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Quoting from Use case 5, "Now the user would like to move these forms to the HL7 CDA structure" is the context of the use case, and "The user would like to transform the CDEs to HL7 V3 class structures in order to get the full contextual meaning as used in the CDA document" is the actual use case, i.e. the capability to automatically transform existing content (CDEs) to HL7 V3 class structures so that full contextual meaning of the form question can be specified in the HL7 V3 class structures, thus directly using existing content (CDEs) in the new infrastructure.  - Dave Hau