{
  "description": "Social Determinants of Health (SDOH) are increasingly being recognized as essential factors that influence healthcare outcomes. This HL7 Implementation Guide (IG) defines how to exchange SDOH content defined by the Gravity Project using the Fast Healthcare Ineroperability Resources (FHIR) standard. It defines how to represent coded content used to support the following care activities: screening, clinical assessment/diagnosis, goal setting, and the planning and performing of interventions. This IG addresses the need to gather SDOH information in the context of clinical encounters and describes how to share SDOH information and other relevant information with outside organizations for the purpose of coordinating services and support to address SDOH related needs. In addition, the IG demonstrates how to share clinical data to support secondary purposes such as population health, quality, and research. The guide supports the following use cases:\\n*  Document SDOH data in conjunction with the patient encounters\\n*  Document and track SDOH related interventions to completion\\n*  Gather and aggregate SDOH data for uses beyond the point of care (e.g. public health, population health, quality measurement, risk adjustment, quality improvement, and research)\\n\\nThis implementation guide was developed under the auspices of the Gravity FHIR accelerator project, which specifically focuses on using HL7 FHIR to define standards for the exchange of SDOH-related information.  Both the project and this implementation guide are focused on the U.S. environment.  This implementation guide leverages content from the US Core implementation guide and binds to US-specific terminology.  However, the basic constructs and interaction patterns may well be applicable outside the U.S.\\n\\n### Content and organization\\n\\nThe implementation guide is organized into the following sections:\\n\\n* Background: Includes [Gravity Background](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/gravity_background.html), [SDOH Clinical Care Scope](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/sdoh_clinical_care_scope.html), [Personas and Patient Stories](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/personas_and_patient_stories.html) that describe the SDOH environment surrounding the intended use of this implementation guide\\n* Context: Describes the [Survey Instrument Support](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/survey_instrument_support.html),[ QuestionnaireResponse Mapping Instructions](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/mapping_instructions.html), [Support for Multiple Domains](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/support_for_multiple_domains.html), and [Exchange Workflow diagram](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/exchange_workflow.html) that describes a high-level overview of expected process flow\\n* Specifications: Provides a [Technical Background](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/technical_background.html), overview of the [FHIR Artifacts](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/fhir_artifacts_overview.html) defined and used in this IG, description of [Privacy and Security](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/privacy_and_security.html) issues, and explains [MustSupport and Missing Data](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/mustsupport_and_missing_data.html) concepts \\n* [Downloads](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/downloads.html): Provides for the download of various IG related artifacts\\n* [Credits](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/credits.html): Identifies the individuals and organizations involved in developing this implementation guide\\n* [Artifacts Index](http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/artifacts.html):  Introduces and provides links to the FHIR R4 profiles, examples and other FHIR artifacts used in this implementation guide\\n\\n\\n",
  "_filename": "ImplementationGuide-hl7.fhir.us.sdoh-clinicalcare.json",
  "package_name": "hl7.fhir.us.sdoh-clinicalcare",
  "definition": {
    "page": {
      "page": [ {
        "title": "Gravity Background",
        "nameUrl": "gravity_background.html",
        "generation": "markdown"
      }, {
        "title": "SDOH Clinical Care Scope",
        "nameUrl": "sdoh_clinical_care_scope.html",
        "generation": "markdown"
      }, {
        "page": [ {
          "title": "Patient Story 1 Personas",
          "nameUrl": "patient_story_1_personas.html",
          "generation": "markdown"
        }, {
          "title": "Patient Story 1",
          "nameUrl": "patient_story_1.html",
          "generation": "markdown"
        } ],
        "title": "Personas and Patient Stories",
        "nameUrl": "personas_and_patient_stories.html",
        "generation": "markdown"
      }, {
        "title": "Survey Instrument Support",
        "nameUrl": "survey_instrument_support.html",
        "generation": "markdown"
      }, {
        "title": "Mapping Instructions",
        "nameUrl": "mapping_instructions.html",
        "generation": "markdown"
      }, {
        "title": "Support for Multiple Domains",
        "nameUrl": "support_for_multiple_domains.html",
        "generation": "markdown"
      }, {
        "title": "Exchange Workflow",
        "nameUrl": "exchange_workflow.html",
        "generation": "markdown"
      }, {
        "title": "Technical Background",
        "nameUrl": "technical_background.html",
        "generation": "markdown"
      }, {
        "title": "FHIR Artifacts Overview",
        "nameUrl": "fhir_artifacts_overview.html",
        "generation": "markdown"
      }, {
        "title": "Privacy and Security",
        "nameUrl": "privacy_and_security.html",
        "generation": "markdown"
      }, {
        "title": "MustSupport and Missing Data",
        "nameUrl": "mustsupport_and_missing_data.html",
        "generation": "markdown"
      }, {
        "title": "Downloads",
        "nameUrl": "downloads.html",
        "generation": "markdown"
      }, {
        "title": "Credits",
        "nameUrl": "credits.html",
        "generation": "markdown"
      } ],
      "title": "Home Page",
      "nameUrl": "index.html",
      "generation": "markdown"
    },
    "grouping": [ {
      "id": "new-group1",
      "name": "Profiles"
    }, {
      "id": "new-group2",
      "name": "Examples"
    }, {
      "id": "new-group3",
      "name": "Images"
    }, {
      "id": "new-group4",
      "name": "Terminology"
    } ],
    "resource": [ {
      "name": "SDOHCC Observation ScreeningResponseBase 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Observation ScreeningResponseBase 1",
        "reference": "StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains Observations that represent individual Question and Answer (QA) pairs from SDOH screening instruments that are represented in LOINC.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Condition Base 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Condition Base 1",
        "reference": "StructureDefinition/SDOHCC-Condition-Base-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains Conditions that represent Social Determinants of Health.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Goal Base 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Goal Base 1",
        "reference": "StructureDefinition/SDOHCC-Goal-Base-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains Goals that address Social Determinants of Health.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC ServiceRequest Base 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC ServiceRequest Base 1",
        "reference": "StructureDefinition/SDOHCC-ServiceRequest-Base-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains ServiceRequest that address Social Determinants of Health.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Procedure Base 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Procedure Base 1",
        "reference": "StructureDefinition/SDOHCC-Procedure-Base-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains Procedures that address Social Determinants of Health.",
      "exampleBoolean": false
    }, {
      "name": "Patient Colin Abbas",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "display": "Patient Colin Abbas",
        "reference": "Patient/pat-53234"
      },
      "groupingId": "new-group2",
      "description": "Patient example for Colin Abbas who is used as the subject in the Observation and Condition examples.",
      "exampleBoolean": true
    }, {
      "name": "SDOHCC QuestionnaireResponse HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "QuestionnaireResponse"
      } ],
      "reference": {
        "display": "SDOHCC QuestionnaireResponse HungerVitalSign Example 1",
        "reference": "QuestionnaireResponse/QR-5770275"
      },
      "groupingId": "new-group2",
      "description": "An example of an SDC QuestionnaireResponse that represents the individual Question and Answer pairs (QA pairs) from an SDOH screening questionnaire represented in LOINC. This example represents the LOINC 88121-9 Hunger Vital Sign [HVS] questionnaire. The example is generated using the LHC-Forms SDC Questionnaire App.",
      "exampleBoolean": true
    }, {
      "name": "SDOHCC Questionnaire HungerVitalSign 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Questionnaire"
      } ],
      "reference": {
        "display": "SDOHCC Questionnaire HungerVitalSign 1",
        "reference": "Questionnaire/SDOHCC-Questionnaire-HungerVitalSign-1"
      },
      "groupingId": "new-group2",
      "description": "A Questionnaire instance that represents the individual Question and Answer pairs (QA pairs) from a specific SDOH screening questionnaire. This instance represents the LOINC 88121-9 Hunger Vital Sign [HVS] questionnaire.",
      "exampleBoolean": true
    }, {
      "name": "SDOHCC Observation HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "display": "SDOHCC Observation HungerVitalSign Example 1",
        "reference": "Observation/SDOHCC-Observation-HungerVitalSign-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of an Observation that represents the individual Question and Answer pair (QA pair) from an SDOH screening questionnaire represented in LOINC. This example represents LOINC code 88122-7 from the Hunger Vital Sign [HVS] questionnaire.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1"
    }, {
      "name": "SDOHCC Observation HungerVitalSign Example 2",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "display": "SDOHCC Observation HungerVitalSign Example 2",
        "reference": "Observation/SDOHCC-Observation-HungerVitalSign-Example-2"
      },
      "groupingId": "new-group2",
      "description": "An example of an Observation that represents the individual Question and Answer pair (QA pair) from an SDOH screening questionnaire represented in LOINC. This example represents LOINC code 88123-5 from the Hunger Vital Sign [HVS] questionnaire.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1"
    }, {
      "name": "SDOHCC Observation HungerVitalSign Example 3",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "display": "SDOHCC Observation HungerVitalSign Example 3",
        "reference": "Observation/SDOHCC-Observation-HungerVitalSign-Example-3"
      },
      "groupingId": "new-group2",
      "description": "An example of an Observation that represents the individual Question and Answer pair (QA pair) from an SDOH screening questionnaire represented in LOINC. This example represents LOINC code 88124-3 from the Hunger Vital Sign [HVS] questionnaire.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1"
    }, {
      "name": "SDOHCC Observation HungerVitalSignGroup 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "display": "SDOHCC Observation HungerVitalSignGroup 1",
        "reference": "Observation/SDOHCC-Observation-HungerVitalSignGroup-1"
      },
      "groupingId": "new-group2",
      "description": "An example of an Observation that represents the Observation group which has as its members the Observations that represent the individual Question and Answer pairs (QA pairs) from an SDOH screening questionnaire represented in LOINC. This example is the group of 3 Observations that represent the 3 questions from LOINC code 88121-9 which is the Hunger Vital Sign [HVS] questionnaire.",
      "exampleBoolean": true
    }, {
      "name": "SDOHCC Condition HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Condition"
      } ],
      "reference": {
        "display": "SDOHCC Condition HungerVitalSign Example 1",
        "reference": "Condition/SDOHCC-Condition-HungerVitalSign-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of a Condition that represents a health concern based on an Observation instance or instances which represent the individual Question and Answer pairs (QA pairs) from an SDOH screening questionnaire represented in LOINC. This example represents a health concern that references, as evidence, Observations derived from the LOINC 88121-9 Hunger Vital Sign [HVS] questionnaire.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition-Base-1"
    }, {
      "name": "SDOHCC StructureMap HungerVitalSignMapper 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureMap"
      } ],
      "reference": {
        "display": "SDOHCC StructureMap HungerVitalSignMapper 1",
        "reference": "StructureMap/SDOHCC-StructureMap-HungerVitalSignMapper-1"
      },
      "groupingId": "new-group2",
      "description": "A StructureMap instance that represents the resource that transforms individual Question and Answer pairs (QA pairs) from the LOINC 88121-9 Hunger Vital Sign [HVS] questionnaire to their corresponding Observations (SDOHCC_Observation_HungerVitalSign_Example_1, SDOHCC_Observation_HungerVitalSign_Example_2, and SDOHCC_Observation_HungerVitalSign_Example_3) and Condition (SDOHCC_Condition_HungerVitalSign_Example_1).",
      "exampleBoolean": true
    }, {
      "name": "SDOHCC Task Base 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Task Base 1",
        "reference": "StructureDefinition/SDOHCC-Task-Base-1"
      },
      "groupingId": "new-group1",
      "description": "This profile constrains Tasks that address Social Determinants of Health.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC CodeSystem Temporary Codes",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "display": "SDOHCC CodeSystem Temporary Codes",
        "reference": "CodeSystem/sdohcc-temporary-codes"
      },
      "groupingId": "new-group4",
      "description": "A local code system defined within the context of the SDOH-ClinicalCare IG.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Goal HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Goal"
      } ],
      "reference": {
        "display": "SDOHCC Goal HungerVitalSign Example 1",
        "reference": "Goal/SDOHCC-Goal-HungerVitalSign-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of a Goal that addresses a Condition of Food Insecurity. The code used for Goal.description and Goal.target.measure is a LOINC code that was only selected for demonstration purposes and will be replaced when new codes (submitted by Gravity) are added to LOINC.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal-Base-1"
    }, {
      "name": "SDOHCC ServiceRequest HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ServiceRequest"
      } ],
      "reference": {
        "display": "SDOHCC ServiceRequest HungerVitalSign Example 1",
        "reference": "ServiceRequest/SDOHCC-ServiceRequest-HungerVitalSign-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of a ServiceRequest that references as its reason a Condition of Food Insecurity.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest-Base-1"
    }, {
      "name": "SDOHCC Procedure HungerVitalSign Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Procedure"
      } ],
      "reference": {
        "display": "SDOHCC Procedure HungerVitalSign Example 1",
        "reference": "Procedure/SDOHCC-Procedure-HungerVitalSign-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of a Procedure that is based on a ServiceRequest and references as its reason a Condition of Food Insecurity.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure-Base-1"
    }, {
      "name": "SDOHCC Task OrderFulfillment Example 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Task"
      } ],
      "reference": {
        "display": "SDOHCC Task OrderFulfillment Example 1",
        "reference": "Task/SDOHCC-Task-OrderFulfillment-Example-1"
      },
      "groupingId": "new-group2",
      "description": "An example of a Task that has as its Task.focus a ServiceRequest to provide food.",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Task-Base-1"
    }, {
      "name": "SDOHCC ValueSet SDOHDomain 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "SDOHCC ValueSet SDOHDomain 1",
        "reference": "ValueSet/SDOHCC-ValueSet-SDOHDomain-1"
      },
      "groupingId": "new-group4",
      "description": "This value set is defined extensionally to include concepts that represent Social Determinant of Health domains.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Consent",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Consent",
        "reference": "StructureDefinition/SDOHCC-Consent"
      },
      "groupingId": "new-group1",
      "description": "This is a profile on the Consent resource to allow declaration of consent provided by the patient to share the SDOH information, including ServiceRequest, with external entities.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Group",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SDOHCC Group",
        "reference": "StructureDefinition/SDOHCC-Group"
      },
      "groupingId": "new-group1",
      "description": "This is a profile on the Group resource to allow collections of individuals with SDOH data to be easily exchanged with allowed organizations.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC ValueSet HCPCSII 1",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "SDOHCC ValueSet HCPCSII 1",
        "reference": "ValueSet/SDOHCC-ValueSet-HCPCSII-1"
      },
      "groupingId": "new-group4",
      "description": "This value set is defined intensionally to include all Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes.",
      "exampleBoolean": false
    }, {
      "name": "SDOHCC Consent Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Consent"
      } ],
      "reference": {
        "reference": "Consent/consent-to-share-example"
      },
      "groupingId": "new-group2",
      "description": "An example of a Consent resource providing consent for a patient to share their information",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Consent"
    }, {
      "name": "John's Pantry Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Group"
      } ],
      "reference": {
        "display": "John's Pantry",
        "reference": "Group/R101"
      },
      "groupingId": "new-group2",
      "description": "An example of a Group resource for a collection of individuals that are shared with another entity",
      "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Group"
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "jira-code"
      }, {
        "url": "value",
        "valueString": "sdoh-cc"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "copyrightyear"
      }, {
        "url": "value",
        "valueString": "2020+"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "releaselabel"
      }, {
        "url": "value",
        "valueString": "STU 1"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-expansion-params"
      }, {
        "url": "value",
        "valueString": "terminology-settings.json"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "template/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "input/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-qa"
      }, {
        "url": "value",
        "valueString": "temp/qa"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-temp"
      }, {
        "url": "value",
        "valueString": "temp/pages"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-output"
      }, {
        "url": "value",
        "valueString": "output"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-suppressed-warnings"
      }, {
        "url": "value",
        "valueString": "input/ignoreWarnings.txt"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-history"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/history.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "template-html"
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  "date": "2020-12-16T20:13:36+00:00",
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}