From 78848a23ebe6da3868b0ff79f2d9c95a740dfea0 Mon Sep 17 00:00:00 2001
From: Pablo Pazos Gutierrez <pablo.pazos@cabolabs.com>
Date: Sat, 19 Oct 2019 22:29:13 -0300
Subject: [PATCH] improved snake case formatter closes #1054

---
 .gradle/3.5/fileContent/fileContent.lock      |  Bin 17 -> 17 bytes
 .gradle/3.5/taskHistory/fileHashes.bin        |  Bin 378405 -> 378405 bytes
 .gradle/3.5/taskHistory/fileSnapshots.bin     |  Bin 10773222 -> 10967705 bytes
 .gradle/3.5/taskHistory/taskHistory.bin       |  Bin 48951 -> 48951 bytes
 .gradle/3.5/taskHistory/taskHistory.lock      |  Bin 17 -> 17 bytes
 grails-app/init/ehrserver2/BootStrap.groovy   |   13 +-
 .../99d2534e-36c8-417f-8e48-eb890c6930b9.opt  |  303 +++++
 .../cbf41ef9-3bc7-408f-afbd-9c2b61be2b4a.opt  | 1100 +++++++++++++++++
 8 files changed, 1415 insertions(+), 1 deletion(-)
 create mode 100644 opts/e9d13294-bce7-44e7-9635-8e906da0c914/99d2534e-36c8-417f-8e48-eb890c6930b9.opt
 create mode 100644 opts/e9d13294-bce7-44e7-9635-8e906da0c914/cbf41ef9-3bc7-408f-afbd-9c2b61be2b4a.opt

diff --git a/.gradle/3.5/fileContent/fileContent.lock b/.gradle/3.5/fileContent/fileContent.lock
index 016ee766f41eb3d3854f44ff58fe92644bb5ec1b..aad5307cb15d0b57ff82467ce71f6e53426d0912 100644
GIT binary patch
literal 17
UcmZQpXE?Lp<m`%U1_*cz04@XstpET3

literal 17
UcmZQpXE?Lp<m`%U1_*cv04@Rqs{jB1

diff --git a/.gradle/3.5/taskHistory/fileHashes.bin b/.gradle/3.5/taskHistory/fileHashes.bin
index 3828564150e41f242c20bbba7352f116675b488e..e00abf2c0c15951a6b60b889d8571415d26fc6bf 100644
GIT binary patch
delta 21813
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diff --git a/.gradle/3.5/taskHistory/fileSnapshots.bin b/.gradle/3.5/taskHistory/fileSnapshots.bin
index ee4b7237f3d9cc27a198e7aad92001bc3954e244..b90d5d9fafb419ad53751f8d5d7c59fc6a4d8b8a 100644
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zM!@Tm2FDTgeoX)gd@Yn^@-AK<F}RTu?mXC{h?E~!@$rD9D``u%(HlY)3^J+%`7(6T
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zrS?Xv7zt0sS3Kgo1Mv(_+9yds4g2$j_$aNb=zMR*J+goPdU<QLV;&^5ML5GxI~8Pr
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hI@=u_bZOsmUfiE1zucz>o9B(3(S%Ao3z@jk_+JpoQE&hN

delta 1428
zcmZ|Jdr(wW9Ki9*t{2vYr9~FlT^55jKnVh02`DL<8{!MfMJ-k^QSjL!P+-VQbLl10
zO*brqQYM(`G0cvgfBYkI(7~K+behHrnV5+(rzy?InTG7kh2<|eGoO3Ue9v$0J#A-C
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z-KE6a%**$DJ`_=I-#DxuYEw%5*LVNyy*hMt*M7BY67u}LvO`L}W{7f)&tE>FthL3~
zS7i;Zvo*)<RAb<!fBeJ#w<OJ2B~9J8PSb0q>8(@rjQjkcdy0dx-aAddKGuDPn9Y|&
z_6~iWRea^pbccH{j|8j~S^sJssp7}cP$7G+<OYZ<xthB+QJ<pqM*9Z0_1Z*%HfUa^
zSo6Im|4yK5K$2VoqW2G7cbNBjPiUnmcFSL`_B18UfGnDl0&6=&wJA6-T(ti;>rjzs
z{zle^h>@JgFM>V!&LENR)cvqt-0YvYMeS@)!VR5BxH0qmE#VHAn}bFA-H;BA*x=KZ
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z%taC&K{8VCC{mGzd6<s{ScpY<42zMD3}j*nmLdy}V;Pns8&6;bp2SKx@Dy^e3b|N~
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kQ1CX6;{?2T2W>csckv!h;eE8D10Uc+oECM7XUdlR55@IPUjP6A

diff --git a/.gradle/3.5/taskHistory/taskHistory.bin b/.gradle/3.5/taskHistory/taskHistory.bin
index 7c587540a098f4d88d166da8d25a2863ae043daa..5abb124f18fed42026e85df91ad6ee4a39e12b14 100644
GIT binary patch
delta 268
zcmdn~k7@fqrVZgq^-nhYyZ&D+Kc%-QKfffnAT?RVP{nX+fRD?PeeBA}f<{{LJSFPK
z*UBRc8oRgde8aun<{q-3N%nJ*Bj0)Y|1tKbq!yQC<|US7=I6O&7WqkRs6IZ`%7&$-
zVy+>>Yu%msMU$JVb2d9Ai?VJGPx`{W*}KHjLgAy#=JM9_8{SVy2fC@O(m5xwxVRv(
zB;)ik=jLDihqEU?n5ksGis#0m-Tv|W+l%u{i;`1Km1=(+`TKGvx|P;ks|8#4?AW+G
fePf}+F15RpKTfXQ{HxuAb#u#_LLL?d2B8xG_$7B?

delta 271
zcmdn~k7@fqrVZgqo5M4{a8G{Uz*Ao~qr~*~fh3jQqWt`l;DXd-6+;!nJHioh5pB|p
z$bv>^{k~M&@;`Jz7Bo&jG5t^U`B!?#f+p=3nANgxZ?R(RPf0B<$;?YE$;{7l$t==x
z_g+%5bKN4L1y7QG6h1z%GrwqZQ+3W}r+g>d&4)G>@=VU1%&jnMf11tndzPIO(t%DY
zt8~suEG{lcEXmk&IpJ4n*2MXfAIwxTf5a0l<!0mfqrEu4v?w|Cqsoib<}cq_qucnn
jegcQ=o7F}?nwMU-=R00J`Qzl;&A-}hSy>nugiZhe@=1E3

diff --git a/.gradle/3.5/taskHistory/taskHistory.lock b/.gradle/3.5/taskHistory/taskHistory.lock
index 2f56aeb31ef0c1295da873fa2b89894247c6aee3..770697076998a67493b3c905ddce90e6fe632632 100644
GIT binary patch
literal 17
WcmZQB57PKPEpN{`1`uE@PXYio=mk^&

literal 17
WcmZQB57PKPEpN{`1`uE@ybb_2Q3b;Q

diff --git a/grails-app/init/ehrserver2/BootStrap.groovy b/grails-app/init/ehrserver2/BootStrap.groovy
index baf9afab2..6f8300289 100644
--- a/grails-app/init/ehrserver2/BootStrap.groovy
+++ b/grails-app/init/ehrserver2/BootStrap.groovy
@@ -17,6 +17,8 @@ import grails.util.Holders
 import grails.converters.*
 import  groovy.json.StringEscapeUtils
 
+import java.text.Normalizer
+
 class BootStrap {
 
    def configurationService
@@ -750,7 +752,16 @@ class BootStrap {
       }
 
       String.metaClass.toSnakeCase = {
-         delegate.replaceAll(/\s([A-Z])/, /$1/).replaceAll( /([A-Z])/, /_$1/ ).replaceAll(/\s/, '_').replaceAll( /^_/, '' ).toLowerCase()
+         def n = delegate
+          .trim()                                // remove spaces
+          .replaceAll(/\s([A-Z])/, /$1/)         // space + uppercase char => uppercase char
+          .replaceAll( /([A-Z])/, /_$1/ )        // uppercase char => underscore + uppercase char
+          .replaceAll(/\s+/, '_')                // spaces => underscore
+          .replaceAll( /^_/, '' )                // remove underscore from char[0]
+          .toLowerCase()                         // all lowercase
+
+         // removes accents
+         n = Normalizer.normalize(n, Normalizer.Form.NFD).replaceAll("[\\p{InCombiningDiacriticalMarks}]", "")
       }
 
       // Escapes quotes in strings for displaying via JS
diff --git a/opts/e9d13294-bce7-44e7-9635-8e906da0c914/99d2534e-36c8-417f-8e48-eb890c6930b9.opt b/opts/e9d13294-bce7-44e7-9635-8e906da0c914/99d2534e-36c8-417f-8e48-eb890c6930b9.opt
new file mode 100644
index 000000000..263271e4c
--- /dev/null
+++ b/opts/e9d13294-bce7-44e7-9635-8e906da0c914/99d2534e-36c8-417f-8e48-eb890c6930b9.opt
@@ -0,0 +1,303 @@
+<?xml version="1.0" encoding="utf-8"?>
+<!--Operational template XML automatically generated by Ocean Template Designer Version 2.8.94Beta-->
+<template xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns="http://schemas.openehr.org/v1">
+  <language>
+    <terminology_id>
+      <value>ISO_639-1</value>
+    </terminology_id>
+    <code_string>en</code_string>
+  </language>
+  <description>
+    <original_author id="Original Author">Not Specified</original_author>
+    <lifecycle_state>Initial</lifecycle_state>
+    <other_details id="MetaDataSet:Sample Set ">Template metadata sample set </other_details>
+    <other_details id="Acknowledgements"></other_details>
+    <other_details id="Business Process Level"></other_details>
+    <other_details id="Care setting"></other_details>
+    <other_details id="Client group"></other_details>
+    <other_details id="Clinical Record Element"></other_details>
+    <other_details id="Copyright"></other_details>
+    <other_details id="Issues"></other_details>
+    <other_details id="Owner"></other_details>
+    <other_details id="Sign off"></other_details>
+    <other_details id="Speciality"></other_details>
+    <other_details id="User roles"></other_details>
+    <details>
+      <language>
+        <terminology_id>
+          <value>ISO_639-1</value>
+        </terminology_id>
+        <code_string>en</code_string>
+      </language>
+      <purpose>Not Specified</purpose>
+    </details>
+  </description>
+  <uid>
+    <value>c51011b9-0e62-4187-a36b-6706da1ddcc5</value>
+  </uid>
+  <template_id>
+    <value>Test index references EN</value>
+  </template_id>
+  <concept>Test index references EN</concept>
+  <definition>
+    <rm_type_name>COMPOSITION</rm_type_name>
+    <occurrences>
+      <lower_included>true</lower_included>
+      <upper_included>true</upper_included>
+      <lower_unbounded>false</lower_unbounded>
+      <upper_unbounded>false</upper_unbounded>
+      <lower>1</lower>
+      <upper>1</upper>
+    </occurrences>
+    <node_id>at0000</node_id>
+    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+      <rm_attribute_name>category</rm_attribute_name>
+      <existence>
+        <lower_included>true</lower_included>
+        <upper_included>true</upper_included>
+        <lower_unbounded>false</lower_unbounded>
+        <upper_unbounded>false</upper_unbounded>
+        <lower>1</lower>
+        <upper>1</upper>
+      </existence>
+      <children xsi:type="C_COMPLEX_OBJECT">
+        <rm_type_name>DV_CODED_TEXT</rm_type_name>
+        <occurrences>
+          <lower_included>true</lower_included>
+          <upper_included>true</upper_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>false</upper_unbounded>
+          <lower>1</lower>
+          <upper>1</upper>
+        </occurrences>
+        <node_id />
+        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+          <rm_attribute_name>defining_code</rm_attribute_name>
+          <existence>
+            <lower_included>true</lower_included>
+            <upper_included>true</upper_included>
+            <lower_unbounded>false</lower_unbounded>
+            <upper_unbounded>false</upper_unbounded>
+            <lower>1</lower>
+            <upper>1</upper>
+          </existence>
+          <children xsi:type="C_CODE_PHRASE">
+            <rm_type_name>CODE_PHRASE</rm_type_name>
+            <occurrences>
+              <lower_included>true</lower_included>
+              <upper_included>true</upper_included>
+              <lower_unbounded>false</lower_unbounded>
+              <upper_unbounded>false</upper_unbounded>
+              <lower>1</lower>
+              <upper>1</upper>
+            </occurrences>
+            <node_id />
+            <terminology_id>
+              <value>openehr</value>
+            </terminology_id>
+            <code_list>433</code_list>
+          </children>
+        </attributes>
+      </children>
+    </attributes>
+    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+      <rm_attribute_name>content</rm_attribute_name>
+      <existence>
+        <lower_included>true</lower_included>
+        <upper_included>true</upper_included>
+        <lower_unbounded>false</lower_unbounded>
+        <upper_unbounded>false</upper_unbounded>
+        <lower>0</lower>
+        <upper>1</upper>
+      </existence>
+      <children xsi:type="C_ARCHETYPE_ROOT">
+        <rm_type_name>OBSERVATION</rm_type_name>
+        <occurrences>
+          <lower_included>true</lower_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>true</upper_unbounded>
+          <lower>0</lower>
+        </occurrences>
+        <node_id>at0000</node_id>
+        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+          <rm_attribute_name>data</rm_attribute_name>
+          <existence>
+            <lower_included>true</lower_included>
+            <upper_included>true</upper_included>
+            <lower_unbounded>false</lower_unbounded>
+            <upper_unbounded>false</upper_unbounded>
+            <lower>1</lower>
+            <upper>1</upper>
+          </existence>
+          <children xsi:type="C_COMPLEX_OBJECT">
+            <rm_type_name>HISTORY</rm_type_name>
+            <occurrences>
+              <lower_included>true</lower_included>
+              <upper_included>true</upper_included>
+              <lower_unbounded>false</lower_unbounded>
+              <upper_unbounded>false</upper_unbounded>
+              <lower>1</lower>
+              <upper>1</upper>
+            </occurrences>
+            <node_id>at0001</node_id>
+            <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+              <rm_attribute_name>events</rm_attribute_name>
+              <existence>
+                <lower_included>true</lower_included>
+                <upper_included>true</upper_included>
+                <lower_unbounded>false</lower_unbounded>
+                <upper_unbounded>false</upper_unbounded>
+                <lower>0</lower>
+                <upper>1</upper>
+              </existence>
+              <children xsi:type="C_COMPLEX_OBJECT">
+                <rm_type_name>EVENT</rm_type_name>
+                <occurrences>
+                  <lower_included>true</lower_included>
+                  <upper_included>true</upper_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>false</upper_unbounded>
+                  <lower>0</lower>
+                  <upper>1</upper>
+                </occurrences>
+                <node_id>at0002</node_id>
+                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                  <rm_attribute_name>data</rm_attribute_name>
+                  <existence>
+                    <lower_included>true</lower_included>
+                    <upper_included>true</upper_included>
+                    <lower_unbounded>false</lower_unbounded>
+                    <upper_unbounded>false</upper_unbounded>
+                    <lower>1</lower>
+                    <upper>1</upper>
+                  </existence>
+                  <children xsi:type="C_COMPLEX_OBJECT">
+                    <rm_type_name>ITEM_TREE</rm_type_name>
+                    <occurrences>
+                      <lower_included>true</lower_included>
+                      <upper_included>true</upper_included>
+                      <lower_unbounded>false</lower_unbounded>
+                      <upper_unbounded>false</upper_unbounded>
+                      <lower>1</lower>
+                      <upper>1</upper>
+                    </occurrences>
+                    <node_id>at0003</node_id>
+                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+                      <rm_attribute_name>items</rm_attribute_name>
+                      <existence>
+                        <lower_included>true</lower_included>
+                        <upper_included>true</upper_included>
+                        <lower_unbounded>false</lower_unbounded>
+                        <upper_unbounded>false</upper_unbounded>
+                        <lower>0</lower>
+                        <upper>1</upper>
+                      </existence>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>0</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0004</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                          </children>
+                        </attributes>
+                      </children>
+                      <cardinality>
+                        <is_ordered>false</is_ordered>
+                        <is_unique>false</is_unique>
+                        <interval>
+                          <lower_included>true</lower_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>true</upper_unbounded>
+                          <lower>0</lower>
+                        </interval>
+                      </cardinality>
+                    </attributes>
+                  </children>
+                </attributes>
+              </children>
+              <cardinality>
+                <is_ordered>false</is_ordered>
+                <is_unique>false</is_unique>
+                <interval>
+                  <lower_included>true</lower_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>true</upper_unbounded>
+                  <lower>1</lower>
+                </interval>
+              </cardinality>
+            </attributes>
+          </children>
+        </attributes>
+        <archetype_id>
+          <value>openEHR-EHR-OBSERVATION.test_index_references.v1</value>
+        </archetype_id>
+        <term_definitions code="at0000">
+          <items id="description">*</items>
+          <items id="text">Test index references</items>
+        </term_definitions>
+        <term_definitions code="at0001">
+          <items id="description">*</items>
+          <items id="text">Events</items>
+        </term_definitions>
+        <term_definitions code="at0002">
+          <items id="description">*</items>
+          <items id="text">Event</items>
+        </term_definitions>
+        <term_definitions code="at0003">
+          <items id="description">*</items>
+          <items id="text">Tree</items>
+        </term_definitions>
+        <term_definitions code="at0004">
+          <items id="description">*</items>
+          <items id="text">text</items>
+        </term_definitions>
+      </children>
+      <cardinality>
+        <is_ordered>false</is_ordered>
+        <is_unique>false</is_unique>
+        <interval>
+          <lower_included>true</lower_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>true</upper_unbounded>
+          <lower>0</lower>
+        </interval>
+      </cardinality>
+    </attributes>
+    <archetype_id>
+      <value>openEHR-EHR-COMPOSITION.test_index_references.v1</value>
+    </archetype_id>
+    <template_id>
+      <value>Test index references EN</value>
+    </template_id>
+    <term_definitions code="at0000">
+      <items id="description">*</items>
+      <items id="text">Test index references</items>
+    </term_definitions>
+  </definition>
+</template>
\ No newline at end of file
diff --git a/opts/e9d13294-bce7-44e7-9635-8e906da0c914/cbf41ef9-3bc7-408f-afbd-9c2b61be2b4a.opt b/opts/e9d13294-bce7-44e7-9635-8e906da0c914/cbf41ef9-3bc7-408f-afbd-9c2b61be2b4a.opt
new file mode 100644
index 000000000..cd6669e7e
--- /dev/null
+++ b/opts/e9d13294-bce7-44e7-9635-8e906da0c914/cbf41ef9-3bc7-408f-afbd-9c2b61be2b4a.opt
@@ -0,0 +1,1100 @@
+<?xml version="1.0" encoding="utf-8"?>
+<!--Operational template XML automatically generated by Ocean Template Designer Version 2.6.1214Beta-->
+<template xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns="http://schemas.openehr.org/v1">
+  <language>
+    <terminology_id>
+      <value>ISO_639-1</value>
+    </terminology_id>
+    <code_string>es</code_string>
+  </language>
+  <description>
+    <original_author id="Original Author">Not Specified</original_author>
+    <lifecycle_state>Initial</lifecycle_state>
+    <other_details id="MetaDataSet:Sample Set ">Template metadata sample set </other_details>
+    <other_details id="Acknowledgements"></other_details>
+    <other_details id="Business Process Level"></other_details>
+    <other_details id="Care setting"></other_details>
+    <other_details id="Client group"></other_details>
+    <other_details id="Clinical Record Element"></other_details>
+    <other_details id="Copyright"></other_details>
+    <other_details id="Issues"></other_details>
+    <other_details id="Owner"></other_details>
+    <other_details id="Sign off"></other_details>
+    <other_details id="Speciality"></other_details>
+    <other_details id="User roles"></other_details>
+    <details>
+      <language>
+        <terminology_id>
+          <value>ISO_639-1</value>
+        </terminology_id>
+        <code_string>es</code_string>
+      </language>
+      <purpose>Not Specified</purpose>
+    </details>
+  </description>
+  <uid>
+    <value>b0e6c6a3-b876-4a7e-9b61-38eaacd09840</value>
+  </uid>
+  <template_id>
+    <value>Review</value>
+  </template_id>
+  <concept>Review</concept>
+  <definition>
+    <rm_type_name>COMPOSITION</rm_type_name>
+    <occurrences>
+      <lower_included>true</lower_included>
+      <upper_included>true</upper_included>
+      <lower_unbounded>false</lower_unbounded>
+      <upper_unbounded>false</upper_unbounded>
+      <lower>1</lower>
+      <upper>1</upper>
+    </occurrences>
+    <node_id>at0000</node_id>
+    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+      <rm_attribute_name>category</rm_attribute_name>
+      <existence>
+        <lower_included>true</lower_included>
+        <upper_included>true</upper_included>
+        <lower_unbounded>false</lower_unbounded>
+        <upper_unbounded>false</upper_unbounded>
+        <lower>1</lower>
+        <upper>1</upper>
+      </existence>
+      <children xsi:type="C_COMPLEX_OBJECT">
+        <rm_type_name>DV_CODED_TEXT</rm_type_name>
+        <occurrences>
+          <lower_included>true</lower_included>
+          <upper_included>true</upper_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>false</upper_unbounded>
+          <lower>1</lower>
+          <upper>1</upper>
+        </occurrences>
+        <node_id />
+        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+          <rm_attribute_name>defining_code</rm_attribute_name>
+          <existence>
+            <lower_included>true</lower_included>
+            <upper_included>true</upper_included>
+            <lower_unbounded>false</lower_unbounded>
+            <upper_unbounded>false</upper_unbounded>
+            <lower>1</lower>
+            <upper>1</upper>
+          </existence>
+          <children xsi:type="C_CODE_PHRASE">
+            <rm_type_name>CODE_PHRASE</rm_type_name>
+            <occurrences>
+              <lower_included>true</lower_included>
+              <upper_included>true</upper_included>
+              <lower_unbounded>false</lower_unbounded>
+              <upper_unbounded>false</upper_unbounded>
+              <lower>1</lower>
+              <upper>1</upper>
+            </occurrences>
+            <node_id />
+            <terminology_id>
+              <value>openehr</value>
+            </terminology_id>
+            <code_list>433</code_list>
+          </children>
+        </attributes>
+      </children>
+    </attributes>
+    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+      <rm_attribute_name>content</rm_attribute_name>
+      <existence>
+        <lower_included>true</lower_included>
+        <upper_included>true</upper_included>
+        <lower_unbounded>false</lower_unbounded>
+        <upper_unbounded>false</upper_unbounded>
+        <lower>0</lower>
+        <upper>1</upper>
+      </existence>
+      <children xsi:type="C_ARCHETYPE_ROOT">
+        <rm_type_name>OBSERVATION</rm_type_name>
+        <occurrences>
+          <lower_included>true</lower_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>true</upper_unbounded>
+          <lower>0</lower>
+        </occurrences>
+        <node_id>at0000</node_id>
+        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+          <rm_attribute_name>data</rm_attribute_name>
+          <existence>
+            <lower_included>true</lower_included>
+            <upper_included>true</upper_included>
+            <lower_unbounded>false</lower_unbounded>
+            <upper_unbounded>false</upper_unbounded>
+            <lower>1</lower>
+            <upper>1</upper>
+          </existence>
+          <children xsi:type="C_COMPLEX_OBJECT">
+            <rm_type_name>HISTORY</rm_type_name>
+            <occurrences>
+              <lower_included>true</lower_included>
+              <upper_included>true</upper_included>
+              <lower_unbounded>false</lower_unbounded>
+              <upper_unbounded>false</upper_unbounded>
+              <lower>1</lower>
+              <upper>1</upper>
+            </occurrences>
+            <node_id>at0001</node_id>
+            <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+              <rm_attribute_name>events</rm_attribute_name>
+              <existence>
+                <lower_included>true</lower_included>
+                <upper_included>true</upper_included>
+                <lower_unbounded>false</lower_unbounded>
+                <upper_unbounded>false</upper_unbounded>
+                <lower>0</lower>
+                <upper>1</upper>
+              </existence>
+              <children xsi:type="C_COMPLEX_OBJECT">
+                <rm_type_name>POINT_EVENT</rm_type_name>
+                <occurrences>
+                  <lower_included>true</lower_included>
+                  <upper_included>true</upper_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>false</upper_unbounded>
+                  <lower>0</lower>
+                  <upper>1</upper>
+                </occurrences>
+                <node_id>at0002</node_id>
+                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                  <rm_attribute_name>data</rm_attribute_name>
+                  <existence>
+                    <lower_included>true</lower_included>
+                    <upper_included>true</upper_included>
+                    <lower_unbounded>false</lower_unbounded>
+                    <upper_unbounded>false</upper_unbounded>
+                    <lower>1</lower>
+                    <upper>1</upper>
+                  </existence>
+                  <children xsi:type="C_COMPLEX_OBJECT">
+                    <rm_type_name>ITEM_TREE</rm_type_name>
+                    <occurrences>
+                      <lower_included>true</lower_included>
+                      <upper_included>true</upper_included>
+                      <lower_unbounded>false</lower_unbounded>
+                      <upper_unbounded>false</upper_unbounded>
+                      <lower>1</lower>
+                      <upper>1</upper>
+                    </occurrences>
+                    <node_id>at0003</node_id>
+                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+                      <rm_attribute_name>items</rm_attribute_name>
+                      <existence>
+                        <lower_included>true</lower_included>
+                        <upper_included>true</upper_included>
+                        <lower_unbounded>false</lower_unbounded>
+                        <upper_unbounded>false</upper_unbounded>
+                        <lower>0</lower>
+                        <upper>1</upper>
+                      </existence>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>1</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0009</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_DV_ORDINAL">
+                            <rm_type_name>DV_ORDINAL</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <list>
+                              <value>1</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0010</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>2</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0011</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>3</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0012</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>4</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0013</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                          </children>
+                        </attributes>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>null_flavour</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_CODED_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                              <rm_attribute_name>defining_code</rm_attribute_name>
+                              <existence>
+                                <lower_included>true</lower_included>
+                                <upper_included>true</upper_included>
+                                <lower_unbounded>false</lower_unbounded>
+                                <upper_unbounded>false</upper_unbounded>
+                                <lower>1</lower>
+                                <upper>1</upper>
+                              </existence>
+                              <children xsi:type="C_CODE_PHRASE">
+                                <rm_type_name>CODE_PHRASE</rm_type_name>
+                                <occurrences>
+                                  <lower_included>true</lower_included>
+                                  <upper_included>true</upper_included>
+                                  <lower_unbounded>false</lower_unbounded>
+                                  <upper_unbounded>false</upper_unbounded>
+                                  <lower>1</lower>
+                                  <upper>1</upper>
+                                </occurrences>
+                                <node_id />
+                                <terminology_id>
+                                  <value>openehr</value>
+                                </terminology_id>
+                                <code_list>273</code_list>
+                              </children>
+                            </attributes>
+                          </children>
+                        </attributes>
+                      </children>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>1</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0007</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_DV_ORDINAL">
+                            <rm_type_name>DV_ORDINAL</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <list>
+                              <value>1</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0014</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>2</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0015</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>3</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0016</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>4</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0017</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>5</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0018</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                          </children>
+                        </attributes>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>null_flavour</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_CODED_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                              <rm_attribute_name>defining_code</rm_attribute_name>
+                              <existence>
+                                <lower_included>true</lower_included>
+                                <upper_included>true</upper_included>
+                                <lower_unbounded>false</lower_unbounded>
+                                <upper_unbounded>false</upper_unbounded>
+                                <lower>1</lower>
+                                <upper>1</upper>
+                              </existence>
+                              <children xsi:type="C_CODE_PHRASE">
+                                <rm_type_name>CODE_PHRASE</rm_type_name>
+                                <occurrences>
+                                  <lower_included>true</lower_included>
+                                  <upper_included>true</upper_included>
+                                  <lower_unbounded>false</lower_unbounded>
+                                  <upper_unbounded>false</upper_unbounded>
+                                  <lower>1</lower>
+                                  <upper>1</upper>
+                                </occurrences>
+                                <node_id />
+                                <terminology_id>
+                                  <value>openehr</value>
+                                </terminology_id>
+                                <code_list>273</code_list>
+                              </children>
+                            </attributes>
+                          </children>
+                        </attributes>
+                      </children>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>1</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0008</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_DV_ORDINAL">
+                            <rm_type_name>DV_ORDINAL</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <list>
+                              <value>1</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0019</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>2</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0020</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>3</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0021</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>4</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0022</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>5</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0023</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                            <list>
+                              <value>6</value>
+                              <symbol>
+                                <value />
+                                <defining_code>
+                                  <terminology_id>
+                                    <value>local</value>
+                                  </terminology_id>
+                                  <code_string>at0024</code_string>
+                                </defining_code>
+                              </symbol>
+                            </list>
+                          </children>
+                        </attributes>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>null_flavour</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_CODED_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                              <rm_attribute_name>defining_code</rm_attribute_name>
+                              <existence>
+                                <lower_included>true</lower_included>
+                                <upper_included>true</upper_included>
+                                <lower_unbounded>false</lower_unbounded>
+                                <upper_unbounded>false</upper_unbounded>
+                                <lower>1</lower>
+                                <upper>1</upper>
+                              </existence>
+                              <children xsi:type="C_CODE_PHRASE">
+                                <rm_type_name>CODE_PHRASE</rm_type_name>
+                                <occurrences>
+                                  <lower_included>true</lower_included>
+                                  <upper_included>true</upper_included>
+                                  <lower_unbounded>false</lower_unbounded>
+                                  <upper_unbounded>false</upper_unbounded>
+                                  <lower>1</lower>
+                                  <upper>1</upper>
+                                </occurrences>
+                                <node_id />
+                                <terminology_id>
+                                  <value>openehr</value>
+                                </terminology_id>
+                                <code_list>273</code_list>
+                              </children>
+                            </attributes>
+                          </children>
+                        </attributes>
+                      </children>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>0</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0026</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_COUNT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                              <rm_attribute_name>magnitude</rm_attribute_name>
+                              <existence>
+                                <lower_included>true</lower_included>
+                                <upper_included>true</upper_included>
+                                <lower_unbounded>false</lower_unbounded>
+                                <upper_unbounded>false</upper_unbounded>
+                                <lower>1</lower>
+                                <upper>1</upper>
+                              </existence>
+                              <children xsi:type="C_PRIMITIVE_OBJECT">
+                                <rm_type_name>INTEGER</rm_type_name>
+                                <occurrences>
+                                  <lower_included>true</lower_included>
+                                  <upper_included>true</upper_included>
+                                  <lower_unbounded>false</lower_unbounded>
+                                  <upper_unbounded>false</upper_unbounded>
+                                  <lower>1</lower>
+                                  <upper>1</upper>
+                                </occurrences>
+                                <node_id />
+                                <item xsi:type="C_INTEGER">
+                                  <range>
+                                    <lower_included>true</lower_included>
+                                    <upper_included>true</upper_included>
+                                    <lower_unbounded>false</lower_unbounded>
+                                    <upper_unbounded>false</upper_unbounded>
+                                    <lower>3</lower>
+                                    <upper>15</upper>
+                                  </range>
+                                </item>
+                              </children>
+                            </attributes>
+                          </children>
+                        </attributes>
+                      </children>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <upper_included>true</upper_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>false</upper_unbounded>
+                          <lower>0</lower>
+                          <upper>1</upper>
+                        </occurrences>
+                        <node_id>at0030</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                          </children>
+                        </attributes>
+                      </children>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>true</upper_unbounded>
+                          <lower>0</lower>
+                        </occurrences>
+                        <node_id>at0037</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                          </children>
+                        </attributes>
+                      </children>
+                      <cardinality>
+                        <is_ordered>false</is_ordered>
+                        <is_unique>false</is_unique>
+                        <interval>
+                          <lower_included>true</lower_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>true</upper_unbounded>
+                          <lower>3</lower>
+                        </interval>
+                      </cardinality>
+                    </attributes>
+                  </children>
+                </attributes>
+                <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                  <rm_attribute_name>state</rm_attribute_name>
+                  <existence>
+                    <lower_included>true</lower_included>
+                    <upper_included>true</upper_included>
+                    <lower_unbounded>false</lower_unbounded>
+                    <upper_unbounded>false</upper_unbounded>
+                    <lower>0</lower>
+                    <upper>1</upper>
+                  </existence>
+                  <children xsi:type="C_COMPLEX_OBJECT">
+                    <rm_type_name>ITEM_TREE</rm_type_name>
+                    <occurrences>
+                      <lower_included>true</lower_included>
+                      <upper_included>true</upper_included>
+                      <lower_unbounded>false</lower_unbounded>
+                      <upper_unbounded>false</upper_unbounded>
+                      <lower>1</lower>
+                      <upper>1</upper>
+                    </occurrences>
+                    <node_id>at0040</node_id>
+                    <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+                      <rm_attribute_name>items</rm_attribute_name>
+                      <existence>
+                        <lower_included>true</lower_included>
+                        <upper_included>true</upper_included>
+                        <lower_unbounded>false</lower_unbounded>
+                        <upper_unbounded>false</upper_unbounded>
+                        <lower>0</lower>
+                        <upper>1</upper>
+                      </existence>
+                      <children xsi:type="C_COMPLEX_OBJECT">
+                        <rm_type_name>ELEMENT</rm_type_name>
+                        <occurrences>
+                          <lower_included>true</lower_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>true</upper_unbounded>
+                          <lower>0</lower>
+                        </occurrences>
+                        <node_id>at0041</node_id>
+                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+                          <rm_attribute_name>value</rm_attribute_name>
+                          <existence>
+                            <lower_included>true</lower_included>
+                            <upper_included>true</upper_included>
+                            <lower_unbounded>false</lower_unbounded>
+                            <upper_unbounded>false</upper_unbounded>
+                            <lower>0</lower>
+                            <upper>1</upper>
+                          </existence>
+                          <children xsi:type="C_COMPLEX_OBJECT">
+                            <rm_type_name>DV_TEXT</rm_type_name>
+                            <occurrences>
+                              <lower_included>true</lower_included>
+                              <upper_included>true</upper_included>
+                              <lower_unbounded>false</lower_unbounded>
+                              <upper_unbounded>false</upper_unbounded>
+                              <lower>1</lower>
+                              <upper>1</upper>
+                            </occurrences>
+                            <node_id />
+                          </children>
+                        </attributes>
+                      </children>
+                      <cardinality>
+                        <is_ordered>false</is_ordered>
+                        <is_unique>false</is_unique>
+                        <interval>
+                          <lower_included>true</lower_included>
+                          <lower_unbounded>false</lower_unbounded>
+                          <upper_unbounded>true</upper_unbounded>
+                          <lower>0</lower>
+                        </interval>
+                      </cardinality>
+                    </attributes>
+                  </children>
+                </attributes>
+              </children>
+              <cardinality>
+                <is_ordered>false</is_ordered>
+                <is_unique>false</is_unique>
+                <interval>
+                  <lower_included>true</lower_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>true</upper_unbounded>
+                  <lower>1</lower>
+                </interval>
+              </cardinality>
+            </attributes>
+          </children>
+        </attributes>
+        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
+          <rm_attribute_name>protocol</rm_attribute_name>
+          <existence>
+            <lower_included>true</lower_included>
+            <upper_included>true</upper_included>
+            <lower_unbounded>false</lower_unbounded>
+            <upper_unbounded>false</upper_unbounded>
+            <lower>0</lower>
+            <upper>1</upper>
+          </existence>
+          <children xsi:type="C_COMPLEX_OBJECT">
+            <rm_type_name>ITEM_TREE</rm_type_name>
+            <occurrences>
+              <lower_included>true</lower_included>
+              <upper_included>true</upper_included>
+              <lower_unbounded>false</lower_unbounded>
+              <upper_unbounded>false</upper_unbounded>
+              <lower>1</lower>
+              <upper>1</upper>
+            </occurrences>
+            <node_id>at0038</node_id>
+            <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
+              <rm_attribute_name>items</rm_attribute_name>
+              <existence>
+                <lower_included>true</lower_included>
+                <upper_included>true</upper_included>
+                <lower_unbounded>false</lower_unbounded>
+                <upper_unbounded>false</upper_unbounded>
+                <lower>0</lower>
+                <upper>1</upper>
+              </existence>
+              <children xsi:type="ARCHETYPE_SLOT">
+                <rm_type_name>CLUSTER</rm_type_name>
+                <occurrences>
+                  <lower_included>true</lower_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>true</upper_unbounded>
+                  <lower>0</lower>
+                </occurrences>
+                <node_id>at0039</node_id>
+                <includes>
+                  <expression xsi:type="EXPR_BINARY_OPERATOR">
+                    <type>Boolean</type>
+                    <operator>2007</operator>
+                    <precedence_overridden>false</precedence_overridden>
+                    <left_operand xsi:type="EXPR_LEAF">
+                      <type>String</type>
+                      <item xsi:type="xsd:string">archetype_id/value</item>
+                      <reference_type>attribute</reference_type>
+                    </left_operand>
+                    <right_operand xsi:type="EXPR_LEAF">
+                      <type>C_STRING</type>
+                      <item xsi:type="C_STRING">
+                        <pattern>.*</pattern>
+                      </item>
+                      <reference_type>constraint</reference_type>
+                    </right_operand>
+                  </expression>
+                </includes>
+              </children>
+              <cardinality>
+                <is_ordered>false</is_ordered>
+                <is_unique>false</is_unique>
+                <interval>
+                  <lower_included>true</lower_included>
+                  <lower_unbounded>false</lower_unbounded>
+                  <upper_unbounded>true</upper_unbounded>
+                  <lower>0</lower>
+                </interval>
+              </cardinality>
+            </attributes>
+          </children>
+        </attributes>
+        <archetype_id>
+          <value>openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1</value>
+        </archetype_id>
+        <term_definitions code="at0000">
+          <items id="description">Fifteen point scale used to assess impairment of consciousness in response to defined stimuli. More correctly known as the Modified Glasgow coma scale.</items>
+          <items id="text">Glasgow coma scale</items>
+        </term_definitions>
+        <term_definitions code="at0001">
+          <items id="description">@ internal @</items>
+          <items id="text">Event Series</items>
+        </term_definitions>
+        <term_definitions code="at0002">
+          <items id="description">Specified point in time which may be explicitly defined in a template or at run-time.</items>
+          <items id="text">Point in time</items>
+        </term_definitions>
+        <term_definitions code="at0003">
+          <items id="description">@ internal @</items>
+          <items id="text">Tree</items>
+        </term_definitions>
+        <term_definitions code="at0007">
+          <items id="comment">Most commonly, the score for verbal response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care is intubated, then the "Not Applicable" null flavour should be recorded. </items>
+          <items id="description">Best verbal response to test stimulus.</items>
+          <items id="text">Best verbal response (V)</items>
+        </term_definitions>
+        <term_definitions code="at0008">
+          <items id="comment">Most commonly, the score for motor response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot move their limbs due to injury or paralysis, then the "Not Applicable" null flavour should be recorded. </items>
+          <items id="description">Best motor response to test stimulus.</items>
+          <items id="text">Best motor response (M)</items>
+        </term_definitions>
+        <term_definitions code="at0009">
+          <items id="comment">Most commonly, the score for eye response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot physically open their eyes due to other injuries, then the "Not Applicable" null flavour should be recorded. </items>
+          <items id="description">Best response of eyes to test stimulus.</items>
+          <items id="text">Best eye response (E)</items>
+        </term_definitions>
+        <term_definitions code="at0010">
+          <items id="description">No eye opening at any time, no interfering factor. For example: eyes closed by local swelling.</items>
+          <items id="text">None</items>
+        </term_definitions>
+        <term_definitions code="at0011">
+          <items id="description">Eyes opening after finger tip stimulus.</items>
+          <items id="text">To pressure</items>
+        </term_definitions>
+        <term_definitions code="at0012">
+          <items id="description">Eyes opening after spoken or shouted request. Not to be confused with wakening of a sleeping person.</items>
+          <items id="text">To sound</items>
+        </term_definitions>
+        <term_definitions code="at0013">
+          <items id="description">Eyes open before stimulus.</items>
+          <items id="text">Spontaneous</items>
+        </term_definitions>
+        <term_definitions code="at0014">
+          <items id="description">No audible response, no interfering factor. For example: intubation; profound deafness.</items>
+          <items id="text">None</items>
+        </term_definitions>
+        <term_definitions code="at0015">
+          <items id="description">Only moans/groans.</items>
+          <items id="text">Sounds</items>
+        </term_definitions>
+        <term_definitions code="at0016">
+          <items id="description">Intelligible single words.</items>
+          <items id="text">Words</items>
+        </term_definitions>
+        <term_definitions code="at0017">
+          <items id="description">Not orientated but communicates coherently.</items>
+          <items id="text">Confused</items>
+        </term_definitions>
+        <term_definitions code="at0018">
+          <items id="description">Correctly gives name, place and date.</items>
+          <items id="text">Orientated</items>
+        </term_definitions>
+        <term_definitions code="at0019">
+          <items id="description">No movement in arms/legs, no interfering factor. For example: paralysed.</items>
+          <items id="text">None</items>
+        </term_definitions>
+        <term_definitions code="at0020">
+          <items id="description">Decerebrate extension of arms and/or legs in response to stimuli. For example: extends arm at elbow.</items>
+          <items id="text">Extension</items>
+        </term_definitions>
+        <term_definitions code="at0021">
+          <items id="description">Slow, decorticate flexion of arms and/or legs. For example: bends arm at elbow,  but features predominantly abnormal.</items>
+          <items id="text">Abnormal flexion</items>
+        </term_definitions>
+        <term_definitions code="at0022">
+          <items id="description">Rapid flexion in response to stimuli but features predominantly normal. For example: flexion of wrist when supra-orbital pressure applied; pulls part of body away when nailbed pinched.</items>
+          <items id="text">Normal flexion</items>
+        </term_definitions>
+        <term_definitions code="at0023">
+          <items id="description">Purposeful flexion towards painful stimuli. For example: brings hand above the clavicle when supra-orbital pressure is applied.</items>
+          <items id="text">Localising</items>
+        </term_definitions>
+        <term_definitions code="at0024">
+          <items id="description">Follows verbal request for movement.</items>
+          <items id="text">Obeys commands</items>
+        </term_definitions>
+        <term_definitions code="at0026">
+          <items id="comment">The Total Score may be derived as the sum of the three response data elements and, if so, should be validated by the clinical information system against the individual scores entered by the clinician to ensure there is no conflict or inconsistency. Do not report a total score when one or more components are not testable because the score will be artificially low - in this situation record the EVM profile.</items>
+          <items id="description">The sum of the ordinal scores recorded for each of the three component responses.</items>
+          <items id="text">Total score</items>
+        </term_definitions>
+        <term_definitions code="at0030">
+          <items id="comment">The EMV Score may be automatically derived as a concatenation of the three response data elements and, if so, should be validated by the clinical information system against the individual scores entered by the clinician to ensure there is no conflict or inconsistency. The 'Not applicable' null flavour value should be recorded as 'NT', for 'not tested' as per http://www.glasgowcomascale.org/.  </items>
+          <items id="description">Alternative assessment to 'Total Score' where  the Eye Verbal Motor profile is expressed as three discrete components.</items>
+          <items id="text">EVM profile</items>
+        </term_definitions>
+        <term_definitions code="at0037">
+          <items id="comment">Record the reasons for inability to test in the 'Confounding factors' data element.</items>
+          <items id="description">Additional narrative about the measurement of the scale not captured in other fields.</items>
+          <items id="text">Comment</items>
+        </term_definitions>
+        <term_definitions code="at0038">
+          <items id="description">@ internal @</items>
+          <items id="text">Tree</items>
+        </term_definitions>
+        <term_definitions code="at0039">
+          <items id="comment">For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.</items>
+          <items id="description">Additional information required to capture local content or to align with other reference models/formalisms.</items>
+          <items id="text">Extension</items>
+        </term_definitions>
+        <term_definitions code="at0040">
+          <items id="description">@ internal @</items>
+          <items id="text">Tree</items>
+        </term_definitions>
+        <term_definitions code="at0041">
+          <items id="comment">For example: deafness; aphasia; language issues; use of sedatives; hypothermia; or paralysis, severe facial/eye swelling or tracheal intubation as reasons for inability to record any one of the ordinal E, V or M assessments.</items>
+          <items id="description">Narrative record of factors that may have contributed to the GCS scores.</items>
+          <items id="text">Confounding factors</items>
+        </term_definitions>
+      </children>
+      <cardinality>
+        <is_ordered>false</is_ordered>
+        <is_unique>false</is_unique>
+        <interval>
+          <lower_included>true</lower_included>
+          <lower_unbounded>false</lower_unbounded>
+          <upper_unbounded>true</upper_unbounded>
+          <lower>0</lower>
+        </interval>
+      </cardinality>
+    </attributes>
+    <archetype_id>
+      <value>openEHR-EHR-COMPOSITION.review.v1</value>
+    </archetype_id>
+    <template_id>
+      <value>Review</value>
+    </template_id>
+    <term_definitions code="at0000">
+      <items id="description">Composition for the recording of the details of a formal review of a subject's clinical situation or any specific aspect of their clinical care.</items>
+      <items id="text">Review</items>
+    </term_definitions>
+  </definition>
+  <view>
+    <constraints path="/content[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/protocol[at0038]">
+      <items id="pass_through">
+        <value>true</value>
+      </items>
+    </constraints>
+  </view>
+</template>
\ No newline at end of file