<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2019-02-08T10:10:06.879+00:00" />
  </meta>
  <url value="https://medico-emr.net/medico/r4/sd/DocumentReference_ProgressNote_1" />
  <name value="DocumentReference_ProgressNote_1" />
  <status value="active" />
  <date value="2019-02-08T10:10:06.6925346+00:00" />
  <description value="Represents a node that is part of progress note documentation. Can be changed / created by User." />
  <fhirVersion value="4.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="DocumentReference" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentReference" />
  <derivation value="constraint" />
  <differential>
    <element id="DocumentReference">
      <path value="DocumentReference" />
      <definition value="A reference to a document. Represents a node that is part of progress note documentation, can be changed / created by User." />
    </element>
    <element id="DocumentReference.id">
      <path value="DocumentReference.id" />
      <definition value="ProgressNote-#########" />
      <min value="1" />
    </element>
    <element id="DocumentReference.meta">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta" />
      <min value="1" />
    </element>
    <element id="DocumentReference.meta.id">
      <path value="DocumentReference.meta.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.versionId">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.versionId" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.lastUpdated">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.lastUpdated" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.source">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.source" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.profile">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.profile" />
      <min value="1" />
      <max value="1" />
      <fixedCanonical value="https://medico-emr.net/medico/r4/sd/DocumentReference_ProgressNote_1" />
    </element>
    <element id="DocumentReference.meta.security">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DocumentReference.meta.security:Confidentiality">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security" />
      <sliceName value="Confidentiality" />
      <definition value="marks a progressnote as confidential in case its present" />
      <max value="1" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.id">
      <path value="DocumentReference.meta.security.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security.system" />
      <min value="1" />
      <fixedUri value="http://hl7.org/fhir/v3/Confidentiality" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security.version" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security.code" />
      <definition value="R if restricted&#xD;&#xA;not present if not" />
      <min value="1" />
      <fixedCode value="R" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="DocumentReference.meta.security.display" />
      <min value="1" />
      <fixedString value="Restricted" />
    </element>
    <element id="DocumentReference.meta.security:Confidentiality.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.security.userSelected" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.tag">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag" />
      <sliceName value="DoctorsRoundDocumentation" />
      <definition value="The above tag is either not present - or with code=1. The tag allows for searching progress notes relevant for doctor's round documentation. Setting it at write time leads to setting appropriate values in &quot;class&quot; (categories and category values)" />
      <max value="1" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.id">
      <path value="DocumentReference.meta.tag.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag.system" />
      <min value="1" />
      <fixedUri value="https://medico-emr.net/medico/cs/cs1/TagIsDoctorsRound_Documentation_1" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag.version" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag.code" />
      <min value="1" />
      <fixedCode value="1" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="DocumentReference.meta.tag.display" />
      <max value="0" />
    </element>
    <element id="DocumentReference.meta.tag:DoctorsRoundDocumentation.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.meta.tag.userSelected" />
      <max value="0" />
    </element>
    <element id="DocumentReference.implicitRules">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.implicitRules" />
      <max value="0" />
    </element>
    <element id="DocumentReference.language">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.language" />
      <max value="0" />
    </element>
    <element id="DocumentReference.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.text" />
      <max value="0" />
    </element>
    <element id="DocumentReference.contained">
      <path value="DocumentReference.contained" />
      <max value="0" />
    </element>
    <element id="DocumentReference.extension">
      <path value="DocumentReference.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DocumentReference.extension:DocumentAttributes">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.extension" />
      <sliceName value="DocumentAttributes" />
      <type>
        <code value="Extension" />
        <profile value="https://medico-emr.net/medico/r4/sd/ext/DocumentAttributes_1" />
      </type>
    </element>
    <element id="DocumentReference.masterIdentifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.masterIdentifier" />
      <max value="0" />
    </element>
    <element id="DocumentReference.identifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="DocumentReference.identifier:medicoResourceId">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.identifier" />
      <sliceName value="medicoResourceId" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1" />
      </type>
    </element>
    <element id="DocumentReference.identifier:medicoResourceId.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.identifier.system" />
      <definition value="Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/ProgressNote" />
      <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier&#xD;&#xA;Dynamically resolved for validation&#xD;&#xA;--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/ProgressNote" />
    </element>
    <element id="DocumentReference.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.status" />
      <short value="current" />
      <fixedCode value="current" />
    </element>
    <element id="DocumentReference.docStatus">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.docStatus" />
      <max value="0" />
    </element>
    <element id="DocumentReference.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <path value="DocumentReference.type" />
      <min value="1" />
    </element>
    <element id="DocumentReference.type.id">
      <path value="DocumentReference.type.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.type.coding">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <path value="DocumentReference.type.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="DocumentReference.type.coding.id">
      <path value="DocumentReference.type.coding.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.type.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://loinc.org" />
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    <element id="DocumentReference.type.coding.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <path value="DocumentReference.type.coding.version" />
      <max value="0" />
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    <element id="DocumentReference.type.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <path value="DocumentReference.type.coding.code" />
      <min value="1" />
      <fixedCode value="11506-3" />
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    <element id="DocumentReference.type.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
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    <element id="DocumentReference.type.coding.userSelected">
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        <valueCode value="normative" />
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      <path value="DocumentReference.type.coding.userSelected" />
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    <element id="DocumentReference.type.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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        <valueBoolean value="true" />
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      <path value="DocumentReference.type.text" />
      <max value="0" />
    </element>
    <element id="DocumentReference.category">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.category" />
      <definition value="text not set&#xD;&#xA;-------------------------------------------------------&#xD;&#xA;n times categories and assigned values&#xD;&#xA;.system=&quot;https://medico-emr.net/medico/%KUNDE%/cs/ProgessNoteCategory/&quot;&#xD;&#xA;.code    =&quot;&lt;categoryId&gt;|&lt;categoryValue&gt;&quot;&#xD;&#xA;.display =&quot;&lt;text category&gt;|&lt;text category value&quot;&gt;&#xD;&#xA;&#xD;&#xA;(e.g. work profession as  category, &quot;doctor&quot; as vale)" />
      <min value="1" />
    </element>
    <element id="DocumentReference.category.id">
      <path value="DocumentReference.category.id" />
      <max value="0" />
    </element>
    <element id="DocumentReference.category.coding">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.category.coding" />
      <min value="1" />
    </element>
    <element id="DocumentReference.category.coding.id">
      <path value="DocumentReference.category.coding.id" />
      <max value="0" />
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    <element id="DocumentReference.category.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.category.coding.system" />
      <definition value="https://medico-emr.net/medico/%KUNDE%/cs/ProgessNoteCategory/[categoryId]" />
      <min value="1" />
    </element>
    <element id="DocumentReference.category.coding.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.category.coding.version" />
      <max value="0" />
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    <element id="DocumentReference.category.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="DocumentReference.category.coding.code" />
      <definition value="&lt;categoryValue&gt;" />
      <min value="1" />
    </element>
    <element id="DocumentReference.category.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
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