated state.&#xD;
&#xD;
Note that for public health reporting purposes, this status indicates the active/inactive status of the patient at the provider site level. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.&#xD;
&#xD;
&quot;Whether this patient record is in active use.&quot; - HL7 FHIR, Patient.active.  Note that FHIR has a boolean field indicating that the patient is active or not, while the FHIM has a more expressive set of statuses. A FHIM value of Active would correspond to true in FHIR, while all of the Inactive status types would correspond to a false in FHIR. When migrating from FHIR to FHIM, a false would translate to Inactive-Unspecified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaLOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8AqXcNgeEeG3E4mt6RKX5Q" name="managingOrganization" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_8AmGANgeEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_kgiRMKChEeKNT6obAX9SKQ" annotatedElement="_8AqXcNgeEeG3E4mt6RKX5Q">
            <body>Pointer to the Healthcare Provider that has established a Patient record for the Person or Animal being treated.  Note that the Patient class represents a Role that the Person or Animal is playing; the Healthcare Provider is &quot;scoping&quot; that role.  A single Person will have multiple Patient roles with different Healthcare Providers, and may have more than one with the same Provider, especially in in-patient settings.&#xD;
&quot;Organization that is the custodian of the patient record.&quot; - HL7 FHIR, Patient.managingOrganization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8ArlkNgeEeG3E4mt6RKX5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8ArlkdgeEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-xnv4V-OEd-WjrW-OJ9BNQ" name="healthRecord" visibility="public" type="_vDN9UF-OEd-WjrW-OJ9BNQ" association="_-xnv4F-OEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_UutWUO6qEd-crcWiXVDZrQ" annotatedElement="_-xnv4V-OEd-WjrW-OJ9BNQ">
            <body>Pointer to records regarding the Patient's healthcare that are subject to the consent rules in Consent Directives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-xnv4l-OEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-xnv41-OEd-WjrW-OJ9BNQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U3ehQKyOEeSUSIBAyhZNow" name="encounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_U3UwQKyOEeSUSIBAyhZNow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U3oSQKyOEeSUSIBAyhZNow"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U3oSQayOEeSUSIBAyhZNow" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tISoYPm_EeSJ3abZ9RQzyQ" name="assignedProvider" visibility="public" type="_Z01ekBPeEeaECq32HH3IBA" association="_tIPlEPm_EeSJ3abZ9RQzyQ">
          <ownedComment xmi:id="_z9HLIPm_EeSJ3abZ9RQzyQ" annotatedElement="_tISoYPm_EeSJ3abZ9RQzyQ">
            <body>Pointer to clinician who has been assigned to or elected by the Patient for certain responsibilities. This relationship will typically be used to identify the patient's Primary Care Physician in outpatient situations or the Attending Physician in inpatient situations.&#xD;
&quot;Patient's nominated care provider.&quot; - HL7 FHIR, Patient.generalPractitioner</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tITPcPm_EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tITPcfm_EeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e7wp0Is3EeaDlJMTsPFiaQ" name="assignedFacility" visibility="public" type="_UXhPAIs3EeaDlJMTsPFiaQ" association="_e7rxUIs3EeaDlJMTsPFiaQ">
          <ownedComment xmi:id="_53nCkIyzEeaPWbBiMJSPyg" annotatedElement="_e7wp0Is3EeaDlJMTsPFiaQ">
            <body>Pointer to organization location which has been assigned to or elected by the Patient  in order to schedule care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7ztIIs3EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e70UMIs3EeaDlJMTsPFiaQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425125E800E0" name="Person">
        <eAnnotations xmi:id="_NQ1sRuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_i9W_ABqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6425125E800E0">
          <body>This class represents a human being of interest to the enterprise.  The person may potentially play many different roles, including those of a patient, a provider, or an employee.  It is noted that the same person may play different roles at different times.  For example, an employee may also be a licensed healthcare provider and may also at times be a patient.&#xD;
&quot;Demographics and administrative information about a person independent of a specific health-related context.&quot; - HL7 FHIR, Person&#xD;
&#xD;
Notes:&#xD;
Removed educationLevel (4/4/2013) until we have a clear use case for it. It's in the HL7 RIM, but not in V2. Note that education information for provider credentialling is in Provider.&#xD;
We had an ethnicityGroup and raceCategory to handle more coarse-grained codesets, but removed them as the ethnicity and race codes are expected to use hierarchical fine-grained codesets. The groups or categories can be calculated from the fine ones.</body>
        </ownedComment>
        <generalization xmi:id="_Z5rJgBA2Ed-2E9qx-lgHBg" general="_KBfhMOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_BfKyMBAlEd-2E9qx-lgHBg" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_Z8iewBqTEd-j8JC21F3W2A" annotatedElement="_BfKyMBAlEd-2E9qx-lgHBg">
            <body>A physical address at which the person is located or can be reached. The datatype for this property is Address which contains a type code to indicate what kind of address is being referenced. Note that this property can contain more than one entry.&#xD;
&#xD;
&quot;Contains the address of the patient.  Multiple addresses for the same person may be sent.&quot; - HL7 Version 2.8, PID-11.&#xD;
&quot;One or more addresses for the person.&quot; - HL7 FHIR, Person.address.&#xD;
&quot;Addresses for the individual.&quot; - HL7 FHIR, Patient.address.&#xD;
&quot;Address for the contact person.&quot; - HL7 FHIR, Patient.contact.address</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YLf-UCKUEeCBocG0Z_rtrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YLpIQCKUEeCBocG0Z_rtrQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LM4rUHwDEeCp-57mUxyZlg" name="administrativeGender" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LM4rUXwDEeCp-57mUxyZlg" annotatedElement="_LM4rUHwDEeCp-57mUxyZlg">
            <body>&quot;Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks&quot; - HITSP C154&#xD;
&#xD;
&quot;The gender (i.e., the behavioral, cultural, or psychological traits typically associated with one sex) of a living subject as defined for administrative purposes.  This attribute does not include terms related to clinical gender.  Gender is a complex physiological, genetic, and sociological concept that requires multiple observations in order to be comprehensively described.  The purpose of this attribute is to provide a high-level classification that can also be used for the appropriate allocation of inpatient bed assignment. - HL7 Version 3 RIM.&#xD;
&#xD;
Note that the this concept is restricted to those societal roles as perceived in the United States and other Western cultures.&#xD;
&#xD;
&quot;The patient's sex.&quot; - HL7 Version 2.8, PID-8.&#xD;
&quot;The next of kin/associated party's sex.&quot; - HL7 Version 2.8, NK1-15.&#xD;
HL7 Version 2 has the following suggested values (table 1): Female; Male; Other; Unknown; Ambiguous; Not applicable.&#xD;
&quot;Administrative Gender.&quot; - HL7 FHIR, Person.gender.&#xD;
&quot;Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.&quot; - HL7 FHIR, Patient.gender.&#xD;
&quot;Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.&quot; - HL7 FHIR, Patient.contact.gender</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uxsZAIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uxsZAYs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E004F" name="birthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <eAnnotations xmi:id="_NQGFauLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_0d7SwBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E004F">
            <body>The city, state (or other designation such as province or region) and country where a person was born.  Used for both identification and statistical purposes.&#xD;
&#xD;
&quot;Indicates the location of the patient's birth&quot; - HL7 Version 2.8, PID-23.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLLOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9TUx8GrUEeCJbfIpPWFXRg" name="birthName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_9TUx8WrUEeCJbfIpPWFXRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_9TUx8mrUEeCJbfIpPWFXRg" annotatedElement="_9TUx8GrUEeCJbfIpPWFXRg">
            <body>A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.  In western cultures, this name can be used for &quot;maiden name.&quot;  Note that the data type for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.    &quot;This field contains one or more of the names of the patient.&quot; - HL7 Version 2.8, PID-5  Note that in HL7, the PersonName data type contains a type code to indicate what kind of name is being referenced.  The FHIM explicitly models the name type, so in this case the attribute name is &quot;Birth Name&quot;, and the type code would be set to &quot;birth name&quot; when targeting an HL7 implementation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9TUx9GrUEeCJbfIpPWFXRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9TUx82rUEeCJbfIpPWFXRg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y-OY0PkiEeGFnccz7SeroA" name="ethnicity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Y-OY0_kiEeGFnccz7SeroA" annotatedElement="_Y-OY0PkiEeGFnccz7SeroA">
            <body>A group of people whose members identify with each other, through a common heritage, often consisting of a common language, a common culture (often including a shared religion) and an ideology that stresses common ancestry or endogamy .  In addition, an ethnic group often shares an interest in a homeland connected with a specific geographical area and common traditions, including food preferences  (Wikipedia).  Note that unlike race, which concentrates on a person s physical heritage, ethnicity is concerned with the cultural heritage with which a person identifies themselves.  Examples of ethnicity include: German, Scandinavian, Italian, Irish, etc.  These ethnic groups are of the same race (Caucasian, or  white ).  Note also that the set of ethnicity values used may vary based on the purpose for collecting this information.  The U.S. Office of Management and Budget (OMB) issues a set to be used for census purposes.  See OMB publication 15.  This property may contain more than one ethnicity for a given person, identified in no particular order.&#xD;
&quot;This field further defines the patient's ancestry.&quot; - HL7 Version 2.8, PID-22.&#xD;
&quot;The next of kin/associated party's ethnic group.&quot; - HL7 Version 2.8, NK1-28.&#xD;
HL7 Version 2 has the following suggested values (table 189): Hispanic or Latino; Not Hispanic or Latino; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y-OY1fkiEeGFnccz7SeroA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y-OY1PkiEeGFnccz7SeroA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_71p24GrQEeCJbfIpPWFXRg" name="fathersName" visibility="public">
          <ownedComment xmi:id="_AUQwQJX_EeCD7vwmJe8BlA" annotatedElement="_71p24GrQEeCJbfIpPWFXRg">
            <body>The name of the father of the person.  Used primarily for identification purposes.  Added for VRM, but other use cases are anticipated.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LxgC8NmHEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LxgC8dmHEeChWYqvVB0Hpw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___TaIMF0EeKM54AtDRfO0A" name="handicap" visibility="public">
          <ownedComment xmi:id="___TaIcF0EeKM54AtDRfO0A" annotatedElement="___TaIMF0EeKM54AtDRfO0A">
            <body>&quot;Indicates the nature of the patient's permanent handicapped condition (e.g., deaf, blind).  A handicapped condition is defined as a physical or mental disability that is permanent.&quot; - HL7 Version 2.8, PD1-6.&#xD;
&#xD;
Note that this property is included in the FHIM for compatibility to HL7 V2, although we have not yet identified a particular need for it by partner agencies.  It is therefore modeled as an optional element.  In addition, the potential values for this field are currently unknown.  Therefore we have modeled it as a String rather than a Code, because we currently do not have a use case which requires a particular set of values.  Note also that HL7 identifies a Code Table (Table 295) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___TaI8F0EeKM54AtDRfO0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___TaIsF0EeKM54AtDRfO0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nHLWMJNgEeCyufOLCDZkFA" name="identityReliabilityCode" visibility="public">
          <ownedComment xmi:id="_agf7AJX8EeCD7vwmJe8BlA" annotatedElement="_nHLWMJNgEeCyufOLCDZkFA">
            <body>&quot;Contains a coded value used to communicate information regarding the reliability of patient/person identifying data transmitted via a transaction.  Values could indicate that certain fields on a PID segment for a given patient/person are known to be false (e.g., use of default or system-generated values for Date of Birth or Social Security Number).&quot; - HL7 Version 2.8, PID-32.  HL7 Version 2 has the following suggested values (table 445): Unknown/Default Social Security Number; Unknown/Default Date of Birth; Unknown/Default Address; Patient/Person Name is an Alias.  Suggest that the FHIM use something like: Unreliable Social Security Number, Unreliable Date of Birth, Unreliable Address; Unreliable Name.&#xD;
&#xD;
Note that this property is included in the FHIM for compatibility to HL7 V2, although we have not yet identified a particular need for it by partner agencies.  It is therefore modeled as an optional element.  In addition, the potential values for this field are currently unknown.  Therefore we have modeled it as a String rather than a Code, because we currently do not have a use case which requires a particular set of values.  Note also that HL7 identifies a Code Table (Table 445) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bGQ6gJX8EeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bGQ6gZX8EeCD7vwmJe8BlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4r-noPm3EeSJ3abZ9RQzyQ" name="isActive" visibility="public">
          <ownedComment xmi:id="_4r-nofm3EeSJ3abZ9RQzyQ" annotatedElement="_4r-noPm3EeSJ3abZ9RQzyQ">
            <body>This optional property can be used to indicate whether the Person's record is active. It is included for compatibility to FHIR.&#xD;
&quot;Whether this person's record is in active use.&quot; - HL7 FHIR, Person.active.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4r-no_m3EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4r-novm3EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3YL9wJ2sEeCX5OUDTSXncA" name="isIdentityUnknown" visibility="public">
          <ownedComment xmi:id="_Xku9wJ2tEeCX5OUDTSXncA" annotatedElement="_3YL9wJ2sEeCX5OUDTSXncA">
            <body>&quot;Indicates whether or not the patient's/person's identity is known.&quot; - HL7 Version 2.8, PID-31.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B2-FUMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B2-sYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QC-GALYvEeGWl-7OlqBMDw" name="isTranslatorNeeded" visibility="public">
          <ownedComment xmi:id="_bSrqQLYwEeGWl-7OlqBMDw" annotatedElement="_QC-GALYvEeGWl-7OlqBMDw">
            <body>Indicates whether this person needs translation services due to an inability to speak English.  Added for Public Health Reporting 6/14/2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c_7AcLY2EeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c_7ngLY2EeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__X8NIJ2tEeCX5OUDTSXncA" name="lastUpdateDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_U9vQ4J2uEeCX5OUDTSXncA" annotatedElement="__X8NIJ2tEeCX5OUDTSXncA">
            <body>&quot;Contains the last update date and time for the patient's/person's identifying and demographic data, as defined in the PID segment....&quot; - HL7 Version 2.8, PID-33.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EzIUcMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EzI7gMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W35QcJ2uEeCX5OUDTSXncA" name="lastUpdateFacility" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_jGSf8J2uEeCX5OUDTSXncA" annotatedElement="_W35QcJ2uEeCX5OUDTSXncA">
            <body>&quot;Identifies the facility of the last update to a patient's/person's identifying and demographic data, as defined in the PID segment....&quot; - HL7 Version 2.8, PID-34.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zeg20GyvEeKS_YH7dVt7vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zehd4GyvEeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DAFC00244" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_NPDjneLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_KT_KoBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6431DAFC00244">
            <body>&quot;The housing situation of a person.  This attribute is used for discharge planning, social service assessment, and psychosocial evaluation.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The situation in which the patient lives at his residential address.  Examples might include Alone, Family, Relatives, Institution, etc.&quot; - HL7 Version 2.8, PD1-2.&#xD;
&quot;The situation that the associated party lives in at his/her residential address.&quot; - HL7 Version 2.8, NK1-21.&#xD;
Possible values include (from HL7 Table 220): Alone; Family; Institution; Relative; Unknown; Spouse Only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaKOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaKeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B1moAAQFEeKZsvne-rOhhA" name="livingDependency" visibility="public">
          <eAnnotations xmi:id="_B1moAQQFEeKZsvne-rOhhA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_B1moAgQFEeKZsvne-rOhhA" annotatedElement="_B1moAAQFEeKZsvne-rOhhA">
            <body>&quot;Identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs.  This information can be used for discharge planning. This field repeats because, for example, &quot;spouse dependent&quot; and &quot;medical supervision required&quot; can apply at the same time.&quot; - HL7 Version 2.8, PD1-1.&#xD;
&#xD;
&quot;Identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs.  This information can be used for discharge planning.  Examples might include Spouse Dependent, Medical Supervision Required, Small Children Dependent.&quot; - HL7 Version 2.8, NK1-17.&#xD;
&#xD;
Possible values include (from HL7 V2 Table 223): Spouse Dependent; Medical Supervision Required; Small Children Dependent; Other; Unknown.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B1moBAQFEeKZsvne-rOhhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B1moAwQFEeKZsvne-rOhhA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6Hu-gPm4EeSJ3abZ9RQzyQ" name="managingOrganization" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_6Hu-gfm4EeSJ3abZ9RQzyQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_KeFh4Pm5EeSJ3abZ9RQzyQ" annotatedElement="_6Hu-gPm4EeSJ3abZ9RQzyQ">
            <body>This optional property can be used to identify the organization or organizational component that owns or manages the record of the Person. This property has been included for compatibility with FHIR.&#xD;
&quot;The Organization that is the custodian of the person record.&quot; - HL7 FHIR, Person.managingOrganization.&#xD;
&quot;Organization that is the custodian of the patient record.&quot; - HL7 FHIR, Patient.managingOrganization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Hu-hPm4EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Hu-g_m4EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E8A0291" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QOezIBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E8A0291">
            <body>&quot;Contains the patient's marital (civil) status.&quot; - HL7 Version 2.8, PID-16.&#xD;
&quot;Contains the next of kin/associated party's marital status.&quot; - HL7 Version 2.8, NK1-14.&#xD;
HL7 Version 2 has the following suggested values (table 2): Separated; Divorced; Married; Single; Widowed; Common law; Living together; Domestic partner; Registered domestic partner; Legally Separated; Annulled; Interlocutory; Unmarried; Unknown; Other; Unreported.&#xD;
&quot;The domestic partnership status of a person.&quot; - HL7 Version 3 RIM.&#xD;
&quot;This field contains a patient's most recent marital (civil) status.&quot; - HL7 FHIR, Patient.maritalStatus.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLOOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLOeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E0030" name="mothersMaidenName" visibility="public">
          <eAnnotations xmi:id="_NQZAW-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_VfsOEBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E0030">
            <body>&quot;The family name under which the [person's] mother was born (i.e., before marriage). It is used to distinguish between patients with the same last name.&quot; - HL7 Version 2.8, PID-6.&#xD;
&quot;The maiden name of the next of kin/associated party's mother.&quot; - HL7 Version 2.8, NK1-26.&#xD;
This property is typically used for identity management purposes, especially to distinguish between persons who may have similar or identical names.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLOuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLO-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oFBQoOwVEd6PwKowkorMOw" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_FeCvYBqVEd-j8JC21F3W2A" annotatedElement="_oFBQoOwVEd6PwKowkorMOw">
            <body>The name by which a person is known or legally identified such as the name on a driver's license or passport.  Note that the data type for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.  Note that in HL7, the PersonName data type contains a type code to indicate what kind of name is being referenced.  The FHIM explicitly models the name type, so in this case the attribute name is &quot;Legal Name&quot;, and the type code would be set to &quot;Legal Name&quot; when targeting an HL7 implementation.&#xD;
&#xD;
&quot;Contains one or more of the names of the patient....&quot; - HL7 Version 2.8, PID-5&#xD;
&quot;A name associated with the person.&quot; - HL7 FHIR, Person.name&#xD;
&quot;A name associated with the individual.&quot; - HL7 FHIR, Patient.name&#xD;
&quot;A name associated with the contact person.&quot; - HL7 FHIR, Patient.contact.name&#xD;
&quot;A name associated with the person.&quot; - HL7 FHIR, RelatedPerson.name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oFBQpOwVEd6PwKowkorMOw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oFBQo-wVEd6PwKowkorMOw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nj4b4Pm-EeSJ3abZ9RQzyQ" name="photo" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_aINfIPm-EeSJ3abZ9RQzyQ" annotatedElement="_Nj4b4Pm-EeSJ3abZ9RQzyQ">
            <body>&quot;An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.&quot; - HL7 FHIR, Person.photo.&#xD;
&quot;Image of the patient.&quot; - HL7 FHIR, Patient.photo.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TDIS0Pm-EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TDJg8Pm-EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ReTt8FjtEeG6Pp3Py7p1bw" name="preferredContactMethod" visibility="public">
          <ownedComment xmi:id="_LBPucFjuEeG6Pp3Py7p1bw" annotatedElement="_ReTt8FjtEeG6Pp3Py7p1bw">
            <body>The preferred method by which this person should be contacted.  Possible values include: primaryHomePhone, temporaryEmail, etc.  Added for MyHealtheVet.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DPi1UKHYEeKOduW7gMYQuw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DPjcYKHYEeKOduW7gMYQuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_grY40PkiEeGFnccz7SeroA" name="race" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_grY40_kiEeGFnccz7SeroA" annotatedElement="_grY40PkiEeGFnccz7SeroA">
            <body>A classification of humans into large and distinct populations or groups by factors such as heritable phenotypic characteristics or geographic ancestry, but also often influenced by and correlated with traits such as appearance, culture, ethnicity, and socio-economic status.  (Wikipedia).  This property may contain more than one race for a given person, identified in no particular order.&#xD;
&quot;This field refers to the patient's race.&quot; - HL7 Version 2.8, PID-10.&#xD;
&quot;The race of the next of kin/associated party.&quot; - HL7 Version 2.8, NK1-35.&#xD;
HL7 Version 2 has the following suggested values (table 5): American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_grY41fkiEeGFnccz7SeroA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_grY41PkiEeGFnccz7SeroA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538EAA0000" name="religiousAffiliation" visibility="public">
          <eAnnotations xmi:id="_NQixUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_y5ahIBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538EAA0000">
            <body>Identifies a set of spiritual beliefs to which the person adheres.  This property is used primarily to accommodate the person's religious preferences in clinical settings.&#xD;
&quot;The ... religious preference of a person (e.g. Hinduism, Islam, Roman Catholic). - HL7 Version 3 RIM.&#xD;
&quot;Contains the patient's religion.&quot; - HL7 Version 2.8, PID-17.&#xD;
&quot;The type of religion practiced by the next of kin/associated party.&quot; - HL7 Version 2.8, NK1-25.&#xD;
Note that HL7 Version 2 table 6 lists 85 suggested values for this field.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLPuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLP-LjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E869603AC" name="ssn" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_NQixWeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_4fCs4BqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6426E869603AC">
            <body>A nine digit identification number assigned to a person by the US Social Security Administration.  Used primarily for identification purposes.  Note that HIPAA forbids the use of SSN as a primary identifier.  Maps to HL7 Version 2.8, PID-18.  Note that while Social Security Number is a type of Id, and could be modeled as simply one of the possible instances of the &quot;id&quot; property, it is explicitly modeled because it is a particular kind of identifier that is needed for various business processes.&#xD;
&quot;Identifier for a person within a particular scope.&quot; - HL7 FHIR, Person.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLQOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLQeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7MEDIBApEd-2E9qx-lgHBg" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_723EoBqSEd-j8JC21F3W2A" annotatedElement="_7MEDIBApEd-2E9qx-lgHBg">
            <body>Indicates how and at what address that the person can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&#xD;
&quot;Contains the patient's personal telecommunication contact information.&quot; - HL7 Version 2.8, PID-40.&#xD;
&quot;A contact detail for the person, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Person.telecom.&#xD;
&quot;A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.&quot; - HL7 FHIR, Patient.telecom.&#xD;
&quot;A contact detail for the person, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Patient.contact.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V5QO4CKUEeCBocG0Z_rtrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V5Z_4CKUEeCBocG0Z_rtrQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0vtjkI0tEeCD3bb30FJGhQ" name="advanceDirective" visibility="public" type="_sdrb8I0tEeCD3bb30FJGhQ" association="_0vqgQI0tEeCD3bb30FJGhQ">
          <ownedComment xmi:id="_tRKPkJX6EeCD7vwmJe8BlA" annotatedElement="_0vtjkI0tEeCD3bb30FJGhQ">
            <body>A pointer to a set of instructions provided in advance by the person specifying what actions may be taken on their behalf.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0vvYwI0tEeCD3bb30FJGhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0vvYwY0tEeCD3bb30FJGhQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2IvV4RsvEd--ZY2-pbJ-Pw" name="asCitizen" visibility="public" type="_rcGNABsvEd--ZY2-pbJ-Pw" association="_2IvV4BsvEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_Wul1UDA6Ed-1aYBV65Lrnw" annotatedElement="_2IvV4RsvEd--ZY2-pbJ-Pw">
            <body>Pointer to a person's role as a &quot;native or naturalized member of a state or nation who owes allegiance to its government and is entitled to its protection&quot; - Dictionary.com.&#xD;
&quot;Information related to a person's country citizenship.  For country citizenship HL7 recommends using ISO table 3166....  This field repeats since persons can be citizens of more than one country.&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2IvV4hsvEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2IvV4xsvEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645633E3702BB" name="asWorker" visibility="public" type="_420A62FD03B6418A501902C7" isUnique="false" association="_420A62FD03B645633E3601CF">
          <ownedComment xmi:id="_l6T4UBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645633E3702BB">
            <body>Pointer to the Role a Person plays as an Employee of some Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NU3QpOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NU3QpeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456353DF00FA" name="asProvider" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6456353DE0213">
          <ownedComment xmi:id="_wwQuMBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456353DF00FA">
            <body>Pointer to the role information of a person who is authorized to provide health care services.  The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NU3QteLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NU3QtuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d_5MINgWEeG3E4mt6RKX5Q" name="asStudent" visibility="public" type="_aA2jsNgWEeG3E4mt6RKX5Q" association="_d_xQUNgWEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_221acKCeEeKNT6obAX9SKQ" annotatedElement="_d_5MINgWEeG3E4mt6RKX5Q">
            <body>Pointer to the Role a Person plays as a Student at some School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_7oYNgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_8PcNgWEeG3E4mt6RKX5Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563698F035A" name="asUniformedServicePerson" visibility="public" type="_420A62FD03B6456362E4028D" isUnique="false" association="_420A62FD03B64563698F0166">
          <ownedComment xmi:id="_qRG5cBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563698F035A">
            <body>Pointer to the role a person plays as a past or present member of a uniformed service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVBBseLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVBBsuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rYIy4H2xEeGy1_tR17zNdw" name="birthCertificate" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_rYGWoH2xEeGy1_tR17zNdw">
          <ownedComment xmi:id="_YcQvYKCTEeKNT6obAX9SKQ" annotatedElement="_rYIy4H2xEeGy1_tR17zNdw">
            <body>A pointer to a record of the person's birth.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rYJZ8H2xEeGy1_tR17zNdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rYKBAH2xEeGy1_tR17zNdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vVsMcAIPEd-VSqNkiZ4fOA" name="contactParty" visibility="public" type="_420A62FD03B64248829E032E" association="_vVibcAIPEd-VSqNkiZ4fOA">
          <ownedComment xmi:id="_2T8LcBqOEd-j8JC21F3W2A" annotatedElement="_vVsMcAIPEd-VSqNkiZ4fOA">
            <body>Pointer to the (Role of the) Person who should be contacted on the patients behalf under specified situations.&#xD;
&quot;A contact party (e.g. guardian, partner, friend) for the patient.&quot; - HL7 FHIR, Patient.contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vVsMcQIPEd-VSqNkiZ4fOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vVsMcgIPEd-VSqNkiZ4fOA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T1AGsdmEEeChWYqvVB0Hpw" name="deathCertificate" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_T1AGsNmEEeChWYqvVB0Hpw">
          <ownedComment xmi:id="_StrSoDGyEeGoIvbvHHPRDA" annotatedElement="_T1AGsdmEEeChWYqvVB0Hpw">
            <body>A pointer to a record of the person's death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T1AGstmEEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T1AGs9mEEeChWYqvVB0Hpw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645633C3803C4" name="languageCapability" visibility="public" type="_420A62FD03B6418A95BD037E" isUnique="false" association="_420A62FD03B645633C38002A">
          <ownedComment xmi:id="_APEJEBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645633C3803C4">
            <body>A pointer to information regarding the language communication capabilities for a Person.&#xD;
&quot;The patient's primary language.  HL7 recommends using ISO table 639&quot; - HL7 Version 2.8, PID-15.&#xD;
&quot;The next of kin/associated party's primary speaking language.&quot; - HL7 Version 2.8, NK1-20.&#xD;
&quot;Languages which may be used to communicate with the patient about his or her health&quot; - HL7 FHIR, Patient.communication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NUtft-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NUtfuOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cGTmAJ1jEeKGRqm0H7Eu1A" name="occupationalHistory" visibility="public" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_cGP7oJ1jEeKGRqm0H7Eu1A">
          <ownedComment xmi:id="_HGqt4J1kEeKGRqm0H7Eu1A" annotatedElement="_cGTmAJ1jEeKGRqm0H7Eu1A">
            <body>Pointer to a set of observations regarding the usual occupation of a person, and what industries the person has worked in.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cGU0IJ1jEeKGRqm0H7Eu1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cGU0IZ1jEeKGRqm0H7Eu1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_72-3IEJbEeOM0Zvgf2xtag" name="relatedPerson" visibility="public" type="_PhnrMEJbEeOM0Zvgf2xtag" association="_727z0EJbEeOM0Zvgf2xtag">
          <ownedComment xmi:id="_MuQrYEJeEeOM0Zvgf2xtag" annotatedElement="_72-3IEJbEeOM0Zvgf2xtag">
            <body>Pointer to the (Role of the) Person to whom the originating Person is related in some way.&#xD;
&quot;A contact party (e.g. guardian, partner, friend) for the patient.&quot; - HL7 FHIR, Patient.contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_73AsUEJbEeOM0Zvgf2xtag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_73AsUUJbEeOM0Zvgf2xtag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QaaZIMFeEeKM54AtDRfO0A" name="organizationalRepresentative" visibility="public" type="_9_9I8AQAEeKZsvne-rOhhA" association="_QaXV0MFeEeKM54AtDRfO0A">
          <ownedComment xmi:id="_SrFbQMFeEeKM54AtDRfO0A" annotatedElement="_QaaZIMFeEeKM54AtDRfO0A">
            <body>&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.&#xD;
&quot;Organization on behalf of which the contact is acting or for which the contact is working.&quot; - HL7 FHIR, Patient.contact.organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QabnQMFeEeKM54AtDRfO0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QacOUMFeEeKM54AtDRfO0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RloSkZeJEeWqb554qzI9zg" name="link" visibility="public" type="_OrxwkJeJEeWqb554qzI9zg" association="_RloSkJeJEeWqb554qzI9zg">
          <ownedComment xmi:id="_squ3oJeJEeWqb554qzI9zg" annotatedElement="_RloSkZeJEeWqb554qzI9zg">
            <body>Pointer to a record that links this Person record with another Person record referring to the same real-world person.&#xD;
&quot;Link to another patient resource that concerns the same actual patient.&quot; - HL7 FHIR, Patient.link</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RlxcgJeJEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RlxcgZeJEeWqb554qzI9zg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lxAggLtKEeeo-pbyiB8NZw" name="employmentStatus" visibility="public" type="_ZLbgELtKEeeo-pbyiB8NZw" association="_lw_SYLtKEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_9BEHMAxKEei1jIj8YfdPPg" annotatedElement="_lxAggLtKEeeo-pbyiB8NZw">
            <body>Pointer to a person's economic relationship to a job.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lxBHkLtKEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lxBHkbtKEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DYcKULtJEeeo-pbyiB8NZw" name="householdMbrOccHistoryObs" visibility="public" type="_BamkoLtJEeeo-pbyiB8NZw" association="_DYaVILtJEeeo-pbyiB8NZw">
          <ownedComment xmi:id="_OjEu8DNnEei4WMuUY0e-jQ" annotatedElement="_DYcKULtJEeeo-pbyiB8NZw">
            <body>Pointer to an observation of the occupational history of a family member or other household member of the Person. This is used to determine if occupational hazards might affect other persons in the household of the person employed in that occupation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYcxYLtJEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYcxYbtJEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_am_CYGtbEeCaten32mlCMw" name="PowerOfAttorney">
        <ownedComment xmi:id="_6SU_0JX6EeCD7vwmJe8BlA" annotatedElement="_am_CYGtbEeCaten32mlCMw">
          <body>&quot;A power of attorney (POA) ... is an authorization to act on someone else's behalf in a legal or business matter.&quot; - wikipedia</body>
        </ownedComment>
        <generalization xmi:id="_ojN6wKBlEeKEjOzXDxf6EA" general="_sdrb8I0tEeCD3bb30FJGhQ"/>
        <ownedAttribute xmi:id="_qv_Q0GtcEeCaten32mlCMw" name="purpose" visibility="public">
          <ownedComment xmi:id="_R_NE0JX7EeCD7vwmJe8BlA" annotatedElement="_qv_Q0GtcEeCaten32mlCMw">
            <body>Categorizes the Power of Attorney</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3fXTwIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3fXTwYs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mCWScGtbEeCaten32mlCMw" name="attorney" visibility="public" type="_420A62FD03B6425125E800E0" association="_mCNIgGtbEeCaten32mlCMw">
          <ownedComment xmi:id="_mzfzIJX7EeCD7vwmJe8BlA" annotatedElement="_mCWScGtbEeCaten32mlCMw">
            <body>A pointer to the person authorized to act in the stead of the grantor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mCWScWtbEeCaten32mlCMw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mCWScmtbEeCaten32mlCMw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aA2jsNgWEeG3E4mt6RKX5Q" name="Student">
        <eAnnotations xmi:id="_cmCdQNgWEeG3E4mt6RKX5Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_3ZbxMKCeEeKNT6obAX9SKQ" annotatedElement="_aA2jsNgWEeG3E4mt6RKX5Q">
          <body>A student is someone who is formally engaged in learning, especially on enrolled in an educational institution.  This class represents information about a Person actively playing the Role of a Student, but is not intended to be used to determine one's cumulative or highest level of educational achievement.  While one could theoretically arrive at these data by examining a longitudinal collection of every instance of Person's scholastic activity, we do not require nor anticipate that such information be available.  The primary use case for this Student and associated School information is to support Immunization tracking of school-age children, but it is also used for financial purposes, including adults who are in school rather than employed.  If the Student is attending a higher-learning institution (i.e., college, post-graduate), the grade property is not used.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qIEe4NgWEeG3E4mt6RKX5Q" name="departDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_CsNtAKCfEeKNT6obAX9SKQ" annotatedElement="_qIEe4NgWEeG3E4mt6RKX5Q">
            <body>The last date upon which the Person was a Student at the associated School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6QMZANgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6QNAENgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8f9cMNgWEeG3E4mt6RKX5Q" name="enrollDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_D-sBgKCfEeKNT6obAX9SKQ" annotatedElement="_8f9cMNgWEeG3E4mt6RKX5Q">
            <body>The first date upon which the Person was a Student at the associated School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8f9cMtgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8f9cMdgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KmM-INgXEeG3E4mt6RKX5Q" name="grade" visibility="public">
          <ownedComment xmi:id="_KF9hwKCfEeKNT6obAX9SKQ" annotatedElement="_KmM-INgXEeG3E4mt6RKX5Q">
            <body>&quot;A single division of a school classified according to the age or progress of the pupils. In the U.S., public schools are commonly divided into twelve grades below college.&quot; - Dictionary.com</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g6-v8MJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g6_-EMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lgRW4NgiEeG3E4mt6RKX5Q" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_S1FYkKCgEeKNT6obAX9SKQ" annotatedElement="_lgRW4NgiEeG3E4mt6RKX5Q">
            <body>An identifier assigned by the associated School to the Student.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iIsgQMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iItHUMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0ih2IAQJEeKZsvne-rOhhA" name="studentCategory" visibility="public">
          <ownedComment xmi:id="_-G-F8AS7EeKZRNRj-xVwIw" annotatedElement="_0ih2IAQJEeKZsvne-rOhhA">
            <body>&quot;Indicates if the patient is currently a student or not, and whether the patient is a full-time or a part-time student.  This field does not indicate the student's degree level (high school, college, elementary) or the student's field of study (accounting, engineering, etc.).&quot; - HL7 Version 2.8, PD1-5.&#xD;
&quot;Identifies whether the next of kin/associated party is currently a student or not, and whether the next of kin/associated party is a full- or a part-time student.  This field does not indicate the degree (high school, college) of the student or the field of study.&quot; - HL7 Version 2.8, NK1-24.&#xD;
Possible values include (from HL7 Table 231):  Full-time student; Part-time student; Not a student.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nHF4AQJEeKZsvne-rOhhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nHs8AQJEeKZsvne-rOhhA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j33sINgWEeG3E4mt6RKX5Q" name="school" visibility="public" type="_-PDq0BsxEd--ZY2-pbJ-Pw" association="_j3128NgWEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_Fk_CoMJZEeK_EPjbFxtubQ" annotatedElement="_j33sINgWEeG3E4mt6RKX5Q">
            <body>Pointer to the Institution at which the Person is a Student.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j34TMNgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j34TMdgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456362E4028D" name="USUniformedServicesPerson">
        <eAnnotations xmi:id="_NRlTJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_A9Is0BqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456362E4028D">
          <body>This class represents information about a person while in the role of a member of the United States Uniformed Services, which includes military and Public Health Service members.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64563633000FE" name="grade" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_CQvCsBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563633000FE">
            <body>A military, naval, or civil service rank&#xD;
&quot;Identifies the military rank/grade of the patient.&quot; - HL7 Version 2.8, PD1-20.&#xD;
Possible values (from HL7 Table 141) include: E1...E9; O1...O9; W1...W4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0pkyYIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0plZcIs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563631702F4" name="rank" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DsE_UBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563631702F4">
            <body>An official position or grade; e.g., the rank of sergeant.&#xD;
&quot;Identifies the military rank/grade of the patient.&quot; - HL7 Version 2.8, PD1-20.&#xD;
Possible values include: Sergeant, Captain, etc.  Note that HL7 references a user-defined table (Table 141) which lists possible grades, but not the corresponding ranks.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1J4DEIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1J4qIIs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-YUyMMJZEeK_EPjbFxtubQ" name="militaryStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_-YUyMcJZEeK_EPjbFxtubQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_-YUyMsJZEeK_EPjbFxtubQ" annotatedElement="_-YUyMMJZEeK_EPjbFxtubQ">
            <body>Indicates the latest known state of the USUniformedServicesPerson instance (i.e., the state of association (relationship) between the Person and the Uniformed Service).  Possible values include: Active duty, Reservist, Discharged.&#xD;
&quot;This field is defined by CMS or other regulatory agencies.&quot; - HL7 Version 2.8, PD1-21.  Possible values include (from HL7 Table 142): Active duty; Retired; Deceased.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YUyNMJZEeK_EPjbFxtubQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YUyM8JZEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uIQJ4MJBEeK_EPjbFxtubQ" name="uniformedService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Khf3YMJCEeK_EPjbFxtubQ" annotatedElement="_uIQJ4MJBEeK_EPjbFxtubQ">
            <body>Identifies the organization (uniformed service) for which the person holds a uniformed rank.&#xD;
&quot;This field is defined by CMS or other regulatory agencies.&quot; - HL7 Version 2.8, PD1-19.&#xD;
Possible values include (from HL7 Table 140): US Army; US Navy; US Air Force; US Marine Corps; US Coast Guard; US Public Health Service; National Oceanic and Atmospheric Administration.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2LyzEIs9EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2LyzEYs9EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_j3128NgWEeG3E4mt6RKX5Q" name="student_school" memberEnd="_j33sINgWEeG3E4mt6RKX5Q _j36IYNgWEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_j36IYNgWEeG3E4mt6RKX5Q" name="" visibility="public" type="_aA2jsNgWEeG3E4mt6RKX5Q" association="_j3128NgWEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mCNIgGtbEeCaten32mlCMw" name="powerOfAttorney_designee" memberEnd="_mCWScGtbEeCaten32mlCMw _mCWSc2tbEeCaten32mlCMw">
        <ownedEnd xmi:id="_mCWSc2tbEeCaten32mlCMw" name="" visibility="public" type="_am_CYGtbEeCaten32mlCMw" association="_mCNIgGtbEeCaten32mlCMw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mCWSdGtbEeCaten32mlCMw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mCWSdWtbEeCaten32mlCMw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456353DE0213" name="person_asProvider" memberEnd="_420A62FD03B6456353DF00FA _420A62FD03B6456353DF00FC"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_d_xQUNgWEeG3E4mt6RKX5Q" name="person_asStudent" memberEnd="_d_5MINgWEeG3E4mt6RKX5Q _d__50NgWEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_d__50NgWEeG3E4mt6RKX5Q" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_d_xQUNgWEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64563698F0166" name="person_asUniformedServicePerson" memberEnd="_420A62FD03B64563698F035A _420A62FD03B64563698F035C">
        <ownedEnd xmi:id="_420A62FD03B64563698F035C" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B64563698F0166"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_THb5oFjGEeG6Pp3Py7p1bw" client="_420A62FD03B6425125E800E0" supplier="_IA_wsFjGEeG6Pp3Py7p1bw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_vVibcAIPEd-VSqNkiZ4fOA" name="humanPatient_patientContactParty" memberEnd="_vVsMcAIPEd-VSqNkiZ4fOA _vVsMcwIPEd-VSqNkiZ4fOA">
        <ownedEnd xmi:id="_vVsMcwIPEd-VSqNkiZ4fOA" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_vVibcAIPEd-VSqNkiZ4fOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_T1AGsNmEEeChWYqvVB0Hpw" name="person_deathCertificate" memberEnd="_T1AGsdmEEeChWYqvVB0Hpw _T1cyoNmEEeChWYqvVB0Hpw">
        <ownedEnd xmi:id="_T1cyoNmEEeChWYqvVB0Hpw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_T1AGsNmEEeChWYqvVB0Hpw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T1cyodmEEeChWYqvVB0Hpw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T1cyotmEEeChWYqvVB0Hpw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2IvV4BsvEd--ZY2-pbJ-Pw" name="person_asCitizen" memberEnd="_2IvV4RsvEd--ZY2-pbJ-Pw _2IvV5BsvEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_2IvV5BsvEd--ZY2-pbJ-Pw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_2IvV4BsvEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645633C38002A" name="person_languageCapability" memberEnd="_420A62FD03B645633C3803C4 _420A62FD03B645633C3803C6">
        <ownedEnd xmi:id="_420A62FD03B645633C3803C6" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B645633C38002A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rYGWoH2xEeGy1_tR17zNdw" name="person_birthCertificate" memberEnd="_rYIy4H2xEeGy1_tR17zNdw _rYL2MH2xEeGy1_tR17zNdw">
        <ownedEnd xmi:id="_rYL2MH2xEeGy1_tR17zNdw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_rYGWoH2xEeGy1_tR17zNdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645633E3601CF" name="person_asEmployee" memberEnd="_420A62FD03B645633E3702BB _420A62FD03B645633E3702BD">
        <ownedEnd xmi:id="_420A62FD03B645633E3702BD" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B645633E3601CF"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_Tuy0kFjGEeG6Pp3Py7p1bw" client="_420A62FD03B6425125E800E0" supplier="_E_Oo0FjGEeG6Pp3Py7p1bw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_0vqgQI0tEeCD3bb30FJGhQ" name="person_advanceDirective" memberEnd="_0vtjkI0tEeCD3bb30FJGhQ _0vxN8I0tEeCD3bb30FJGhQ">
        <ownedEnd xmi:id="_0vxN8I0tEeCD3bb30FJGhQ" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_0vqgQI0tEeCD3bb30FJGhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0vx1AI0tEeCD3bb30FJGhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0vycEI0tEeCD3bb30FJGhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8AmGANgeEeG3E4mt6RKX5Q" name="healthcareProvider_patient" memberEnd="_8AqXcNgeEeG3E4mt6RKX5Q _8Av3ANgeEeG3E4mt6RKX5Q"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_-xnv4F-OEd-WjrW-OJ9BNQ" name="patient_healthRecord" memberEnd="_-xnv4V-OEd-WjrW-OJ9BNQ _-xnv5F-OEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_-xnv5F-OEd-WjrW-OJ9BNQ" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_-xnv4F-OEd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cGP7oJ1jEeKGRqm0H7Eu1A" name="humanPatient_occupationalHistory" memberEnd="_cGTmAJ1jEeKGRqm0H7Eu1A _cGWCQJ1jEeKGRqm0H7Eu1A">
        <ownedEnd xmi:id="_cGWCQJ1jEeKGRqm0H7Eu1A" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_cGP7oJ1jEeKGRqm0H7Eu1A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dTbYsFLTEd-aupaAgPbDFw" name="humanPatient_subject" memberEnd="_dTlJsFLTEd-aupaAgPbDFw _dTlJs1LTEd-aupaAgPbDFw">
        <ownedEnd xmi:id="_dTlJs1LTEd-aupaAgPbDFw" name="" visibility="public" type="_l0XegO_4Ed6OG-vjYTopTQ" association="_dTbYsFLTEd-aupaAgPbDFw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QaXV0MFeEeKM54AtDRfO0A" name="humanPatient_organizationalPatientRepresentative" memberEnd="_QaaZIMFeEeKM54AtDRfO0A _QajjEMFeEeKM54AtDRfO0A">
        <ownedEnd xmi:id="_QajjEMFeEeKM54AtDRfO0A" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_QaXV0MFeEeKM54AtDRfO0A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0eFZYLZJEeGWl-7OlqBMDw" name="employer_organization" memberEnd="_0eJq0LZJEeGWl-7OlqBMDw _0eOjULZJEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_0eOjULZJEeGWl-7OlqBMDw" name="" visibility="public" type="_rbFH0LZJEeGWl-7OlqBMDw" association="_0eFZYLZJEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zrp24LZJEeGWl-7OlqBMDw" name="employee_employer" memberEnd="_zruIULZJEeGWl-7OlqBMDw _zrzA0LZJEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_zrzA0LZJEeGWl-7OlqBMDw" name="" visibility="public" type="_eyKx8C7AEeiK-Nu2QYEazg" association="_zrp24LZJEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_p3ZgUAMxEeKTM4I4vlc5xg" name="contactParty_asPerson" memberEnd="_p4Fc0AMxEeKTM4I4vlc5xg _p4MKgAMxEeKTM4I4vlc5xg">
        <ownedEnd xmi:id="_p4MKgAMxEeKTM4I4vlc5xg" name="" visibility="public" type="_420A62FD03B64248829E032E" association="_p3ZgUAMxEeKTM4I4vlc5xg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4x_3IBsvEd--ZY2-pbJ-Pw" name="citizen_nation" memberEnd="_4x_3IRsvEd--ZY2-pbJ-Pw _4x_3JBsvEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_4x_3JBsvEd--ZY2-pbJ-Pw" name="" visibility="public" type="_rcGNABsvEd--ZY2-pbJ-Pw" association="_4x_3IBsvEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_E2r6ANmUEeChWYqvVB0Hpw" name="causeOfDeathListEntry_causeOfDeath" memberEnd="_E2uWQNmUEeChWYqvVB0Hpw _E2wygNmUEeChWYqvVB0Hpw">
        <ownedEnd xmi:id="_E2wygNmUEeChWYqvVB0Hpw" name="" visibility="public" type="_KBfhMOEVEd6EKMSYA1gKjA" association="_E2r6ANmUEeChWYqvVB0Hpw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2yAoNmUEeChWYqvVB0Hpw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2yAodmUEeChWYqvVB0Hpw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64563398301DB" name="biologicalEntity_asPatient" memberEnd="_420A62FD03B6456339840258 _420A62FD03B645633984025A">
        <ownedEnd xmi:id="_420A62FD03B645633984025A" name="" visibility="public" type="_KBfhMOEVEd6EKMSYA1gKjA" isUnique="false" association="_420A62FD03B64563398301DB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CFWpcIVKEd-6PJo369YzhQ" name="animalPatient_subject" memberEnd="_CFWpcYVKEd-6PJo369YzhQ _CFWpdIVKEd-6PJo369YzhQ">
        <ownedEnd xmi:id="_CFWpdIVKEd-6PJo369YzhQ" name="" visibility="public" type="_oYIbwO_4Ed6OG-vjYTopTQ" association="_CFWpcIVKEd-6PJo369YzhQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PhnrMEJbEeOM0Zvgf2xtag" name="PersonalRelationship">
        <eAnnotations xmi:id="_PhnrMUJbEeOM0Zvgf2xtag" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PhnrMkJbEeOM0Zvgf2xtag" annotatedElement="_PhnrMEJbEeOM0Zvgf2xtag">
          <body>This Role identifies a Person to whom the originating Person is related in some way.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_PhnrR0JbEeOM0Zvgf2xtag" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PhnrSEJbEeOM0Zvgf2xtag" annotatedElement="_PhnrR0JbEeOM0Zvgf2xtag">
            <body>Indicates how the target Person is related to the person identified in the owning Person class. Examples include Spouse, Child, Parent, Legal Guardian, etc.&#xD;
&quot;The actual personal relationship that the next of kin/associated party has to the patient.&quot; - HL7 Version 2.8, NK1-3. See HL7 Table 63 for suggested values.&#xD;
&quot;The nature of the relationship between the patient and the contact person.&quot; - HL7 FHIR, Patient.contact.relationship</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhnrSkJbEeOM0Zvgf2xtag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhnrSUJbEeOM0Zvgf2xtag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PhnrUEJbEeOM0Zvgf2xtag" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_PhrVkEJbEeOM0Zvgf2xtag">
          <ownedComment xmi:id="_PhnrUUJbEeOM0Zvgf2xtag" annotatedElement="_PhnrUEJbEeOM0Zvgf2xtag">
            <body>A pointer to a Person who is acting in the Role of a Related Person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhnrU0JbEeOM0Zvgf2xtag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhnrUkJbEeOM0Zvgf2xtag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_loxAEEMtEeO6WpAQAnLQ-g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_loxAEUMtEeO6WpAQAnLQ-g" annotatedElement="_loxAEEMtEeO6WpAQAnLQ-g">
            <body>The date range during which this Person's relationship with the target Person is considered to be valid.&#xD;
&quot;The period of time that this relationship is considered to be valid. If there are no dates defined, then the interval is unknown.&quot; - HL7 FHIR, RelatedPerson.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_loxAE0MtEeO6WpAQAnLQ-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_loxAEkMtEeO6WpAQAnLQ-g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IsQAEBQCEee2yObkTlcn4g" name="isActive" visibility="public">
          <ownedComment xmi:id="_IsQAERQCEee2yObkTlcn4g" annotatedElement="_IsQAEBQCEee2yObkTlcn4g">
            <body>This optional property can be used to indicate whether the Personal Relationship record is active.&#xD;
&quot;Whether this related person record is in active use.&quot; - HL7 FHIR, RelatedPerson.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IsQAExQCEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IsQAEhQCEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PhrVkEJbEeOM0Zvgf2xtag" name="relatedPerson_asPerson" memberEnd="_PhnrUEJbEeOM0Zvgf2xtag _PhrVkUJbEeOM0Zvgf2xtag">
        <ownedEnd xmi:id="_PhrVkUJbEeOM0Zvgf2xtag" name="" visibility="public" type="_PhnrMEJbEeOM0Zvgf2xtag" association="_PhrVkEJbEeOM0Zvgf2xtag"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_727z0EJbEeOM0Zvgf2xtag" name="person_relatedPerson" memberEnd="_72-3IEJbEeOM0Zvgf2xtag _73B6cEJbEeOM0Zvgf2xtag">
        <ownedEnd xmi:id="_73B6cEJbEeOM0Zvgf2xtag" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_727z0EJbEeOM0Zvgf2xtag"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_U3UwQKyOEeSUSIBAyhZNow" name="patient_encounter" memberEnd="_U3ehQKyOEeSUSIBAyhZNow _U3oSQqyOEeSUSIBAyhZNow">
        <ownedEnd xmi:id="_U3oSQqyOEeSUSIBAyhZNow" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_U3UwQKyOEeSUSIBAyhZNow"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tIPlEPm_EeSJ3abZ9RQzyQ" name="patient_assignedProvider" memberEnd="_tISoYPm_EeSJ3abZ9RQzyQ _tIUdkPm_EeSJ3abZ9RQzyQ">
        <ownedEnd xmi:id="_tIUdkPm_EeSJ3abZ9RQzyQ" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_tIPlEPm_EeSJ3abZ9RQzyQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OrxwkJeJEeWqb554qzI9zg" name="Link">
        <ownedComment xmi:id="_m0F-8JeKEeWqb554qzI9zg" annotatedElement="_OrxwkJeJEeWqb554qzI9zg">
          <body>This class is used to associate two (or more) Person records that refer to the same real-world person.  This class is included for compatibility with FHIR, although we would expect that other attributes such as the date/time the association (or &quot;link&quot;) was made, who made the link, and some explanatory text would necessary in real-world implementations. In addition, we would expect some kind of &quot;unlink&quot; action to be possible, and metadata about that action would also be recorded.&#xD;
&quot;Link to a resource that concerns the same actual person.&quot; - HL7 FHIR, Person.link&#xD;
&quot;Link to another patient resource that concerns the same actual patient.&quot; - HL7 FHIR, Patient.link</body>
        </ownedComment>
        <ownedAttribute xmi:id="_cWOccJeLEeWqb554qzI9zg" name="assurance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ptk4EJeLEeWqb554qzI9zg" annotatedElement="_cWOccJeLEeWqb554qzI9zg">
            <body>&quot;Level of assurance that this link is actually associated with the target resource.&quot; - HL7 FHIR, Person.assurance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fufYwJeLEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fufYwZeLEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KZA0ZeKEeWqb554qzI9zg" name="target" visibility="public" type="_420A62FD03B6425125E800E0" association="_5KZA0JeKEeWqb554qzI9zg">
          <ownedComment xmi:id="_UMVhQBPEEee2yObkTlcn4g" annotatedElement="_5KZA0ZeKEeWqb554qzI9zg">
            <body>Pointer to the Person record that represents the same individual as does the originating person record.&#xD;
&quot;The resource to which this actual person is associated.&quot; - HL7 FHIR, Person.link.target&#xD;
&quot;The other patient resource that the link refers to.&quot; - HL7 FHIR, Patient.link.other</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KZA0peKEeWqb554qzI9zg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KZA05eKEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x8n6MBPEEee2yObkTlcn4g" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_x8n6MRPEEee2yObkTlcn4g" annotatedElement="_x8n6MBPEEee2yObkTlcn4g">
            <body>&quot;The type of link between this patient resource and another patient resource.&quot; - HL7 FHIR, Patient.link.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x8n6MxPEEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x8n6MhPEEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RloSkJeJEeWqb554qzI9zg" name="person_link" memberEnd="_RloSkZeJEeWqb554qzI9zg _RlxcgpeJEeWqb554qzI9zg">
        <ownedEnd xmi:id="_RlxcgpeJEeWqb554qzI9zg" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_RloSkJeJEeWqb554qzI9zg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5KZA0JeKEeWqb554qzI9zg" name="link_target" memberEnd="_5KZA0ZeKEeWqb554qzI9zg _5KZA1JeKEeWqb554qzI9zg">
        <ownedComment xmi:id="_LxnaoJeLEeWqb554qzI9zg" annotatedElement="_5KZA0JeKEeWqb554qzI9zg">
          <body>Pointer to a Person record that refers to the same real-world person as does the Person record that &quot;owns&quot; this Link instance.&#xD;
&quot;The resource to which this actual person is associated.&quot; - HL7 FHIR, Person.target</body>
        </ownedComment>
        <ownedEnd xmi:id="_5KZA1JeKEeWqb554qzI9zg" name="" visibility="public" type="_OrxwkJeJEeWqb554qzI9zg" association="_5KZA0JeKEeWqb554qzI9zg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Z01ekBPeEeaECq32HH3IBA" name="AssignedProvider">
        <ownedComment xmi:id="_V4ddsBPgEeaECq32HH3IBA" annotatedElement="_Z01ekBPeEeaECq32HH3IBA">
          <body>This class identifies a clinician who has been assigned to or elected by the Patient for certain responsibilities. This relationship will typically be used to identify the patient's Primary Care Physician in outpatient situations or the Attending Physician in inpatient situations.&#xD;
&#xD;
A Primary Care Provider is the doctor selected by the patient to be the first physician contacted for any medical problem. The doctor acts as the patient's regular physician and coordinates any other care the patient needs, such as a visit to a specialist or hospitalization.&#xD;
&#xD;
An Attending Physician is the physician legally responsible for the patient's overall care while the patient is hospitalized. This physician will often direct other clinicians in regard to the patient's care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_sUi7IRPeEeaECq32HH3IBA" name="individualProvider" visibility="public" type="_420A62FD03B6418A6B760063" association="_sUi7IBPeEeaECq32HH3IBA">
          <ownedComment xmi:id="_gwaesBPgEeaECq32HH3IBA" annotatedElement="_sUi7IRPeEeaECq32HH3IBA">
            <body>Pointer to the clinician who has been assigned to or elected by the Patient for certain responsibilities.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sUi7IhPeEeaECq32HH3IBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sUi7IxPeEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fhJrsBPfEeaECq32HH3IBA" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_3Ks6cBPgEeaECq32HH3IBA" annotatedElement="_fhJrsBPfEeaECq32HH3IBA">
            <body>The time period during which the clinician was assigned to or was elected by the Patient for certain responsibilities.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_obE5wBPfEeaECq32HH3IBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_obE5wRPfEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i9zYwBPfEeaECq32HH3IBA" name="roleType" visibility="public">
          <ownedComment xmi:id="_I_ULkBPhEeaECq32HH3IBA" annotatedElement="_i9zYwBPfEeaECq32HH3IBA">
            <body>Specifies how the clinician is related to the Patient. Possible values include Primary Care Physician and Attending Physician.&#xD;
&#xD;
A Primary Care Provider is the doctor selected by the patient to be the first physician contacted for any medical problem. The doctor acts as the patient's regular physician and coordinates any other care the patient needs, such as a visit to a specialist or hospitalization.&#xD;
&#xD;
An Attending Physician is the physician legally responsible for the patient's overall care while the patient is hospitalized. This physician will often direct other clinicians in regard to the patient's care.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pdbHkBPfEeaECq32HH3IBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pdbHkRPfEeaECq32HH3IBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0cZrUIs4EeaDlJMTsPFiaQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0cZrUYs4EeaDlJMTsPFiaQ" annotatedElement="_0cZrUIs4EeaDlJMTsPFiaQ">
            <body>Indicates the state of the relationship between the Patient and the Facility.  Possible values may include Active, Inactive, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0cZrU4s4EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0cZrUos4EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sUi7IBPeEeaECq32HH3IBA" name="assignedProvider_individualProvider" memberEnd="_sUi7IRPeEeaECq32HH3IBA _sUi7JBPeEeaECq32HH3IBA">
        <ownedEnd xmi:id="_sUi7JBPeEeaECq32HH3IBA" name="" visibility="private" type="_Z01ekBPeEeaECq32HH3IBA" association="_sUi7IBPeEeaECq32HH3IBA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UXhPAIs3EeaDlJMTsPFiaQ" name="AssignedFacility">
        <ownedComment xmi:id="_8Dt4UIy0EeaPWbBiMJSPyg" annotatedElement="_UXhPAIs3EeaDlJMTsPFiaQ">
          <body>This class identifies an organization-location which has been assigned to or elected by the Patient in order to schedule care.  This relationship will typically be used to identify the patient's &quot;home&quot; facility, as well as ones commonly used by the patient, for example a facility that the patient uses while on vacation.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_feVLYIs3EeaDlJMTsPFiaQ" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_feT9QIs3EeaDlJMTsPFiaQ">
          <ownedComment xmi:id="_kT1ioIy0EeaPWbBiMJSPyg" annotatedElement="_feVLYIs3EeaDlJMTsPFiaQ">
            <body>Pointer to the organization and location associated with the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_feVycIs3EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_feWZgIs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IbFcwIs4EeaDlJMTsPFiaQ" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_IbFcwYs4EeaDlJMTsPFiaQ" annotatedElement="_IbFcwIs4EeaDlJMTsPFiaQ">
            <body>The time period during which the facility was assigned to or was elected by the Patient for the purpose of scheduling care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IbFcw4s4EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IbFcwos4EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TFGIYIs4EeaDlJMTsPFiaQ" name="roleType" visibility="public">
          <ownedComment xmi:id="_TFGIYYs4EeaDlJMTsPFiaQ" annotatedElement="_TFGIYIs4EeaDlJMTsPFiaQ">
            <body>Specifies how the facility is related to the Patient. Possible values include Home Facility, Visiting Facility, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TFGIY4s4EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TFGIYos4EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0E7mgIs4EeaDlJMTsPFiaQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0E7mgYs4EeaDlJMTsPFiaQ" annotatedElement="_0E7mgIs4EeaDlJMTsPFiaQ">
            <body>Indicates the state of the relationship between the Patient and the Facility.  Possible values may include Active, Inactive, Ready to Treat, Currently Treating, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0E7mg4s4EeaDlJMTsPFiaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0E7mgos4EeaDlJMTsPFiaQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e7rxUIs3EeaDlJMTsPFiaQ" name="patient_assignedFacility" memberEnd="_e7wp0Is3EeaDlJMTsPFiaQ _e72JYIs3EeaDlJMTsPFiaQ">
        <ownedEnd xmi:id="_e72JYIs3EeaDlJMTsPFiaQ" name="" visibility="private" type="_420A62FD03B6418A4E500034" association="_e7rxUIs3EeaDlJMTsPFiaQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e72wcIs3EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e72wcYs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_feT9QIs3EeaDlJMTsPFiaQ" name="assignedFacility_serviceDeliveryLocation" memberEnd="_feVLYIs3EeaDlJMTsPFiaQ _feXAkIs3EeaDlJMTsPFiaQ">
        <ownedEnd xmi:id="_feXAkIs3EeaDlJMTsPFiaQ" name="" visibility="private" type="_UXhPAIs3EeaDlJMTsPFiaQ" association="_feT9QIs3EeaDlJMTsPFiaQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_feYOsIs3EeaDlJMTsPFiaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_feYOsYs3EeaDlJMTsPFiaQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1ICBkOQ1EeaH9t35G2snaA" name="UnaffiliatedPerson">
        <ownedComment xmi:id="_N1-FgOQ3EeaH9t35G2snaA" annotatedElement="_1ICBkOQ1EeaH9t35G2snaA">
          <body>This &quot;unaffiliated person&quot; class is used to convey a minimal amount of information about a Person who is not fully enumerated in an organization's data systems. This class can be used for points of contacts for external organizations, healthcare providers who work for other organizations (e.g., this medical record was received from a Dr. Smith), as well as other persons who play an ancillary role in the provision of care to the patient (e.g., a taxi driver who brings the patient to weekly appointments, etc.) This class contains only the name of the person, and optionally address(es) and/or phone number(s). No other information, such as birthdate, gender, or identifiers such as a social security number, tax id number, or national provider number are needed and indeed will often not be known.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__AU8YOQ1EeaH9t35G2snaA" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="__AU8YeQ1EeaH9t35G2snaA" annotatedElement="__AU8YOQ1EeaH9t35G2snaA">
            <body>A physical address at which the person is located or can be reached. The datatype for this property is Address which contains a type code to indicate what kind of address is being referenced. Note that this property can contain more than one entry.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__AU8Y-Q1EeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__AU8YuQ1EeaH9t35G2snaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__AU8ZOQ1EeaH9t35G2snaA" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="__AU8ZeQ1EeaH9t35G2snaA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="__AU8ZuQ1EeaH9t35G2snaA" annotatedElement="__AU8ZOQ1EeaH9t35G2snaA">
            <body>The name by which a person is known or legally identified such as the name on a driver's license or passport.  Note that the data type for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__AU8aOQ1EeaH9t35G2snaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__AU8Z-Q1EeaH9t35G2snaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__AU8aeQ1EeaH9t35G2snaA" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="__AU8auQ1EeaH9t35G2snaA" annotatedElement="__AU8aeQ1EeaH9t35G2snaA">
            <body>Indicates how and at what address that the person can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__AU8bOQ1EeaH9t35G2snaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__AU8a-Q1EeaH9t35G2snaA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Tagw0BPGEee2yObkTlcn4g" name="organizationalRepresentative_organization" memberEnd="_Tagw0RPGEee2yObkTlcn4g _Taqh0BPGEee2yObkTlcn4g">
        <ownedEnd xmi:id="_Taqh0BPGEee2yObkTlcn4g" name="" visibility="private" type="_9_9I8AQAEeKZsvne-rOhhA" association="_Tagw0BPGEee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Taqh0RPGEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Taqh0hPGEee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3yy8ABPHEee2yObkTlcn4g" name="contactParty_organization" memberEnd="_3yy8ARPHEee2yObkTlcn4g _3yy8BBPHEee2yObkTlcn4g">
        <ownedEnd xmi:id="_3yy8BBPHEee2yObkTlcn4g" name="" visibility="private" type="_420A62FD03B64248829E032E" association="_3yy8ABPHEee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3yy8BRPHEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3yy8BhPHEee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VD7rEBPZEee2yObkTlcn4g" name="Group">
        <ownedComment xmi:id="_yaBl4BPaEee2yObkTlcn4g" annotatedElement="_VD7rEBPZEee2yObkTlcn4g">
          <body>&quot;Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.&quot; - HL7 FHIR, Group</body>
        </ownedComment>
        <generalization xmi:id="_akz5sBPZEee2yObkTlcn4g" general="_MF0JYOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_nfx9gRPoEee2yObkTlcn4g" name="groupCharacteristic" visibility="public" type="_ikKYEBPoEee2yObkTlcn4g" association="_nfx9gBPoEee2yObkTlcn4g">
          <ownedComment xmi:id="_qQP6ABPoEee2yObkTlcn4g" annotatedElement="_nfx9gRPoEee2yObkTlcn4g">
            <body>&quot;Identifies the traits shared by members of the group.&quot; - HL7 FHIR, Group.characteristic</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nfx9ghPoEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nfx9gxPoEee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RuRuIRPqEee2yObkTlcn4g" name="groupMember" visibility="public" type="_FmyX4BPqEee2yObkTlcn4g" association="_RuRuIBPqEee2yObkTlcn4g">
          <ownedComment xmi:id="_ShOOABPqEee2yObkTlcn4g" annotatedElement="_RuRuIRPqEee2yObkTlcn4g">
            <body>&quot;Identifies the resource instances that are members of the group.&quot; - HL7 FHIR, Group.member</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RuRuIhPqEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RuRuIxPqEee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M6MR4BPbEee2yObkTlcn4g" name="isActive" visibility="public">
          <ownedComment xmi:id="_M6MR4RPbEee2yObkTlcn4g" annotatedElement="_M6MR4BPbEee2yObkTlcn4g">
            <body>This optional property can be used to indicate whether the Group's record is active.&#xD;
&quot;Indicates whether the record for the group is available for use or is merely being retained for historical purposes.&quot; - HL7 FHIR, Group.active</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M6MR4xPbEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M6MR4hPbEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yACiIBPmEee2yObkTlcn4g" name="isActual" visibility="public">
          <ownedComment xmi:id="_9Xm3UBPmEee2yObkTlcn4g" annotatedElement="_yACiIBPmEee2yObkTlcn4g">
            <body>&quot;If true, indicates that the resource refers to a specific group of real individuals. If false, the group defines a set of intended individuals.&quot; - HL7 FHIR, Group.actual</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yACiIxPmEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yACiIhPmEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmkqQBPlEee2yObkTlcn4g" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KVF24BPmEee2yObkTlcn4g" annotatedElement="_wmkqQBPlEee2yObkTlcn4g">
            <body>&quot;Identifies the broad classification of the kind of resources the group includes.&quot; - HL7 FHIR, Group.type</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wmkqQxPlEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wmkqQhPlEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LRSj8BPnEee2yObkTlcn4g" name="memberKind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_T3ousBPnEee2yObkTlcn4g" annotatedElement="_LRSj8BPnEee2yObkTlcn4g">
            <body>&quot;Provides a specific type of resource the group includes; e.g. &quot;cow&quot;, &quot;syringe&quot;, etc.&quot; - HL7 FHIR, Group.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LRSj8xPnEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LRSj8hPnEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2GUlkBPnEee2yObkTlcn4g" name="name" visibility="public">
          <ownedComment xmi:id="_2GUlkRPnEee2yObkTlcn4g" annotatedElement="_2GUlkBPnEee2yObkTlcn4g">
            <body>&quot;A label assigned to the group for human identification and communication.&quot; - HL7 FHIR, Group.name</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2GUlkxPnEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2GUlkhPnEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MdrpIBPoEee2yObkTlcn4g" name="quantity" visibility="public">
          <ownedComment xmi:id="_Xsfq8BPoEee2yObkTlcn4g" annotatedElement="_MdrpIBPoEee2yObkTlcn4g">
            <body>&quot;A count of the number of resource instances that are part of the group.&quot; - HL7 FHIR, Group.quantity</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MdrpIxPoEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MdrpIhPoEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ikKYEBPoEee2yObkTlcn4g" name="GroupCharacteristic">
        <ownedComment xmi:id="_l57aABPoEee2yObkTlcn4g" annotatedElement="_ikKYEBPoEee2yObkTlcn4g">
          <body>&quot;Identifies the traits shared by members of the group.&quot; - HL7 FHIR, Group.characteristic</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4zTeUBPpEee2yObkTlcn4g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_4zTeURPpEee2yObkTlcn4g" annotatedElement="_4zTeUBPpEee2yObkTlcn4g">
            <body>&quot;The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.&quot; - HL7 FHIR, Group.characteristic.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4zTeUxPpEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4zTeUhPpEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rwlO4BPpEee2yObkTlcn4g" name="exclude" visibility="public">
          <ownedComment xmi:id="_rwlO4RPpEee2yObkTlcn4g" annotatedElement="_rwlO4BPpEee2yObkTlcn4g">
            <body>&quot;If true, indicates the characteristic is one that is NOT held by members of the group.&quot; - HL7 FHIR, Group.characteristic.exclude</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rwlO4xPpEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rwlO4hPpEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O4UDEBPpEee2yObkTlcn4g" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_O4UDERPpEee2yObkTlcn4g" annotatedElement="_O4UDEBPpEee2yObkTlcn4g">
            <body>&quot;A code that identifies the kind of trait being asserted.&quot; - HL7 FHIR, Group.characteristic.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O4UDExPpEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O4UDEhPpEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_frEOkBPpEee2yObkTlcn4g" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_frNYgBPpEee2yObkTlcn4g" annotatedElement="_frEOkBPpEee2yObkTlcn4g">
            <body>&quot;The value of the trait that holds (or does not hold - see 'exclude') for members of the group.&quot; - HL7 FHIR, Group.characteristic.value[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_frNYghPpEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_frNYgRPpEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nfx9gBPoEee2yObkTlcn4g" name="group_groupCharacteristic" memberEnd="_nfx9gRPoEee2yObkTlcn4g _nfx9hBPoEee2yObkTlcn4g">
        <ownedEnd xmi:id="_nfx9hBPoEee2yObkTlcn4g" name="" visibility="private" type="_VD7rEBPZEee2yObkTlcn4g" association="_nfx9gBPoEee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nfx9hRPoEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nfx9hhPoEee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FmyX4BPqEee2yObkTlcn4g" name="GroupMember">
        <ownedComment xmi:id="_T5BHYBPqEee2yObkTlcn4g" annotatedElement="_FmyX4BPqEee2yObkTlcn4g">
          <body>&quot;Identifies the resource instances that are members of the group.&quot; - HL7 FHIR, Group.member</body>
        </ownedComment>
        <ownedAttribute xmi:id="_a4y88RPqEee2yObkTlcn4g" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_a4y88BPqEee2yObkTlcn4g">
          <ownedComment xmi:id="_cwuH4BPqEee2yObkTlcn4g" annotatedElement="_a4y88RPqEee2yObkTlcn4g">
            <body>&quot;A reference to the entity that is a member of the group. Must be consistent with Group.type.&quot; - HL7 FHIR, Group.member.entity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a4y88hPqEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a4y88xPqEee2yObkTlcn4g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OmaI0BPrEee2yObkTlcn4g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_OmaI0RPrEee2yObkTlcn4g" annotatedElement="_OmaI0BPrEee2yObkTlcn4g">
            <body>&quot;The period that the member was in the group, if known.&quot; - HL7 FHIR, Group.member.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OmaI0xPrEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OmaI0hPrEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k7WKgBPrEee2yObkTlcn4g" name="isNotActive" visibility="public">
          <ownedComment xmi:id="_k7WKgRPrEee2yObkTlcn4g" annotatedElement="_k7WKgBPrEee2yObkTlcn4g">
            <body>Indicates whether the associated Entity is currently a member of the Group. Note that in general, the FHIM prefers to model any true/false concept such that the true value represents the positive condition. In other words, FHIM would prefer to model this as isActive where true means that the Entity is a member. But FHIR modeled this such that true means that the Entity is NOT a member. We have therefore modeled this the same way that FHIR has in order to be compatible with FHIR, but we have named this property IsNotActive rather than inactive to make it clear what the property means.&#xD;
&quot;A flag to indicate that the member is no longer in the group, but previously may have been a member.&quot; - HL7 FHIR, Group.member.inactive</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k7WKgxPrEee2yObkTlcn4g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k7WKghPrEee2yObkTlcn4g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RuRuIBPqEee2yObkTlcn4g" name="group_groupMember" memberEnd="_RuRuIRPqEee2yObkTlcn4g _RuRuJBPqEee2yObkTlcn4g">
        <ownedEnd xmi:id="_RuRuJBPqEee2yObkTlcn4g" name="" visibility="private" type="_VD7rEBPZEee2yObkTlcn4g" association="_RuRuIBPqEee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RuRuJRPqEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RuRuJhPqEee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_a4y88BPqEee2yObkTlcn4g" name="groupMember_entity" memberEnd="_a4y88RPqEee2yObkTlcn4g _a4y89BPqEee2yObkTlcn4g">
        <ownedEnd xmi:id="_a4y89BPqEee2yObkTlcn4g" name="" visibility="private" type="_FmyX4BPqEee2yObkTlcn4g" association="_a4y88BPqEee2yObkTlcn4g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a4y89RPqEee2yObkTlcn4g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a4y89hPqEee2yObkTlcn4g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_DiyjAJo1EeeTspZjMaHiqg" name="PastOrPresentJobObservation">
        <ownedComment xmi:id="__EBvYAxIEei1jIj8YfdPPg" annotatedElement="_DiyjAJo1EeeTspZjMaHiqg">
          <body>The type of work done by a person during a current or past job. A job is defined by the sum of all the data related to the occupation. A change in occupation, supervisory level, industry, employer, or employer location is considered a new job.&#xD;
A record of individual work positions that a person has held over time. It is noted that if every position that a person has held over their lifetime were known, one could calcualte the overal Occupational History from these. However in practice, usually only some of the positions are documented, often only those considered most relevant. Thus the Occupational History record is typically maintained separately from the Past or Present Job observations, and they will not always agree completely. Nevertheless, the Past or Present Job observations are important to gain insight into particular positions that correlate to health issues, and a collection of these observations will be maintained.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_I1fywJo1EeeTspZjMaHiqg" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_YexrcAxJEei1jIj8YfdPPg" annotatedElement="_I1fywJo1EeeTspZjMaHiqg">
            <body>A unique identifier for the past-or-present job observation record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E0q6QJo4EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E0q6QZo4EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yTJxwJo1EeeTspZjMaHiqg" name="pastOrPresentPosition" visibility="public" type="_420A62FD03B6418A501902C7" association="_yTAAwJo1EeeTspZjMaHiqg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yTJxwZo1EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yTJxwpo1EeeTspZjMaHiqg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xcyKcJo1EeeTspZjMaHiqg" name="occupationalHistoryObservation_pastOrPresentJobObservation" memberEnd="_xcyKcZo1EeeTspZjMaHiqg _xc77cJo1EeeTspZjMaHiqg">
        <ownedEnd xmi:id="_xc77cJo1EeeTspZjMaHiqg" name="" visibility="private" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_xcyKcJo1EeeTspZjMaHiqg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yTAAwJo1EeeTspZjMaHiqg" name="pastOrPresentJobObservation_pastOrPresentPosition" memberEnd="_yTJxwJo1EeeTspZjMaHiqg _yTJxw5o1EeeTspZjMaHiqg">
        <ownedEnd xmi:id="_yTJxw5o1EeeTspZjMaHiqg" name="" visibility="private" type="_DiyjAJo1EeeTspZjMaHiqg" association="_yTAAwJo1EeeTspZjMaHiqg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_f2n5IJpCEeeTspZjMaHiqg" name="CombatZonePeriodObservation">
        <ownedComment xmi:id="_ukoJQAw-Eei1jIj8YfdPPg" annotatedElement="_f2n5IJpCEeeTspZjMaHiqg">
          <body>The start and end dates for the period of time a person's work is or was in a combat zone. In addition to military personnel, civilians also may work or have worked in a combat zone.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_w2X-0JpCEeeTspZjMaHiqg" name="dateEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TXk3MAxAEei1jIj8YfdPPg" annotatedElement="_w2X-0JpCEeeTspZjMaHiqg">
            <body>The end date for the period of time a person's work is or was in a combat zone. In addition to military personnel, civilians also may work or have worked in a combat zone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w2X-0ppCEeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w2X-0ZpCEeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ps6o0JpCEeeTspZjMaHiqg" name="dateStart" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_VLS3kAxAEei1jIj8YfdPPg" annotatedElement="_ps6o0JpCEeeTspZjMaHiqg">
            <body>The start date for the period of time a person's work is or was in a combat zone. In addition to military personnel, civilians also may work or have worked in a combat zone.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vNeHUJpCEeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vNeHUZpCEeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7WTXoLTsEee8ToGyn6JwPw" name="occupationalHistoryObservation_combatZoneWorkObservation" memberEnd="_7WdIoLTsEee8ToGyn6JwPw _7WdIo7TsEee8ToGyn6JwPw">
        <ownedEnd xmi:id="_7WdIo7TsEee8ToGyn6JwPw" name="" visibility="private" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_7WTXoLTsEee8ToGyn6JwPw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AoO-cLtHEeeo-pbyiB8NZw" name="Retirement">
        <ownedComment xmi:id="_Qpo8MAw-Eei1jIj8YfdPPg" annotatedElement="_AoO-cLtHEeeo-pbyiB8NZw">
          <body>A person's self-identified retirement date. A person may retire multiple times.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qSxv8Jo3EeeTspZjMaHiqg" name="dateRetired" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Xz2gIAw-Eei1jIj8YfdPPg" annotatedElement="_qSxv8Jo3EeeTspZjMaHiqg">
            <body>A person's self-identified retirement date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KiWOwJo4EeeTspZjMaHiqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KiWOwZo4EeeTspZjMaHiqg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BpUA8LtHEeeo-pbyiB8NZw" name="occupationalHistoryObservation_retirement" memberEnd="_BpV2ILtHEeeo-pbyiB8NZw _BpY5cLtHEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_BpY5cLtHEeeo-pbyiB8NZw" name="" visibility="private" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_BpUA8LtHEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BamkoLtJEeeo-pbyiB8NZw" name="HouseholdMbrOccHistoryObs">
        <ownedAttribute xmi:id="_G869sLtJEeeo-pbyiB8NZw" name="householdMember" visibility="public" type="_PhnrMEJbEeOM0Zvgf2xtag" association="_G836YLtJEeeo-pbyiB8NZw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G87kwLtJEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G87kwbtJEeeo-pbyiB8NZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RDKj8C7DEeiK-Nu2QYEazg" name="occupationalHistoryObservation" visibility="public" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_RDIuwC7DEeiK-Nu2QYEazg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RDLyEC7DEeiK-Nu2QYEazg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RDLyES7DEeiK-Nu2QYEazg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DYaVILtJEeeo-pbyiB8NZw" name="occupationalHistoryObservation_familyMemberOccHist" memberEnd="_DYcKULtJEeeo-pbyiB8NZw _DYemkLtJEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_DYemkLtJEeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6425125E800E0" association="_DYaVILtJEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_G836YLtJEeeo-pbyiB8NZw" name="familyMemberOccHistObs_familyMember" memberEnd="_G869sLtJEeeo-pbyiB8NZw _G8-BALtJEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_G8-BALtJEeeo-pbyiB8NZw" name="" visibility="private" type="_BamkoLtJEeeo-pbyiB8NZw" association="_G836YLtJEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZLbgELtKEeeo-pbyiB8NZw" name="EmploymentStatus">
        <ownedComment xmi:id="_q3Th8AxJEei1jIj8YfdPPg" annotatedElement="_ZLbgELtKEeeo-pbyiB8NZw">
          <body>A person's current economic relationship to a job. Employment status refers to whether a person is currently working for compensation, is unemployed (i.e., searching for work for compensation), or is not in the labor force (e.g. disabled, homemaker, chooses not to work, etc.). Employment status is not the same as classification of work. (OID: PHIN VADS 2.16.840.1.114222.4.11.7129)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_e5VeELtKEeeo-pbyiB8NZw" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PnwpELtYEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PnwpEbtYEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d898cLtKEeeo-pbyiB8NZw" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OY3NALtYEeeo-pbyiB8NZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OY3NAbtYEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bhKBULtKEeeo-pbyiB8NZw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_m2PDMLtKEeeo-pbyiB8NZw" annotatedElement="_bhKBULtKEeeo-pbyiB8NZw">
            <body>A person's current economic relationship to a job. Employment status refers to whether a person is currently working for compensation, is unemployed (i.e., searching for work for compensation), or is not in the labor force (e.g. disabled, homemaker, chooses not to work, etc.). Employment status is not the same as classification of work. (OID: PHIN VADS 2.16.840.1.114222.4.11.7129)&#xD;
&quot;The next of kin/associated party's job status.&quot; - HL7 Version 2.8, NK1-34. Possible values include (from HL7 Table 311): Permanent; Temporary; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NrUKgLtYEeeo-pbyiB8NZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NrUKgbtYEeeo-pbyiB8NZw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lw_SYLtKEeeo-pbyiB8NZw" name="occupationalHistoryObservation_employmentStatus" memberEnd="_lxAggLtKEeeo-pbyiB8NZw _lxC8wLtKEeeo-pbyiB8NZw">
        <ownedEnd xmi:id="_lxC8wLtKEeeo-pbyiB8NZw" name="" visibility="private" type="_420A62FD03B6425125E800E0" association="_lw_SYLtKEeeo-pbyiB8NZw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-Ub2ANOTEeeihrw9sUIZpA" name="ResearchSubject">
        <ownedComment xmi:id="_St6zcNObEeeihrw9sUIZpA" annotatedElement="_-Ub2ANOTEeeihrw9sUIZpA">
          <body>A physical entity which is the primary unit of operational and/or administrative interest in a study. For example, a person who is registered in a study as a recipient of an investigational product or as a control. May also include individuals who are being screened for studies, or individuals participating in observational or other studies. Other examples may include a devicess such as a pacemaker or a fuse that can be used in medical devices, a cow, a farm, a pen of pigs, a tissue sample from a tissue bank, etc. Note that the subject might not be an entire entity but a part of one, for exaample, a patch of person's skin where dermatological products are tested. The one person may have multiple areas of skin being tested simultaneously for different products - in this case, each area of skin would be a separate research subject. Note also that study subjects within a study are all of the same type.&#xD;
&quot;A physical entity which is the primary unit of operational and/or administrative interest in a study.&quot; - HL7 FHIR, ResearchSubject</body>
        </ownedComment>
        <ownedAttribute xmi:id="_s1nqMNOdEeeihrw9sUIZpA" name="actualStudyArm" visibility="public">
          <ownedComment xmi:id="_s1nqMdOdEeeihrw9sUIZpA" annotatedElement="_s1nqMNOdEeeihrw9sUIZpA">
            <body>A study arm is &quot;a group or subgroup of participants in a clinical trial that receives specific interventions, or no intervention, according to the study protocol. This is decided before the trial begins&quot; (ClinicalTrials.gov). This property identifies the study arm in which the research subject actually took part (as opposed to the arm to which the subject was originally assigned)&#xD;
&quot;The name of the arm in the study the subject actually followed as part of this study.&quot; - HL7 FHIR, ResearchSubject.actualArm</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1nqM9OdEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1nqMtOdEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_laQWwNObEeeihrw9sUIZpA" name="assignedStudyArm" visibility="public">
          <ownedComment xmi:id="_nCi4UNOdEeeihrw9sUIZpA" annotatedElement="_laQWwNObEeeihrw9sUIZpA">
            <body>A study arm is &quot;a group or subgroup of participants in a clinical trial that receives specific interventions, or no intervention, according to the study protocol. This is decided before the trial begins&quot; (ClinicalTrials.gov). This property identifies the study arm to which the research subject is assigned.&#xD;
&quot;The name of the arm in the study the subject is expected to follow as part of this study.&quot; - HL7 FHIR, ResearchSubject.assignedArm</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_laQWwtObEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_laQWwdObEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5BHvANOjEeeihrw9sUIZpA" name="consent" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_5BHvAdOjEeeihrw9sUIZpA" annotatedElement="_5BHvANOjEeeihrw9sUIZpA">
            <body>&quot;A record of the patient's informed agreement to participate in the study.&quot; - HL7 FHIR, ResearchSubject.consent</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5BHvA9OjEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5BHvAtOjEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vHLSkdOcEeeihrw9sUIZpA" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_vHLSkNOcEeeihrw9sUIZpA">
          <ownedComment xmi:id="_xFFJsNOcEeeihrw9sUIZpA" annotatedElement="_vHLSkdOcEeeihrw9sUIZpA">
            <body>&quot;The record of the person or animal who is involved in the study.&quot; - HL7 FHIR, ResearchSubject.individual&#xD;
Note that FHIR points to Patient, which is good for Persons and Animals, but the FHIM points to Entity in order to handle other types of subjects such as a barnyard, or a device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vHLSktOcEeeihrw9sUIZpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vHLSk9OcEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cZHtcNObEeeihrw9sUIZpA" name="identifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_nZlxQNObEeeihrw9sUIZpA" annotatedElement="_cZHtcNObEeeihrw9sUIZpA">
            <body>&quot;Identifiers assigned to this research study by the sponsor or other systems.&quot; - HL7 FHIR, ResearchSubject.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gVyXUNObEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gVyXUdObEeeihrw9sUIZpA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lQunUNObEeeihrw9sUIZpA" name="period" visibility="public" type="_VO5nkLHGEeaLhL0dBWV_ew">
          <ownedComment xmi:id="_HxHSMNOcEeeihrw9sUIZpA" annotatedElement="_lQunUNObEeeihrw9sUIZpA">
            <body>&quot;The dates the subject began and ended their participation in the study.&quot; - HL7 FHIR, ResearchSubject.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lQunUtObEeeihrw9sUIZpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lQunUdObEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k2LZUNObEeeihrw9sUIZpA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tSrEgNObEeeihrw9sUIZpA" annotatedElement="_k2LZUNObEeeihrw9sUIZpA">
            <body>&quot;The current state of the subject.&quot; - HL7 FHIR, ResearchSubject.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k2LZUtObEeeihrw9sUIZpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k2LZUdObEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mEj9YNOuEeeihrw9sUIZpA" name="study" visibility="public" type="_ji-V8NOkEeeihrw9sUIZpA" association="_mEaMYNOuEeeihrw9sUIZpA">
          <ownedComment xmi:id="_t2u5MNOuEeeihrw9sUIZpA" annotatedElement="_mEj9YNOuEeeihrw9sUIZpA">
            <body>&quot;Reference to the study the subject is participating in.&quot; - HL7 FHIR, ResearchSubject.study</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mEj9YdOuEeeihrw9sUIZpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mEj9YtOuEeeihrw9sUIZpA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vHLSkNOcEeeihrw9sUIZpA" name="researchSubject_entity" memberEnd="_vHLSkdOcEeeihrw9sUIZpA _vHVDkNOcEeeihrw9sUIZpA">
        <ownedEnd xmi:id="_vHVDkNOcEeeihrw9sUIZpA" name="" visibility="private" type="_-Ub2ANOTEeeihrw9sUIZpA" association="_vHLSkNOcEeeihrw9sUIZpA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mEaMYNOuEeeihrw9sUIZpA" name="researchSubject_study" memberEnd="_mEj9YNOuEeeihrw9sUIZpA _mEj9Y9OuEeeihrw9sUIZpA">
        <ownedEnd xmi:id="_mEj9Y9OuEeeihrw9sUIZpA" name="" visibility="private" type="_-Ub2ANOTEeeihrw9sUIZpA" association="_mEaMYNOuEeeihrw9sUIZpA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_L_lcsC7AEeiK-Nu2QYEazg" name="SelfEmployed">
        <generalization xmi:id="_lDyhAC7AEeiK-Nu2QYEazg" general="_420A62FD03B6418A501902C7"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_eyKx8C7AEeiK-Nu2QYEazg" name="Employee">
        <generalization xmi:id="_jnSGwC7AEeiK-Nu2QYEazg" general="_420A62FD03B6418A501902C7"/>
        <ownedAttribute xmi:id="_zruIULZJEeGWl-7OlqBMDw" name="employer" visibility="public" type="_rbFH0LZJEeGWl-7OlqBMDw" association="_zrp24LZJEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_nQSQcLZLEeGWl-7OlqBMDw" annotatedElement="_zruIULZJEeGWl-7OlqBMDw">
            <body>Pointer to the employer for which this person is an employee.&#xD;
&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zrvWcLZJEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zrv9gLZJEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RDIuwC7DEeiK-Nu2QYEazg" name="householdMbrOccHistoryObs_occupationalHistoryObservation" memberEnd="_RDKj8C7DEeiK-Nu2QYEazg _RDNnQC7DEeiK-Nu2QYEazg">
        <ownedEnd xmi:id="_RDNnQC7DEeiK-Nu2QYEazg" name="" visibility="private" type="_BamkoLtJEeeo-pbyiB8NZw" association="_RDIuwC7DEeiK-Nu2QYEazg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6i5ucDm3Eeily54_XzrISg" name="Volunteer">
        <generalization xmi:id="_7vdBIDm3Eeily54_XzrISg" general="_420A62FD03B6418A501902C7"/>
        <ownedAttribute xmi:id="_95IqcDm3Eeily54_XzrISg" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_95DK4Dm3Eeily54_XzrISg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_95LGsDm3Eeily54_XzrISg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_95LtwDm3Eeily54_XzrISg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_95DK4Dm3Eeily54_XzrISg" name="volunteer_organization" memberEnd="_95IqcDm3Eeily54_XzrISg _95P_MDm3Eeily54_XzrISg">
        <ownedEnd xmi:id="_95P_MDm3Eeily54_XzrISg" name="" visibility="private" type="_6i5ucDm3Eeily54_XzrISg" association="_95DK4Dm3Eeily54_XzrISg"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="__EI_AAjMEeeH-JUbuHPVcg" name="MedicationAdministration">
      <eAnnotations xmi:id="__EI_AQjMEeeH-JUbuHPVcg" source="uml2.diagrams"/>
      <ownedComment xmi:id="_xCd0QC89Eee8ZskGHfh21g">
        <body>Note: The 4 classes below are all subtypes of Clinical Information, which is not shown to avoid diagram clutter.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641A349EF0070" name="MedicationAdministrationPerformed">
        <eAnnotations xmi:id="_NYl6GuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_CytixC8-Eee8ZskGHfh21g" key="ClinicalStmt"/>
        </eAnnotations>
        <ownedComment xmi:id="_NYSYGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A349EF0070">
          <body>&quot;Information about the actual consumption of medication by a patient.  While this is generally only relevant for hospital/institutional systems which track individual administrations, it could also be used in ambulatory care e.g. home-health environments which capture administrations such as insulin injections and which use messaging to communicate the information back to a central source; recording immunizations.&quot; (HL7 Version 3).</body>
        </ownedComment>
        <generalization xmi:id="_s2bRoC89Eee8ZskGHfh21g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_iMDkkL_uEeG9Y6ZcZJMJaA" name="contraIndication" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_iL5zkL_uEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_JXZoQAllEeKmMfGXbG9elQ" annotatedElement="_iMDkkL_uEeG9Y6ZcZJMJaA">
            <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iMELoL_uEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iMELob_uEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fj-UYL_vEeG9Y6ZcZJMJaA" name="exemption" visibility="public" type="_3V9HYKwiEeG4dfTp_XT2yg" association="_Fjz8UL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_de8nACzgEeKLfdgQhBZO1Q" annotatedElement="_Fj-UYL_vEeG9Y6ZcZJMJaA">
            <body>A record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fj-7cL_vEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fj-7cb_vEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kwvOELycEeGK2djLWlLFew" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_kwrjsLycEeGK2djLWlLFew">
          <ownedComment xmi:id="_tFAKULycEeGK2djLWlLFew" annotatedElement="_kwvOELycEeGK2djLWlLFew">
            <body>&quot;Contains the identifier of the condition or problem for which the drug/treatment was prescribed.  May repeat if multiple indications are relevant.&quot; - HL7 Version 2.8, RXA-19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kwwcMLycEeGK2djLWlLFew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kwwcMbycEeGK2djLWlLFew" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PiHeEAllEeKmMfGXbG9elQ" name="patientCondition" visibility="public" type="_420A62FD03B6421F8AD00244" association="_PiAJUAllEeKmMfGXbG9elQ">
          <ownedComment xmi:id="_Gq5c4CzfEeKLfdgQhBZO1Q" annotatedElement="_PiHeEAllEeKmMfGXbG9elQ">
            <body>Patient conditions are observations about the patient which impact forecasting next doses. These include allergies, previous adverse reactions and special risk factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiJTQAllEeKmMfGXbG9elQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiJTQQllEeKmMfGXbG9elQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BFhS4VNdEeaHsPdvgbW7pw" name="reaction" visibility="public" type="_KXfzkEUdEeCUY8hq_icSiw" association="_BFhS4FNdEeaHsPdvgbW7pw">
          <ownedComment xmi:id="_2dTrIFNpEeaHsPdvgbW7pw" annotatedElement="_BFhS4VNdEeaHsPdvgbW7pw">
            <body>Pointer to a record of an adverse physiological response attributed to the exposure of the Patient to the given substance&#xD;
&quot;Categorical data indicating that an adverse event is associated in time to an immunization.&quot; - HL7 FHIR, Immunization.reaction</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BFhS4lNdEeaHsPdvgbW7pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BFhS41NdEeaHsPdvgbW7pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ALpEMSxcEee7FIwz9nLROQ" name="medicationAdministrationTopic" visibility="public" type="_ZmClkCRGEeeGzeZ-iJyMXQ" association="_ALpEMCxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ALpEMixcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ALpEMyxcEee7FIwz9nLROQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hutLMSxcEee7FIwz9nLROQ" name="medAdminPerformedContext" visibility="public" type="_2QCQ4KwREeG4dfTp_XT2yg" association="_hutLMCxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hutLMixcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hutLMyxcEee7FIwz9nLROQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yQ2jIDh4EeC17O99ZX8o-w" name="MedicationAdministrationPromise">
        <eAnnotations xmi:id="_Cytiwi8-Eee8ZskGHfh21g" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Cytiwy8-Eee8ZskGHfh21g" key="ClinicalStmt"/>
        </eAnnotations>
        <generalization xmi:id="_sDk4YC89Eee8ZskGHfh21g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_Meof0SxcEee7FIwz9nLROQ" name="medicationAdministrationTopic" visibility="public" type="_ZmClkCRGEeeGzeZ-iJyMXQ" association="_Meof0CxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Meof0ixcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Meof0yxcEee7FIwz9nLROQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hWMkkSxcEee7FIwz9nLROQ" name="promisedContext" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_hWMkkCxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hWMkkixcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hWMkkyxcEee7FIwz9nLROQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2QCQ4KwREeG4dfTp_XT2yg" name="MedAdminPerformedContext">
        <generalization xmi:id="_YHV6QCxaEee7FIwz9nLROQ" general="_Wv-bwN2XEeaby7vXKhx5Xg"/>
        <ownedAttribute xmi:id="_i-seYCRDEeeGzeZ-iJyMXQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vrorECRDEeeGzeZ-iJyMXQ" annotatedElement="_i-seYCRDEeeGzeZ-iJyMXQ">
            <body>&quot;Indicates the type of medication administration and where the medication is expected to be consumed or administered.&quot; - HL7 FHIR, MedicationAdministration.category. Possible values for this property include Inpatient, Outpatient, Community.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l7pXsCRDEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l7pXsSRDEeeGzeZ-iJyMXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6e5-8ANOEeKTM4I4vlc5xg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_AOpwAANPEeKTM4I4vlc5xg" annotatedElement="_6e5-8ANOEeKTM4I4vlc5xg">
            <body>Uniquely identifies the Medication Administration Event.&#xD;
&quot;External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource. The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated; an administration while the patient was off the ward might be made with a different system and entered after the event. Particularly important if these records have to be updated.&quot;  - HL7 FHIR, MedicationAdministration.identifier&#xD;
&quot;A unique identifier assigned to this immunization record.&quot; - HL7 FHIR, Immunization.identifier</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_syDV4JC2EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_syD88JC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZOfkECRNEeeGzeZ-iJyMXQ" name="notGiven" visibility="public" isStatic="true" isDerived="true">
          <ownedComment xmi:id="_ZOfkESRNEeeGzeZ-iJyMXQ" annotatedElement="_ZOfkECRNEeeGzeZ-iJyMXQ">
            <body>This property is included for compatibility to FHIR. FHIM uses separate classes to indicate medication administrations that happened or didn't happen. If this property is to be used, it would be hard-coded to true.&#xD;
&quot;Set this to true if the record is saying that the medication was NOT administered.&quot; - HL7 FHIR, MedicationAdministration.notGiven</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZOfkEyRNEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZOfkEiRNEeeGzeZ-iJyMXQ" value="1"/>
          <defaultValue xmi:type="uml:LiteralBoolean" xmi:id="_ZOfkFCRNEeeGzeZ-iJyMXQ">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DFcQACRSEeeGzeZ-iJyMXQ" name="reasonCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NFKBcCRSEeeGzeZ-iJyMXQ" annotatedElement="_DFcQACRSEeeGzeZ-iJyMXQ">
            <body>Indicates why the medication was given. Valid values in FHIR currently consist of only Given as ordered and Emergency, whereas in FHIM this property is expected to also provide a reason why a medication was administered when under a PRN* order (e.g., patient was in pain, patient was nauseous, etc.). [*PRN is an abbreviation for &quot;pro re nata&quot;, a Latin phrase meaning &quot;as needed.&quot; In a PRN order, the administration times (if any) are determined by the patient's needs].&#xD;
&quot;A code indicating why the medication was given.&quot; - HL7 FHIR, MedicationAdministration.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HiylECRSEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HiylESRSEeeGzeZ-iJyMXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641B4D758015F" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NYl6GOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4D758015F">
            <body>The current state of the Substance Administration. Possible values include: Infusing, Given, Held, Completed, etc.&#xD;
&quot;Status of treatment administration event. Refer to HL7 Table 0322 - Completion Status in Chapter 2C for valid values.&quot; - HL7 Version 2.8, RXA-20&#xD;
&quot;Will generally be set to show that the administration has been completed. For some long running administrations such as infusions it is possible for an administration to be started but not completed or it may be paused while some other process is under way.&quot;  - HL7 FHIR, MedicationAdministration.status&#xD;
&quot;Indicates the current status of the vaccination event.&quot; - HL7 FHIR, Immunization.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0CDYwJC2EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0CDYwZC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b7FDcL01EeGHr5yhv0QPSw" name="systemEntryDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_kxY80L01EeGHr5yhv0QPSw" annotatedElement="_b7FDcL01EeGHr5yhv0QPSw">
            <body>&quot;Date/time the administration information was entered into the source system.  This field is used to detect instances where treatment administration information is inadvertently entered multiple times by providing a unique identification field. Under usual circumstances, this field would be provided automatically by the computer system rather than being entered by a person.&quot; - HL7 Version 2.8, RXA-22</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0tMAcJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0tMngJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bo6tkLyNEeGK2djLWlLFew" name="administrationLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_Bo3qQLyNEeGK2djLWlLFew">
          <ownedComment xmi:id="_Hj43MLyNEeGK2djLWlLFew" annotatedElement="_Bo6tkLyNEeGK2djLWlLFew">
            <body>Pointer to the location at which the medication administration event occurred. For inpatient situations, this location may be the room, bed, and/or ward at which the patient was located at the time of the medication administration&#xD;
&quot;Contains the inpatient or outpatient location at which the drug or treatment was administered (if applicable).&quot; - HL7 Version 2.8, RXA-11&#xD;
&quot;Specifies the location where the drug or treatment was administered.&quot; - HL7 Version 2.8, RXA-27&#xD;
&quot;The service delivery location where the vaccine administration occurred.&quot;  - HL7 FHIR, Immunization.location</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bo77sLyNEeGK2djLWlLFew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bo8iwLyNEeGK2djLWlLFew" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ikNCoIAjEeGE1-mzJa42fw" name="IVAdminstration">
        <generalization xmi:id="_Cm4fwLyPEeGK2djLWlLFew" general="_HqoJ8HE-EeaIzczSuyGEmQ"/>
        <ownedAttribute xmi:id="_IHEEoDh9EeC17O99ZX8o-w" name="actualIvLimitation" visibility="public">
          <ownedComment xmi:id="_IHEEoTh9EeC17O99ZX8o-w" annotatedElement="_IHEEoDh9EeC17O99ZX8o-w">
            <body>This is the maximum length of time to administer, or the maximum volume to administer, for IV fluid orders. The value may be in ML or CC for  milliliters, L for liters, D for days, or H for hours.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bt5RUJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bt5RUZC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641DEB346013F" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NYcJFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641DEB346013F">
            <body>Specifies when the substance is to be administered and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_durdUJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_durdUZC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641B4D20B0067" name="infusionRate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NYcJGOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4D20B0067">
            <body>&quot;Contains the rate at which this medication/treatment was administered as calculated by using RXA-6-administered amount and RXA-7-administered units.  This field is conditional because it is required when a treatment is administered continuously at a prescribed rate, e.g., certain IV solutions.&quot; - HL7 Version 2.8, RXA-12&#xD;
&#xD;
Infusion: &quot;Introduction of a solution into the body through a vein for therapeutic purposes.&quot;  (American Heritage Stedman's Medical Dictionary).  This is the rate at which the solution is introduced into the body.  Expressed as volume/time (e.g., 500 ml/hr)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eYvG8JC2EeaeVcv6mxF7oQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eYvG8ZC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CC1D0395" name="syringeSize" visibility="public">
          <ownedComment xmi:id="_NdqAReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CC1D0395">
            <body>Size of the syringe to be used to administer IV.    Do we need this???</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e-m0IJC2EeaeVcv6mxF7oQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e-nbMJC2EeaeVcv6mxF7oQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1DWQUL2hEeG_PZtvUC92nw" name="routingInstruction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1DWQUb2hEeG_PZtvUC92nw" annotatedElement="_1DWQUL2hEeG_PZtvUC92nw">
            <body>&quot;Provides instruction on administration routing, especially in cases where more than one route of administration is possible. A typical case would be designating which IV line should be used when more than one IV line is a possible route for injection.&quot; - HL7 Version 2.8, RXR-5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1DWQU72hEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1DWQUr2hEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fjz8UL_vEeG9Y6ZcZJMJaA" name="medicationAdministrationEvent_exemption" memberEnd="_Fj-UYL_vEeG9Y6ZcZJMJaA _FkIFYL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_FkIFYL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_Fjz8UL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Bo3qQLyNEeGK2djLWlLFew" name="medAdminPerformedContext_administrationLocation" memberEnd="_Bo6tkLyNEeGK2djLWlLFew _Bo-_ALyNEeGK2djLWlLFew">
        <ownedEnd xmi:id="_Bo-_ALyNEeGK2djLWlLFew" name="" visibility="public" type="_2QCQ4KwREeG4dfTp_XT2yg" association="_Bo3qQLyNEeGK2djLWlLFew"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PiAJUAllEeKmMfGXbG9elQ" name="medicationAdministrationEvent_patientCondition" memberEnd="_PiHeEAllEeKmMfGXbG9elQ _PiLIcAllEeKmMfGXbG9elQ">
        <ownedEnd xmi:id="_PiLIcAllEeKmMfGXbG9elQ" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_PiAJUAllEeKmMfGXbG9elQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BFhS4FNdEeaHsPdvgbW7pw" name="medicationAdministrationEvent_reaction" memberEnd="_BFhS4VNdEeaHsPdvgbW7pw _BFhS5FNdEeaHsPdvgbW7pw">
        <ownedEnd xmi:id="_BFhS5FNdEeaHsPdvgbW7pw" name="" visibility="private" type="_420A62FD03B641A349EF0070" association="_BFhS4FNdEeaHsPdvgbW7pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sq89YKEREeGnfe88WF3uxw" name="medicationAdministrationTopic_administeredDrug" memberEnd="_Sq-ykKEREeGnfe88WF3uxw _SrBO0KEREeGnfe88WF3uxw">
        <ownedEnd xmi:id="_SrBO0KEREeGnfe88WF3uxw" name="" visibility="public" type="_ZmClkCRGEeeGzeZ-iJyMXQ" association="_Sq89YKEREeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kwrjsLycEeGK2djLWlLFew" name="medicationAdministrationEvent_indication" memberEnd="_kwvOELycEeGK2djLWlLFew _kwzfgLycEeGK2djLWlLFew">
        <ownedEnd xmi:id="_kwzfgLycEeGK2djLWlLFew" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_kwrjsLycEeGK2djLWlLFew"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iL5zkL_uEeG9Y6ZcZJMJaA" name="medicationAdministrationEvent_contraIndication" memberEnd="_iMDkkL_uEeG9Y6ZcZJMJaA _iMNVkL_uEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_iMNVkL_uEeG9Y6ZcZJMJaA" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_iL5zkL_uEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZmClkCRGEeeGzeZ-iJyMXQ" name="MedicationAdministrationTopic">
        <generalization xmi:id="_yLFPYCRLEeeGzeZ-iJyMXQ" general="_zzZeQAXREeebQs_lQM5n6g"/>
        <ownedAttribute xmi:id="_Sq-ykKEREeGnfe88WF3uxw" name="administeredDrug" visibility="public" type="_OaEXAKEREeGnfe88WF3uxw" association="_Sq89YKEREeGnfe88WF3uxw">
          <ownedComment xmi:id="_off2QLyFEeGK2djLWlLFew" annotatedElement="_Sq-ykKEREeGnfe88WF3uxw">
            <body>Pointer to the medication or substance that was or will be administered.&#xD;
&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5&#xD;
&quot;Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.&quot;  - HL7 FHIR, MedicationAdministration.medication[x]&#xD;
&quot;Vaccine that was administered or was to be administered.&quot; - HL7 FHIR, Immunization.vaccineCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sq_ZoKEREeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sq_ZoaEREeGnfe88WF3uxw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0Zz3ISRTEeeGzeZ-iJyMXQ" name="dosage" visibility="public" type="_HqoJ8HE-EeaIzczSuyGEmQ" association="_0Zz3ICRTEeeGzeZ-iJyMXQ">
          <ownedComment xmi:id="_02Ct4CRYEeeGzeZ-iJyMXQ" annotatedElement="_0Zz3ISRTEeeGzeZ-iJyMXQ">
            <body>Pointer to information on the amount of medication that was or is to be administered, and the method by which the administration occurred or is to occur.&#xD;
&quot;Describes the medication dosage information details e.g. dose, rate, site, route, etc.&quot; - HL7 FHIR, MedicationAdministration.dosage</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0Zz3IiRTEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0Zz3IyRTEeeGzeZ-iJyMXQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cjX5YCRGEeeGzeZ-iJyMXQ" name="MedAdminNotPerformedContext">
        <generalization xmi:id="_pxJI8CRLEeeGzeZ-iJyMXQ" general="_aT8j0PR3EeaL1vtd_d-dUA"/>
        <ownedAttribute xmi:id="_v24isCRMEeeGzeZ-iJyMXQ" name="notGiven" visibility="public" isStatic="true" isDerived="true">
          <ownedComment xmi:id="_3cLgICRMEeeGzeZ-iJyMXQ" annotatedElement="_v24isCRMEeeGzeZ-iJyMXQ">
            <body>This property is included for compatibility to FHIR. FHIM uses separate classes to indicate medication administrations that happened or didn't happen. If this property is to be used, it would be hard-coded to true.&#xD;
&quot;Set this to true if the record is saying that the medication was NOT administered.&quot; - HL7 FHIR, MedicationAdministration.notGiven</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
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          <defaultValue xmi:type="uml:LiteralBoolean" xmi:id="_9BaDQCRMEeeGzeZ-iJyMXQ" value="true">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tOVWoCRNEeeGzeZ-iJyMXQ" name="reasonNotGiven" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yPTWICRNEeeGzeZ-iJyMXQ" annotatedElement="_tOVWoCRNEeeGzeZ-iJyMXQ">
            <body>&quot;A code indicating why the administration was not performed.&quot; - HL7 FHIR, MedicationAdministration.reasonNotGiven</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w_ZNcCRNEeeGzeZ-iJyMXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w_Z0gCRNEeeGzeZ-iJyMXQ" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0Zz3ICRTEeeGzeZ-iJyMXQ" name="medicationAdministrationTopic_dosage" memberEnd="_0Zz3ISRTEeeGzeZ-iJyMXQ _0Zz3JCRTEeeGzeZ-iJyMXQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ALpEMCxcEee7FIwz9nLROQ" name="medicationAdministrationPerformed_medicationAdministrationTopic" memberEnd="_ALpEMSxcEee7FIwz9nLROQ _ALpENCxcEee7FIwz9nLROQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Meof0CxcEee7FIwz9nLROQ" name="medicationAdministrationPromise_medicationAdministrationTopic" memberEnd="_Meof0SxcEee7FIwz9nLROQ _MexpwCxcEee7FIwz9nLROQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OapgkCxcEee7FIwz9nLROQ" name="MedicationAdministrationRequest">
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          <details xmi:id="_CytiwS8-Eee8ZskGHfh21g" key="ClinicalStmt"/>
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        <generalization xmi:id="_rRLyIC89Eee8ZskGHfh21g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_gpXPkSxjEeeWWpVsbT2fVg" name="orderedContext" visibility="public" type="_420A62FD03B64589572B02E8" association="_gpXPkCxjEeeWWpVsbT2fVg">
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        </ownedAttribute>
        <ownedAttribute xmi:id="_1c_PgSxjEeeWWpVsbT2fVg" name="medicationAdministrationTopic" visibility="public" type="_ZmClkCRGEeeGzeZ-iJyMXQ" association="_1c_PgCxjEeeWWpVsbT2fVg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1c_PgixjEeeWWpVsbT2fVg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1c_PgyxjEeeWWpVsbT2fVg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_R4ReACxcEee7FIwz9nLROQ" name="MedicationAdministrationNotPerformed">
        <eAnnotations xmi:id="_CytixS8-Eee8ZskGHfh21g" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Cy3TwC8-Eee8ZskGHfh21g" key="ClinicalStmt"/>
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        <generalization xmi:id="_tX3KwC89Eee8ZskGHfh21g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_iLU1wCxcEee7FIwz9nLROQ" name="medAdminNotPerformedContext" visibility="public" type="_cjX5YCRGEeeGzeZ-iJyMXQ" association="_iLLEwCxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iLU1wSxcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iLU1wixcEee7FIwz9nLROQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zHq98SxjEeeWWpVsbT2fVg" name="medicationAdministrationTopic" visibility="public" type="_ZmClkCRGEeeGzeZ-iJyMXQ" association="_zHq98CxjEeeWWpVsbT2fVg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zHq98ixjEeeWWpVsbT2fVg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zHq98yxjEeeWWpVsbT2fVg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hWMkkCxcEee7FIwz9nLROQ" name="medicationAdministrationPromise_promisedContext" memberEnd="_hWMkkSxcEee7FIwz9nLROQ _hWMklCxcEee7FIwz9nLROQ">
        <ownedEnd xmi:id="_hWMklCxcEee7FIwz9nLROQ" name="" visibility="private" type="_yQ2jIDh4EeC17O99ZX8o-w" association="_hWMkkCxcEee7FIwz9nLROQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hWWVkCxcEee7FIwz9nLROQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hWWVkSxcEee7FIwz9nLROQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hutLMCxcEee7FIwz9nLROQ" name="medicationAdministrationPerformed_medAdminPerformedContext" memberEnd="_hutLMSxcEee7FIwz9nLROQ _hutLNCxcEee7FIwz9nLROQ">
        <ownedEnd xmi:id="_hutLNCxcEee7FIwz9nLROQ" name="" visibility="private" type="_420A62FD03B641A349EF0070" association="_hutLMCxcEee7FIwz9nLROQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hutLNixcEee7FIwz9nLROQ" value="1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_iLLEwCxcEee7FIwz9nLROQ" name="medAdminNotPerformedContext_medAdminNotPerformedContext" memberEnd="_iLU1wCxcEee7FIwz9nLROQ _iLU1wyxcEee7FIwz9nLROQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gpXPkCxjEeeWWpVsbT2fVg" name="medicationAdministrationRequest_orderedContext" memberEnd="_gpXPkSxjEeeWWpVsbT2fVg _gpgZgCxjEeeWWpVsbT2fVg">
        <ownedEnd xmi:id="_gpgZgCxjEeeWWpVsbT2fVg" name="" visibility="private" type="_OapgkCxcEee7FIwz9nLROQ" association="_gpXPkCxjEeeWWpVsbT2fVg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gpgZgSxjEeeWWpVsbT2fVg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gpgZgixjEeeWWpVsbT2fVg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zHq98CxjEeeWWpVsbT2fVg" name="medicationAdministrationNotPerformed_medicationAdministrationTopic" memberEnd="_zHq98SxjEeeWWpVsbT2fVg _zHq99CxjEeeWWpVsbT2fVg">
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_wy4_0F2jEeercrca8w8cRw" name="DetailedClinicalModels">
      <eAnnotations xmi:id="_wzfcwF2jEeercrca8w8cRw" source="uml2.diagrams"/>
      <packagedElement xmi:type="uml:Package" xmi:id="_zfUJ0F2jEeercrca8w8cRw" name="GestationalAge">
        <eAnnotations xmi:id="_zfUJ0V2jEeercrca8w8cRw" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_aNOlEF2kEeercrca8w8cRw" name="GestationalAgeFinding">
          <ownedComment xmi:id="_Ein7AF2-Eeercrca8w8cRw" annotatedElement="_aNOlEF2kEeercrca8w8cRw">
            <body>The Gestational Age of a fetus or pre-maturely born infant is the number of weeks since the actual beginning of the mother's last menstrual period preceeding the pregnancy. This datum is used both prenatally and postnatally to estimate various risk factors. This datum may be used to determine the nutritional needs for infants.&#xD;
This class represents a Observation Clinical Statement wherein the Gestational Age has been Evaluated.</body>
          </ownedComment>
          <ownedRule xmi:id="_VwI4YHTrEeiiueO8fslTJg" name="ResultMustBePositiveAndInWeeks">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_VwI4YXTrEeiiueO8fslTJg">
              <language>OCL</language>
              <body>self.value.unit.code = 'wk' and self.value.value.literal > 0.0 and self.value.value.literal &lt;= 40.0&#xD;
-- need to verify the lower and upper limits</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_VwJfcHTrEeiiueO8fslTJg" name="TopicIsGestationalAge" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_VwJfcXTrEeiiueO8fslTJg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '49051-6'&#xD;
-- Gestational age in weeks</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_ORGwcHTqEeiiueO8fslTJg" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
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            <ownedComment xmi:id="_W6MtM3TqEeiiueO8fslTJg" annotatedElement="_W6MtMHTqEeiiueO8fslTJg">
              <body>The relative position of the patient's body mass index (BMI) among a given population, expressed as a percent (e.g., 20% of the population have this BMI). Note that this is not an exact number but usually expressed in groupings of 5% - 10% increments.&#xD;
This property redefines the inherited Observation.value property so that it is of type Quantity rather than an Any. In addition, a constraint is added that sets the unit of measure to a percent.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W6MtNXTqEeiiueO8fslTJg" value="1"/>
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        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_6Bf-QF3AEeercrca8w8cRw" name="ArmCircumference">
        <eAnnotations xmi:id="_6Bf-QV3AEeercrca8w8cRw" source="uml2.diagrams"/>
        <ownedComment xmi:id="_Mso54IahEee0x_BrPkLkDA" annotatedElement="_6Bf-QF3AEeercrca8w8cRw">
          <body>This package contains the Arm Circumference Detailed Clinical Model (DCM). A DCM represents a single clinical concept, expressed as a Clinical Statment containing a Topic and a Context, such that the topic is bound to a single concept within in a Coding System (rather than a value set). DCMs are designed such that they could be used in multiple other models, and assembled to produce larger constructs.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_6Bf-yF3AEeercrca8w8cRw" name="ArmCircumferenceFinding">
          <ownedComment xmi:id="_6Bf-yV3AEeercrca8w8cRw" annotatedElement="_6Bf-yF3AEeercrca8w8cRw">
            <body>The mid-upper arm circumference (sometimes abbreviated as MUAC) is the circumference of the upper arm half way between the olecranon process of the ulna and the acromion process of the scapula. It is measured with a non-stretchable tape measure, and is expressed in centimeters. The mid-upper arm circumference is a recognized and important anthropometric measure in children and in pregnant women to assess their nutritional status.&#xD;
This class represents an Observation Clinical Statement wherein the Arm Circumference has been Evaluated, which can be used in a variety of other models as if it were a datatype.</body>
          </ownedComment>
          <ownedRule xmi:id="_n_V0cGJiEee2PY0OGMs0Sw" name="ResultMustBePositiveAndInCentimeters">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_n_V0cWJiEee2PY0OGMs0Sw">
              <language>OCL</language>
              <body>self.value.unit.code = 'cm' and self.value.value.literal >= 0.0&#xD;
-- need to verify lower limit and add upper limit</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_XnaXIHSrEeiix4MStZHfGQ" name="TopicIsArmCircumference" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_XnaXIXSrEeiix4MStZHfGQ">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '56072-2'</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_LJq5gHSqEeiix4MStZHfGQ" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
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            </eAnnotations>
            <ownedComment xmi:id="_JPgfgGJhEee2PY0OGMs0Sw" annotatedElement="_Br4WAGJhEee2PY0OGMs0Sw">
              <body>The mid-upper arm circumference is the circumference of the upper arm half way between the olecranon process of the ulna and the acromion process of the scapula. It is measured with a non-stretchable tape measure, and is expressed in centimeters.&#xD;
This property redefines the inherited Observation.value property so that it is of type Quantity rather than an Any. In addition, a constraint is added that sets the unit of measure to centimeters.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H_VREGJhEee2PY0OGMs0Sw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_VREWJhEee2PY0OGMs0Sw" value="1"/>
          </ownedAttribute>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_kEOToGJrEee2PY0OGMs0Sw" name="TricepsSkinFold">
        <eAnnotations xmi:id="_kEOToWJrEee2PY0OGMs0Sw" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_kEOUMWJrEee2PY0OGMs0Sw" name="TricepsSkinFoldFinding">
          <ownedComment xmi:id="_kEOUMmJrEee2PY0OGMs0Sw" annotatedElement="_kEOUMWJrEee2PY0OGMs0Sw">
            <body>&quot;The triceps skin fold is the width of a fold of skin taken over the triceps muscle. It is measured using skinfold calipers. The measurement is taken at a standardized position at the midpoint of the back of the upper arm.&quot; - wikipedia&#xD;
This class represents a Clinical Statement wherein the Tricepts Skin Fold has been Evaluated.</body>
          </ownedComment>
          <ownedRule xmi:id="_ZEsO0HTqEeiiueO8fslTJg" name="ResultMustBePositiveAndInMillimeters">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_ZEsO0XTqEeiiueO8fslTJg">
              <language>OCL</language>
              <body>self.value.unit.code = 'mm' and self.value.value.literal > 0.0&#xD;
-- need to verify the lower and upper limits</body>
            </specification>
          </ownedRule>
          <ownedRule xmi:id="_ZEs14HTqEeiiueO8fslTJg" name="TopicIsTricepsSkinFold" constrainedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <specification xmi:type="uml:OpaqueExpression" xmi:id="_ZEs14XTqEeiiueO8fslTJg">
              <language>OCL</language>
              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '8354-3'&#xD;
-- Skin fold thickness Triceps</body>
            </specification>
          </ownedRule>
          <generalization xmi:id="_gjQcsHTrEeiiueO8fslTJg" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_e7U1kHTrEeiiueO8fslTJg" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_e7U1kXTrEeiiueO8fslTJg" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_e7U1knTrEeiiueO8fslTJg" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_e7U1k3TrEeiiueO8fslTJg" annotatedElement="_e7U1kHTrEeiiueO8fslTJg">
              <body>The width of a fold of skin taken over the triceps muscle, expressed in millimeters.&#xD;
This property redefines the inherited FindingTopic.result property so that it is of type Quantity rather than an Any, and so that the units of measure is millimeters.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7U1lXTrEeiiueO8fslTJg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e7U1lHTrEeiiueO8fslTJg" value="1"/>
          </ownedAttribute>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_hGIOAGJvEee2PY0OGMs0Sw" name="BodyMassIndex">
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            <body>The body mass index (BMI) is a value derived from the mass (weight) and height of an individual. The BMI is defined as the body mass divided by the square of the body height, and is universally expressed in units of kg/m2, resulting from mass in kilograms and height in meters. The BMI is an attempt to quantify the amount of tissue mass (muscle, fat, and bone) in an individual, and then categorize that person as underweight, normal weight, overweight, or obese based on that value. It is noted that health risks associated with BMI differ depending on the person's race, so the definition of overweight, obese, etc. may need to be adjusted based on the patient's race. - adapted from wikipedia.&#xD;
This class represents an Observation Clinical Statement wherein the Body Mass Index has been Evaluated, which can be used in a variety of other models as if it were a datatype.</body>
          </ownedComment>
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-- need to verify lower limit and add upper limit</body>
            </specification>
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              <body>self.topicCode.codeSystem.codeSystemName = 'LOINC' and self.topicCode.code = '39156-5'&#xD;
-- Body mass index</body>
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              <body>The body mass index (BMI) is a value derived from the mass (weight) and height of an individual. The BMI is defined as the body mass (in kilograms) divided by the square of the body height (in meters), and is universally expressed in units of kg/m2.&#xD;
This property redefines the inherited Observation.value property so that it is of type Quantity rather than an Any. In addition, a constraint is added that sets the unit of measure to kg/m2. Note that while conceptually, BMI is a ratio (weight / height^2), we've modeled this as a quantity because there is a UCUM unit of kg/m2, and it is treated as a number.</body>
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            <body>The relative position of the patient's body mass index (BMI) among a given population.&#xD;
This class represents an Observation Clinical Statement wherein the Body Mass Index Percentile has been Evaluated.</body>
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-- Body mass index [Percentile]</body>
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              <body>The relative position of the patient's body mass index (BMI) among a given population, expressed as a percent (e.g., 20% of the population have this BMI). Note that this is not an exact number but usually expressed in groupings of 5% - 10% increments.&#xD;
This property redefines the inherited Observation.value property so that it is of type Quantity rather than an Any. In addition, a constraint is added that sets the unit of measure to a percent.</body>
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            <body>x&#xD;
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-- need to verify lower limit and add upper limit</body>
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              <body>x&#xD;
This property redefines the inherited Observation.value property so that it is of type Quantity rather than an Any. In addition, a constraint is added that sets the unit of measure to xxx.</body>
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        <ownedAttribute xmi:id="_VeCKSn43Eeip-sQQzeVEVw" name="dateTimeOff" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKTH43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKS343Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKTX43Eeip-sQQzeVEVw" name="previousPostDialysisSittingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKT343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKTn43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKUH43Eeip-sQQzeVEVw" name="previousPostDialysisStandingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKUn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKUX43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKU343Eeip-sQQzeVEVw" name="previousPostDialysisSittingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKVX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKVH43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKVn43Eeip-sQQzeVEVw" name="previousPostDialysisStandingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKWH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKV343Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKWX43Eeip-sQQzeVEVw" name="previousPostDialysisStandingWeight" visibility="public" type="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKW343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKWn43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKXH43Eeip-sQQzeVEVw" name="preDialysisSittingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKXn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKXX43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKX343Eeip-sQQzeVEVw" name="preDialysisStandingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKYX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKYH43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKYn43Eeip-sQQzeVEVw" name="preDialysisSittingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKZH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKY343Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKZX43Eeip-sQQzeVEVw" name="preDialysisStandingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKZ343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKZn43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKaH43Eeip-sQQzeVEVw" name="prePostDialysisStandingWeight" visibility="public" type="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKan43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKaX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeCKa343Eeip-sQQzeVEVw" name="postDialysisSittingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKbX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKbH43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeCKbn43Eeip-sQQzeVEVw" name="postDialysisStandingBP" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKcH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKb343Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKcX43Eeip-sQQzeVEVw" name="postDialysisSittingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKc343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKcn43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKdH43Eeip-sQQzeVEVw" name="postDialysisStandingHR" visibility="public" type="_EVpMQH-3EeOzENpLs8HIcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKdn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKdX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeCKd343Eeip-sQQzeVEVw" name="postDialysisStandingWeight" visibility="public" type="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKeX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKeH43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKen43Eeip-sQQzeVEVw" name="machineAssessment" visibility="public" type="_VeBjMH43Eeip-sQQzeVEVw" association="_VeD_cH43Eeip-sQQzeVEVw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKfH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKe343Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeCKfX43Eeip-sQQzeVEVw" name="orderChange" visibility="public" type="_Vd_uAH43Eeip-sQQzeVEVw" association="_VeD_cn43Eeip-sQQzeVEVw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKf343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKfn43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKgH43Eeip-sQQzeVEVw" name="weightGain" visibility="public" type="_420A62FD03B641886F630221" isDerived="true">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKgn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKgX43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_VeCKg343Eeip-sQQzeVEVw" name="removalGoal" visibility="public" type="_420A62FD03B641886F630221" isDerived="true">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCKhX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCKhH43Eeip-sQQzeVEVw" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VeD_cH43Eeip-sQQzeVEVw" name="dialysisTreatment_machineAssessment" memberEnd="_VeCKen43Eeip-sQQzeVEVw _VeD_cX43Eeip-sQQzeVEVw">
        <ownedEnd xmi:id="_VeD_cX43Eeip-sQQzeVEVw" name="" visibility="private" type="_VeCKQH43Eeip-sQQzeVEVw" association="_VeD_cH43Eeip-sQQzeVEVw"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_VeD_cn43Eeip-sQQzeVEVw" name="dialysisTreatment_orderChange" memberEnd="_VeCKfX43Eeip-sQQzeVEVw _VeD_c343Eeip-sQQzeVEVw">
        <ownedEnd xmi:id="_VeD_c343Eeip-sQQzeVEVw" name="" visibility="private" type="_VeCKQH43Eeip-sQQzeVEVw" association="_VeD_cn43Eeip-sQQzeVEVw"/>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_oCGiYH43Eeip-sQQzeVEVw" name="SkinAndWound">
      <eAnnotations xmi:id="_oCXoIH43Eeip-sQQzeVEVw" source="uml2.diagrams"/>
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        <ownedComment xmi:id="_8FcXwIIPEeigtsH8VKenxA" annotatedElement="_wQYycH43Eeip-sQQzeVEVw">
          <body>&quot;&quot; - LOINC 11373-8 (Injury cause)</body>
        </ownedComment>
        <generalization xmi:id="_wQYycX43Eeip-sQQzeVEVw" general="_soVlIDnEEeily54_XzrISg"/>
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          <ownedComment xmi:id="_8UGmMIIMEeigtsH8VKenxA" annotatedElement="_wQYye343Eeip-sQQzeVEVw">
            <body>&quot;The wound number identifies a specific wound in cases where a patient has more than one wound at a given point in time.&quot; - LOINC 81666-0 (Wound number [Identifier])</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyfX43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyfH43Eeip-sQQzeVEVw" value="1"/>
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        <ownedAttribute xmi:id="_wQYycn43Eeip-sQQzeVEVw" name="b_woundType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M-fqcIIOEeigtsH8VKenxA" annotatedElement="_wQYycn43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 72300-7 (Wound type)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYydH43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyc343Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyhH43Eeip-sQQzeVEVw" name="d_wasPresentOnAdmission" visibility="public" isDerived="true">
          <ownedComment xmi:id="_K5LHQIIPEeigtsH8VKenxA" annotatedElement="_wQYyhH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 89251-3 (Condition present on admission)</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyhn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyhX43Eeip-sQQzeVEVw" value="1"/>
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          <ownedComment xmi:id="_ekZ7wIIPEeigtsH8VKenxA" annotatedElement="_wQYyh343Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 11373-8 (Injury cause)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyiX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyiH43Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyin43Eeip-sQQzeVEVw" name="f_dateAbated" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_HtIMkIIQEeigtsH8VKenxA" annotatedElement="_wQYyin43Eeip-sQQzeVEVw">
            <body>&quot;The date that a condition resolved, went into remission, or was no longer relevant, or the date on which this is expected to occur. This concept is based on the abatement element within the HL7 FHIR Condition Resource.&quot; - LOINC 88878-4 (Date of condition abatement)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyjH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyi343Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYykH43Eeip-sQQzeVEVw" name="h_woundEpisode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-hpfAIIQEeigtsH8VKenxA" annotatedElement="_wQYykH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 89252-1 (Episode of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYykn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYykX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyon43Eeip-sQQzeVEVw" name="j_dateOfOnsetOfImpairment" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_pIALcIIREeigtsH8VKenxA" annotatedElement="_wQYyon43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 85585-8 (Date of condition onset)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYypH43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyo343Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYypX43Eeip-sQQzeVEVw" name="k_bodySiteIdentification" visibility="public" type="_wQdD4H43Eeip-sQQzeVEVw" association="_wQguRH43Eeip-sQQzeVEVw">
          <ownedComment xmi:id="_2PXqUIIREeigtsH8VKenxA" annotatedElement="_wQYypX43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 72369-2 (Body site identification panel)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyp343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYypn43Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ieCmIIIXEeigtsH8VKenxA" name="woundObservation" visibility="public" type="_Y8YG0IIQEeigtsH8VKenxA" association="_idl6MIIXEeigtsH8VKenxA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ieMXIIIXEeigtsH8VKenxA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ieMXIYIXEeigtsH8VKenxA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQanoH43Eeip-sQQzeVEVw" name="WoundBed">
        <ownedComment xmi:id="_9-raYIJIEeiCvPX2CGu0gg" annotatedElement="_wQanoH43Eeip-sQQzeVEVw">
          <body>&quot;&quot; - LOINC 89254-7 (Wound bed panel)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wQanoX43Eeip-sQQzeVEVw" name="n2_woundBaseAppearance " visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HXrKEIJJEeiCvPX2CGu0gg" annotatedElement="_wQanoX43Eeip-sQQzeVEVw">
            <body>&quot;Described as necrotic, sloughing, fibrinous, granulated, intact, approximated, etc. The wound bed appearance may or may not be differentiated from the wound edge, especially if the wound is healing well.&quot; - LOINC 72371-8 (Appearance of Wound base)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQano343Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQanon43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQanrX43Eeip-sQQzeVEVw" name="n3_bedAreaPercentageByAppearance" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_AdUxoIJKEeiCvPX2CGu0gg" annotatedElement="_wQanrX43Eeip-sQQzeVEVw">
            <body>&quot;The area of the wound that is a specific color out of the total wound bed area (e.g., red 50%, yellow 40%, black 10%). The color is identified using [LOINC: 39132-6].&quot; - LOINC 89255-4 (Wound bed area identified by color/​Area of wound bed)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQanr343Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQanrn43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQanpH43Eeip-sQQzeVEVw" name="n4_woundBaseColor" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3_u6QIJJEeiCvPX2CGu0gg" annotatedElement="_wQanpH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 39132-6 (Color of Wound base)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQanpn43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQanpX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQanqn43Eeip-sQQzeVEVw" name="n5_bedAreaPercentageByColor" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_shvM8IJJEeiCvPX2CGu0gg" annotatedElement="_wQanqn43Eeip-sQQzeVEVw">
            <body>&quot;The percent of the wound bed appearance is the area of identified wound bed appearance (necrotic, sloughing, etc.; see LOINC 72371-8) compared to the total area of the wound bed. For example, 40% of the wound bed is necrotic. Results can either be subjective or measured.&quot; - LOINC 72370-0 (Area of identified wound bed appearance/​Area of wound bed of Wound base)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQanrH43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQanq343Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQanp343Eeip-sQQzeVEVw" name="n6_woundEdge" visibility="public" type="_wQeSAH43Eeip-sQQzeVEVw" association="_wQhVUH43Eeip-sQQzeVEVw">
          <ownedComment xmi:id="_w1WdYIIsEeiVv-TY0Gpnyw" annotatedElement="_wQanp343Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 89256-2 (Wound edge panel)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQanqX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQanqH43Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQbOsH43Eeip-sQQzeVEVw" name="WoundTunnelingAndUndermining">
        <ownedAttribute xmi:id="_wQbOsX43Eeip-sQQzeVEVw" name="o2_isTunnelingPresent" visibility="public">
          <ownedComment xmi:id="_I9sdwIIqEeiVv-TY0Gpnyw" annotatedElement="_wQbOsX43Eeip-sQQzeVEVw">
            <body>&quot;Tunneling of a wound refers to a narrow opening or pathway underneath the skin that may extend in any direction, resulting in dead space with potential for abscess formation.&quot; - LOINC 72298-3 (Tunneling of Wound)&#xD;
In Loinc this is a code with Yes, No values</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQbOs343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQbOsn43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQbOtH43Eeip-sQQzeVEVw" name="o3_tunnelingLength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_jtVJIIIqEeiVv-TY0Gpnyw" annotatedElement="_wQbOtH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 72296-7 (Tunneling [Length] of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQbOtn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQbOtX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQbOt343Eeip-sQQzeVEVw" name="o4_tunnelingClockPosition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rj75AIIqEeiVv-TY0Gpnyw" annotatedElement="_wQbOt343Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 72297-5 (Tunneling clock position of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQbOuX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQbOuH43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m7_BAIIrEeiVv-TY0Gpnyw" name="o6_isUnderminingPresent" visibility="public">
          <ownedComment xmi:id="_m7_BAYIrEeiVv-TY0Gpnyw" annotatedElement="_m7_BAIIrEeiVv-TY0Gpnyw">
            <body>&quot;Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis.&quot; - LOINC 72295-9 (Undermining of Wound)&#xD;
In Loinc this is a code with Yes, No values</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m7_BA4IrEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m7_BAoIrEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m7_BBIIrEeiVv-TY0Gpnyw" name="o7_underminingLength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_m7_BBYIrEeiVv-TY0Gpnyw" annotatedElement="_m7_BBIIrEeiVv-TY0Gpnyw">
            <body>&quot;Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis.&quot; - LOINC 72293-4 (Undermining [Length] of Wound</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m7_BB4IrEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m7_BBoIrEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m7_BCIIrEeiVv-TY0Gpnyw" name="o8_underminingClockPosition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_m7_BCYIrEeiVv-TY0Gpnyw" annotatedElement="_m7_BCIIrEeiVv-TY0Gpnyw">
            <body>&quot;&quot; - LOINC 72294-2 (Undermining clock position of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m7_BC4IrEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m7_BCoIrEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQcc0H43Eeip-sQQzeVEVw" name="WoundExudate">
        <ownedAttribute xmi:id="_qfObEIInEeiVv-TY0Gpnyw" name="p1_isPresent" visibility="public">
          <ownedComment xmi:id="_qfObEYInEeiVv-TY0Gpnyw" annotatedElement="_qfObEIInEeiVv-TY0Gpnyw">
            <body>&quot;Presence or absence of wound drainage.&quot; - LOINC 89259-6 (Presence of wound exudate)&#xD;
In Loinc this is a code with Yes, No values</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qfObE4InEeiVv-TY0Gpnyw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qfObEoInEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ki-EYIIoEeiVv-TY0Gpnyw" name="p3_drainageAmount" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MYfbkIIoEeiVv-TY0Gpnyw" annotatedElement="_Ki-EYIIoEeiVv-TY0Gpnyw">
            <body>&quot;&quot; - LOINC 39116-9 (Drainage amount of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ki-EYoIoEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ki-EYYIoEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e1uy8IIoEeiVv-TY0Gpnyw" name="p4_odor" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lty28IIoEeiVv-TY0Gpnyw" annotatedElement="_e1uy8IIoEeiVv-TY0Gpnyw">
            <body>&quot;&quot; - LOINC 72288-4 (Odor of Exudate from wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e1uy84IoEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e1uy8oIoEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e4HYkIIoEeiVv-TY0Gpnyw" name="p5_color" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_uPEUcIIoEeiVv-TY0Gpnyw" annotatedElement="_e4HYkIIoEeiVv-TY0Gpnyw">
            <body>&quot;&quot; - LOINC 72289-2 (Color of Exudate from wound)	</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e4HYk4IoEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e4HYkoIoEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IToCgIIpEeiVv-TY0Gpnyw" name="p6_appearance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IToCgYIpEeiVv-TY0Gpnyw" annotatedElement="_IToCgIIpEeiVv-TY0Gpnyw">
            <body>&quot;&quot; - LOINC 72290-0 (Appearance of Exudate from wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IToCg4IpEeiVv-TY0Gpnyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IToCgoIpEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQcc0X43Eeip-sQQzeVEVw" name="WoundSize">
        <ownedAttribute xmi:id="_qji6YIInEeiVv-TY0Gpnyw" name="p2_woundArea" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_qji6YYInEeiVv-TY0Gpnyw" annotatedElement="_qji6YIInEeiVv-TY0Gpnyw">
            <body>&quot;The area inside the wound edge boundary. Wound length x wound width.&quot; - LOINC 89260-4 (Area of wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qji6Y4InEeiVv-TY0Gpnyw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qji6YoInEeiVv-TY0Gpnyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7crN8IIXEeigtsH8VKenxA" name="q1_woundWidth" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_dGJe8IIYEeigtsH8VKenxA" annotatedElement="_7crN8IIXEeigtsH8VKenxA">
            <body>&quot;&quot; - LOINC 39125-0 (Width of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7crN8oIXEeigtsH8VKenxA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7crN8YIXEeigtsH8VKenxA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GiaMQIIYEeigtsH8VKenxA" name="q2_woundDepth" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_iOn0oIIYEeigtsH8VKenxA" annotatedElement="_GiaMQIIYEeigtsH8VKenxA">
            <body>&quot;&quot; - LOINC 39127-6 (Depth of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GiaMQoIYEeigtsH8VKenxA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GiaMQYIYEeigtsH8VKenxA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Gl1TsIIYEeigtsH8VKenxA" name="q3_woundLength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_mYInsIIYEeigtsH8VKenxA" annotatedElement="_Gl1TsIIYEeigtsH8VKenxA">
            <body>&quot;&quot; - LOINC 39126-8 (Length of Wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gl1TsoIYEeigtsH8VKenxA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gl1TsYIYEeigtsH8VKenxA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQdD4H43Eeip-sQQzeVEVw" name="BodySiteIdentification">
        <ownedAttribute xmi:id="_wQdD4X43Eeip-sQQzeVEVw" name="k1_bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__GGacIIREeigtsH8VKenxA" annotatedElement="_wQdD4X43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 39111-0 (Body site)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQdD4343Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQdD4n43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQdD5H43Eeip-sQQzeVEVw" name="k2_bodyLocationQualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hkjysIISEeigtsH8VKenxA" annotatedElement="_wQdD5H43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 39112-8 (Body location qualifier)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQdD5n43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQdD5X43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQdD5343Eeip-sQQzeVEVw" name="k3_laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_CSqAkIITEeigtsH8VKenxA" annotatedElement="_wQdD5343Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 20228-3 (Anatomic part Laterality)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQdD6X43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQdD6H43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wQeSAH43Eeip-sQQzeVEVw" name="WoundEdge">
        <ownedAttribute xmi:id="_wQeSAX43Eeip-sQQzeVEVw" name="n7_description" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NtJkkIIsEeiVv-TY0Gpnyw" annotatedElement="_wQeSAX43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 72304-9 (Edge of wound description)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQeSA343Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQeSAn43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQeSBH43Eeip-sQQzeVEVw" name="n8_color" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j9O7cIIsEeiVv-TY0Gpnyw" annotatedElement="_wQeSBH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 39133-4 (Color of Wound edge)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQeSBn43Eeip-sQQzeVEVw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQeSBX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wQguRH43Eeip-sQQzeVEVw" memberEnd="_wQYypX43Eeip-sQQzeVEVw _wQguRX43Eeip-sQQzeVEVw">
        <ownedEnd xmi:id="_wQguRX43Eeip-sQQzeVEVw" name="" visibility="private" type="_wQYycH43Eeip-sQQzeVEVw" association="_wQguRH43Eeip-sQQzeVEVw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wQhVUH43Eeip-sQQzeVEVw" memberEnd="_wQanp343Eeip-sQQzeVEVw _wQhVUX43Eeip-sQQzeVEVw">
        <ownedEnd xmi:id="_wQhVUX43Eeip-sQQzeVEVw" name="" visibility="private" type="_wQanoH43Eeip-sQQzeVEVw" association="_wQhVUH43Eeip-sQQzeVEVw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_UlDooIINEeigtsH8VKenxA" name="WoundType">
        <ownedLiteral xmi:id="_Y7YvsIINEeigtsH8VKenxA" name="Abrasion"/>
        <ownedLiteral xmi:id="_gC0FYIINEeigtsH8VKenxA" name="Avulsion"/>
        <ownedLiteral xmi:id="_iB5oQIINEeigtsH8VKenxA" name="Bite"/>
        <ownedLiteral xmi:id="_izTQAIINEeigtsH8VKenxA" name="Blister"/>
        <ownedLiteral xmi:id="_j7xT8IINEeigtsH8VKenxA" name="Burn"/>
        <ownedLiteral xmi:id="_n_FYYIINEeigtsH8VKenxA" name="Contusion"/>
        <ownedLiteral xmi:id="_qihlgIINEeigtsH8VKenxA" name="Crush injury"/>
        <ownedLiteral xmi:id="_ssC2wIINEeigtsH8VKenxA" name="Erythema"/>
        <ownedLiteral xmi:id="_ubeNAIINEeigtsH8VKenxA" name="Fissure"/>
        <ownedLiteral xmi:id="_myCWcIINEeigtsH8VKenxA" name="Gunshot wound"/>
        <ownedLiteral xmi:id="_1giyQIINEeigtsH8VKenxA" name="Graft"/>
        <ownedLiteral xmi:id="_v_07sIINEeigtsH8VKenxA" name="Laceration"/>
        <ownedLiteral xmi:id="_xRtaUIINEeigtsH8VKenxA" name="Maceration"/>
        <ownedLiteral xmi:id="_yh524IINEeigtsH8VKenxA" name="Pressure ulcer"/>
        <ownedLiteral xmi:id="_0JYyEIINEeigtsH8VKenxA" name="Puncture"/>
        <ownedLiteral xmi:id="_09VXgIINEeigtsH8VKenxA" name="Rash"/>
        <ownedLiteral xmi:id="_4GAYoIINEeigtsH8VKenxA" name="Surgical incision"/>
        <ownedLiteral xmi:id="_5_seIIINEeigtsH8VKenxA" name="Trauma"/>
        <ownedLiteral xmi:id="_6xgVkIINEeigtsH8VKenxA" name="Ulcer"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_cXVcsIIOEeigtsH8VKenxA" name="StructureType">
        <ownedLiteral xmi:id="_eNJHwIIOEeigtsH8VKenxA" name="Blood vessel"/>
        <ownedLiteral xmi:id="_dixVEIIOEeigtsH8VKenxA" name="Bone"/>
        <ownedLiteral xmi:id="_hQ3XcIIOEeigtsH8VKenxA" name="Cartilage"/>
        <ownedLiteral xmi:id="_ixh48IIOEeigtsH8VKenxA" name="Fascia"/>
        <ownedLiteral xmi:id="_vOz5AIIOEeigtsH8VKenxA" name="Foreign body"/>
        <ownedLiteral xmi:id="_kizpUIIOEeigtsH8VKenxA" name="Joint capsule"/>
        <ownedLiteral xmi:id="_lRVjQIIOEeigtsH8VKenxA" name="Mesh"/>
        <ownedLiteral xmi:id="_mx260IIOEeigtsH8VKenxA" name="Muscle"/>
        <ownedLiteral xmi:id="_ozEkoIIOEeigtsH8VKenxA" name="Musculoskeletal implant"/>
        <ownedLiteral xmi:id="_pYSxkIIOEeigtsH8VKenxA" name="Pin"/>
        <ownedLiteral xmi:id="_pfipEIIOEeigtsH8VKenxA" name="Prosthesis"/>
        <ownedLiteral xmi:id="_sYGKkIIOEeigtsH8VKenxA" name="Subcutaneous tissue"/>
        <ownedLiteral xmi:id="_tyDAEIIOEeigtsH8VKenxA" name="Tendon"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_oablsIIPEeigtsH8VKenxA" name="InjuryCause">
        <ownedLiteral xmi:id="_pxpQQIIPEeigtsH8VKenxA" name="Animal bite"/>
        <ownedLiteral xmi:id="_p0DrEIIPEeigtsH8VKenxA" name="Device related"/>
        <ownedLiteral xmi:id="_p19IgIIPEeigtsH8VKenxA" name="Disease related"/>
        <ownedLiteral xmi:id="_p3uDEIIPEeigtsH8VKenxA" name="Human bite"/>
        <ownedLiteral xmi:id="_p5XB0IIPEeigtsH8VKenxA" name="Insect bite"/>
        <ownedLiteral xmi:id="_p7UJoIIPEeigtsH8VKenxA" name="Moisture related"/>
        <ownedLiteral xmi:id="_y3EjsIIPEeigtsH8VKenxA" name="Pressure point related"/>
        <ownedLiteral xmi:id="_y5io4IIPEeigtsH8VKenxA" name="Self inflicted"/>
        <ownedLiteral xmi:id="_y7RuQIIPEeigtsH8VKenxA" name="Shearing force injury"/>
        <ownedLiteral xmi:id="_3WZ1wIIPEeigtsH8VKenxA" name="Trauma"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y8YG0IIQEeigtsH8VKenxA" name="WoundObservation">
        <ownedAttribute xmi:id="_wQYyjX43Eeip-sQQzeVEVw" name="g_image" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_VTG6EIIQEeigtsH8VKenxA" annotatedElement="_wQYyjX43Eeip-sQQzeVEVw">
            <body>&quot;This term is based on the submitter's description, which states the document will contain photos taken from a mobile device application. When the user clicks Send, it sends it as a PDF document. The patient information will be on the header of the report. On the body, there will be a title and a description, which may include the body part, and a description of the issue, like skin rash.&#xD;
Also, the name of the doctor who took the picture will be displayed on the document. This is a not a picture or scanned of another document (an information object). In that case, use the LOINC code that names the content.&quot; - LOINC 72170-4 (Photographic image)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyj343Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyjn43Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyfn43Eeip-sQQzeVEVw" name="c_visibleStructure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_YVJZoIIOEeigtsH8VKenxA" annotatedElement="_wQYyfn43Eeip-sQQzeVEVw">
            <body>&quot;Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.&quot; - LOINC 89250-5 (Device or anatomic structure visible in wound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYygH43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyf343Eeip-sQQzeVEVw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyn343Eeip-sQQzeVEVw" name="i_woundTrend" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_X6IKMIIREeigtsH8VKenxA" annotatedElement="_wQYyn343Eeip-sQQzeVEVw">
            <body>&quot;Whether a condition is improving, worsening, stable, or resolved.&quot; - LOINC 89253-9 (Trend)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyoX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyoH43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyqH43Eeip-sQQzeVEVw" name="l_periwoundDescription" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_adSYkIITEeigtsH8VKenxA" annotatedElement="_wQYyqH43Eeip-sQQzeVEVw">
            <body>&quot;A description of the skin around the wound (periwound). Color, induration, warmth and edema should be assessed. Redness of the surrounding skin can be indicative of unrelieved pressure. Irritation of the surrounding skin can result from exposure to feces or urine, a reaction to the dressing or tape, or inappropriate removal of dressing or tape. Redness, tenderness, warmth and swelling are classical clinical signs of infection. [Reference: Brown, P., 2009]&quot; - LOINC 72301-5 (Description of Periwound)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyqn43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyqX43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyq343Eeip-sQQzeVEVw" name="m_pressureUlcerStage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RFuW0IIUEeigtsH8VKenxA" annotatedElement="_wQYyq343Eeip-sQQzeVEVw">
            <body>&quot;The National Pressure Ulcer Advisory Panel redefined the definition of a pressure ulcer and the stages of pressure ulcers in 2007, including the original 4 stages (Non-blanchable erythema - Stage I, partial thickness – Stage II, full thickness skin loss – Stage III, and full thickness tissue loss – Stage IV) and adding 2 stages on deep tissue injury and unstageable pressure ulcers. As defined by the NPUAP, a pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.&quot; - LOINC 72527-5 (Pressure ulcer stage NPUAP)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyrX43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyrH43Eeip-sQQzeVEVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wQYyeH43Eeip-sQQzeVEVw" name="r_woundAsessment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_stLwIIIWEeigtsH8VKenxA" annotatedElement="_wQYyeH43Eeip-sQQzeVEVw">
            <body>&quot;&quot; - LOINC 80338-7 (Wound assessment [Interpretation])</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wQYyen43Eeip-sQQzeVEVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wQYyeX43Eeip-sQQzeVEVw" value="1"/>
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