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

name : AcMetrics

{

}

<name value="AcMetrics" />