1. Entry
     Outcome Observation (2.16.840.1.113883.10.20.22.4.144)
    1. notype
       Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
       Entry Reference (2.16.840.1.113883.10.20.22.4.122)
    3. Entry
       Progress Toward Goal Observation (2.16.840.1.113883.10.20.22.4.110)
    4. Entry
       Entry Reference (2.16.840.1.113883.10.20.22.4.122)
    5. Entry
       External Document Reference (2.16.840.1.113883.10.20.22.4.115)