<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="observation-exertionalStatus" />
  <url value="http://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatus" />
  <name value="observation-exertionalStatus" />
  <title value="exertionalStatus" />
  <status value="draft" />
  <publisher value="American Medical Association" />
  <description value="The state of exertion (e.g., resting state) preceding and/or during the observation. To be used only when the exertional state is not precoordinated in the observation code." />
  <copyright value="Copyright 2016-2019 American Medical Association. All rights reserved." />
  <fhirVersion value="3.0.1" />
  <kind value="complex-type" />
  <abstract value="false" />
  <contextType value="extension" />
  <context value="Observation" />
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <short value="The state of exertion preceding or during the observation." />
      <definition value="The state of exertion (e.g., resting state) preceding and/or during the observation. To be used only when the exertional state is not precoordinated in the observation code." />
      <max value="1" />
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <fixedUri value="http://www.ama-ihmi.org/fhir/StructureDefinition/observation-exertionalStatus" />
    </element>
    <element id="Extension.value[x]:valueCodeableConcept">
      <path value="Extension.valueCodeableConcept" />
      <sliceName value="valueCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
  </differential>
</StructureDefinition>