{
  "resourceType": "StructureDefinition",
  "id": "8fa5a23f-68f0-4b71-a070-83bee8f46c97",
  "meta": {
    "lastUpdated": "2020-03-14T19:41:03.722+00:00"
  },
  "url": "http://example.org/fhir/StructureDefinition/AcMetrics",
  "version": "1.0",
  "name": "AcMetrics",
  "title": "AcMetrics",
  "status": "draft",
  "date": "2020-03-14T19:41:02.0906119+00:00",
  "publisher": "https://aligncare.com",
  "copyright": "Aligncare LLC",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "fhirpath",
      "expression": "AcRiskAssessmentMetrics"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Extension.extension:PredominantPrescriber",
        "path": "Extension.extension",
        "sliceName": "PredominantPrescriber",
        "label": "PredominantPrescriber",
        "short": "The provider NPI of the most prevalent prescribing physician.",
        "definition": "The provider NPI of the most prevalent prescribing physician.",
        "comment": "The provider NPI of the most prevalent prescribing physician.",
        "max": "1",
        "isModifier": false
      },
      {
        "id": "Extension.extension:PredominantPrescriber.url",
        "path": "Extension.extension.url",
        "fixedUri": "PredominantPrescriber"
      },
      {
        "id": "Extension.extension:PredominantPrescriber.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PcpId",
        "path": "Extension.extension",
        "sliceName": "PcpId",
        "label": "PcpId",
        "short": "The Provider NPI of the Primary Care Physician",
        "definition": "The Provider NPI of the Primary Care Physician",
        "comment": "The Provider NPI of the Primary Care Physician",
        "max": "1",
        "isModifier": false
      },
      {
        "id": "Extension.extension:PcpId.url",
        "path": "Extension.extension.url",
        "fixedUri": "PcpId"
      },
      {
        "id": "Extension.extension:PcpId.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PcpFirstName",
        "path": "Extension.extension",
        "sliceName": "PcpFirstName",
        "label": "PcpFirstName",
        "short": "The First name of the Primary Care Physician",
        "definition": "The First name of the Primary Care Physician",
        "max": "1",
        "isModifier": false
      },
      {
        "id": "Extension.extension:PcpFirstName.url",
        "path": "Extension.extension.url",
        "fixedUri": "PcpFirstName"
      },
      {
        "id": "Extension.extension:PcpFirstName.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PcpLastName",
        "path": "Extension.extension",
        "sliceName": "PcpLastName",
        "label": "PcpLastName",
        "short": "The Last name of the Primary Care Physician",
        "definition": "The Last name of the Primary Care Physician",
        "comment": "The Last name of the Primary Care Physician",
        "max": "1",
        "isModifier": false
      },
      {
        "id": "Extension.extension:PcpLastName.url",
        "path": "Extension.extension.url",
        "fixedUri": "PcpLastName"
      },
      {
        "id": "Extension.extension:PcpLastName.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:MedicalExpenseRiskLevel",
        "path": "Extension.extension",
        "sliceName": "MedicalExpenseRiskLevel",
        "label": "MedicalExpenseRiskLevel",
        "short": "The total medical and Rx expense risk score. This value is from 1 to 5.",
        "definition": "The total medical and Rx expense risk score. This value is from 1 to 5.",
        "comment": "The total medical and Rx expense risk score. This value is from 1 to 5.",
        "max": "1"
      },
      {
        "id": "Extension.extension:MedicalExpenseRiskLevel.url",
        "path": "Extension.extension.url",
        "fixedUri": "MedicalExpenseRiskLevel"
      },
      {
        "id": "Extension.extension:Polypharm",
        "path": "Extension.extension",
        "sliceName": "Polypharm",
        "label": "Polypharm",
        "short": "The poly-pharmacy metric. This value is from 1 to 5.",
        "definition": "The poly-pharmacy metric. This value is from 1 to 5.",
        "comment": "The poly-pharmacy metric. This value is from 1 to 5.",
        "max": "1"
      },
      {
        "id": "Extension.extension:Polypharm.url",
        "path": "Extension.extension.url",
        "fixedUri": "Polypharm"
      },
      {
        "id": "Extension.extension:Polypharm.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PolyPrescriber",
        "path": "Extension.extension",
        "sliceName": "PolyPrescriber",
        "label": "PolyPrescriber",
        "short": "The poly-prescriber metric. This value is from 1 to 5.",
        "definition": "The poly-prescriber metric. This value is from 1 to 5.",
        "comment": "The poly-prescriber metric. This value is from 1 to 5.",
        "max": "1"
      },
      {
        "id": "Extension.extension:PolyPrescriber.url",
        "path": "Extension.extension.url",
        "fixedUri": "PolyPrescriber"
      },
      {
        "id": "Extension.extension:PolyPrescriber.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:TheraputicComplexity",
        "path": "Extension.extension",
        "sliceName": "TheraputicComplexity",
        "label": "TheraputicComplexity",
        "short": "The therapeutic complexity metric. This value is from 1 to 5.",
        "definition": "The therapeutic complexity metric. This value is from 1 to 5.",
        "comment": "The therapeutic complexity metric. This value is from 1 to 5.",
        "max": "1"
      },
      {
        "id": "Extension.extension:TheraputicComplexity.url",
        "path": "Extension.extension.url",
        "fixedUri": "TheraputicComplexity"
      },
      {
        "id": "Extension.extension:TheraputicComplexity.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:CoordinationRisk",
        "path": "Extension.extension",
        "sliceName": "CoordinationRisk",
        "label": "CoordinationRisk",
        "short": "The coordination risk metric. This value is from 1 to 5.",
        "definition": "The coordination risk metric. This value is from 1 to 5.",
        "comment": "The coordination risk metric. This value is from 1 to 5.",
        "max": "1"
      },
      {
        "id": "Extension.extension:CoordinationRisk.url",
        "path": "Extension.extension.url",
        "fixedUri": "CoordinationRisk"
      },
      {
        "id": "Extension.extension:CoordinationRisk.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ConcurrentDrugs",
        "path": "Extension.extension",
        "sliceName": "ConcurrentDrugs",
        "label": "ConcurrentDrugs",
        "short": "Concurrent Drugs",
        "definition": "Concurrent Drugs",
        "comment": "Concurrent Drugs",
        "max": "1"
      },
      {
        "id": "Extension.extension:ConcurrentDrugs.url",
        "path": "Extension.extension.url",
        "fixedUri": "ConcurrentDrugs"
      },
      {
        "id": "Extension.extension:ConcurrentDrugs.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ReportedDate",
        "path": "Extension.extension",
        "sliceName": "ReportedDate",
        "label": "ReportedDate",
        "short": "Reported Date",
        "definition": "Reported Date",
        "comment": "Reported Date",
        "max": "1"
      },
      {
        "id": "Extension.extension:ReportedDate.url",
        "path": "Extension.extension.url",
        "fixedUri": "ReportedDate"
      },
      {
        "id": "Extension.extension:ReportedDate.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:InNetworkCount",
        "path": "Extension.extension",
        "sliceName": "InNetworkCount",
        "label": "InNetworkCount",
        "short": "Number of prescribers that are in network.",
        "definition": "Number of prescribers that are in network.",
        "comment": "Number of prescribers that are in network.",
        "max": "1"
      },
      {
        "id": "Extension.extension:InNetworkCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "InNetworkCount"
      },
      {
        "id": "Extension.extension:InNetworkCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:OutofNetworkCount",
        "path": "Extension.extension",
        "sliceName": "OutofNetworkCount",
        "label": "OutofNetworkCount",
        "short": "Number of prescribers that are out of network.",
        "definition": "Number of prescribers that are out of network.",
        "comment": "Number of prescribers that are out of network.",
        "max": "1"
      },
      {
        "id": "Extension.extension:OutofNetworkCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "OutofNetworkCount"
      },
      {
        "id": "Extension.extension:OutofNetworkCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:BrandCount",
        "path": "Extension.extension",
        "sliceName": "BrandCount",
        "label": "BrandCount",
        "short": "Number of prescriptions for brand-named drugs.",
        "definition": "Number of prescriptions for brand-named drugs.",
        "comment": "Number of prescriptions for brand-named drugs.",
        "max": "1"
      },
      {
        "id": "Extension.extension:BrandCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "BrandCount"
      },
      {
        "id": "Extension.extension:BrandCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:GenericCount",
        "path": "Extension.extension",
        "sliceName": "GenericCount",
        "label": "GenericCount",
        "short": "Number of prescriptions for generic drugs.",
        "definition": "Number of prescriptions for generic drugs.",
        "comment": "Number of prescriptions for generic drugs.",
        "max": "1"
      },
      {
        "id": "Extension.extension:GenericCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "GenericCount"
      },
      {
        "id": "Extension.extension:GenericCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ControlledSubstanceHighCount",
        "path": "Extension.extension",
        "sliceName": "ControlledSubstanceHighCount",
        "label": "ControlledSubstanceHighCount",
        "short": "Number of drugs prescribed classified as a high risk for abuse.",
        "definition": "Number of drugs prescribed classified as a high risk for abuse.",
        "comment": "Number of drugs prescribed classified as a high risk for abuse.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ControlledSubstanceHighCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "ControlledSubstanceHighCount"
      },
      {
        "id": "Extension.extension:ControlledSubstanceHighCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ControlledSubstanceMedCount",
        "path": "Extension.extension",
        "sliceName": "ControlledSubstanceMedCount",
        "label": "ControlledSubstanceMedCount",
        "short": "Number of drugs prescribed classified as a medium risk for abuse.",
        "definition": "Number of drugs prescribed classified as a medium risk for abuse.",
        "comment": "Number of drugs prescribed classified as a medium risk for abuse.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ControlledSubstanceMedCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "ControlledSubstanceMedCount"
      },
      {
        "id": "Extension.extension:ControlledSubstanceMedCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ControlledSubstanceLowCount",
        "path": "Extension.extension",
        "sliceName": "ControlledSubstanceLowCount",
        "label": "ControlledSubstanceLowCount",
        "short": "Number of drugs prescribed classified as a low risk for abuse.",
        "definition": "Number of drugs prescribed classified as a low risk for abuse.",
        "comment": "Number of drugs prescribed classified as a low risk for abuse.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ControlledSubstanceLowCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "ControlledSubstanceLowCount"
      },
      {
        "id": "Extension.extension:ControlledSubstanceLowCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:DrugLast90DaysCount",
        "path": "Extension.extension",
        "sliceName": "DrugLast90DaysCount",
        "label": "DrugLast90DaysCount",
        "short": "Number of drugs prescribed concurrently in the last 90 days.",
        "definition": "Number of drugs prescribed concurrently in the last 90 days.",
        "comment": "Number of drugs prescribed concurrently in the last 90 days.",
        "max": "1"
      },
      {
        "id": "Extension.extension:DrugLast90DaysCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "DrugLast90DaysCount"
      },
      {
        "id": "Extension.extension:DrugLast90DaysCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:AllDrugCount",
        "path": "Extension.extension",
        "sliceName": "AllDrugCount",
        "label": "AllDrugCount",
        "short": "Number of drugs taken over the past 12 months.",
        "definition": "Number of drugs taken over the past 12 months.",
        "comment": "Number of drugs taken over the past 12 months.",
        "max": "1"
      },
      {
        "id": "Extension.extension:AllDrugCount.url",
        "path": "Extension.extension.url",
        "fixedUri": "AllDrugCount"
      },
      {
        "id": "Extension.extension:AllDrugCount.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:MERActualLevel",
        "path": "Extension.extension",
        "sliceName": "MERActualLevel",
        "label": "MERActualLevel",
        "short": "The total resource cost index from the ACG software. This is the value that is classified into the Medical Expense Risk.",
        "definition": "The total resource cost index from the ACG software. This is the value that is classified into the Medical Expense Risk.",
        "comment": "The total resource cost index from the ACG software. This is the value that is classified into the Medical Expense Risk.",
        "max": "1"
      },
      {
        "id": "Extension.extension:MERActualLevel.url",
        "path": "Extension.extension.url",
        "fixedUri": "MERActualLevel"
      },
      {
        "id": "Extension.extension:MERActualLevel.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ModelName",
        "path": "Extension.extension",
        "sliceName": "ModelName",
        "label": "ModelName",
        "short": "The name given to the model for the analysis. This name will generally include the client name, line of business, and time period.",
        "definition": "The name given to the model for the analysis. This name will generally include the client name, line of business, and time period.",
        "comment": "The name given to the model for the analysis. This name will generally include the client name, line of business, and time period.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ModelName.url",
        "path": "Extension.extension.url",
        "fixedUri": "ModelName"
      },
      {
        "id": "Extension.extension:ModelName.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:Region",
        "path": "Extension.extension",
        "sliceName": "Region",
        "label": "Region",
        "short": "Region name associated with the patient’s primary care provider.",
        "definition": "Region name associated with the patient’s primary care provider.",
        "comment": "Region name associated with the patient’s primary care provider.",
        "max": "1"
      },
      {
        "id": "Extension.extension:Region.url",
        "path": "Extension.extension.url",
        "fixedUri": "Region"
      },
      {
        "id": "Extension.extension:Region.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:Site",
        "path": "Extension.extension",
        "sliceName": "Site",
        "label": "Site",
        "short": "Site name associated with the patient’s primary care provider.",
        "definition": "Site name associated with the patient’s primary care provider.",
        "comment": "Site name associated with the patient’s primary care provider.",
        "max": "1"
      },
      {
        "id": "Extension.extension:Site.url",
        "path": "Extension.extension.url",
        "fixedUri": "Site"
      },
      {
        "id": "Extension.extension:Site.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:Group",
        "path": "Extension.extension",
        "sliceName": "Group",
        "label": "Group",
        "short": "Group name associated with the patient’s primary care provider.",
        "definition": "Group name associated with the patient’s primary care provider.",
        "comment": "Group name associated with the patient’s primary care provider.",
        "max": "1"
      },
      {
        "id": "Extension.extension:Group.url",
        "path": "Extension.extension.url",
        "fixedUri": "Group"
      },
      {
        "id": "Extension.extension:Group.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:AttentionPolypharmacy",
        "path": "Extension.extension",
        "sliceName": "AttentionPolypharmacy",
        "label": "AttentionPolypharmacy",
        "short": "Y for Yes and N for No, indicating polypharmacy is very high",
        "definition": "Y for Yes and N for No, indicating polypharmacy is very high",
        "comment": "Y for Yes and N for No, indicating polypharmacy is very high",
        "max": "1"
      },
      {
        "id": "Extension.extension:AttentionPolypharmacy.url",
        "path": "Extension.extension.url",
        "fixedUri": "AttentionPolypharmacy"
      },
      {
        "id": "Extension.extension:AttentionPolypharmacy.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:AttentionPolyprescribers",
        "path": "Extension.extension",
        "sliceName": "AttentionPolyprescribers",
        "label": "AttentionPolyprescribers",
        "short": "Y for Yes and N for No, indicating the number is prescribers is very high",
        "definition": "Y for Yes and N for No, indicating the number is prescribers is very high",
        "comment": "Y for Yes and N for No, indicating the number is prescribers is very high",
        "max": "1"
      },
      {
        "id": "Extension.extension:AttentionPolyprescribers.url",
        "path": "Extension.extension.url",
        "fixedUri": "AttentionPolyprescribers"
      },
      {
        "id": "Extension.extension:AttentionPolyprescribers.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:AttentionTherapeuticComplexity",
        "path": "Extension.extension",
        "sliceName": "AttentionTherapeuticComplexity",
        "label": "AttentionTherapeuticComplexity",
        "short": "Y for Yes and N for No, indicating the therapeutic complexity is very high",
        "definition": "Y for Yes and N for No, indicating the therapeutic complexity is very high",
        "comment": "Y for Yes and N for No, indicating the therapeutic complexity is very high",
        "max": "1"
      },
      {
        "id": "Extension.extension:AttentionTherapeuticComplexity.url",
        "path": "Extension.extension.url",
        "fixedUri": "AttentionTherapeuticComplexity"
      },
      {
        "id": "Extension.extension:AttentionTherapeuticComplexity.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:FiveOrMoreConcurrentDrugs",
        "path": "Extension.extension",
        "sliceName": "FiveOrMoreConcurrentDrugs",
        "label": "FiveOrMoreConcurrentDrugs",
        "short": "Y for Yes and N for No, indicating usage of five or more drugs.",
        "definition": "Y for Yes and N for No, indicating usage of five or more drugs.",
        "comment": "Y for Yes and N for No, indicating usage of five or more drugs.",
        "max": "1"
      },
      {
        "id": "Extension.extension:FiveOrMoreConcurrentDrugs.url",
        "path": "Extension.extension.url",
        "fixedUri": "FiveOrMoreConcurrentDrugs"
      },
      {
        "id": "Extension.extension:FiveOrMoreConcurrentDrugs.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PotentialCSAAbuse",
        "path": "Extension.extension",
        "sliceName": "PotentialCSAAbuse",
        "label": "PotentialCSAAbuse",
        "short": "Y for Yes and N for No, indicating one or more drugs are flagged for high abuse potential.",
        "definition": "Y for Yes and N for No, indicating one or more drugs are flagged for high abuse potential.",
        "comment": "Y for Yes and N for No, indicating one or more drugs are flagged for high abuse potential.",
        "max": "1"
      },
      {
        "id": "Extension.extension:PotentialCSAAbuse.url",
        "path": "Extension.extension.url",
        "fixedUri": "PotentialCSAAbuse"
      },
      {
        "id": "Extension.extension:PotentialCSAAbuse.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PotentialComplianceIssue",
        "path": "Extension.extension",
        "sliceName": "PotentialComplianceIssue",
        "label": "PotentialComplianceIssue",
        "short": "Y for Yes and N for No, indicating the member is not filled prescriptions in a timely manner.",
        "definition": "Y for Yes and N for No, indicating the member is not filled prescriptions in a timely manner.",
        "comment": "Y for Yes and N for No, indicating the member is not filled prescriptions in a timely manner.",
        "max": "1"
      },
      {
        "id": "Extension.extension:PotentialComplianceIssue.url",
        "path": "Extension.extension.url",
        "fixedUri": "PotentialComplianceIssue"
      },
      {
        "id": "Extension.extension:PotentialComplianceIssue.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:PotentialAbuse",
        "path": "Extension.extension",
        "sliceName": "PotentialAbuse",
        "label": "PotentialAbuse",
        "short": "Y for Yes and N for No, indicating one or more drugs may be abused.",
        "definition": "Y for Yes and N for No, indicating one or more drugs may be abused.",
        "comment": "Y for Yes and N for No, indicating one or more drugs may be abused.",
        "max": "1"
      },
      {
        "id": "Extension.extension:PotentialAbuse.url",
        "path": "Extension.extension.url",
        "fixedUri": "PotentialAbuse"
      },
      {
        "id": "Extension.extension:PotentialAbuse.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:EmergentNewDiagnosisGroup",
        "path": "Extension.extension",
        "sliceName": "EmergentNewDiagnosisGroup",
        "label": "EmergentNewDiagnosisGroup",
        "short": "Y for Yes and N for No, indicating there is a diagnosis group.",
        "definition": "Y for Yes and N for No, indicating there is a diagnosis group.",
        "comment": "Y for Yes and N for No, indicating there is a diagnosis group.",
        "max": "1"
      },
      {
        "id": "Extension.extension:EmergentNewDiagnosisGroup.url",
        "path": "Extension.extension.url",
        "fixedUri": "EmergentNewDiagnosisGroup"
      },
      {
        "id": "Extension.extension:EmergentNewDiagnosisGroup.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ChangeinPredictedExpense",
        "path": "Extension.extension",
        "sliceName": "ChangeinPredictedExpense",
        "label": "ChangeinPredictedExpense",
        "short": "ChangeinPredictedExpense",
        "definition": "ChangeinPredictedExpense",
        "comment": "ChangeinPredictedExpense",
        "max": "1"
      },
      {
        "id": "Extension.extension:ChangeinPredictedExpense.url",
        "path": "Extension.extension.url",
        "fixedUri": "ChangeinPredictedExpense"
      },
      {
        "id": "Extension.extension:ChangeinPredictedExpense.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ChangeinCoordinationRisk",
        "path": "Extension.extension",
        "sliceName": "ChangeinCoordinationRisk",
        "label": "ChangeinCoordinationRisk",
        "short": "Y for Yes and N for No, indicating an increase in the Coordination Risk.",
        "definition": "Y for Yes and N for No, indicating an increase in the Coordination Risk.",
        "comment": "Y for Yes and N for No, indicating an increase in the Coordination Risk.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ChangeinCoordinationRisk.url",
        "path": "Extension.extension.url",
        "fixedUri": "ChangeinCoordinationRisk"
      },
      {
        "id": "Extension.extension:ChangeinCoordinationRisk.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ChangeinPolypharm",
        "path": "Extension.extension",
        "sliceName": "ChangeinPolypharm",
        "label": "ChangeinPolypharm",
        "short": "Y for Yes and N for No, indicating an increase in the polypharmacy score.",
        "definition": "Y for Yes and N for No, indicating an increase in the polypharmacy score.",
        "comment": "Y for Yes and N for No, indicating an increase in the polypharmacy score.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ChangeinPolypharm.url",
        "path": "Extension.extension.url",
        "fixedUri": "ChangeinPolypharm"
      },
      {
        "id": "Extension.extension:ChangeinPolypharm.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ChangeinPolyprescriber",
        "path": "Extension.extension",
        "sliceName": "ChangeinPolyprescriber",
        "label": "ChangeinPolyprescriber",
        "short": "Y for Yes and N for No, indicating an increase in the polyprescriber score.",
        "definition": "Y for Yes and N for No, indicating an increase in the polyprescriber score.",
        "comment": "Y for Yes and N for No, indicating an increase in the polyprescriber score.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ChangeinPolyprescriber.url",
        "path": "Extension.extension.url",
        "fixedUri": "ChangeinPolyprescriber"
      },
      {
        "id": "Extension.extension:ChangeinPolyprescriber.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:ChangeinTherapeuticComplexity",
        "path": "Extension.extension",
        "sliceName": "ChangeinTherapeuticComplexity",
        "label": "ChangeinTherapeuticComplexity",
        "short": "Y for Yes and N for No, indicating an increase in the therapeutic complexity score.",
        "definition": "Y for Yes and N for No, indicating an increase in the therapeutic complexity score.",
        "comment": "Y for Yes and N for No, indicating an increase in the therapeutic complexity score.",
        "max": "1"
      },
      {
        "id": "Extension.extension:ChangeinTherapeuticComplexity.url",
        "path": "Extension.extension.url",
        "fixedUri": "ChangeinTherapeuticComplexity"
      },
      {
        "id": "Extension.extension:ChangeinTherapeuticComplexity.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:EmergentWithinDiagnosisGroup",
        "path": "Extension.extension",
        "sliceName": "EmergentWithinDiagnosisGroup",
        "label": "EmergentWithinDiagnosisGroup",
        "short": "Y for Yes and N for No, indicating a new condition in an existing diagnosis group.",
        "definition": "Y for Yes and N for No, indicating a new condition in an existing diagnosis group.",
        "comment": "Y for Yes and N for No, indicating a new condition in an existing diagnosis group.",
        "max": "1"
      },
      {
        "id": "Extension.extension:EmergentWithinDiagnosisGroup.url",
        "path": "Extension.extension.url",
        "fixedUri": "EmergentWithinDiagnosisGroup"
      },
      {
        "id": "Extension.extension:EmergentWithinDiagnosisGroup.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:SubPopulation",
        "path": "Extension.extension",
        "sliceName": "SubPopulation",
        "label": "SubPopulation",
        "short": "The name of the line of business sub-population for analysis.",
        "definition": "The name of the line of business sub-population for analysis.",
        "comment": "The name of the line of business sub-population for analysis.",
        "max": "1"
      },
      {
        "id": "Extension.extension:SubPopulation.url",
        "path": "Extension.extension.url",
        "fixedUri": "SubPopulation"
      },
      {
        "id": "Extension.extension:SubPopulation.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:COA",
        "path": "Extension.extension",
        "sliceName": "COA",
        "label": "COA",
        "short": "A string containing the acronym for the category of assistance.",
        "definition": "A string containing the acronym for the category of assistance.",
        "comment": "A string containing the acronym for the category of assistance.",
        "max": "1"
      },
      {
        "id": "Extension.extension:COA.url",
        "path": "Extension.extension.url",
        "fixedUri": "COA"
      },
      {
        "id": "Extension.extension:COA.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:Product",
        "path": "Extension.extension",
        "sliceName": "Product",
        "label": "Product",
        "short": "A string represent the product or plan the individual is a member of).",
        "definition": "A string represent the product or plan the individual is a member of).",
        "comment": "A string represent the product or plan the individual is a member of).",
        "max": "1"
      },
      {
        "id": "Extension.extension:Product.url",
        "path": "Extension.extension.url",
        "fixedUri": "Product"
      },
      {
        "id": "Extension.extension:Product.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:EmployerGroup",
        "path": "Extension.extension",
        "sliceName": "EmployerGroup",
        "label": "EmployerGroup",
        "short": "The number for identifier for an employer group where applicable.",
        "definition": "The number for identifier for an employer group where applicable.",
        "comment": "The number for identifier for an employer group where applicable.",
        "max": "1"
      },
      {
        "id": "Extension.extension:EmployerGroup.url",
        "path": "Extension.extension.url",
        "fixedUri": "EmployerGroup"
      },
      {
        "id": "Extension.extension:EmployerGroup.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:SDRiskLevel",
        "path": "Extension.extension",
        "sliceName": "SDRiskLevel",
        "label": "SDRiskLevel",
        "short": "The patient's Social Determinant Risk Level",
        "definition": "The patient's Social Determinant Risk Level",
        "comment": "The patient's Social Determinant Risk Level",
        "max": "1"
      },
      {
        "id": "Extension.extension:SDRiskLevel.url",
        "path": "Extension.extension.url",
        "fixedUri": "SDRiskLevel"
      },
      {
        "id": "Extension.extension:SDRiskLevel.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:SDScore",
        "path": "Extension.extension",
        "sliceName": "SDScore",
        "label": "SDScore",
        "short": "The patient's Social Determinant Score",
        "definition": "The patient's Social Determinant Score",
        "comment": "The patient's Social Determinant Score",
        "max": "1"
      },
      {
        "id": "Extension.extension:SDScore.url",
        "path": "Extension.extension.url",
        "fixedUri": "SDScore"
      },
      {
        "id": "Extension.extension:SDScore.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://example.org/fhir/StructureDefinition/AcMetrics"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "max": "0"
      }
    ]
  }
}