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healthedata1
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add category valueset and inline comments to draft
1 parent 3a372c0 commit 055a499

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-103
lines changed

‎FHIR-us-healthedata1-sandbox.xml‎

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<artifact id="OperationDefinition/test" key="OperationDefinition-test" name="Test"/>
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<artifact id="StructureDefinition/test-binding" key="StructureDefinition-test-binding" name="Test Binding"/>
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<artifact id="StructureDefinition/us-core-pmo-servicerequest" key="StructureDefinition-us-core-pmo-servicerequest" name="US Core PMO ServiceRequest Profile"/>
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<artifact id="ValueSet/us-core-portable-medical-orders" key="ValueSet-us-core-portable-medical-orders" name="US Core Portable Medical Orders"/>
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<artifact id="ServiceRequest/example-pmo-servicerequest" key="ServiceRequest-example-pmo-servicerequest" name="example-pmo-servicerequest"/>
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<page key="NA" name="(NA)"/>
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<page key="many" name="(many)"/>

‎fsh-generated/includes/fsh-link-references.md‎

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[SubmitCGMBundle]: OperationDefinition-submit-cgm-bundle.html
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[Test]: OperationDefinition-test.html
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[TestBinding]: StructureDefinition-test-binding.html
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[USCorePMOServiceRequestProfile]: StructureDefinition-us-core-pmo-servicerequest.html
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[USCorePMOServiceRequestProfile]: StructureDefinition-us-core-pmo-servicerequest.html
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[USCorePortableMedicalOrders]: ValueSet-us-core-portable-medical-orders.html

‎fsh-generated/resources/ImplementationGuide-hl7.fhir.us.healthedata1-sandbox.json‎

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"description": "The US Core PMO ServiceRequest Profile defines constraints for Portable Medical Orders (PMO) based on the FHIR R4 ServiceRequest resource. It establishes minimum expectations for recording, searching, and fetching PMO-related ServiceRequest information, specifying core elements, extensions, vocabularies, and value sets that SHALL be present to promote interoperability for PMO use cases, such as POLST and MOLST.\n",
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"exampleBoolean": false,
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"name": "US Core PMO ServiceRequest Profile"
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},
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{
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"reference": {
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"reference": "ValueSet/us-core-portable-medical-orders"
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},
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"description": "A value set of LOINC codes for portable medical orders.",
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"exampleBoolean": false,
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"name": "US Core Portable Medical Orders"
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}
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],
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"page": {

‎input/resources-yaml/StructureDefinition-uscore-pmo-servicerequest.yml‎

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@@ -17,13 +17,17 @@ differential:
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- id: ServiceRequest
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path: ServiceRequest
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mustSupport: false
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- id: ServiceRequest.status
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path: ServiceRequest.status
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mustSupport: true
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- id: ServiceRequest.intent
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path: ServiceRequest.intent
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short: 'Note: To allow for the resource life cycle, no constraint on intent, use "directive" in PMO document'
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mustSupport: true
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fixedCode: directive
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# fixedCode: directive
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- id: ServiceRequest.category
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path: ServiceRequest.category
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slicing:
@@ -32,17 +36,22 @@ differential:
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path: $this
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rules: open
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mustSupport: true
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# 'Multiple portable medical order categories vs a single "PMO" category?'
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# currently a 2-level heirarchy
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# Option to move the panel codes to code and answers to orderDetails? for 3 level heirarchy
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- id: ServiceRequest.category:us-core-pmo
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path: ServiceRequest.category
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sliceName: us-core-pmo
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short: |
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100821-8 (National POLST Form: A Portable Medical Order panel) | 100822-6 (Cardiopulmonary resuscitation orders) | 100823-4 (Initial portable medical treatment orders) | 100824-2 (Additional portable medical orders or instructions) | 100825-9 (Medically assisted nutrition orders) | 100970-3 (Portable medical order completion information) | 100826-7 (Portable medical order &or advance directive review) | 100827-5 (Portable medical order discussion participants) | 100828-3 (Portable medical order administrative information)
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short: 'Multiple portable medical order categories vs a single "PMO" category (2 vs 3 level code heirarchy)?'
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mustSupport: true
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binding:
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strength: extensible
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description: |
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[Portable Medical Order panel codes](https://loinc.org/100821-8)
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valueSet: http://hl7.org/fhir/us/core/ValueSet/us-core-pmo-servicerequest-category
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valueSet: http://hl7.org/fhir/us/core/ValueSet/us-core-portable-medical-orders
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# Answers to panels code in category codes
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- id: ServiceRequest.code
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path: ServiceRequest.code
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min: 1
@@ -101,49 +110,47 @@ differential:
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strength: extensible
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description: Portable Medical Order panel answers - mostly free-text
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valueSet: http://hl7.org/fhir/us/core/ValueSet/us-core-pmo-procedure-code
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# require text since mostly text today
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- id: ServiceRequest.code.text
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path: ServiceRequest.code.text
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mustSupport: true
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short: "Plain text representation of the PMO procedure or service."
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# require text since mostly text today
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- id: ServiceRequest.orderDetail
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path: ServiceRequest.orderDetail
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mustSupport: true
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- id: ServiceRequest.orderDetail.text
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path: ServiceRequest.orderDetail.text
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mustSupport: true
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short: "Plain text representation to capture additional PMO order details."
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# limit to Patient
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- id: ServiceRequest.subject
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path: ServiceRequest.subject
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short: limited to Patient
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type:
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- code: Reference
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targetProfile:
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
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- http://hl7.org/fhir/StructureDefinition/Group
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
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- http://hl7.org/fhir/StructureDefinition/Device
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_targetProfile:
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: true
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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mustSupport: true
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# not used in context of a PMO Document. (Invariant or narrative)
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- id: ServiceRequest.encounter
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path: ServiceRequest.encounter
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short: '**NOT USED WHEN PART OF A PMO DOCUMENT**'
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type:
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- code: Reference
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targetProfile:
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
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mustSupport: true
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- id: ServiceRequest.occurrence[x]
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path: ServiceRequest.occurrence[x]
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short: Often just a start date
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type:
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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- code: dateTime
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- code: Timing
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mustSupport: true
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- id: ServiceRequest.authoredOn
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path: ServiceRequest.authoredOn
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short: Date Order signed vs date of PMO document - same if part of PMO document
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mustSupport: true
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# Authored only by Practitioner What if AI gets into the act ...Device?
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- id: ServiceRequest.requester
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path: ServiceRequest.requester
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short: Authored only by Practitioner
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type:
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- code: Reference
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targetProfile:
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
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# - http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
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- http://hl7.org/fhir/StructureDefinition/PractitionerRole
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- http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson
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- http://hl7.org/fhir/StructureDefinition/Device
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# - http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson
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# - http://hl7.org/fhir/StructureDefinition/Device
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_targetProfile:
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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- extension:
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- url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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valueBoolean: false
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# - extension:
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# - url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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# valueBoolean: false
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# - extension:
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# - url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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# valueBoolean: false
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# - extension:
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# - url: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
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# valueBoolean: false
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mustSupport: true
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- id: ServiceRequest.reasonCode
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path: ServiceRequest.reasonCode
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binding:
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strength: extensible
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valueSet: http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
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mustSupport: true
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# link to the scanned PMO document - using reasonReference based US Core
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# Other option is supportingInfo
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# Best option would be basedOn but not supported in FHIR R4
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# What about supporting QuestionnnaireResponse Directly - Base FHIR question
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- id: ServiceRequest.reasonReference
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path: ServiceRequest.reasonReference
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type:

‎input/resources-yaml/ValueSet-us-core-protable-medical-orders.yml‎

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resourceType: ValueSet
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id: us-core-portable-medical-orders
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url: http://hl7.org/fhir/us/core/ValueSet/us-core-portable-medical-orders
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name: USCorePortableMedicalOrders
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title: US Core Portable Medical Orders
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status: draft
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experimental: true
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date: 2024-05-14
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version: 4.0.1
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description: A value set of LOINC codes for portable medical orders.
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copyright: "This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc"
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compose:
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include:
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- system: http://loinc.org
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concept:
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- code: 100821-8
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display: 'National POLST Form: A Portable Medical Order panel'
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- code: 100822-6
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display: Cardiopulmonary resuscitation orders
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- code: 100823-4
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display: Initial portable medical treatment orders
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- code: 100824-2
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display: Additional portable medical orders or instructions
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- code: 100825-9
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display: Medically assisted nutrition orders
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- code: 100970-3
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display: Portable medical order completion information
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- code: 100826-7
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display: Portable medical order &or advance directive review
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- code: 100827-5
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display: Portable medical order discussion participants
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- code: 100828-3
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display: Portable medical order administrative information

‎input/resources/StructureDefinition-uscore-pmo-servicerequest.json‎

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{
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"id": "ServiceRequest.intent",
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"path": "ServiceRequest.intent",
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"mustSupport": true,
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"fixedCode": "directive"
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"short": "Note: To allow for the resource life cycle, no constraint on intent, use \"directive\" in PMO document",
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"mustSupport": true
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},
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{
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"id": "ServiceRequest.category",
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"id": "ServiceRequest.category:us-core-pmo",
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"path": "ServiceRequest.category",
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"sliceName": "us-core-pmo",
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"short": "100821-8 (National POLST Form: A Portable Medical Order panel) | 100822-6 (Cardiopulmonary resuscitation orders) | 100823-4 (Initial portable medical treatment orders) | 100824-2 (Additional portable medical orders or instructions) | 100825-9 (Medically assisted nutrition orders) | 100970-3 (Portable medical order completion information) | 100826-7 (Portable medical order &or advance directive review) | 100827-5 (Portable medical order discussion participants) | 100828-3 (Portable medical order administrative information)\n",
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"short": "Multiple portable medical order categories vs a single \"PMO\" category (2 vs 3 level code heirarchy)?",
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"mustSupport": true,
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"binding": {
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"strength": "extensible",
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"description": "[Portable Medical Order panel codes](https://loinc.org/100821-8)\n",
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"valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-pmo-servicerequest-category"
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"valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-portable-medical-orders"
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}
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},
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{
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{
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"id": "ServiceRequest.subject",
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"path": "ServiceRequest.subject",
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"short": "limited to Patient",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
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"http://hl7.org/fhir/StructureDefinition/Group",
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location",
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"http://hl7.org/fhir/StructureDefinition/Device"
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],
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"_targetProfile": [
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": true
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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}
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
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]
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}
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],
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{
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"id": "ServiceRequest.encounter",
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"path": "ServiceRequest.encounter",
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"short": "**NOT USED WHEN PART OF A PMO DOCUMENT**",
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"type": [
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{
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"code": "Reference",
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{
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"id": "ServiceRequest.occurrence[x]",
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"path": "ServiceRequest.occurrence[x]",
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"short": "Often just a start date",
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"type": [
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{
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"extension": [
@@ -249,21 +215,20 @@
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{
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"id": "ServiceRequest.authoredOn",
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"path": "ServiceRequest.authoredOn",
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"short": "Date Order signed vs date of PMO document - same if part of PMO document",
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"mustSupport": true
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},
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{
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"id": "ServiceRequest.requester",
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"path": "ServiceRequest.requester",
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"short": "Authored only by Practitioner",
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"type": [
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{
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"code": "Reference",
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"targetProfile": [
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner",
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization",
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
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"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
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"http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson",
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"http://hl7.org/fhir/StructureDefinition/Device"
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"http://hl7.org/fhir/StructureDefinition/PractitionerRole"
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],
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"_targetProfile": [
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{
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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},
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{
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"extension": [
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{
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
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"valueBoolean": false
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}
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]
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},
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{
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"extension": [
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{

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